The impact of natural disasters on the elderly
DOI:
https://doi.org/10.5055/ajdm.2008.0018Keywords:
disaster, elderly, hurricane, earthquake, flood, tornado, mental healthAbstract
Objective: To review and draw conclusions about the impact of natural disasters on the elderly from the published medical literature.
Design: Articles were obtained by searching the PubMed database and Google search engines using terms such as “disaster,” “elderly,” “hurricane,” “tornado,” “earthquake,” and “flood.” More articles were obtained from the reference lists of those obtained in the initial search.
Results: Forty-five journal articles were reviewed.
Conclusions: Many, but not all, studies have found that older individuals are more likely to suffer adverse physical consequences. This is not surprising considering the elderly are more likely to be in worse health before disasters and less able to seek assistance afterward. The lack of agreement between studies is not surprising either, considering heterogeneity in disasters, populations, and survey methods. This heterogeneity also precludes determination as to whether older individuals have a worse or more favorable psychological outcome than younger individuals. Several investigations, however, have noted that individuals may be more resilient to some of the psychological manifestations of disasters with more frequent exposure, often including the elderly. Many suggestions have been proposed to address the potential needs of older individuals such as involving existing organizations and those with existing geriatric expertise to design disaster plans, develop education, communication systems, and warnings for people with sensory impairment, create new methods for identifying, tracking, and following older individuals, and make special arrangements to provide disaster-related aid. However, there are only anecdotal reports of the success of the application of such methods.
References
Ollendick DG, Hoffman M: Assessment of psychological reactions in disaster victims. J Commun Psychol. 1982; 10: 157-167.
Thompson MP, Norris FH, Hanacek B: Age differences in the psychological consequences of Hurricane Hugo. Psychol Aging 1993; 8: 606-616.
Frequently asked questions: Hurricane Research Division, Atlantic Oceanographic and Meteorological Laboratory.Available at http://www.aoml.noaa.gov/hrd/tcfaq/costliesttable.html. Accessed Feb 12, 2008.
Hyer K, Brown LM, Berman A, et al.: Establishing and refining hurricane response systems for long-term care facilities. Health Affairs. 2006; 25: 407-411.
Morbidity Surveillance After Hurricane Katrina—Arkansas, Louisiana, Mississippi, and Texas, September 2005. MMWR. 2006; 55: 727-731.
Lawson EJ, Thomas C:Wading in the waters: Spirituality and older black Katrina survivors. J Health Care Poor Underserv. 2007; 18: 341-354.
Preliminary medical examiner reports of mortality associated with Hurricane Charley—Florida, 2004.MMWR. 2004; 53: 835-837.
Rapid assessment of the needs and health status of older adults after Hurricane Charley—Charlotte, DeSoto, and Hardee Counties, Florida, August 27-31, 2004. MMWR. 2004; 53: 837-840.
Gong Z, Chai C, Tu C, et al.: Injuries after a typhoon in China. N Eng J Med. 2007; 356: 196-197.
Hendrickson LA, Vogt RL, Goebert D, et al.: Morbidity on Kauai before and after Hurricane Iniki. Prev Med. 2007; 26 (5 Part 1): 711- 716.
Krause N: Exploring the impact of a natural disaster on the health and psychological well-being of older adults. J Hum Stress. 1987; 13: 61-69.
Uscher-Pines L: “But for the Hurricane”: Measuring natural disaster mortality over the long term. Prehosp Disast Med. 2007; 22: 149-151.
De Ville de Goyet C: Editorial comments—“But for the hurricane”: Measuring natural disaster mortality over the long term. Prehosp Disast Med. 2007; 22: 152-153.
McNabb SJN, Kelso KY,Wilson SA, et al.: Hurricane Andrewrelated illnesses and injuries in Louisiana, 1992. South Med J. 1995; 88: 615-618.
Gagnon EB, Aboutanos MB, Malhotra AK, et al.: In the wake of Hurricane Isabel: A prospective study of postevent trauma and injury control strategies. Am Surg. 2005; 71: 194-197.
Acierno R, Ruggiero KJ, Kilpatrick DG, et al.: Risk and protective factors for psychopathology among older versus younger adults after the 2004 Florida hurricanes Am J Geriatr Psychiatr. 2006; 14: 1051-1059.
Kohn R, Levay I, Garcia ID, et al.: Prevalence, risk factors and aging vulnerability for psychopathology following a natural disaster in a developing country. Int J Geriatr Psychiatr. 2005; 20: 835-841.
Chou Y-J, Huang N, Lee C-H, et al.: Who is at risk of death in an earthquake? Am J Epidemiol. 2004; 160: 688-695.
Tsai C-H, Lung F-W,Wang S-Y: The 1999 Ji-Ji (Taiwan) earthquake as a trigger for acute myocardial infarction. Psychosomatics. 2004; 45: 477-482.
Ticehurst S,Webster RA, Carr VJ, et al.: The psychosocial impact of an earthquake on the elderly. Int J Geriatr Psychiatr. 1996; 11: 943-951.
Chiu TY, Hu,WY, Lue BH, et al.: Effects of a major earthquake on the status of pre-existing physical illness and levels of psychosocial distress in community inhabitants. J Formos Med Assoc. 2002; 101: 322-328.
Hoshii T, Nishiyama T, Takahashi K: Influence of the great earthquake in the Chuetsu district onpatients managing urination with clean intermittent self-urethral catheterization. Int J Urol. 2007; 14: 875-878.
Lewin TJ, Carr VJ,Webster RA: Recovery from post-earthquake psychological morbidity: Who suffers and who recovers? Austr N Z J Psychiatr. 1998; 32: 15-20.
Toyabe S, Shioiri T, Kuwabara H, et al.: Impaired psychological recovery in the elderly after the Niigata-Chuetsu Earthquake in Japan: A population-based study. BMC Public Health. 2006, 6: 230.
Watanabe C, Okumura J, Chiu T-Y, et al.: Social support and depressive symptoms among displaced older adults following the 1999 Taiwan earthquake. J Traumatic Stress. 2004; 17: 63-57.
Knight BG, Gatz M, Heller K, et al.: Age and emotional response to the Northridge earthquake: A longitudinal analysis. Psychol Aging. 2000; 15: 627-634.
Nishikiori N, Abe T, Dehiwala GM, et al.: Who died as a result of the tsunami?—Risk factors of mortality among internally displaced persons in Sri Lanka: A retrospective cohort analysis. BMC Public Health. 2006, 6: 73.
Liu A, Tan H, Zhou J, et al.: An epidemiologic study of posttraumatic stress disorder in flood victims in Hunan China. Can J Psychiatr. 2006; 51: 350–354.
Phifer JF, Kaniasty KZ, Norris FH: The impact of natural disaster on the health of older adults: A multiwave prospective study. J Health Soc Behav. 1988; 29: 65-78.
Phifer JF, Norris FH: Psychological symptoms in older adults following natural disaster: Nature, timing, duration, and course. J Gerontol. 1989; 44: S207-S217.
Tyler KA: The impact of support received and support provision on changes in perceived social support among older adults. Int J Aging Hum Dev. 2006; 62: 21-38.
Norris FH, Murrell SA: Prior experience as a moderator of disaster impact on anxiety symptoms in older adults. Am J Commun Psychol. 1988; 16: 665-681.
Huerta F, Horton R: Coping behavior of elderly flood victims. Gerontologist. 1978; 18: 541-546.
Ferraro FR: Psychological resilience in older adults following the 1997 flood. Clin Gerontol. 2003; 26(3/4): 139-143.
Mellick ME, Logue JN: The effect of disaster on the health and well-being of older women. Int J Aging Hum Dev. 1985; 21: 27-38.
Phifer JE: Psychological distress and somatic symptoms after natural disaster: Differential vulnerability among older adults. Psychol Aging. 1990; 5: 412-420.
Bolin R, Klenow DJ: Response of the elderly to disaster: An agestratified analysis. Int J Aging Hum Dev. 1983; 16: 283-286.
Bell BD, Kara G, Batterson C: Service utilization and adjustment patterns of elderly tornado victims in an American disaster. Mass Emerg. 1978; 3: 71-81.
Bolin R, Klenow DJ: Older people in disaster: A comparison of black and white victims. Int J Aging Hum Dev. 1988; 26: 29-41.
Cherniack EP, Sandals L, Brooks L, et al.: Trial of a survey instrument to establish the hurricane preparedness of and medical impact on a vulnerable older population. Prehosp Disast Med Prehospital, in press.
Kay J: Boston Globe. June 1, 2007. Available at http://www. boston.com/news/nation/articles/2007/06/01/hurricane_season_starts_ but_most_are_unready_poll_says/. Accessed March 13, 2008.
Dyer C, Festa NA, Cloyd B, et al.: Recommendations for best practices in the management of elderly disaster victims. Available at www.bcm.edu/pdf/bestpractices.pdf. Accessed Mar 6, 2008.
Fernandez LS, Byard D, Lin C-C, et al.: Frail elderly as disaster victims: emergency management strategies. Prehosp Disast Med. 2002; 17: 67-74.
Aldrich N, Benson WF: Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis. 2006; 5: 1-6.
Mack D, Brantley KM, Bell KG: Mitigating the health effects of disasters for medically underserved populations: Electronic health records, telemedicine, research, screening, and surveillance. J Health Care Poor Underserv. 2007; 18: 432-442.
Gotham IJ, Sottolano DL, Hennessy ME: An integrated information system for all-hazards health preparedness and response: New York State Health Emergency Response Data System. J Pub Health Manage Prac. 2007; 13: 486-496.
Krol DM, Redlener M, Shapiro A: A mobile medical care approach targeting underserved populations in post-Hurricane Katrina Mississippi. J Health Care Poor Underserv. 2007; 18: 331-340.
Taylor MM, Stokes WS, Bajuscak R: Mobilizing mobile medical units for hurricane relief: The United States Public Health Service and Broward County Health Department response to Hurricane Wilma, Broward County, Florida. J Pub Health Manage Prac. 2007; 13: 447-452.
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