The lingering impact of Hurricane Katrina: Examining the physical health, mental health, and racial equity impacts of disaster response




disaster response, Hurricane Katrina, racial inequity, mental health, natural disasters


Purpose: The purpose of the research discussed in this paper is to better understand the negative health outcomes resulting from Hurricane Katrina and the disaster response that followed. This understanding can inform future disaster response.

Design: We conducted 10 in-depth interviews with individuals who lived in New Orleans at the time of Hurricane Katrina. We conducted thematic analysis on the interview content and identified patterns across all 10 interviews.

Findings: Four primary patterns emerged across all interviews. These were: (1) Federal Emergency Management Agency’s (FEMA) response to the crisis created greater physical and mental health hazards for interviewees; (2) Hurricane Katrina led to long-term mental health issues for interviewees, even those who evacuated before the storm; (3) displacement from homes following the storm typically resulted in overcrowded living conditions, which increased interviewees’ risk of infectious disease; and (4) the discrimination faced by interviewees in the months and years following Hurricane Katrina had a profound and lasting impact on their well-being.

Originality: Numerous studies have been conducted to understand the mental health impacts of disaster and a limited number have looked at the physical health impacts or the threat of infectious disease. This study is unique because it incorporates both mental and physical health impacts, but also examines how disaster response itself plays a role in health outcomes for survivors. Additionally, this paper also incorporates the role of racial inequities in disaster response and how those inequities impact survivor health.

Author Biographies

Christine Crudo Blackburn, PhD

Assistant Professor, Department of Security Studies, Sam Houston State University, Huntsville, Texas

Sayali Shelke, BS

Medical Student, College of Medicine, Texas A&M University, Bryan, Texas


Gibbens S: Hurricane Katrina, explained. Available at Accessed May 15, 2021.

Reid K: 2005 Hurricane Katrina: Facts, FAQs, and how to help. Available at Accessed May 15, 2021.

Webster RA: New Orleans 5th fattest city in the US, study finds. Available at Accessed June 24, 2021.

New Orleans Health Department: Health Disparities in New Orleans. Available at Accessed June 16, 2021.

Neal M, McCargo A: How economic crises and sudden disasters increase racial disparities in homeownership. Available at Accessed June 27, 2021.

Raker, EJ, Arcaya, MC, Lowe, SR, et al.: Mitigating health disparities after natural disasters: Lessons from the RISK project. Health Aff. 2020; 39: 2128-2135.

Weden MW, Parks V, Parker AM, et al.: Health disparities in the US Gulf Coast: The interplay of environmental disaster, material loss, and residential segregation. Environ Justice. 2021; 14: 110-123.

Bruan V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol. 2006; 3: 77-101.

Nowell LS, Norris JM, White DE, et al.: Thematic analysis: Striving to meet the trustworthiness criteria. Int J Qual Methods. 2017; 16: 1-13.

PBS NewsHour: FEMA Faces Intense Scrutiny. Available at Accessed June 21, 2021.

FEMA: Hurricane Katrina response and recovery update. Available at Accessed June 21, 2021.

Stanke C, Murray V, Amlot R, et al.: The effects of flooding on mental health: Outcomes and recommendations from a review of the literature. PLoS Curr. 2012; 4: e4f9f1fa9c3cae.

Hori M, Schafer MJ: Social costs of displacement in Louisiana after Hurricanes Katrina and Rita. Popul Environ. 2010; 31: 64-86.

Waddell SL, Jayaweera DT, Mirsaeidi M, et al.: Perspectives on health effects of hurricanes: A review and challenges. Int J Env Res Pub. He. 2021; 18: 2756.

Hoge CW, Reichler MR, Dominguez EA, et al.: An epidemic of pneumococcal disease in an overcrowded, inadequately ventilated jail. New Eng J Med. 1994: 331: 643-648.

Kouadio IK, Alijunid S, Kamigaki T, et al.: Infectious diseases following natural disasters: Prevention and control measures. Expert Rev Anti Infect Ther. 2012; 10: 95-104.

McNicholas A, Lennon D, Crampton P, et al.: Overcrowding and infectious disease—When will we learn the lessons of our past. N Z Med J. 2010; 113: 453-454.

Kendi IX: Stamped from the Beginning: The Definitive History of Racist Ideas in America. New York City: Bold Type Books, 2017.

Rothstein R: The Color of Law: A Forgotten History of How Our Government Segregated America. New York City: Liverright, 2017.

Hamel L, Wu B, Brodie M, et al.: An early assessment of Hurricane Harvey’s impact on vulnerable Texans in the Gulf Coast Region: Their voices and priorities to inform rebuilding efforts. Available at Accessed June 23, 2021.

National Advisory Council: National Advisory Council Report to the FEMA Administrator. Available at Accessed June 23, 2021.

Williams DR, Rucker TD: Understanding and addressing racial disparities in health care. Health Care Financ Rev. 2020; 21: 75-90.



How to Cite

Blackburn, PhD, C. C., and S. Shelke, BS. “The Lingering Impact of Hurricane Katrina: Examining the Physical Health, Mental Health, and Racial Equity Impacts of Disaster Response”. American Journal of Disaster Medicine, vol. 17, no. 3, Sept. 2022, pp. 219-25, doi:10.5055/ajdm.2022.0436.