Abstract:
:Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands.Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records from 10 716 ED visits 3 months before, between, and 3 months after the hurricanes.Results. Informants described damaged hospital infrastructure, including flooding, structural damage, and lost staff. The greatest public health impact was on the elderly and persons with chronic diseases. In the setting of loss of the electronic medical record system, ED chart reviews were limited by problems with missing data. ED administrative data demonstrated that posthurricane patients, compared with prehurricane patients, were older and had less severe complaints. There was a significant increase in patients being seen for diabetes-related and respiratory complaints, especially asthma. Suboptimal recordkeeping for medical evacuees limited the ability to assess outcomes for patients with severe illnesses.Conclusions. Hurricanes Irma and Maria caused major disruptions to health care on St Thomas. Emphasis should be given to building a resilient health care system that will optimally respond to future hurricanes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Chowdhury MAB,Fiore AJ,Cohen SA,Wheatley C,Wheatley B,Balakrishnan MP,Chami M,Scieszka L,Drabin M,Roberts KA,Toben AC,Tyndall JA,Grattan LM,Morris JG Jrdoi
10.2105/AJPH.2019.305310subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1725-1732issue
12eissn
0090-0036issn
1541-0048journal_volume
109pub_type
杂志文章abstract::A single case of multidrug-resistant tuberculosis (MDR-TB) can overwhelm the technical and financial capacity of small TB programs. In May 2008, the island state of Chuuk requested assistance for their first cases of MDR-TB. Second-line drugs and isolation rooms were unavailable, lab capacity was limited, and clinicia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.177170
更新日期:2011-01-01 00:00:00
abstract::Marked diversity in policies and practices for discontinuation of the PKU diet in the U.S. was found in a nationwide survey. Seventy-two of the 78 identified clinical centers treating PKU provided data. No clinicians are currently considering diet discontinuation at ages earlier than their present policy or practice. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.5.498
更新日期:1980-05-01 00:00:00
abstract::The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Cli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1200
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.4.584
更新日期:1992-04-01 00:00:00
abstract::A federal standard for fuel tank integrity in cars was applied to 1977 and subsequent models. National data indicate that fatalities per 10,000 occupants in rear-end crashes of small cars, where fire was the most harmful event, were reduced by approximately 57% if the fuel tank was located behind the rear axle and 77%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1168
更新日期:1993-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300281
更新日期:2011-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302503
更新日期:2015-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053199
更新日期:2007-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.94.8.1304
更新日期:2004-08-01 00:00:00
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journal_title:American journal of public health
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更新日期:1981-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300853
更新日期:2013-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.9.1268
更新日期:1992-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302767
更新日期:2015-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.5.551
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVES:We investigated the frequency with which alcohol advertisements appeared on Massachusetts Bay Transportation Authority (MBTA) transit lines in Boston, MA, and we calculated adult and youths' exposure to the ads. METHODS:We measured the nature and extent of alcohol advertisements on 4 Boston transit lines on...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.149906
更新日期:2009-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2013.301767
更新日期:2014-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305579
更新日期:2020-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.076182
更新日期:2007-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302654
更新日期:2015-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305377
更新日期:2020-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185181
更新日期:2010-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305379
更新日期:2020-01-01 00:00:00
abstract::Objectives. To examine if exposure to victimization (e.g., homicide, violence, sexual assault, arson, kidnapping) is related to health problems, health care access and barriers, and health needs-beyond the effects of female genital mutilation or cutting (FGM/C)-among Somali women and adolescent girls.Methods. We colle...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305392
更新日期:2020-01-01 00:00:00
abstract::In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.072777
更新日期:2007-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.137588
更新日期:2009-02-01 00:00:00
abstract::This study assessed the need for physician services among a group of institutionalized mentally retarded individuals in anticipation of their transfer to community residential facilities and subsequent management of their care by community-based physicians. The clients' personal physicians in the institution identifie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1202
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVES:To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma. METHODS:We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. RESULTS:Am...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303605
更新日期:2017-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303952
更新日期:2017-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1998-01-01 00:00:00
abstract::After a decade-long resurgence, including a large cutaneous diphtheria outbreak in Washington State, the diphtheria incidence rate in the United States reached its lowest recorded level ever in 1980--two patients (0.01 case per million). Mortality paralleled the decline in incidence rate. Only 143 of the 3,141 US coun...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.12.1393
更新日期:1985-12-01 00:00:00