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Understanding the Impacts of Maritime Disruption Transportation to Hospital-Based Acute Health Care Supplies and Personnel in Coastal and Geographically Isolated Communities

Published online by Cambridge University Press:  26 July 2018

Nicole A. Errett ,
Alexa Tanner ,
Xuesi Shen  and
Stephanie E. Chang
Nicole A. Errett*
Affiliation:
University of British Columbia School of Community and Regional Planning
Alexa Tanner
Affiliation:
University of British Columbia Institute for Resources, Environment, and Sustainability
Xuesi Shen
Affiliation:
University of British Columbia Institute for Resources, Environment, and Sustainability
Stephanie E. Chang
Affiliation:
University of British Columbia School of Community and Regional Planning
*
Correspondence and reprint requests to Dr Nicole A. Errett, University of Washington School of Public Health, 1959 NE Pacific Street, Box 357234, Seattle, WA 98195 (e-mail: [email protected]).
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Abstract

Objective

This study aimed to identify maritime transportation disruption impacts on available health care supplies and workers necessary to deliver hospital-based acute health care in geographically isolated communities post-disaster.

Methods

Semi-structured interviews were conducted with 25 key informants knowledgeable about the hospital-based acute health care supply chain and workforce emergency management plans and procedures in 2 coastal communities in British Columbia. These locations were accessed primarily through maritime transportation, including one urban center and one smaller, more remote community. Interview transcriptions were thematically analyzed.

Results

Critical vulnerabilities to hospital-based acute health care delivery due to a maritime transportation disruption identified include lack of information about the existing supply chain, lack of formal plans and agreements, and limited local supply storage and workforce capacity. Measures to decrease vulnerability and enhance system capacity can be fostered to enhance acute health care system resilience for these and other geographically isolated communities.

Conclusions

A maritime transportation disruption has the potential to impact the availability of hospital-based health care supplies and health care personnel necessary to deliver acute health care in coastal communities post-disaster. Multisector engagement is required to address complex interdependencies and competing priorities in emergency response. Additional research and public-private collaboration is necessary to quantify potential impacts of maritime transportation disruption on the acute health care system. (Disaster Med Public Health Preparedness. 2019;13:440-448)

Keywords

disaster, healthcare, maritime transportation
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 3 , June 2019 , pp. 440 - 448
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. Tanner, A, Dowlatabadi, H, Chang, SE, et al., Resilient coast: liquid fuel delivery to British Columbia coastal communities. UBC Library. 2017. http://hdl.handle.net/2429/63720. Accessed April 9, 2018.Google Scholar
2. Gonzalez, A, Malik, N. Collision causes crude oil spill in Texas. The Wall Street Journal. Published January 24, 2010. https://www.wsj.com/articles/SB10001424052748704562504575021540843701582#printMode. Accessed March 21, 2017.Google Scholar
3. Sturgis, L, Smythe, TC, Tucci, AE. Port recovery in the aftermath of Hurricane Sandy: improving port resiliency in the era of climate change. https://www.cnas.org/publications/reports/port-recovery-in-the-aftermath-of-hurricane-sandy-improving-port-resiliency-in-the-era-of-climate-change. Washington, DC: Center for a New American Security; 2014.Google Scholar
4. Kazama, M, Noda, T. Damage statistics (summary of the 2011 of the Pacific Coast of Tohuku Earthquake damage). Soils Found. 2012;52(5):780-792.Google Scholar
5. Nelson, C, Lurie, N, Wasserman, J, Zakowski, S. Conceptualizing and defining public health emergency preparedness. Am J Public Health. 2007;97(Suppl 1):S9-S11. doi: AJPH.2007.114496[pii].Google Scholar
6. McCabe, OL, Barnett, DJ, Taylor, HG, Links, JM. Ready, willing, and able: a framework for improving the public health emergency preparedness system. Disaster Med Public Health Prep. 2010;4(2):161-168. doi: 01273293-201006000-00015[pii].Google Scholar
7. About Victoria, BC. The Chamber. Greater Victoria Chamber of Commerce. https://www.victoriachamber.ca/about_victoria/. Updated 2012. Accessed March 21, 2017.Google Scholar
8. Smart, A. Major quake would destroy B.C. Ferries berths, experts warn. Times Colonist. Published March 18, 2017. https://www.timescolonist.com/news/local/major-quake-would-destroy-ferry-berths-experts-warn-1.12165845. Accessed March 21, 2017.Google Scholar
9. Powell River Community Profile. Powell River. Coastal By Nature. http://powellriver.info/liveinvest/images/PDF_FILES/PowellRiverProfile2014_open_for_business.pdf. Published 2014. Updated 2014. Accessed March 21, 2017.Google Scholar
10. Medical Services Plan. About B.C.‘s health care system. http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/msp/bc-residents. Updated 2017. Accessed September 27, 2017.Google Scholar
11. Health Authorities. About B.C.‘s health care system. http://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/partners/health-authorities. Updated 2017. Accessed September 27, 2017.Google Scholar
12. Regional Health Authorities. About B.C.‘s health care system. http://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/partners/health-authorities/regional-health-authorities. Updated 2017. Accessed September 27, 2017.Google Scholar
13. BC Clinical and Support Services. Supply chain. http://www.bccss.org/support-services/our-services/supply-chain. Updated 2017. Accessed September 27, 2017.Google Scholar
14. Omer, M, Mostashari, A, Nilchiani, R, Mansouri, M. A framework for assessing resiliency of maritime transportation systems. Marit Policy Manage. 2012;39(7):685-703.Google Scholar
15. Brandeau, ML, Hutton, DW, Owens, DK, Bravata, DM. Planning the bioterrorism response supply chain: learn and live. Am J Disaster Med. 2007;2(5):231-247.Google Scholar
16. Kendra, J, Wachtendorf, T. American Dunkirk: The Waterborne Evacuation of Manhattan on 9/11. Philadelphia: Temple University Press; 2016.Google Scholar
17. Twigg, J, Mosel, I. Emergent groups and spontaneous volunteers in disasters. Environ Urban. 2017;29(2):443-458. doi: 10.1177/0956247817721413.Google Scholar
18. Sauer, LM, Catlett, C, Tosatto, R, Kirsch, TD. The utility of and risks associated with the use of spontaneous volunteers: a survey. Disaster Med Public Health Prep. 2014;8(1):65-69. doi: 10.1017/dmp.2014.12.Google Scholar
19. Harrison, KL, Errett, NA, Rutkow, L, et al. An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis. Am J Disaster Med. 2014;9(2):87-96. doi: 10.5055/ajdm.2014.0145[doi].Google Scholar