The impact of the Tsunami on hospitalzations at the tertiary care hospital in the Southern Province of Sri Lanka
DOI:
https://doi.org/10.5055/ajdm.2008.0020Keywords:
Sri Lanka, Tsunami, disaster, injuries, hospitalizations, diagnosis, descriptive studyAbstract
Objective: Sri Lanka’s human, physical, social, and economic resources suffered a massive impact after the tsunami of December 26, 2004. To assist in preparing for future disasters, the authors sought to characterize the pattern of hospitalizations from the main impact zone in the Southern Province.
Design: Retrospective chart review.
Setting: Patients admitted to Teaching Hospital, Karapitiya, the only tertiary care hospital in the Southern Province.
Patients, Participants: All hospital admissions on the day of and week following the tsunami, and a random sample (5 percent) of admissions from the month preceding, and the 3 months following the tsunami were coded according to the International Classification of Diseases, 10th Edition, analyzed, and geomapped.
Intervention: N/A.
Main Outcome Measure(s): The overall daily number of hospitalizations increased by 50 percent on the day of the tsunami and decreased in the following week.
Results: Before the tsunami, injuries typically accounted for 20 percent of hospital admissions. However, injuries were markedly higher (89 percent of the total) on the day of the tsunami and remained elevated (35 percent) during the following week. After the initial peak in injuries (including near drownings), there was no increase in the frequency of infectious, cardiac, or psychiatric admissions.
Conclusions: Injuries (including near drownings) were the most common cause of admissions immediately after the tsunami.The distribution of specific diagnoses differed from that seen after other natural disasters such as earthquakes and hurricanes. A central aspect of disaster relief operations and planning includes a thorough understanding of the postdisaster health effects and changes in disease patterns.
References
Lay T, Kanamori H, Ammon CJ, et al.: The great Sumatra-Andaman earthquake of 26 December 2004. Science. 2005; 308: 1127-1133.
Magnitude 9.1—Off the West Coast of Northern Sumatra: US Geological Survey Web site. Available at http://earthquake.usgs.gov/eqcenter/eqinthenews/2004/usslav/. Accessed December 13, 2007.
Frerks G, Kelm B: Tsunami response in Sri Lanka: Report on a field visit from 6–20 February 2005. Available at http://www. clingendael.nl/publications/2005/20050300_cru_other_frerks.pdf. Accessed December 13, 2007.
Pilanbangchang S: Lessons from the tsunami. Bull World Health Organ. 2005; 83: 893-894.
Nishikiori N, Abe T, Costa DG, 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.
Carballo M, Daita S, Hernandez M: Impact of the Tsunami on healthcare systems. J R Soc Med. 2005; 98: 390-395.
Highlights of the Registrar General’s Department Annual Report for the year 2002. Registrar General’s Department Web site. Available at http://www.rgd.gov.lk. Accessed August 26, 2007.
Department of Health Services: Annual Health Bulletin 2003. Table 21. Colombo, Sri Lanka.
Department of Census and Statistics: Sri Lanka. Available at http://www.statistics.gov.lk/. Accessed December 13, 2007.
International Classification of Diseases: World Health Organization Web site.Available at http://www.who.int/classifications/ icd/en/. Accessed December 13, 2007.
Sri Lanka Cities (Southern Province). Available at http://www. bhoomi.lk/Srilanka_Cities_in-Southern_Province-2-a.aspx. Accessed December 13, 2007.
Democratic Socialist Republic of Sri Lanka (LK): Available at http://www.tageo.com/index-e-ce.htm. Accessed December 13, 2007.
Google Earth: Available at http://earth.google.com. Accessed December 13, 2007.
Pointer JE, Michaelis J, Saunders C, et al.: The 1989 Loma Prieta earthquake: Impact on hospital patient care. Ann Emerg Med. 1992; 21: 1228-1233.
de Ville de Goyet C: Epidemics caused by dead bodies: A disaster myth that does not want to die. Rev Panam Salud Publica. 2004; 15: 297-299.
Watson J, Gayer M, Connolly MA: Epidemic risk after disasters. Emerg Infect Dis. 2006; 12: 1468.
Bulut M, Fedakar R, Akkose S, et al.: Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005; 22: 494-498.
Sanchez-Carillo CI: Morbidity following Mexico City’s 1985 earthquakes: Clinical and epidemiological findings from hospitals and emergency units. Public Health Rep. 1989; 104: 482-488.
Matsuoka T, Yoshioka T, Oda J, et al.: The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health. 2000; 114: 249-253.
McArthur DL, Peek-Asa C, Kraus JF: Injury hospitalizations before and after the 1994 Northridge, California earthquake. Am J Emerg Med. 2000; 18: 361-366.
Tanaka H, Oda J, Iwai A, et al.: Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med. 1999; 17: 186-191.
Hendrickson LA, Vogt RL, Goebert D, et al.: Morbidity on Kauai before and after Hurricane Iniki. Prev Med. 1997; 26 (5 Part 1): 711-716.
Smith CM, Graffeo CS: Regional impact of Hurricane Isabel on emergency departments in coastal southeastern Virginia. Acad Emerg Med. 2005; 12: 1201-1205.
Neuner F, Schauer E, Catani C, et al.:Post-tsunami stress: A study of posttraumatic stress disorder in children living in three severely affected regions in Sri Lanka. J Trauma Stress. 2006; 19: 339-347.
Interim Report of a Meeting on Public Health Impact of the Tsunami: International Center for Migration and Health. Available at http://www.tsunami-evaluation.org/NR/rdonlyres/2DB83015-5514-4832-8782-D06F8A77F5FA/0/ICMH_Tsunami_Public_ Health_Response.pdf. Accessed December 13, 2007.
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