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Health Impact Assessment of Cyclone Bejisa in Reunion Island (France) Using Syndromic Surveillance

Published online by Cambridge University Press:  27 February 2015

Pascal Vilain ,
Frédéric Pagès ,
Xavier Combes ,
Pierre-Jean Marianne Dit Cassou ,
Katia Mougin-Damour ,
Yves Jacques-Antoine  and
Laurent Filleul
Pascal Vilain*
Affiliation:
Regional office of the French Institute for Public Health Surveillance, Saint-Denis, Reunion Island, France
Frédéric Pagès
Affiliation:
Regional office of the French Institute for Public Health Surveillance, Saint-Denis, Reunion Island, France
Xavier Combes
Affiliation:
University Hospital Centre, Saint-Denis, Reunion Island, France
Pierre-Jean Marianne Dit Cassou
Affiliation:
University Hospital Centre, Saint-Pierre, Reunion Island, France
Katia Mougin-Damour
Affiliation:
Hospital Centre, Saint-Paul, Reunion Island, France
Yves Jacques-Antoine
Affiliation:
Hospital Centre, Saint-Benoît, Reunion Island, France
Laurent Filleul
Affiliation:
Regional office of the French Institute for Public Health Surveillance, Saint-Denis, Reunion Island, France
*
Correspondence: Pascal Vilain, MS Cellule de l’InVS en Région (Cire) Océan Indien ARS Océan Indien 2 bis avenue Georges Brassens CS 61002 97743 Saint-Denis cedex 9 (La Réunion) France E-mail: [email protected]
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Abstract

Introduction

On January 2, 2014, Cyclone Bejisa struck Reunion Island (France). This storm led to major material damages, such as power outages, disturbance of drinking water systems, road closures, and the evacuation of residents. In this context, the Regional Office of French Institute for Public Health Surveillance in Indian Ocean (Cire OI) set up an epidemiological surveillance in order to describe short-term health effects of the cyclone.

Methods

The assessment of the health impact was based mainly on a syndromic surveillance system, including the activity of all emergency departments (EDs) and the Emergency Medical Service (EMS) of the island. From these data, several health indicators were collected and analyzed daily and weekly. To complete this assessment, all medical charts recorded in the EDs of Reunion Island from January 2, 2014 through January 5, 2014 were reviewed in order to identify visits directly and indirectly related to the cyclone, and to determine mechanisms of injuries.

Results

The number of calls to the EMS peaked the day of the cyclone, and the number of ED visits increased markedly over the next two days. At the same time, a significant increase in visits for trauma, burns, and carbon monoxide poisoning was detected in all EDs. Among 1,748 medical records reviewed, eight visits were directly related to the cyclone and 208 were indirectly related. For trauma, the main mechanisms of injury were falls and injuries by machinery or tools during the clean-up and repair works. Due to prolonged power outages, several patients were hospitalized: some to assure continuity of care, others to take care of an exacerbation of a chronic disease. An increase in leptospirosis cases linked to post-cyclone clean-up was observed two weeks after the cyclone.

Conclusion

Information based on the syndromic surveillance system allowed the authors to assess rapidly the health impact of Cyclone Bejisa in Reunion Island; however, an underestimation of this impact was still possible. In the near future, several lines of work will be planned by the authors in order to improve the assessment.

VilainP , PagèsF , CombesX , Marianne Dit CassouPJ , Mougin-DamourK , Jacques-AntoineY , FilleulL . Health Impact Assessment of Cyclone Bejisa in Reunion Island (France) Using Syndromic Surveillance. Prehosp Disaster Med. 2015;30(2):1-8

Keywords

cyclonic stormshealth impact assessmentnatural disastersyndromic surveillance
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 2 , April 2015 , pp. 137 - 144
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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References

1. Shultz, JM, Russell, J, Espinel, Z. Epidemiology of tropical cyclones: the dynamics of disaster, disease, and development. Epidemiol Rev. 2005;27(1):21-35.Google Scholar
2. Agence de Sante Océan Indien. Volet sanitaire du plan cyclone. Période cyclonique du 15 Novembre 2012 au 15 Avril 2013. http://www.urml-oi.net/ARS/00_CYCLONE-volet_sanitaire-plan_2012-2013.pdf. Accessed December 30, 2013.Google Scholar
3. Vilain, P, Filleul, L. La surveillance syndromique à la Réunion: un système de surveillance intégré. [Syndromic surveillance in Reunion Island: integrated surveillance system]. Bulletin de Veille Sanitaire. 2013;(21):9-12. http://www.invs.sante.fr/Publications-et-outils/Bulletin-de-veille-sanitaire/Tous-les-numeros/Ocean-indien-Reunion-Mayotte/Bulletin-de-veille-sanitaire-ocean-Indien.-N-21-Septembre-2013. Accessed October 30, 2013.Google Scholar
4. Filleul, L, Brottet, E, Gauzere, B, et al. Reunion, a sentinel territory for influenza surveillance in Europe. Euro Surveill. 2012;17(27):pii/20212.Google Scholar
5. Caillère, N, Vilain, P, Brottet, E, et al. A major outbreak of gastroenteritis in Réunion Island in 2012: first identification of G12 rotavirus on the Island. Euro Surveill. 2013;18(19):pii/20476.Google Scholar
6. Pagès, F, Polycarpe, D, Dehecq, JS, et al. Human leptospirosis on Reunion Island: past and current burden. Int J Environ Res Public Health. 2014;11(1):968-982.Google Scholar
7. Larrieu, S, Dehecq, JS, Balleydier, E, et al. Re-emergence of dengue in Reunion, France, January to April 2012. Euro Surveill. 2012;17(20):pii/20178.Google Scholar
8. Worster, A, Bledsoe, RD, Cleve, P, Fernandes, CM, Upadhye, S, Eva, K. Reassessing the methods of medical record review studies in emergency medicine research. Ann Emerg Med. 2005;45(4):448-451.CrossRefGoogle ScholarPubMed
9. Hope, K, Merritt, T, Eastwood, K, et al. The public health value of emergency department syndromic surveillance following a natural disaster. Commun Dis Intell Q Rep. 2008;32(1):92-94.Google Scholar
10. Centers for Disease Control (CDC). Hurricanes and hospital emergency-room visits--Mississippi, Rhode Island, Connecticut. MMWR Morb Mortal Wkly Rep. 1986;34(51-52):765-770.Google Scholar
11. Smith, CM, Graffeo, CS. Regional impact of Hurricane Isabel on emergency departments in coastal southeastern Virginia. Acad Emerg Med. 2005;12(12):1201-1205.Google Scholar
12. Miller, JA, Kearney, GD, Proescholdbell, SK. Surveillance of injuries in Eastern North Carolina following Hurricane Irene using emergency department data. N C Med J. 2013;74(4):272-278.Google ScholarPubMed
13. Centers for Disease Control and Prevention (CDC). Injuries and illnesses related to Hurricane Andrew--Louisiana, 1992. MMWR Morb Mortal Wkly Rep. 1993;42(13):242-244, 249-251.Google Scholar
14. Rainey, S, Cruse, CW, Smith, JS, Smith, KR, Jones, D, Cobb, S. The occurrence and seasonal variation of accelerant-related burn injuries in central Florida. J Burn Care Res. 2007;28(5):675-680.CrossRefGoogle ScholarPubMed
15. Centers for Disease Control and Prevention (CDC). Carbon monoxide exposures after Hurricane Ike - Texas, September 2008. MMWR Morb Mortal Wkly Rep. 2009;58(31):845-849.Google Scholar
16. Centers for Disease Control and Prevention. Carbon monoxide poisoning after hurricane Katrina--Alabama, Louisiana, and Mississippi, August-September 2005. MMWR Morb Mortal Wkly Rep. 2005;54(39):996-998.Google Scholar
17. Centers for Disease Control and Prevention (CDC). Carbon monoxide poisoning from hurricane-associated use of portable generators. MMWR Morb Mortal Wkly Rep. 2005;54(28):697-700.Google Scholar
18. Centers for Disease Control and Prevention (CDC). Surveillance for injuries and illnesses and rapid health-needs assessment following Hurricanes Marilyn and Opal, September-October 1995. MMWR Morb Mortal Wkly Rep. 1996;45(4):81-85.Google Scholar
19. Centers for Disease Control and Prevention (CDC). Morbidity surveillance after Hurricane Katrina--Arkansas, Louisiana, Mississippi, and Texas, September 2005. MMWR Morb Mortal Wkly Rep. 2006;55(26):727-731.Google Scholar
20. Centers for Disease Control and Prevention (CDC). Morbidity and mortality associated with Hurricane Floyd--North Carolina, September-October 1999. MMWR Morb Mortal Wkly Rep. 2000; May 5; 49(17):369-372. Erratum in: MMWR Morb Mortal Wkly Rep. 2000;49(23):518.Google Scholar
21. Noji, EK. Analysis of medical needs during disasters caused by tropical cyclones: anticipated injury patterns. J Trop Med Hyg. 1993;96(6):370-376.Google ScholarPubMed
22. Alson, R, Alexander, D, Leonard, RB, Stringer, LW. Analysis of medical treatment at a field hospital following Hurricane Andrew, 1992. Ann Emerg Med. 1993;22(11):1721-1728.Google Scholar
23. Sullivent, EE 3rd, West, CA, Noe, RS, Thomas, KE, Wallace, LJ, Leeb, RT. Nonfatal injuries following Hurricane Katrina--New Orleans, Louisiana, 2005. J Safety Res. 2006;37(2):213-217.CrossRefGoogle ScholarPubMed
24. Centers for Disease Control and Prevention (CDC). Hurricane Ike rapid needs assessment - Houston, Texas, September 2008. MMWR Morb Mortal Wkly Rep. 2009;58(38):1066-1071.Google Scholar
25. Centers for Disease Control and Prevention. Surveillance for illness and injury after Hurricane Katrina--three counties, Mississippi, September 5-October 11, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(9):231-234.Google Scholar
26. Mokdad, AH, Mensah, GA, Posner, SF, Reed, E, Simoes, EJ, Engelgau, MM, and the Chronic Diseases and Vulnerable Populations in Natural Disasters Working Group. When chronic conditions become acute: prevention and control of chronic diseases and adverse health outcomes during natural disasters. Prev Chronic Dis. 2005. http://www.cdc.gov/pcd/issues/2005/nov/05_0201.htm. Accessed February 28, 2014.Google Scholar
27. Centers for Disease Control and Prevention (CDC). Tropical Storm Allison rapid needs assessment--Houston, Texas, June 2001. MMWR Morb Mortal Wkly Rep. 2002;51(17):365-369.Google Scholar
28. Lee, LE, Fonseca, V, Brett, KM, et al. Active morbidity surveillance after Hurricane Andrew--Florida, 1992. JAMA. 1993;270(5):591-594. Erratum in: JAMA. 1993;270(19):2302.Google Scholar
29. Sanders, EJ, Rigau-Pérez, JG, Smits, HL, et at. Increase of leptospirosis in dengue-negative patients after a hurricane in Puerto Rico in 1996 [correction of 1966]. Am J Trop Med Hyg. 1999;61(3):399-404. Erratum in: Am J Trop Med Hyg. 1999;61(5):861.CrossRefGoogle ScholarPubMed
30. Pan American Health Organization. Impact of Hurricane Mitch on Central America. Epidemiol Bull. 1998;19(4):1-13.Google Scholar
31. Raguenaud, ME, Germonneau, P, Leseigneur, J, et al. Epidemiological surveillance linked to an outreach psychological support program after the Xynthia storm in Charente-Maritime, France, 2010. Prehosp Disaster Med. 2012;27(5):483-488.Google Scholar