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Challenges faced by the chronically ill and disabled in high-risk hurricane areas

Robert J. Blendon, ScD, John M. Connolly, MSEd, John M. Benson, MA, Tami Buhr, AM, William E. Pollard, PhD, Elizabeth W. Mitchell, PhD

Abstract


Using results from three surveys of adults in highrisk hurricane areas in eight Southern coastal states, this article examines the challenges faced by people from households where someone has a chronic illness or disability and would need help to evacuate. The analysis finds that 43 percent of people in this vulnerable group had not arranged the help they would need to evacuate. They had different reasons than other adults for why they would or might not evacuate in a future hurricane and were more likely than others (22 to 10 percent) to say they would go to an evacuation center if they did evacuate. Among those who had experience with a recent hurricane, people in this vulnerable group had encountered many more problems than others during and immediately after the storm, including more than one in four who suffered from heat exhaustion, who did not get needed prescription medicines, or who did not have enough fresh water.

Keywords


hurricane; disability; chronic illness; preparedness; information seeking; emergency; evacuation

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References


Cannon T: Vulnerability analysis and the explanation of “natural” disasters. In Varley A (ed.): Disasters, Development and Environment. New York:Wiley, 1994: 13-30.

Hewitt K: The idea of calamity in a technocratic age. In Hewitt K (ed.): Interpretations of Calamity from the Viewpoint of Human Ecology. London: Allen and Unwin, 1983: 3-32.

Pulwarty RS, Riebsame WE: The political ecology of vulnerability to hurricane-related hazards. In Diaz HF, Pulwarty RS (eds.): Hurricanes: Climate and Socioeconomic Impacts. New York: Springer, 1997: 185-214.

Walker P: There are no natural disasters. Geographical 1994; 66(7): 9.

Zahran S, Brody SD, Peacock WG, et al.: Social vulnerability and the natural and built environment: A model of flood casualties in Texas. Disasters. 2008; 32: 537-560.

Cutter SL, Boruff BJ, Shirley WL: Social vulnerability to environmental hazards. Soc Sci Quart. 2003; 84: 242-261.

Rothman M, Brown LM: The vulnerable geriatric casualty: Medical needs of frail older adults during disasters. Generations. 2007; 31: 16-20.

Flume P, Gray S, Bowman CM, et al.: Emergency preparedness for the chronically ill. Am J Nurs. 2005; 105: 68-72.

Morrow BH: Identifying and mapping community vulnerability. Disasters. 1999; 23: 1-18.

McGuire LC, Ford ES, Okoro CA: Natural disasters and older U.S. adults with disabilities: Implications for evacuation. Disasters. 2007; 31: 49-56.

Blendon RJ, Benson JM, DesRoches CM, et al.: The public’s preparedness for hurricanes in four affected regions. Public Health Rep. 2007; 122: 167-176.

Gulitz E, Kurtz A, Carrington L: Planning for disasters: Sheltering persons with special health needs. Am J Public Health. 1990; 80: 879-880.

Currier M, King DS, Wofford MR, et al.: A Katrina experience: Lessons learned. Am J Med. 2006; 119: 986-992.

Rowland JL, White GW, Fox MH, et al.: Emergency response training practices for people with disabilities. J Disabil Policy Stud. 2007; 17: 216-222.

Waterstone ME, Stein MA: Emergency preparedness and people with disabilities. Ment Phys Disabil Law Rep. 2006; 30: 338-339.

Jhung MA, Shehab N, Rohr-Allegrini C, et al.: Chronic disease and disasters: Medication demands of Hurricane Katrina evacuees. Am J Prev Med 2007; 33: 207-210.

Washington Post/Kaiser Family Foundation/Harvard University: Survey of hurricane Katrina evacuees, September 2005. Available at http://www.kff.org/newsmedia/upload/7401.pdf. Accessed February 5, 2009.

Kessler RC: Hurricane Katrina’s impact on the care of survivors with chronic medical conditions. J Gen Intern Med. 2007; 22: 1225- 1230.

Harvard School of Public Health Poll: Harvard School of Public Health Hurricane Preparedness Survey 2006. Storrs, CT: Roper Center for Public Opinion Research, July 5, 2006.

Harvard School of Public Health Poll: Harvard School of Public Health Hurricane Preparedness Survey 2007. Storrs, CT: Roper Center for Public Opinion Research, June 18, 2007.

Harvard School of Public Health Poll: Harvard School of Public Health Hurricane Preparedness Survey 2008. Storrs, CT: Roper Center for Public Opinion Research, May 27, 2008.

Daniel WW: Biostatistics: A Foundation for Analysis in the Health Sciences. 5th ed. New York:Wiley, 1991: 225-226.




DOI: https://doi.org/10.5055/jem.2009.0036

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