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Chronic Disease and Related Conditions at Emergency Treatment Facilities in the New Orleans Area After Hurricane Katrina

Published online by Cambridge University Press:  08 April 2013

Andrea J. Sharma ,
Edward C. Weiss ,
Stacy L. Young ,
Kevin Stephens ,
Raoult Ratard ,
Susanne Straif-Bourgeois ,
Theresa M. Sokol ,
Peter Vranken  and
Carol H. Rubin
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Abstract

Background: Disaster preparations usually focus on preventing injury and infectious disease. However, people with chronic disease and related conditions (CDRCs), including obstetric/gynecological conditions, may be vulnerable to disruptions caused by disasters.

Methods: We used surveillance data collected after Hurricane Katrina to characterize the burden of visits for CDRCs at emergency treatment facilities (eg, hospitals, disaster medical assistance teams, military aid stations). In 6 parishes in and around New Orleans, health care providers at 29 emergency treatment facilities completed a standardized questionnaire for injury and illness surveillance from September 8 through October 22, 2005.

Results: Of 21,673 health care visits, 58.0% were for illness (24.3% CDRCs, 75.7% non-CDRCs), 29.1% for injury, 7.2% for medication refills, and 5.7% for routine or follow-up care. The proportion of visits for CDRCs increased with age. Among men presenting with CDRCs, the most common illnesses were cardiovascular disease (36.8%), chronic lower-respiratory disease (12.3%), and diabetes/glucose abnormalities (7.7%). Among women presenting with CDRCs, the most common were cardiovascular disease (29.2%), obstetric/gynecological conditions (18.2%), and chronic lower-respiratory disease (12.0%). Subsequent hospitalization occurred among 28.7% of people presenting with CDRCs versus 10.9% of those with non-CDRCs and 3.8% of those with injury.

Conclusions: Our data illustrate the importance of including CDRCs as a part of emergency response planning. (Disaster Med Public Health Preparedness. 2008;2:27–32)

Keywords

surveillancechronic diseasedisastersLouisianaobstetrics
Type
Original Research and Critical Analysis
Information
Disaster Medicine and Public Health Preparedness , Volume 2 , Issue 1 , March 2008 , pp. 27 - 32
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2008

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References

REFERENCES

1.Noji, EK The Public Health Consequences of Disasters.New York: Oxford University Press 1997 .CrossRefGoogle Scholar
2.Mokdad, AH, Mensah, GA, Posner, SFet al When chronic conditions become acute: prevention and control of chronic diseases and adverse health outcomes during natural disasters. Prev Chronic Dis [serial online], vol 2. November 2005. http://www.cdc.gov/Pcd/issues/2005/nov/05_0201.htm.Google Scholar
3.Ford, ES, Mokdad, AH, Link, MWet al Chronic disease in health emergencies: in the eye of the hurricane. Prev Chronic Dis [serial online], vol 3. April 2006;3. http://www.cdc.gov/pcd/issues/2006/apr/05_0235.htm. Accessed January 22, 2008.Google Scholar
4.Centers for Disease Control and Prevention. Update on CDC's response to Hurricane Katrina. US Department of Health and Human Services, CDC Web site. September 19, 2005. http://www.cdc.gov/od/katrina/09-19-05.htm. Accessed January 22, 2008.Google Scholar
5.The Washington Post/Kaiser Family Foundation/Harvard University Survey Project. Survey of Hurricane Katrina Evacuees. Henry J Kaiser Family Foundation Web site 2005. http://www.kff.org/newsmedia/upload/7401.pdf. Accessed January 22, 2008.Google Scholar
6.Lopez, C, Bergeron, T, Ratard, Ret alInjury and illness surveillance in hospitals and acute-care facilities after hurricanes Katrina and Rita—New Orleans area, Louisiana, September 25-October 15, 2005. MMWR Morb Mortal Wkly Rep. 2006;55:35–38.Google Scholar
7.Williams, W, Guarisco, J, Guillot, Ket alSurveillance for illness and injury after hurricane Katrina—New Orleans, Louisiana, September 8-25, 2005. MMWR Morb Mortal Wkly Rep. 2005;54:1018–1021.Google Scholar
8.The Federal Response to Hurricane Katrina: Lessons Learned. The White House Web site. February 23, 2006. http://www.whitehouse.gov/reports/katrina-lessons-learned.pdf. Accessed January 22, 2008.Google Scholar
9.Kirizuka, K, Nishizaki, H, Kohriyama, Ket alInfluences of the great Hanshin-Awaji earthquake on glycemic control in diabetic patients. Diabetes Res Clin Pract. 1997;36:193–196.Google Scholar
10.Kario, K, McEwen, BS, Pickering, TG.Disasters and the heart: a review of the effects of earthquake-induced stress on cardiovascular disease. Hypertens Res. 2003;26:355–367.Google Scholar
11.Sengul, A, Ozer, E, Salman, Set alLessons learnt from influences of the Marmara earthquake on glycemic control and quality of life in people with type 1 diabetes. Endocr J. 2004;51:407–414.Google ScholarPubMed
12.Trichopoulos, D, Katsouyanni, K, Zavitsanos, X, Tzonou, A, Dalla-Vorgia, P.Psychological stress and fatal heart attack: the Athens (1981) earthquake natural experiment. Lancet. 1983;1:441–444.CrossRefGoogle ScholarPubMed
13.Active public health surveillance in clinical care settings. Centers for Disease Control and Prevention Web site. July 24, 2006. http://www.bt.cdc.gov/disasters/hurricanes/asccs.asp. Accessed January 22, 2008.Google Scholar