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Sample records for hurricane katrina health-care-related

  1. Recovery from PTSD following Hurricane Katrina.

    Science.gov (United States)

    McLaughlin, Katie A; Berglund, Patricia; Gruber, Michael J; Kessler, Ronald C; Sampson, Nancy A; Zaslavsky, Alan M

    2011-06-01

    We examined patterns and correlates of speed of recovery of estimated posttraumatic stress disorder (PTSD) among people who developed PTSD in the wake of Hurricane Katrina. A probability sample of prehurricane residents of areas affected by Hurricane Katrina was administered a telephone survey 7-19 months following the hurricane and again 24-27 months posthurricane. The baseline survey assessed PTSD using a validated screening scale and assessed a number of hypothesized predictors of PTSD recovery that included sociodemographics, prehurricane history of psychopathology, hurricane-related stressors, social support, and social competence. Exposure to posthurricane stressors and course of estimated PTSD were assessed in a follow-up interview. An estimated 17.1% of respondents had a history of estimated hurricane-related PTSD at baseline and 29.2% by the follow-up survey. Of the respondents who developed estimated hurricane-related PTSD, 39.0% recovered by the time of the follow-up survey with a mean duration of 16.5 months. Predictors of slow recovery included exposure to a life-threatening situation, hurricane-related housing adversity, and high income. Other sociodemographics, history of psychopathology, social support, social competence, and posthurricane stressors were unrelated to recovery from estimated PTSD. The majority of adults who developed estimated PTSD after Hurricane Katrina did not recover within 18-27 months. Delayed onset was common. Findings document the importance of initial trauma exposure severity in predicting course of illness and suggest that pre- and posttrauma factors typically associated with course of estimated PTSD did not influence recovery following Hurricane Katrina. © 2011 Wiley-Liss, Inc.

  2. How Schools Responded to Student Mental Health Needs Following Hurricanes Katrina and Rita. Fact Sheet

    Science.gov (United States)

    RAND Corporation, 2007

    2007-01-01

    This fact sheet summarizes a study that examined how schools in the U.S. Gulf Coast region perceived the mental health needs of students after Hurricanes Katrina and Rita and how schools responded. According to the report, despite strong initial efforts to support the mental health needs of students displaced by Hurricanes Katrina and Rita, many…

  3. Hurricane Katrina Poster (August 28, 2005)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hurricane Katrina poster. Multi-spectral image from NOAA-18 shows a very large Hurricane Katrina as a category 5 hurricane in the Gulf of Mexico on August 28, 2005....

  4. 44 CFR 206.209 - Arbitration for Public Assistance determinations related to Hurricanes Katrina and Rita (Major...

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Arbitration for Public Assistance determinations related to Hurricanes Katrina and Rita (Major disaster declarations DR-1603, DR... determinations related to Hurricanes Katrina and Rita (Major disaster declarations DR-1603, DR-1604, DR-1605, DR...

  5. Hurricane Katrina impacts on Mississippi forests

    Science.gov (United States)

    Sonja N. Oswalt; Christopher Oswalt; Jeffery Turner

    2008-01-01

    Hurricane Katrina triggered public interest and concern for forests in Mississippi that required rapid responses from the scientific community. A uniform systematic sample of 3,590 ground plots were established and measured in 687 days immediately after the impact of Hurricane Katrina on the Gulf Coast. The hurricane damaged an estimated 521 million trees with more...

  6. Race differences in depression vulnerability following Hurricane Katrina.

    Science.gov (United States)

    Ali, Jeanelle S; Farrell, Amy S; Alexander, Adam C; Forde, David R; Stockton, Michelle; Ward, Kenneth D

    2017-05-01

    This study investigated whether racial disparities in depression were present after Hurricane Katrina. Data were gathered from 932 New Orleans residents who were present when Hurricane Katrina struck, and who returned to New Orleans the following year. Multiple logistic regression models evaluated racial differences in screening positive for depression (a score ≥16 on the Center for Epidemiologic Studies Depression Scale), and explored whether differential vulnerability (prehurricane physical and mental health functioning and education level), differential exposure to hurricane-related stressors, and loss of social support moderated and/or reduced the association of race with depression. A univariate logistic regression analysis showed the odds for screening positive for depression were 86% higher for African Americans than for Caucasians (odds ratio [OR] = 1.86 [1.28-2.71], p = .0012). However, after controlling simultaneously for sociodemographic characteristics, preexisting vulnerabilities, social support, and trauma-specific factors, race was no longer a significant correlate for screening positive for depression (OR = 1.54 [0.95-2.48], p = .0771). The racial disparity in postdisaster depression seems to be confounded by sociodemographic characteristics, preexisting vulnerabilities, social support, and trauma-specific factors. Nonetheless, even after adjusting for these factors, there was a nonsignificant trend effect for race, which could suggest race played an important role in depression outcomes following Hurricane Katrina. Future studies should examine these associations prospectively, using stronger assessments for depression, and incorporate measures for discrimination and segregation, to further understand possible racial disparities in depression after Hurricane Katrina. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  7. Mold exposure and health effects following hurricanes Katrina and Rita.

    Science.gov (United States)

    Barbeau, Deborah N; Grimsley, L Faye; White, LuAnn E; El-Dahr, Jane M; Lichtveld, Maureen

    2010-01-01

    The extensive flooding in the aftermath of Hurricanes Katrina and Rita created conditions ideal for indoor mold growth, raising concerns about the possible adverse health effects associated with indoor mold exposure. Studies evaluating the levels of indoor and outdoor molds in the months following the hurricanes found high levels of mold growth. Homes with greater flood damage, especially those with >3 feet of indoor flooding, demonstrated higher levels of mold growth compared with homes with little or no flooding. Water intrusion due to roof damage was also associated with mold growth. However, no increase in the occurrence of adverse health outcomes has been observed in published reports to date. This article considers reasons why studies of mold exposure after the hurricane do not show a greater health impact.

  8. Predicting Mothers' Reports of Children's Mental Health Three Years after Hurricane Katrina

    Science.gov (United States)

    Lowe, Sarah R.; Godoy, Leandra; Rhodes, Jean E.; Carter, Alice S.

    2013-01-01

    This study explored pathways through which hurricane-related stressors affected the psychological functioning of elementary school aged children who survived Hurricane Katrina. Participants included 184 mothers from the New Orleans area who completed assessments one year pre-disaster (Time 1), and one and three years post-disaster (Time 2 and Time…

  9. Hurricane Katrina: A Teachable Moment

    Science.gov (United States)

    Bertrand, Peggy

    2009-01-01

    This article presents suggestions for integrating the phenomenon of hurricanes into the teaching of high school fluid mechanics. Students come to understand core science concepts in the context of their impact upon both the environment and human populations. Suggestions for using information about hurricanes, particularly Hurricane Katrina, in a…

  10. The effect of Hurricane Katrina on the prevalence of health impairments and disability among adults in New Orleans: differences by age, race, and sex.

    Science.gov (United States)

    Sastry, Narayan; Gregory, Jesse

    2013-03-01

    We examined the effects of Hurricane Katrina on disability-related measures of health among adults from New Orleans, U.S.A., in the year after the hurricane, with a focus on differences by age, race, and sex. Our analysis used data from the American Community Survey to compare disability rates between the pre-Katrina population of New Orleans with the same population in the year after Katrina (individuals were interviewed for the study even if they relocated away from the city). The comparability between the pre- and post-Katrina samples was enhanced by using propensity weights. We found a significant decline in health for the adult population from New Orleans in the year after the hurricane, with the disability rate rising from 20.6% to 24.6%. This increase in disability reflected a large rise in mental impairments and, to a lesser extent, in physical impairments. These increases were, in turn, concentrated among young and middle-aged black females. Stress-related factors likely explain why young and middle-aged black women experienced worse health outcomes, including living in dwellings and communities that suffered the most damage from the hurricane, household breakup, adverse outcomes for their children, and higher susceptibility. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. The effect of Hurricane Katrina on the prevalence of health impairments and disability among adults in New Orleans: Differences by age, race, and sex

    Science.gov (United States)

    Sastry, Narayan; Gregory, Jesse

    2012-01-01

    We examined the effects of Hurricane Katrina on disability-related measures of health among adults from New Orleans, U.S.A., in the year after the hurricane, with a focus on differences by age, race, and sex. Our analysis used data from the American Community Survey to compare disability rates between the pre-Katrina population of New Orleans with the same population in the year after Katrina (individuals were interviewed for the study even if they relocated away from the city). The comparability between the pre-and post-Katrina samples was enhanced by using propensity weights. We found a significant decline in health for the adult population from New Orleans in the year after the hurricane, with the disability rate rising from 20.6% to 24.6%. This increase in disability reflected a large rise in mental impairments and, to a lesser extent, in physical impairments. These increases were, in turn, concentrated among young and middle-aged black females. Stress-related factors likely explain why young and middle-aged black women experienced worse health outcomes, including living in dwellings and communities that suffered the most damage from the hurricane, household breakup, adverse outcomes for their children, and higher susceptibility. PMID:23321678

  12. Urban sprawl and body mass index among displaced Hurricane Katrina survivors.

    Science.gov (United States)

    Arcaya, Mariana; James, Peter; Rhodes, Jean E; Waters, Mary C; Subramanian, S V

    2014-08-01

    Existing research suggests that walkable environments are protective against weight gain, while sprawling neighborhoods may pose health risks. Using prospective data on displaced Hurricane Katrina survivors, we provide the first natural experimental data on sprawl and body mass index (BMI). The analysis uses prospectively collected pre- (2003-2005) and post-hurricane (2006-2007) data from the Resilience in Survivors of Katrina (RISK) project on 280 displaced Hurricane Katrina survivors who had little control over their neighborhood placement immediately after the disaster. The county sprawl index, a standardized measure of built environment, was used to predict BMI at follow-up, adjusted for baseline BMI and sprawl; hurricane-related trauma; and demographic and economic characteristics. Respondents from 8 New Orleans-area counties were dispersed to 76 counties post-Katrina. Sprawl increased by an average of 1.5 standard deviations (30 points) on the county sprawl index. Each one point increase in sprawl was associated with approximately .05kg/m(2) higher BMI in unadjusted models (95%CI: .01-.08), and the relationship was not attenuated after covariate adjustment. We find a robust association between residence in a sprawling county and higher BMI unlikely to be caused by self-selection into neighborhoods, suggesting that the built environment may foster changes in weight. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. Hurricane Katrina Sediment Sampling

    Data.gov (United States)

    U.S. Environmental Protection Agency — Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked...

  14. Hurricane Katrina Water Sampling

    Data.gov (United States)

    U.S. Environmental Protection Agency — Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked...

  15. Hurricane Katrina Soil Sampling

    Data.gov (United States)

    U.S. Environmental Protection Agency — Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked...

  16. Innovations in disaster mental health services and evaluation: national, state, and local responses to Hurricane Katrina (introduction to the special issue).

    Science.gov (United States)

    Norris, Fran H; Rosen, Craig S

    2009-05-01

    The severe consequences of Hurricane Katrina on mental health have sparked tremendous interest in improving the quality of mental health care for disaster victims. In this special issue, we seek to illustrate the breadth of work emerging in this area. The five empirical examples each reflect innovation, either in the nature of the services being provided or in the evaluation approach. Most importantly, they portray the variability of post-Katrina mental health programs, which ranged from national to state to local in scope and from educational to clinical in intensity. As a set, these papers address the fundamental question of whether it is useful and feasible to provide different intensities of mental health care to different populations according to presumed need. The issue concludes with recommendations for future disaster mental health service delivery and evaluation.

  17. Learning from Katrina: environmental health observations from the SWCPHP response team in Houston.

    Science.gov (United States)

    Elledge, Brenda L; Boatright, Daniel T; Woodson, Paul; Clinkenbeard, Rodney E; Brand, Michael W

    2007-09-01

    Hurricane Katrina provided an opportunity to observe the public health and medical care response system in practice and provided vital lessons about identifying and learning critical response measures as well as about ineffective investments of time and effort. The Southwest Center for Public Health Preparedness (SWCPHP) response team, while working among evacuees housed at Reliant Park in Houston, Texas, made a number of observations related to environmental public health. This summary reports firsthand observations which are, to a great extent, supported by the Federal Response to Hurricane Katrina: Lessons Learned report, and it provides a contextual backdrop for improvement in the areas of volunteer and citizen preparedness training and education. Katrina provided an opportunity to see public health in a highly stressed practice setting and to identify and reinforce the fundamental tenets of public health with which all individuals responding to an event should be familiar. Knowledge gained from Katrina should be integrated into future efforts related to disaster response planning; specifically, it is imperative that volunteers receive standardized training in the areas of incident command systems (ICS), basic hygiene, transmission of disease, and food and water safety principles.

  18. The Impact of Hurricane Katrina on Students’ Behavioral Disorder: A Difference-in-Difference Analysis

    Science.gov (United States)

    Tian, Xian-Liang; Guan, Xian

    2015-01-01

    Objective: The objective of this paper is to examine the impact of Hurricane Katrina on displaced students’ behavioral disorder. Methods: First, we determine displaced students’ likelihood of discipline infraction each year relative to non-evacuees using all K12 student records of the U.S. state of Louisiana during the period of 2000–2008. Second, we investigate the impact of hurricane on evacuee students’ in-school behavior in a difference-in-difference framework. The quasi-experimental nature of the hurricane makes this framework appropriate with the advantage that the problem of endogeneity is of least concern and the causal effect of interest can be reasonably identified. Results: Preliminary analysis demonstrates a sharp increase in displaced students’ relative likelihood of discipline infraction around 2005 when the hurricane occurred. Further, formal difference-in-difference analysis confirms the results. To be specific, post Katrina, displaced students’ relative likelihood of any discipline infraction has increased by 7.3% whereas the increase in the relative likelihood for status offense, offense against person, offense against property and serious crime is 4%, 1.5%, 3.8% and 2.1%, respectively. Conclusion: When disasters occur, as was the case with Hurricane Katrina, in addition to assistance for adult evacuees, governments, in cooperation with schools, should also provide aid and assistance to displaced children to support their mental health and in-school behavior. PMID:26006127

  19. The Impact of Hurricane Katrina on Students' Behavioral Disorder: A Difference-in-Difference Analysis.

    Science.gov (United States)

    Tian, Xian-Liang; Guan, Xian

    2015-05-22

    The objective of this paper is to examine the impact of Hurricane Katrina on displaced students' behavioral disorder. First, we determine displaced students' likelihood of discipline infraction each year relative to non-evacuees using all K12 student records of the U.S. state of Louisiana during the period of 2000-2008. Second, we investigate the impact of hurricane on evacuee students' in-school behavior in a difference-in-difference framework. The quasi-experimental nature of the hurricane makes this framework appropriate with the advantage that the problem of endogeneity is of least concern and the causal effect of interest can be reasonably identified. Preliminary analysis demonstrates a sharp increase in displaced students' relative likelihood of discipline infraction around 2005 when the hurricane occurred. Further, formal difference-in-difference analysis confirms the results. To be specific, post Katrina, displaced students' relative likelihood of any discipline infraction has increased by 7.3% whereas the increase in the relative likelihood for status offense, offense against person, offense against property and serious crime is 4%, 1.5%, 3.8% and 2.1%, respectively. When disasters occur, as was the case with Hurricane Katrina, in addition to assistance for adult evacuees, governments, in cooperation with schools, should also provide aid and assistance to displaced children to support their mental health and in-school behavior.

  20. Postpartum mental health after Hurricane Katrina: A cohort study

    Directory of Open Access Journals (Sweden)

    Harville Emily W

    2009-06-01

    Full Text Available Abstract Background Natural disaster is often a cause of psychopathology, and women are vulnerable to post-traumatic stress disorder (PTSD and depression. Depression is also common after a woman gives birth. However, no research has addressed postpartum women's mental health after natural disaster. Methods Interviews were conducted in 2006–2007 with women who had been pregnant during or shortly after Hurricane Katrina. 292 New Orleans and Baton Rouge women were interviewed at delivery and 2 months postpartum. Depression was assessed using the Edinburgh Depression Scale and PTSD using the Post-Traumatic Stress Checklist. Women were asked about their experience of the hurricane with questions addressing threat, illness, loss, and damage. Chi-square tests and log-binomial/Poisson models were used to calculate associations and relative risks (RR. Results Black women and women with less education were more likely to have had a serious experience of the hurricane. 18% of the sample met the criteria for depression and 13% for PTSD at two months postpartum. Feeling that one's life was in danger was associated with depression and PTSD, as were injury to a family member and severe impact on property. Overall, two or more severe experiences of the storm was associated with an increased risk for both depression (relative risk (RR 1.77, 95% confidence interval (CI 1.08–2.89 and PTSD (RR 3.68, 95% CI 1.80–7.52. Conclusion Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population.

  1. Retention of Displaced Students after Hurricanes Katrina and Rita

    Science.gov (United States)

    Coco, Joshua Christian

    2017-01-01

    The purpose of the study was to investigate the strategies that university leaders implemented to improve retention of displaced students in the aftermaths of Hurricanes Katrina and Rita. The universities that participated in this study admitted displaced students after Hurricanes Katrina and Rita. This study utilized a qualitative…

  2. Racial Differences in Posttraumatic Stress Disorder Vulnerability Following Hurricane Katrina Among a Sample of Adult Cigarette Smokers from New Orleans.

    Science.gov (United States)

    Alexander, Adam C; Ali, Jeanelle; McDevitt-Murphy, Meghan E; Forde, David R; Stockton, Michelle; Read, Mary; Ward, Kenneth D

    2017-02-01

    Although blacks are more likely than whites to experience posttraumatic stress disorder (PTSD) after a natural disaster, the reasons for this disparity are unclear. This study explores whether race is associated with PTSD after adjusting for differences in preexisting vulnerabilities, exposure to stressors, and loss of social support due to Hurricane Katrina using a representative sample of 279 black and white adult current and past smokers who were present when Hurricane Katrina struck, and identified it as the most traumatic event in their lifetime. Multiple logistic regression models evaluated whether differential vulnerability (pre-hurricane physical and mental health functioning, and education level), differential exposure to hurricane-related stressors, and loss of social support deterioration reduced the association of race with PTSD. Blacks were more likely than whites to screen positive for PTSD (49 vs. 39 %, respectively, p = 0.030). Although blacks reported greater pre-hurricane vulnerability (worse mental health functioning and lower educational attainment) and hurricane-related stressor exposure and had less social support after the hurricane, only pre-hurricane mental health functioning attenuated the association of race with screening positive for PTSD. Thus, racial differences in pre-hurricane functioning, particularly poorer mental health, may partially explain racial disparities in PTSD after natural disasters, such as Hurricane Katrina. Future studies should examine these associations prospectively using representative cohorts of black and whites and include measures of residential segregation and discrimination, which may further our understanding of racial disparities in PTSD after a natural disaster.

  3. Hurricane Katrina Wind Investigation Report

    Energy Technology Data Exchange (ETDEWEB)

    Desjarlais, A. O.

    2007-08-15

    This investigation of roof damage caused by Hurricane Katrina is a joint effort of the Roofing Industry Committee on Weather Issues, Inc. (RICOWI) and the Oak Ridge National Laboratory/U.S. Department of Energy (ORNL/DOE). The Wind Investigation Program (WIP) was initiated in 1996. Hurricane damage that met the criteria of a major windstorm event did not materialize until Hurricanes Charley and Ivan occurred in August 2004. Hurricane Katrina presented a third opportunity for a wind damage investigation in August 29, 2005. The major objectives of the WIP are as follows: (1) to investigate the field performance of roofing assemblies after major wind events; (2) to factually describe roofing assembly performance and modes of failure; and (3) to formally report results of the investigations and damage modes for substantial wind speeds The goal of the WIP is to perform unbiased, detailed investigations by credible personnel from the roofing industry, the insurance industry, and academia. Data from these investigations will, it is hoped, lead to overall improvement in roofing products, systems, roofing application, and durability and a reduction in losses, which may lead to lower overall costs to the public. This report documents the results of an extensive and well-planned investigative effort. The following program changes were implemented as a result of the lessons learned during the Hurricane Charley and Ivan investigations: (1) A logistics team was deployed to damage areas immediately following landfall; (2) Aerial surveillance--imperative to target wind damage areas--was conducted; (3) Investigation teams were in place within 8 days; (4) Teams collected more detailed data; and (5) Teams took improved photographs and completed more detailed photo logs. Participating associations reviewed the results and lessons learned from the previous investigations and many have taken the following actions: (1) Moved forward with recommendations for new installation procedures

  4. Hazardous substances releases associated with Hurricanes Katrina and Rita in industrial settings, Louisiana and Texas.

    Science.gov (United States)

    Ruckart, Perri Zeitz; Orr, Maureen F; Lanier, Kenneth; Koehler, Allison

    2008-11-15

    The scientific literature concerning the public health response to the unprecedented hurricanes striking the Gulf Coast in August and September 2005 has focused mainly on assessing health-related needs and surveillance of injuries, infectious diseases, and other illnesses. However, the hurricanes also resulted in unintended hazardous substances releases in the affected states. Data from two states (Louisiana and Texas) participating in the Hazardous Substances Emergency Events Surveillance (HSEES) system were analyzed to describe the characteristics of hazardous substances releases in industrial settings associated with Hurricanes Katrina and Rita. HSEES is an active multi-state Web-based surveillance system maintained by the Agency for Toxic Substances and Disease Registry (ATSDR). In 2005, 166 hurricane-related hazardous substances events in industrial settings in Louisiana and Texas were reported. Most (72.3%) releases were due to emergency shut downs in preparation for the hurricanes and start-ups after the hurricanes. Emphasis is given to the contributing causal factors, hazardous substances released, and event scenarios. Recommendations are made to prevent or minimize acute releases of hazardous substances during future hurricanes, including installing backup power generation, securing equipment and piping to withstand high winds, establishing procedures to shutdown process operations safely, following established and up-to-date start-up procedures and checklists, and carefully performing pre-start-up safety reviews.

  5. Hazardous substances releases associated with Hurricanes Katrina and Rita in industrial settings, Louisiana and Texas

    International Nuclear Information System (INIS)

    Ruckart, Perri Zeitz; Orr, Maureen F.; Lanier, Kenneth; Koehler, Allison

    2008-01-01

    The scientific literature concerning the public health response to the unprecedented hurricanes striking the Gulf Coast in August and September 2005 has focused mainly on assessing health-related needs and surveillance of injuries, infectious diseases, and other illnesses. However, the hurricanes also resulted in unintended hazardous substances releases in the affected states. Data from two states (Louisiana and Texas) participating in the Hazardous Substances Emergency Events Surveillance (HSEES) system were analyzed to describe the characteristics of hazardous substances releases in industrial settings associated with Hurricanes Katrina and Rita. HSEES is an active multi-state Web-based surveillance system maintained by the Agency for Toxic Substances and Disease Registry (ATSDR). In 2005, 166 hurricane-related hazardous substances events in industrial settings in Louisiana and Texas were reported. Most (72.3%) releases were due to emergency shut downs in preparation for the hurricanes and start-ups after the hurricanes. Emphasis is given to the contributing causal factors, hazardous substances released, and event scenarios. Recommendations are made to prevent or minimize acute releases of hazardous substances during future hurricanes, including installing backup power generation, securing equipment and piping to withstand high winds, establishing procedures to shutdown process operations safely, following established and up-to-date start-up procedures and checklists, and carefully performing pre-start-up safety reviews

  6. Hazardous substances releases associated with Hurricanes Katrina and Rita in industrial settings, Louisiana and Texas

    Energy Technology Data Exchange (ETDEWEB)

    Ruckart, Perri Zeitz [Division of Health Studies, Agency for Toxic Substances and Disease Registry, Atlanta, GA (United States)], E-mail: afp4@cdc.gov; Orr, Maureen F. [Division of Health Studies, Agency for Toxic Substances and Disease Registry, Atlanta, GA (United States); Lanier, Kenneth; Koehler, Allison [Louisiana Department of Health and Hospitals, Office of Public Health, New Orleans, LA (United States)

    2008-11-15

    The scientific literature concerning the public health response to the unprecedented hurricanes striking the Gulf Coast in August and September 2005 has focused mainly on assessing health-related needs and surveillance of injuries, infectious diseases, and other illnesses. However, the hurricanes also resulted in unintended hazardous substances releases in the affected states. Data from two states (Louisiana and Texas) participating in the Hazardous Substances Emergency Events Surveillance (HSEES) system were analyzed to describe the characteristics of hazardous substances releases in industrial settings associated with Hurricanes Katrina and Rita. HSEES is an active multi-state Web-based surveillance system maintained by the Agency for Toxic Substances and Disease Registry (ATSDR). In 2005, 166 hurricane-related hazardous substances events in industrial settings in Louisiana and Texas were reported. Most (72.3%) releases were due to emergency shut downs in preparation for the hurricanes and start-ups after the hurricanes. Emphasis is given to the contributing causal factors, hazardous substances released, and event scenarios. Recommendations are made to prevent or minimize acute releases of hazardous substances during future hurricanes, including installing backup power generation, securing equipment and piping to withstand high winds, establishing procedures to shutdown process operations safely, following established and up-to-date start-up procedures and checklists, and carefully performing pre-start-up safety reviews.

  7. Swamp tours in Louisiana post Hurricane Katrina and Hurricane Rita

    Science.gov (United States)

    Dawn J. Schaffer; Craig A. Miller

    2007-01-01

    Hurricanes Katrina and Rita made landfall in southern Louisiana during August and September 2005. Prior to these storms, swamp tours were a growing sector of nature-based tourism that entertained visitors while teaching about local flora, fauna, and culture. This study determined post-hurricane operating status of tours, damage sustained, and repairs made. Differences...

  8. The Impact of Child-Related Stressors on the Psychological Functioning of Lower-Income Mothers after Hurricane Katrina

    Science.gov (United States)

    Lowe, Sarah R.; Chan, Christian S.; Rhodes, Jean E.

    2011-01-01

    In the present study, the authors examined the role of child-related stressors in the psychological adjustment of lower-income, primarily unmarried and African American, mothers (N = 386). All participants lived in areas affected by Hurricane Katrina, and about a third were also exposed to Hurricane Rita (30.3%, n = 117). Lacking knowledge of a…

  9. Hurricane Katrina - Murphy Oil Spill Boundary

    Data.gov (United States)

    U.S. Environmental Protection Agency — Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked...

  10. Hurricane Katrina as a "teachable moment"

    Directory of Open Access Journals (Sweden)

    M. H. Glantz

    2008-04-01

    Full Text Available By American standards, New Orleans is a very old, very popular city in the southern part of the United States. It is located in Louisiana at the mouth of the Mississippi River, a river which drains about 40% of the Continental United States, making New Orleans a major port city. It is also located in an area of major oil reserves onshore, as well as offshore, in the Gulf of Mexico. Most people know New Orleans as a tourist hotspot; especially well-known is the Mardi Gras season at the beginning of Lent. People refer to the city as the "Big Easy". A recent biography of the city refers to it as the place where the emergence of modern tourism began. A multicultural city with a heavy French influence, it was part of the Louisiana Purchase from France in early 1803, when the United States bought it, doubling the size of the United States at that time.

    Today, in the year 2007, New Orleans is now known for the devastating impacts it withstood during the onslaught of Hurricane Katrina in late August 2005. Eighty percent of the city was submerged under flood waters. Almost two years have passed, and many individuals and government agencies are still coping with the hurricane's consequences. And insurance companies have been withdrawing their coverage for the region.

    The 2005 hurricane season set a record, in the sense that there were 28 named storms that calendar year. For the first time in hurricane forecast history, hurricane forecasters had to resort to the use of Greek letters to name tropical storms in the Atlantic and Gulf (Fig.~1.

    Hurricane Katrina was a Category 5 hurricane when it was in the middle of the Gulf of Mexico, after having passed across southern Florida. At landfall, Katrina's winds decreased in speed and it was relabeled as a Category 4. It devolved into a Category 3 hurricane as it passed inland when it did most of its damage. Large expanses of the city were inundated, many parts under water on

  11. Hurricane Katrina as a "teachable moment"

    Science.gov (United States)

    Glantz, M. H.

    2008-04-01

    By American standards, New Orleans is a very old, very popular city in the southern part of the United States. It is located in Louisiana at the mouth of the Mississippi River, a river which drains about 40% of the Continental United States, making New Orleans a major port city. It is also located in an area of major oil reserves onshore, as well as offshore, in the Gulf of Mexico. Most people know New Orleans as a tourist hotspot; especially well-known is the Mardi Gras season at the beginning of Lent. People refer to the city as the "Big Easy". A recent biography of the city refers to it as the place where the emergence of modern tourism began. A multicultural city with a heavy French influence, it was part of the Louisiana Purchase from France in early 1803, when the United States bought it, doubling the size of the United States at that time. Today, in the year 2007, New Orleans is now known for the devastating impacts it withstood during the onslaught of Hurricane Katrina in late August 2005. Eighty percent of the city was submerged under flood waters. Almost two years have passed, and many individuals and government agencies are still coping with the hurricane's consequences. And insurance companies have been withdrawing their coverage for the region. The 2005 hurricane season set a record, in the sense that there were 28 named storms that calendar year. For the first time in hurricane forecast history, hurricane forecasters had to resort to the use of Greek letters to name tropical storms in the Atlantic and Gulf (Fig.~1). Hurricane Katrina was a Category 5 hurricane when it was in the middle of the Gulf of Mexico, after having passed across southern Florida. At landfall, Katrina's winds decreased in speed and it was relabeled as a Category 4. It devolved into a Category 3 hurricane as it passed inland when it did most of its damage. Large expanses of the city were inundated, many parts under water on the order of 20 feet or so. The Ninth Ward, heavily

  12. An Examination of Hurricane Emergency Preparedness Planning at Institutions of Higher Learning of the Gulf South Region Post Hurricane Katrina

    Science.gov (United States)

    Ventura, Caterina Gulli

    2010-01-01

    The purpose of the study was to examine hurricane emergency preparedness planning at institutions of higher learning of the Gulf South region following Hurricane Katrina. The problem addressed the impact of Hurricane Katrina on decision-making and policy planning processes. The focus was on individuals that administer the hurricane emergency…

  13. Mapping and Visualization of Storm-Surge Dynamics for Hurricane Katrina and Hurricane Rita

    Science.gov (United States)

    Gesch, Dean B.

    2009-01-01

    The damages caused by the storm surges from Hurricane Katrina and Hurricane Rita were significant and occurred over broad areas. Storm-surge maps are among the most useful geospatial datasets for hurricane recovery, impact assessments, and mitigation planning for future storms. Surveyed high-water marks were used to generate a maximum storm-surge surface for Hurricane Katrina extending from eastern Louisiana to Mobile Bay, Alabama. The interpolated surface was intersected with high-resolution lidar elevation data covering the study area to produce a highly detailed digital storm-surge inundation map. The storm-surge dataset and related data are available for display and query in a Web-based viewer application. A unique water-level dataset from a network of portable pressure sensors deployed in the days just prior to Hurricane Rita's landfall captured the hurricane's storm surge. The recorded sensor data provided water-level measurements with a very high temporal resolution at surveyed point locations. The resulting dataset was used to generate a time series of storm-surge surfaces that documents the surge dynamics in a new, spatially explicit way. The temporal information contained in the multiple storm-surge surfaces can be visualized in a number of ways to portray how the surge interacted with and was affected by land surface features. Spatially explicit storm-surge products can be useful for a variety of hurricane impact assessments, especially studies of wetland and land changes where knowledge of the extent and magnitude of storm-surge flooding is critical.

  14. Breakup of New Orleans Households after Hurricane Katrina

    Science.gov (United States)

    Rendall, Michael S.

    2011-01-01

    Theory and evidence on disaster-induced population displacement have focused on individual and population-subgroup characteristics. Less is known about impacts on households. I estimate excess incidence of household breakup resulting from Hurricane Katrina by comparing a probability sample of pre-Katrina New Orleans resident adult household heads…

  15. Rebuilding the past: health care reform in post-Katrina Louisiana.

    Science.gov (United States)

    Clark, Mary A

    2010-10-01

    After Hurricane Katrina, there was good reason to believe that a gaping window of opportunity had opened for Louisiana to revamp its safety-net health care system. But two years of discussions among stakeholders within Louisiana and extensive negotiations with federal officials resulted in no such change. This article argues that any explanation for this outcome needs to incorporate both structure and process. In terms of structure, the rules of the Medicaid disproportionate-share hospital (DSH) program give states substantial independent authority to decide which hospitals to fund. Federal authorities could not force Louisiana, which had historically turned its DSH money over to the state hospital system, to redirect it toward an insurance expansion. In the process of negotiation after Katrina, those who defended the institutions wedded to the prestorm status quo conducted a better strategy than their challengers. They narrowed the purview of the Louisiana Health Care Redesign Collaborative, set up to propose changes in the safety net to the federal government, such that the question of whether to rebuild Charity Hospital in New Orleans was off the table. Meanwhile, on a separate track, the state and the Department of Veterans Affairs successfully pursued a plan to jointly build replacement hospitals.

  16. Metal concentrations in schoolyard soils from New Orleans, Louisiana before and after Hurricanes Katrina and Rita.

    Science.gov (United States)

    Presley, Steven M; Abel, Michael T; Austin, Galen P; Rainwater, Thomas R; Brown, Ray W; McDaniel, Les N; Marsland, Eric J; Fornerette, Ashley M; Dillard, Melvin L; Rigdon, Richard W; Kendall, Ronald J; Cobb, George P

    2010-06-01

    The long-term environmental impact and potential human health hazards resulting from Hurricanes Katrina and Rita throughout much of the United States Gulf Coast, particularly in the New Orleans, Louisiana, USA area are still being assessed and realized after more than four years. Numerous government agencies and private entities have collected environmental samples from throughout New Orleans and found concentrations of contaminants exceeding human health screening values as established by the United States Environmental Protection Agency (USEPA) for air, soil, and water. To further assess risks of exposure to toxic concentrations of soil contaminants for citizens, particularly children, returning to live in New Orleans following the storms, soils collected from schoolyards prior to Hurricane Katrina and after Hurricane Rita were screened for 26 metals. Concentrations exceeding USEPA Regional Screening Levels (USEPA-RSL), total exposure, non-cancer endpoints, for residential soils for arsenic (As), iron (Fe), lead (Pb), and thallium (Tl) were detected in soil samples collected from schoolyards both prior to Hurricane Katrina and after Hurricane Rita. Approximately 43% (9/21) of schoolyard soils collected prior to Hurricane Katrina contained Pb concentrations greater than 400mgkg(-1), and samples from four schoolyards collected after Hurricane Rita contained detectable Pb concentrations, with two exceeding 1700mgkg(-1). Thallium concentrations exceeded USEPA-RSL in samples collected from five schoolyards after Hurricane Rita. Based upon these findings and the known increased susceptibility of children to the effects of Pb exposure, a more extensive assessment of the soils in schoolyards, public parks and other residential areas of New Orleans for metal contaminants is warranted. 2010 Elsevier Ltd. All rights reserved.

  17. Motivational Factors Underlying College Students' Decisions to Resume Their Educational Pursuits in the Aftermath of Hurricane Katrina

    Science.gov (United States)

    Phillips, Theresa M.; Herlihy, Barbara

    2009-01-01

    This study explored college student persistence at a historically Black university affected by Hurricane Katrina. Predictor variables including sex, residence status, Pell Grant status, campus housing status, college grade point average, attendance before Hurricane Katrina, and attendance at the university by parents or another close relative were…

  18. Respiratory health effects associated with restoration work in post-Hurricane Katrina New Orleans.

    Science.gov (United States)

    Rando, Roy J; Lefante, John J; Freyder, Laurie M; Jones, Robert N

    2012-01-01

    This study examines prevalence of respiratory conditions in New Orleans-area restoration workers after Hurricane Katrina. Between 2007 and 2010, spirometry and respiratory health and occupational questionnaire were administered to 791 New Orleans-area adults who mostly worked in the building construction and maintenance trades or custodial services. The associations between restoration work hours and lung function and prevalence of respiratory symptoms were examined by multiple linear regression, χ², or multiple logistic regression. 74% of participants performed post-Katrina restoration work (median time: 620 hours). Symptoms reported include episodes of transient fever/cough (29%), sinus symptoms (48%), pneumonia (3.7%), and new onset asthma (4.5%). Prevalence rate ratios for post-Katrina sinus symptoms (PRR = 1.3; CI: 1.1, 1.7) and fever and cough (PRR = 1.7; CI: 1.3, 2.4) were significantly elevated overall for those who did restoration work and prevalence increased with restoration work hours. Prevalence rate ratios with restoration work were also elevated for new onset asthma (PRR = 2.2; CI: 0.8, 6.2) and pneumonia (PRR = 1.3; CI: 0.5, 3.2) but were not statistically significant. Overall, lung function was slightly depressed but was not significantly different between those with and without restoration work exposure. Post-Katrina restoration work is associated with moderate adverse effects on respiratory health, including sinusitis and toxic pneumonitis.

  19. The contribution of pre- and postdisaster social support to short- and long-term mental health after Hurricanes Katrina: A longitudinal study of low-income survivors.

    Science.gov (United States)

    Chan, Christian S; Lowe, Sarah R; Weber, Elyssa; Rhodes, Jean E

    2015-08-01

    A previous study of Hurricane Katrina survivors found that higher levels of predisaster social support were associated with lower psychological distress one year after the storm, and that this pathway was mediated by lower exposure to hurricane-related stressors. As a follow-up, we examined the impact of pre- and postdisaster social support on longer-term of mental health-both psychological distress and posttraumatic stress. In this three-wave longitudinal study, 492 residents in the region affected by Hurricane Katrina reported levels of perceived social support and symptoms of psychological distress prior to the storm (Wave 1). Subsequently, one year after Hurricane Katrina (Wave 2), they reported levels of exposure, perceived social support, and symptoms of psychological distress and posttraumatic stress. The latter three variables were assessed again four years after the hurricane (Wave 3). Results of mediation analysis indicated that levels of exposure to hurricane-related stressors mediated the relationship between Wave 1 perceived social support and Wave 3 psychological distress as well as postdisaster posttraumatic stress. Results of regression analyses indicated that, controlling for Wave 1 psychological distress and disaster exposure, Wave 2 perceived social support was associated with Wave 2 and Wave 3 psychological distress but not posttraumatic stress. Our results confirmed the social causation processes of social support and suggest that posttraumatic stress might not stem directly from the lack of social support. Rather, preexisting deficits in social resources might indirectly affect longer-term posttraumatic stress and general psychological distress by increasing risk for disaster-related stressors. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Lessons Learnt From Hurricane Katrina.

    Science.gov (United States)

    Akundi, Murty

    2008-03-01

    Hurricane Katrina devastated New Orleans and its suburbs on Monday August 29^th, 2005. The previous Friday morning, August 26, the National Hurricane Center indicated that Katrina was a Category One Hurricane, which was expected to hit Florida. By Friday afternoon, it had changed its course, and neither the city nor Xavier University was prepared for this unexpected turn in the hurricane's path. The university had 6 to 7 ft of water in every building and Xavier was closed for four months. Students and university personnel that were unable to evacuate were trapped on campus and transportation out of the city became a logistical nightmare. Email and all electronic systems were unavailable for at least a month, and all cell phones with a 504 area code stopped working. For the Department, the most immediate problem was locating faculty and students. Xavier created a list of faculty and their new email addresses and began coordinating with faculty. Xavier created a web page with advice for students, and the chair of the department created a separate blog with contact information for students. The early lack of a clear method of communication made worse the confusion and dismay among the faculty on such issues as when the university would reopen, whether the faculty would be retained, whether they should seek temporary (or permanent) employment elsewhere, etc. With the vision and determination of President Dr. Francis, Xavier was able to reopen the university in January and ran a full academic year from January through August. Since Katrina, the university has asked every department and unit to prepare emergency preparedness plans. Each department has been asked to collect e-mail addresses (non-Xavier), cell phone numbers and out of town contact information. The University also established an emergency website to communicate. All faculty have been asked to prepare to teach classes electronically via Black board or the web. Questions remain about the longer term issues of

  1. The effect of proximity to hurricanes Katrina and Rita on subsequent hurricane outlook and optimistic bias.

    Science.gov (United States)

    Trumbo, Craig; Lueck, Michelle; Marlatt, Holly; Peek, Lori

    2011-12-01

    This study evaluated how individuals living on the Gulf Coast perceived hurricane risk after Hurricanes Katrina and Rita. It was hypothesized that hurricane outlook and optimistic bias for hurricane risk would be associated positively with distance from the Katrina-Rita landfall (more optimism at greater distance), controlling for historically based hurricane risk and county population density, demographics, individual hurricane experience, and dispositional optimism. Data were collected in January 2006 through a mail survey sent to 1,375 households in 41 counties on the coast (n = 824, 60% response). The analysis used hierarchal regression to test hypotheses. Hurricane history and population density had no effect on outlook; individuals who were male, older, and with higher household incomes were associated with lower risk perception; individual hurricane experience and personal impacts from Katrina and Rita predicted greater risk perception; greater dispositional optimism predicted more optimistic outlook; distance had a small effect but predicted less optimistic outlook at greater distance (model R(2) = 0.21). The model for optimistic bias had fewer effects: age and community tenure were significant; dispositional optimism had a positive effect on optimistic bias; distance variables were not significant (model R(2) = 0.05). The study shows that an existing measure of hurricane outlook has utility, hurricane outlook appears to be a unique concept from hurricane optimistic bias, and proximity has at most small effects. Future extension of this research will include improved conceptualization and measurement of hurricane risk perception and will bring to focus several concepts involving risk communication. © 2011 Society for Risk Analysis.

  2. Changes in microbial community structure in the wake of Hurricanes Katrina and Rita.

    Science.gov (United States)

    Amaral-Zettler, Linda A; Rocca, Jennifer D; Lamontagne, Michael G; Dennett, Mark R; Gast, Rebecca J

    2008-12-15

    Hurricanes have the potential to alter the structures of coastal ecosystems and generate pathogen-laden floodwaters thatthreaten public health. To examine the impact of hurricanes on urban systems, we compared microbial community structures in samples collected after Hurricane Katrina and before and after Hurricane Rita. We extracted environmental DNA and sequenced small-subunit rRNA (SSU rRNA) gene clone libraries to survey microbial communities in floodwater, water, and sediment samples collected from Lake Charles, Lake Pontchartrain, the 17th Street and Industrial Canals in New Orleans, and raw sewage. Correspondence analysis showed that microbial communities associated with sediments formed one cluster while communities associated with lake and Industrial Canal water formed a second. Communities associated with water from the 17th Street Canal and floodwaters collected in New Orleans showed similarity to communities in raw sewage and contained a number of sequences associated with possible pathogenic microbes. This suggests that a distinct microbial community developed in floodwaters following Hurricane Katrina and that microbial community structures as a whole might be sensitive indicators of ecosystem health and serve as "sentinels" of water quality in the environment.

  3. Just-in-Time Training: The Lessons of Hurricane Katrina, 10 Years Later

    Science.gov (United States)

    Boerner, Heather

    2016-01-01

    Hurricane Katrina reshaped college workforce development programs as thoroughly as it did the coastline--but in this case, the changes were for the good of students, employers and the community. This article discusses the effects and changes made by 4 community colleges who were effected by Hurricane Katrina: (1) Louisiana Community and Technical…

  4. Analyzing after-action reports from Hurricanes Andrew and Katrina: repeated, modified, and newly created recommendations.

    Science.gov (United States)

    Knox, Claire Connolly

    2013-01-01

    Thirteen years after Hurricane Andrew struck Homestead, FL, Hurricane Katrina devastated the Gulf Coast of Mississippi, Alabama, and southeastern Louisiana. Along with all its destruction, the term "catastrophic" was redefined. This article extends the literature on these hurricanes by providing a macrolevel analysis of The Governor's Disaster Planning and Response Review Committee Final Report from Hurricane Andrew and three federal after-action reports from Hurricane Katrina, as well as a cursory review of relevant literature. Results provide evidence that previous lessons have not been learned or institutionalized with many recommendations being repeated or modified. This article concludes with a discussion of these lessons, as well as new issues arising during Hurricane Katrina.

  5. After Hurricanes Katrina and Rita: gender differences in health and religiosity in middle-aged and older adults.

    Science.gov (United States)

    Brown, Jennifer Silva; Cherry, Katie E; Marks, Loren D; Jackson, Erin M; Volaufova, Julia; Lefante, Christina; Jazwinski, S Michal

    2010-11-01

    We examined health-related quality of life in adults in the Louisiana Health Aging Study (LHAS) after Hurricanes Katrina and Rita (HK/R) that made landfall on the U.S. Gulf Coast region in 2005. Analyses of pre- and post-disaster SF-36 scores yielded changes in physical function and bodily pain. Mental health scores were lower for women than men. Gender differences were observed in religious beliefs and religious coping, favoring women. Religious beliefs and religious coping were negatively correlated with physical function, implying that stronger reliance on religiosity as a coping mechanism may be more likely among those who are less physically capable.

  6. Nephrologic Impact of Hurricanes Katrina and Rita in Areas Not Directly Affected.

    Science.gov (United States)

    Dossabhoy, Neville R; Qadri, Mashood; Beal, Lauren M

    2015-01-01

    Hurricanes Katrina and Rita resulted in enormous loss of life and disrupted the delivery of health care in areas affected by them. In causing mass movements of patients, natural disasters can overwhelm the resources of nephrology communities in areas not suffering direct damage. The following largely personal account evaluates the impact these hurricanes had upon the nephrology community, patients and health care providers alike, in areas not directly affected by the storms. Mass evacuation of hundreds of dialysis patients to surrounding areas overwhelmed the capacity of local hemodialysis centers. Non-availability of medical records in patients arriving without a supply of their routine medications led to confusion and sub-optimal treatment of conditions such as hypertension and congestive heart failure. Availability of cadaveric organs for transplantation was reduced in the surrounding areas, as the usual lines of communication and transportation were severed for several weeks. All of these issues led to prolong waiting times for patients on the transplant list. The hurricanes severely disrupted usual supply lines of medications to hospitals; certain rare conditions may be seen in higher numbers as a result of the shortages induced. We present the interesting surge in cases of acute kidney injury secondary to use of intravenous immune globulin.

  7. Resilience of Professional Counselors Following Hurricanes Katrina and Rita

    Science.gov (United States)

    Lambert, Simone F.; Lawson, Gerard

    2013-01-01

    Professional counselors who provided services to those affected by Hurricanes Katrina and Rita completed the K6+ (screen for severe mental illness), the Posttraumatic Growth Inventory, and the Professional Quality of Life Scale. Results indicated that participants who survived the hurricanes had higher levels of posttraumatic growth than…

  8. Information Technology Management: Hurricane Katrina Disaster Recovery Efforts Related to Army Information Technology Resources

    National Research Council Canada - National Science Library

    Jolliffe, Richard B; Burton, Bruce A; Wicecarver, Jacqueline L; Kince, Therese M; Ryan, Susan R; Price, Matthew J; Cleveland, Karma J; N. Pugh, Jacqueline; Milner, Jillisa H; Johnson, Meredith H

    2006-01-01

    ... of Louisiana, Mississippi, Alabama, and Florida with Category 3 winds and torrential rain. This audit report is the first in a planned series of audits on the effects of Hurricane Katrina on DoD information technology resources...

  9. A Comparison of HWRF, ARW and NMM Models in Hurricane Katrina (2005 Simulation

    Directory of Open Access Journals (Sweden)

    Anjaneyulu Yerramilli

    2011-06-01

    Full Text Available The life cycle of Hurricane Katrina (2005 was simulated using three different modeling systems of Weather Research and Forecasting (WRF mesoscale model. These are, HWRF (Hurricane WRF designed specifically for hurricane studies and WRF model with two different dynamic cores as the Advanced Research WRF (ARW model and the Non-hydrostatic Mesoscale Model (NMM. The WRF model was developed and sourced from National Center for Atmospheric Research (NCAR, incorporating the advances in atmospheric simulation system suitable for a broad range of applications. The HWRF modeling system was developed at the National Centers for Environmental Prediction (NCEP based on the NMM dynamic core and the physical parameterization schemes specially designed for tropics. A case study of Hurricane Katrina was chosen as it is one of the intense hurricanes that caused severe destruction along the Gulf Coast from central Florida to Texas. ARW, NMM and HWRF models were designed to have two-way interactive nested domains with 27 and 9 km resolutions. The three different models used in this study were integrated for three days starting from 0000 UTC of 27 August 2005 to capture the landfall of hurricane Katrina on 29 August. The initial and time varying lateral boundary conditions were taken from NCEP global FNL (final analysis data available at 1 degree resolution for ARW and NMM models and from NCEP GFS data at 0.5 degree resolution for HWRF model. The results show that the models simulated the intensification of Hurricane Katrina and the landfall on 29 August 2005 agreeing with the observations. Results from these experiments highlight the superior performance of HWRF model over ARW and NMM models in predicting the track and intensification of Hurricane Katrina.

  10. Mother and Child Reports of Hurricane Related Stressors: Data from a Sample of Families Exposed to Hurricane Katrina

    Science.gov (United States)

    Lai, Betty S.; Beaulieu, Brooke; Ogokeh, Constance E.; Self-Brown, Shannon; Kelley, Mary Lou

    2015-01-01

    Background: Families exposed to disasters such as Hurricane Katrina are at risk for numerous adverse outcomes. While previous literature suggests that the degree of disaster exposure corresponds with experiencing negative outcomes, it is unclear if parents and children report similar levels of disaster exposure. Objective: The purpose of this…

  11. Shelf sediment transport during hurricanes Katrina and Rita

    Science.gov (United States)

    Xu, Kehui; Mickey, Rangley C.; Chen, Qin; Harris, Courtney K.; Hetland, Robert D.; Hu, Kelin; Wang, Jiaze

    2016-05-01

    Hurricanes can greatly modify the sedimentary record, but our coastal scientific community has rather limited capability to predict hurricane-induced sediment deposition. A three-dimensional sediment transport model was developed in the Regional Ocean Modeling System (ROMS) to study seabed erosion and deposition on the Louisiana shelf in response to Hurricanes Katrina and Rita in the year 2005. Sensitivity tests were performed on both erosional and depositional processes for a wide range of erosional rates and settling velocities, and uncertainty analysis was done on critical shear stresses using the polynomial chaos approximation method. A total of 22 model runs were performed in sensitivity and uncertainty tests. Estimated maximum erosional depths were sensitive to the inputs, but horizontal erosional patterns seemed to be controlled mainly by hurricane tracks, wave-current combined shear stresses, seabed grain sizes, and shelf bathymetry. During the passage of two hurricanes, local resuspension and deposition dominated the sediment transport mechanisms. Hurricane Katrina followed a shelf-perpendicular track before making landfall and its energy dissipated rapidly within about 48 h along the eastern Louisiana coast. In contrast, Hurricane Rita followed a more shelf-oblique track and disturbed the seabed extensively during its 84-h passage from the Alabama-Mississippi border to the Louisiana-Texas border. Conditions to either side of Hurricane Rita's storm track differed substantially, with the region to the east having stronger winds, taller waves and thus deeper erosions. This study indicated that major hurricanes can disturb the shelf at centimeter to meter levels. Each of these two hurricanes suspended seabed sediment mass that far exceeded the annual sediment inputs from the Mississippi and Atchafalaya Rivers, but the net transport from shelves to estuaries is yet to be determined. Future studies should focus on the modeling of sediment exchange between

  12. The Repopulation of New Orleans After Hurricane Katrina

    National Research Council Canada - National Science Library

    McCarthy, Kevin; Peterson, D. J; Sastry, Narayan; Pollard, Michael

    2006-01-01

    What the future size and composition of the population of New Orleans will be in the aftermath of Hurricane Katrina is a topic of intense interest and discussion among current and displaced residents of the city...

  13. Mental Health, Substance Use, and Adaptive Coping among Social Work Students in the Aftermath of Hurricanes Katrina and Rita

    Science.gov (United States)

    Lemieux, Catherine M.; Plummer, Carol A.; Richardson, Roslyn; Simon, Cassandra E.; Ai, Amy L.

    2010-01-01

    The current study examined mental health symptomology, substance use, and adaptive coping among 416 social work students following Hurricanes Katrina and Rita. Among participants, 47% scored at or above the clinical level for depression, with 6% of students showing clinical PTSD-like symptoms, and 16.9% reporting substance use. Two thirds (66.9%)…

  14. A comparison of the nursing home evacuation experience between hurricanes katrina (2005) and gustav (2008).

    Science.gov (United States)

    Blanchard, Gary; Dosa, David

    2009-11-01

    One of the tragic legacies of Hurricane Katrina was the loss of life among Louisiana (LA) nursing home (NH) residents. Katrina revealed a staggering lack of emergency preparation and understanding of how to safely evacuate frail populations. Three years later, LA braced for Hurricane Gustav, a storm heralded to rival Katrina's power. Although its magnitude of destruction ultimately paled to Katrina, the warnings and predicted path preceding Gustav yielded a process of NH evacuations similar to Katrina. The goal of this article was to ascertain whether NH administrative directors (ADs) felt more prepared to evacuate before Gustav. In 2006, Dosa et al(5) (J Am Med Dir Assoc, 3/07), interviewed 20 NH ADs by qualitative telephone survey to evaluate their lessons learned from Katrina. Administrators at these 20 participating nursing homes were contacted and asked to participate in a follow-up survey to compare hurricane preparedness between 2005 and 2008. Specifically, ADs were asked if they evacuated before Gustav, their destination, and about logistical issues with evacuation (eg, transportation, injuries). ADs were asked to rate their confidence with state assistance, hurricane transportation, and evacuation preparedness on a 10-point scale (10=most confident) and compare their preparedness to Katrina. Sixteen of the 20 NHs that participated in 2006 agreed to be surveyed-11 of whom held the same position before Katrina. Unlike Katrina, when only 45% evacuated before the storm, all 16 NHs evacuated before Gustav (56% to another NH and 46% to a church, gym, college, or other facility). Overall, ADs rated their confidence in preparedness for Gustav as a mean of 8.3 (range 5 to 10) compared with a mean of 5.4 (range 3 to 8) for Katrina, a 54% improvement. Of the 11 ADs employed pre-Katrina, 73% reported improved collaboration with the state and 55% noted improved transportation. Nevertheless, 7 ADs noted significant logistical problems during evacuation (mostly

  15. Application of a Theoretical Model Toward Understanding Continued Food Insecurity Post Hurricane Katrina.

    Science.gov (United States)

    Clay, Lauren A; Papas, Mia A; Gill, Kimberly; Abramson, David M

    2018-02-01

    Disaster recovery efforts focus on restoring basic needs to survivors, such as food, water, and shelter. However, long after the immediate recovery phase is over, some individuals will continue to experience unmet needs. Ongoing food insecurity has been identified as a post-disaster problem. There is a paucity of information regarding the factors that might place an individual at risk for continued food insecurity post disaster. Using data from a sample (n=737) of households severely impacted by Hurricane Katrina, we estimated the associations between food insecurity and structural, physical and mental health, and psychosocial factors 5 years after Hurricane Katrina. Logistic regression models were fit and odds ratios (OR) and 95% CI estimated. Nearly one-quarter of respondents (23%) reported food insecurity 5 years post Katrina. Marital/partner status (OR: 0.7, CI: 0.42, 0.99), self-efficacy (OR: 0.56, CI: 0.37, 0.84), sense of community (OR: 0.7, CI: 0.44, 0.98), and social support (OR: 0.59, CI: 0.39, 0.89) lowered the odds of food insecurity and explained most of the effects of mental health distress on food insecurity. Social support, self-efficacy, and being partnered were protective against food insecurity. Recovery efforts should focus on fostering social-support networks and increased self-efficacy to improve food insecurity post disaster. (Disaster Med Public Health Preparedness. 2018;12:47-56).

  16. A qualitative analysis of barriers, challenges, and successes in meeting the needs of Hurricane Katrina evacuee families.

    Science.gov (United States)

    Legerski, John-Paul; Vernberg, Eric M; Noland, Brian J

    2012-12-01

    Hurricane Katrina caused many individuals to evacuate to towns and cities throughout the United States. Psychological First Aid (PFA) is a treatment program designed to help clinicians and other disaster relief workers address the needs of adults, youth, and families immediately following disasters. We conducted focus groups with disaster relief and evacuee service providers in the Kansas City Metro Area as an exploratory study to identify their perceptions of the needs of evacuees. Participants identified a number of mental health needs, as well as displacement-related challenges, including loss of social support, material loss, unemployment, and other stressful life events that were secondary to the hurricane. Many of these needs are consistent with principles presented in the PFA manual. We also found that service providers faced unique challenges when attempting to assist evacuees. We discuss implications of these findings for treatment programs and provide suggestions for addressing barriers to care.

  17. Price Increases in the Aftermath of Hurricane Katrina: Authority to Limit Price Gouging

    National Research Council Canada - National Science Library

    Welborn, Angie A; Flynn, Aaron M

    2005-01-01

    .... Specifically, questions have arisen regarding increased prices in the areas affected by Hurricane Katrina and the effect that the damage caused by the hurricane will have on prices, specifically...

  18. Mosquito fauna and arbovirus surveillance in a coastal Mississippi community after Hurricane Katrina.

    Science.gov (United States)

    Foppa, Ivo M; Evans, Christopher L; Wozniak, Arthur; Wills, William

    2007-06-01

    Hurricane Katrina caused massive destruction and flooding along the Gulf Coast in August 2005. We collected mosquitoes and tested them for arboviral infection in a severely hurricane-damaged community to determine species composition and to assess the risk of a mosquito-borne epidemic disease in that community about 6 wk after the landfall of Hurricane Katrina. Light-trap collections yielded 8,215 mosquitoes representing 19 species, while limited gravid-trap collections were not productive. The most abundant mosquito species was Culex nigripalpus, which constituted 73.6% of all specimens. No arboviruses were detected in any of the mosquitoes collected in this survey, which did not support the assertion that human risk for arboviral infection was increased in the coastal community 6 wk after the hurricane.

  19. Disaster mythology and fact: Hurricane Katrina and social attachment.

    Science.gov (United States)

    Jacob, Binu; Mawson, Anthony R; Payton, Marinelle; Guignard, John C

    2008-01-01

    Misconceptions about disasters and their social and health consequences remain prevalent despite considerable research evidence to the contrary. Eight such myths and their factual counterparts were reviewed in a classic report on the public health impact of disasters by Claude de Ville de Goyet entitled, The Role of WHO in Disaster Management: Relief, Rehabilitation, and Reconstruction (Geneva, World Health Organization, 1991), and two additional myths and facts were added by Pan American Health Organization. In this article, we reconsider these myths and facts in relation to Hurricane Katrina, with particular emphasis on psychosocial needs and behaviors, based on data gleaned from scientific sources as well as printed and electronic media reports. The review suggests that preparedness plans for disasters involving forced mass evacuation and resettlement should place a high priority on keeping families together--and even entire neighborhoods, where possible--so as to preserve the familiar and thereby minimize the adverse effects of separation and major dislocation on mental and physical health.

  20. A Tsunami Ball Approach to Storm Surge and Inundation: Application to Hurricane Katrina, 2005

    Directory of Open Access Journals (Sweden)

    Steven N. Ward

    2009-01-01

    Full Text Available Most analyses of storm surge and inundation solve equations of continuity and momentum on fixed finite-difference/finite-element meshes. I develop a completely new approach that uses a momentum equation to accelerate bits or balls of water over variable depth topography. The thickness of the water column at any point equals the volume density of balls there. In addition to being more intuitive than traditional methods, the tsunami ball approach has several advantages. (a By tracking water balls of fixed volume, the continuity equation is satisfied automatically and the advection term in the momentum equation becomes unnecessary. (b The procedure is meshless in the finite-difference/finite-element sense. (c Tsunami balls care little if they find themselves in the ocean or inundating land. (d Tsunami ball calculations of storm surge can be done on a laptop computer. I demonstrate and calibrate the method by simulating storm surge and inundation around New Orleans, Louisiana caused by Hurricane Katrina in 2005 and by comparing model predictions with field observations. To illustrate the flexibility of the tsunami ball technique, I run two “What If” hurricane scenarios—Katrina over Savannah, Georgia and Katrina over Cape Cod, Massachusetts.

  1. Examining the Aftereffects of Hurricane Katrina in New Orleans: A Qualitative Study of Faculty and Staff Perceptions

    Directory of Open Access Journals (Sweden)

    Joy J. Burnham

    2012-01-01

    Full Text Available Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten to Grade 12 (K-12, yet little is known about how the natural disaster has affected other important K-12 faculty and staff (e.g., coaches, librarians, school counselors, and cafeteria workers. Missing from the literature is the impact that this natural disaster has had on these formal (school counselors and informal (coaches, librarians helpers of K-12 students. Using a focus group methodology, the authors examined the aftereffects of Hurricane Katrina on 12 school employees in New Orleans, Louisiana, 18 months after the hurricane. Informed by qualitative content analysis, three emergent themes were identified: emotion-focused aftereffects, positive coping, and worry and fear. The implications for future research and promoting hope in mental health counseling are discussed.

  2. Examining the Aftereffects of Hurricane Katrina in New Orleans: A Qualitative Study of Faculty and Staff Perceptions

    Science.gov (United States)

    Burnham, Joy J.; Hooper, Lisa M.

    2012-01-01

    Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten to Grade 12 (K-12), yet little is known about how the natural disaster has affected other important K-12 faculty and staff (e.g., coaches, librarians, school counselors, and cafeteria workers). Missing from the literature is the impact that this natural disaster has had on these formal (school counselors) and informal (coaches, librarians) helpers of K-12 students. Using a focus group methodology, the authors examined the aftereffects of Hurricane Katrina on 12 school employees in New Orleans, Louisiana, 18 months after the hurricane. Informed by qualitative content analysis, three emergent themes were identified: emotion-focused aftereffects, positive coping, and worry and fear. The implications for future research and promoting hope in mental health counseling are discussed. PMID:22629217

  3. Effect of Hurricane Katrina on the incidence of acute coronary syndrome at a primary angioplasty center in New Orleans.

    Science.gov (United States)

    Gautam, Sandeep; Menachem, Jonathan; Srivastav, Sudesh K; Delafontaine, Patrice; Irimpen, Anand

    2009-10-01

    In August 2005, New Orleans was hit by Hurricane Katrina, the costliest natural disaster in US history. Previous studies have shown an increase in acute myocardial infarction (AMI) in the immediate hours to weeks after natural disasters. The goals of our study were to detect any long-term increase in the incidence of AMI after Katrina and to investigate any pertinent contributing factors. This was a single-center retrospective cohort observational study. Patients admitted with AMI to Tulane Health Sciences Center hospital in the 2 years before Katrina and in the 2 years after the hospital reopened (5 months after Katrina) were identified from hospital records. The 2 groups (pre- and post-Katrina) were compared for prespecified demographic and clinical data. In the post-Katrina group, there were 246 admissions for AMI, out of a total census of 11,282 patients (2.18%), as compared with 150 AMI admissions out of a total of 21,229 patients (0.71%) in the pre-Katrina group (P affected (P housing (P = 0.003). The role of chronic stress in the pathogenesis of AMI is poorly understood, especially in the aftermath of natural disasters. Our data suggest that Katrina was associated with prolonged loss of employment and insurance, decreased access to preventive health services, and an increased incidence of AMI. In addition, it appears that chronic stress after a natural disaster can be associated with tobacco abuse and medication and therapeutic noncompliance. We found a 3-fold increased incidence of AMI more than 2 years after Hurricane Katrina. Even allowing for the loss of some local hospitals after the disaster, this represents a significant change in overall health of the study population and supports the need for further study into the health effects of chronic stress.

  4. Five Years Later: Recovery from Post Traumatic Stress and Psychological Distress Among Low-Income Mothers Affected by Hurricane Katrina

    OpenAIRE

    Paxson, Christina; Fussell, Elizabeth; Rhodes, Jean; Waters, Mary

    2011-01-01

    Hurricane Katrina, which struck the Gulf Coast of the United States in August 2005, exposed area residents to trauma and extensive property loss. However, little is known about the long-run effects of the hurricane on the mental health of those who were exposed. This study documents long-run changes in mental health among a particularly vulnerable group—low income mothers—from before to after the hurricane, and identifies factors that are associated with different recovery trajectories. Longi...

  5. Disaster-related exposures and health effects among US Coast Guard responders to Hurricanes Katrina and Rita: a cross-sectional study.

    Science.gov (United States)

    Rusiecki, Jennifer A; Thomas, Dana L; Chen, Ligong; Funk, Renée; McKibben, Jodi; Dayton, Melburn R

    2014-08-01

    Disaster responders work among poorly characterized physical and psychological hazards with little understood regarding health consequences of their work. A survey administered to 2834 US Coast Guard responders to Hurricanes Katrina and Rita provided data on exposures and health effects. Prevalence odds ratios (PORs) evaluated associations between baseline characteristics, missions, exposures, and health effects. Most frequent exposures were animal/insect vector (n = 1309; 46%) and floodwater (n = 817; 29%). Most frequent health effects were sunburn (n = 1119; 39%) and heat stress (n = 810; 30%). Significant positive associations were for mold exposure and sinus infection (POR = 10.39); carbon monoxide and confusion (POR = 6.27); lack of sleep and slips, trips, falls (POR = 3.34) and depression (POR = 3.01); being a Gulf-state responder and depression (POR = 3.22). Increasing protection for disaster responders requires provisions for adequate sleep, personal protective equipment, and access to medical and psychological support.

  6. ENVIRONMENTAL CONDITIONS IN NORTHERN GULF OF MEXICO COASTAL WATERS FOLLOWING HURRICANE KATRINA

    Science.gov (United States)

    On the morning of August 29, 2005 Hurricane Katrina struck the coast of Louisiana, between New Orleans and Biloxi, Mississippi, as a strong category three hurricane on the Saffir-Simpson scale. The massive winds and flooding had the potential for a tremendous environmental impac...

  7. Report: EPA Provided Quality and Timely Information on Hurricane Katrina Hazardous Material Releases and Debris Management

    Science.gov (United States)

    Report #2006-P-00023, May 2, 2006. After Hurricane Katrina, EPA was the agency with lead responsibility to prevent, minimize, or mitigate threats to public health and the environment caused by hazardous materials and oil spills in inland zones.

  8. Counseling in New Orleans 10 Years after Hurricane Katrina: A Commentary on the Aftermath, Recovery and the Future

    Science.gov (United States)

    Remley, Theodore P., Jr.

    2015-01-01

    Ten years after Hurricane Katrina, the counseling profession in New Orleans has changed. The author, along with a group of counseling and other mental health professionals who were providing services at the time of the hurricane and still working in the city 10 years later, provided their impressions of counseling in New Orleans a decade after the…

  9. Classroom-Community Consultation (C [superscript 3]) 10 Years after Hurricane Katrina: A Retrospective Look at a Collaborative, School-Based Referral Model

    Science.gov (United States)

    Lee, Madeline Y.; Danna, Laura; Walker, Douglas W.

    2017-01-01

    The long-term nature of mental health needs after disasters, such as Hurricane Katrina, continues to require attention. Research that emerged during the anniversaries of the storm has shown Katrina and its aftermath to be associated with posttraumatic stress, depression, anxiety, disruptive behavior, and somatic complaints in children and…

  10. Quantities of arsenic-treated wood in demolition debris generated by Hurricane Katrina.

    Science.gov (United States)

    Dubey, Brajesh; Solo-Gabriele, Helena M; Townsendt, Timothy G

    2007-03-01

    The disaster debris from Hurricane Katrina is one of the largest in terms of volume and economic loss in American history. One of the major components of the demolition debris is wood waste of which a significant proportion is treated with preservatives, including preservatives containing arsenic. As a result of the large scale destruction of treated wood structures such as electrical poles, fences, decks, and homes a considerable amount of treated wood and consequently arsenic will be disposed as disaster debris. In this study an effort was made to estimate the quantity of arsenic disposed through demolition debris generated in the Louisiana and Mississippi area through Hurricane Katrina. Of the 72 million cubic meters of disaster debris generated, roughly 12 million cubic meters were in the form of construction and demolition wood resulting in an estimated 1740 metric tons of arsenic disposed. Management of disaster debris should consider the relatively large quantities of arsenic associated with pressure-treated wood.

  11. A developmental approach to understanding drawings and narratives from children displaced by Hurricane Katrina.

    Science.gov (United States)

    Looman, Wendy Sue

    2006-01-01

    Using art as a process to help children externalize complex feelings can add another layer of assessment in the primary care setting. In the face of trauma, drawing may help children gain symbolic control over events that are confusing and frightening. Through examples of children who were affected by Hurricane Katrina, this article describes the use of drawings and narratives to understand children's experiences related to traumatic displacement. Recommendations include using a developmental lens to understanding children's art, asking children to talk about their drawings, and considering the significance of place for children who have been traumatically displaced.

  12. Break-up of New Orleans Households after Hurricane Katrina

    Science.gov (United States)

    Rendall, Michael S.

    2011-01-01

    Theory and evidence on disaster-induced population displacement have focused on individual and population-subgroup characteristics. Less is known about impacts on households. I estimate excess incidence of household break-up due to Hurricane Katrina by comparing a probability sample of pre-Katrina New Orleans resident adult household heads and non–household heads (N = 242), traced just over a year later, with a matched sample from a nationally representative survey over an equivalent period. One in three among all adult non–household heads, and one in two among adult children of household heads, had separated from the household head 1 year post-Katrina. These rates were, respectively, 2.2 and 2.7 times higher than national rates. A 50% higher prevalence of adult children living with parents in pre-Katrina New Orleans than nationally increased the hurricane’s impact on household break-up. Attention to living arrangements as a dimension of social vulnerability in disaster recovery is suggested. PMID:21709733

  13. Longitudinal Impact of Attachment-Related Risk and Exposure to Trauma among Young Children after Hurricane Katrina

    Science.gov (United States)

    Osofsky, Joy; Kronenberg, Mindy; Bocknek, Erika; Hansel, Tonya Cross

    2015-01-01

    Background: Research suggests that young childhood is a dynamic developmental phase during which risks to attachment figures as well as traumatic events may be particularly important. The loss and disruption associated with Hurricane Katrina highlighted the vulnerabilities and special needs of young children exposed to natural disaster. Objective:…

  14. The location of displaced New Orleans residents in the year after Hurricane Katrina.

    Science.gov (United States)

    Sastry, Narayan; Gregory, Jesse

    2014-06-01

    Using individual data from the restricted version of the American Community Survey, we examined the displacement locations of pre-Hurricane Katrina adult residents of New Orleans in the year after the hurricane. More than one-half (53 %) of adults had returned to-or remained in-the New Orleans metropolitan area, with just under one-third of the total returning to the dwelling in which they resided prior to Hurricane Katrina. Among the remainder, Texas was the leading location of displaced residents, with almost 40 % of those living away from the metropolitan area (18 % of the total), followed by other locations in Louisiana (12 %), the South region of the United States other than Louisiana and Texas (12 %), and elsewhere in the United States (5 %). Black adults were considerably more likely than nonblack adults to be living elsewhere in Louisiana, in Texas, and elsewhere in the South. The observed race disparity was not accounted for by any of the demographic or socioeconomic covariates in the multinomial logistic regression models. Consistent with hypothesized effects, we found that following Hurricane Katrina, young adults (aged 25-39) were more likely to move further away from New Orleans and that adults born outside Louisiana were substantially more likely to have relocated away from the state.

  15. A Pilot Study of Post-Hurricane Katrina Floodwater Pumping on Marsh Infauna

    National Research Council Canada - National Science Library

    Ray, Gary L

    2006-01-01

    ... and consequences of structural failures to the New Orleans area following Hurricane Katrina. This evaluation includes determining environmental impacts to habitat and other biological resources...

  16. Promoting mental health recovery after hurricanes Katrina and Rita: what can be done at what cost.

    Science.gov (United States)

    Schoenbaum, Michael; Butler, Brittany; Kataoka, Sheryl; Norquist, Grayson; Springgate, Benjamin; Sullivan, Greer; Duan, Naihua; Kessler, Ronald C; Wells, Kenneth

    2009-08-01

    Concerns about mental health recovery persist after the 2005 Gulf storms. We propose a recovery model and estimate costs and outcomes. To estimate the costs and outcomes of enhanced mental health response to large-scale disasters using the 2005 Gulf storms as a case study. Decision analysis using state-transition Markov models for 6-month periods from 7 to 30 months after disasters. Simulated movements between health states were based on probabilities drawn from the clinical literature and expert input. A total of 117 counties/parishes across Louisiana, Mississippi, Alabama, and Texas that the Federal Emergency Management Agency designated as eligible for individual relief following hurricanes Katrina and Rita. Hypothetical cohort, based on the size and characteristics of the population affected by the Gulf storms. Intervention Enhanced mental health care consisting of evidence-based screening, assessment, treatment, and care coordination. Morbidity in 6-month episodes of mild/moderate or severe mental health problems through 30 months after the disasters; units of service (eg, office visits, prescriptions, hospital nights); intervention costs; and use of human resources. Full implementation would cost $1133 per capita, or more than $12.5 billion for the affected population, and yield 94.8% to 96.1% recovered by 30 months, but exceed available provider capacity. Partial implementation would lower costs and recovery proportionately. Evidence-based mental health response is feasible, but requires targeted resources, increased provider capacity, and advanced planning.

  17. Initial estimates of hurricane Katrina impacts of Mississippi gulf coast forest resources

    Science.gov (United States)

    Patrick A. Glass; Sonja N. Oswalt

    2007-01-01

    Hurricane Katrina pummeled the Gulf Coast of Mississippi on August 29, 2005. The eye wall of the storm passed directly over Hancock and Pearl River Counties. Harrison, Jackson, Stone, and George Counties on the windward side of the hurricane's path sustained severe damage before the storm's strength dissipated as it moved farther inland (fig. 1).

  18. Alternate site surge capacity in times of public health disaster maintains trauma center and emergency department integrity: Hurricane Katrina.

    Science.gov (United States)

    Eastman, Alexander L; Rinnert, Kathy J; Nemeth, Ira R; Fowler, Raymond L; Minei, Joseph P

    2007-08-01

    Hospital surge capacity has been advocated to accommodate large increases in demand for healthcare; however, existing urban trauma centers and emergency departments (TC/EDs) face barriers to providing timely care even at baseline patient volumes. The purpose of this study is to describe how alternate-site medical surge capacity absorbed large patient volumes while minimizing impact on routine TC/ED operations immediately after Hurricane Katrina. From September 1 to 16, 2005, an alternate site for medical care was established. Using an off-site space, the Dallas Convention Center Medical Unit (DCCMU) was established to meet the increased demand for care. Data were collected and compared with TC/ED patient volumes to assess impact on existing facilities. During the study period, 23,231 persons displaced by Hurricane Katrina were registered to receive evacuee services in the City of Dallas, Texas. From those displaced, 10,367 visits for emergent or urgent healthcare were seen at the DCCMU. The mean number of daily visits (mean +/- SD) to the DCCMU was 619 +/- 301 visits with a peak on day 3 (n = 1,125). No patients died, 3.2% (n = 257) were observed in the DCCMU, and only 2.9% (n = 236) required transport to a TC/ED. During the same period, the mean number of TC/ED visits at the region's primary provider of indigent care (Hospital 1) was 346 +/- 36 visits. Using historical data from Hospital 1 during the same period of time (341 +/- 41), there was no significant difference in the mean number of TC/ED visits from the previous year (p = 0.26). Alternate-site medical surge capacity provides for safe and effective delivery of care to a large influx of patients seeking urgent and emergent care. This protects the integrity of existing public hospital TC/ED infrastructure and ongoing operations.

  19. Numerical simulation of a low-lying barrier island's morphological response to Hurricane Katrina

    Science.gov (United States)

    Lindemer, C.A.; Plant, N.G.; Puleo, J.A.; Thompson, D.M.; Wamsley, T.V.

    2010-01-01

    Tropical cyclones that enter or form in the Gulf of Mexico generate storm surge and large waves that impact low-lying coastlines along the Gulf Coast. The Chandeleur Islands, located 161. km east of New Orleans, Louisiana, have endured numerous hurricanes that have passed nearby. Hurricane Katrina (landfall near Waveland MS, 29 Aug 2005) caused dramatic changes to the island elevation and shape. In this paper the predictability of hurricane-induced barrier island erosion and accretion is evaluated using a coupled hydrodynamic and morphodynamic model known as XBeach. Pre- and post-storm island topography was surveyed with an airborne lidar system. Numerical simulations utilized realistic surge and wave conditions determined from larger-scale hydrodynamic models. Simulations included model sensitivity tests with varying grid size and temporal resolutions. Model-predicted bathymetry/topography and post-storm survey data both showed similar patterns of island erosion, such as increased dissection by channels. However, the model under predicted the magnitude of erosion. Potential causes for under prediction include (1) errors in the initial conditions (the initial bathymetry/topography was measured three years prior to Katrina), (2) errors in the forcing conditions (a result of our omission of storms prior to Katrina and/or errors in Katrina storm conditions), and/or (3) physical processes that were omitted from the model (e.g., inclusion of sediment variations and bio-physical processes). ?? 2010.

  20. News, social capital and health in the context of Katrina.

    Science.gov (United States)

    Beaudoin, Christopher E

    2007-05-01

    This study assesses the public health functions played by news information and social capital in the context of Hurricane Katrina. In-depth interviews were conducted with 57 hurricane shelter residents between 4 and 6 weeks after the hurricane. Depression was more common for participants who relied more on news information than for other participants after the hurricane (adjusted odds ratio [AOR], 5.49; 95% CI, 1.29 to 23.35; p=.021). Depression was more common for participants with relatively low levels of pre-hurricane positive social interactions (AOR, .16; 95% CI, .02 to 1.83; p=.046) and post-hurricane positive social interactions (AOR, .02; 95% CI, .00 to .74; p=.033) and high levels of post-hurricane negative social interactions (AOR, 17.05; 95% CI, .92 to 315.64; p=.047). Illness and injury were more common for participants who had relied more on news information than for other participants after the hurricane (AOR, 1.13; 95% CI, 1.02 to 2.77; p=.046).

  1. Traumatic Loss and Natural Disaster: A Case Study of a School-Based Response to Hurricanes Katrina and Rita

    Science.gov (United States)

    Clettenberg, Stacey; Gentry, Judy; Held, Matthew; Mock, Lou Ann

    2011-01-01

    This article tracks the trajectory and impact of Hurricanes Katrina and Rita on the communities of Houston/Harris County, Texas, USA, the schools, children, and families; along with the community partnerships that addressed the trauma and upheaval. Following the influx of individuals and families who were displaced by Hurricanes Katrina and Rita…

  2. Assessing Hurricane Katrina Damage to the Mississippi Gulf Coast Using IKONOS Imagery

    Science.gov (United States)

    Spruce, Joseph; McKellip, Rodney

    2006-01-01

    Hurricane Katrina hit southeastern Louisiana and the Mississippi Gulf Coast as a Category 3 hurricane with storm surges as high as 9 m. Katrina devastated several coastal towns by destroying or severely damaging hundreds of homes. Several Federal agencies are assessing storm impacts and assisting recovery using high-spatial-resolution remotely sensed data from satellite and airborne platforms. High-quality IKONOS satellite imagery was collected on September 2, 2005, over southwestern Mississippi. Pan-sharpened IKONOS multispectral data and ERDAS IMAGINE software were used to classify post-storm land cover for coastal Hancock and Harrison Counties. This classification included a storm debris category of interest to FEMA for disaster mitigation. The classification resulted from combining traditional unsupervised and supervised classification techniques. Higher spatial resolution aerial and handheld photography were used as reference data. Results suggest that traditional classification techniques and IKONOS data can map wood-dominated storm debris in open areas if relevant training areas are used to develop the unsupervised classification signatures. IKONOS data also enabled other hurricane damage assessment, such as flood-deposited mud on lawns and vegetation foliage loss from the storm. IKONOS data has also aided regional Katrina vegetation damage surveys from multidate Land Remote Sensing Satellite and Moderate Resolution Imaging Spectroradiometer data.

  3. Stress and Support in Family Relationships after Hurricane Katrina

    Science.gov (United States)

    Reid, Megan; Reczek, Corinne

    2011-01-01

    In this article, the authors merge the study of support, strain, and ambivalence in family relationships with the study of stress to explore the ways family members provide support or contribute to strain in the disaster recovery process. The authors analyze interviews with 71 displaced Hurricane Katrina survivors, and identify three family…

  4. Engineering education in the wake of hurricane Katrina

    Directory of Open Access Journals (Sweden)

    Lima Marybeth

    2007-10-01

    Full Text Available Abstract Living through hurricane Katrina and its aftermath and reflecting on these experiences from technical and non-technical standpoints has led me to reconsider my thoughts and philosophy on engineering education. I present three ideas regarding engineering education pedagogy that I believe will prepare future engineers for problem-solving in an increasingly complex world. They are (1 we must practice radical (to the root engineering, (2 we must illustrate connections between engineering and public policy, and (3 we will join the charge to find sustainable solutions to problems. Ideas for bringing each of these concepts into engineering curricula through methods such as case study, practicing broad information gathering and data interpretation, and other methods inside and outside the classroom, are discussed. I believe that the consequences of not considering the root issues of problems to be solved, and of not including policy and sustainability considerations when problems to be solved are framed will lead our profession toward well meaning but insufficient utility. Hurricane Katrina convinced me that we must do better as educators to prepare our students for engineering for a sustainable world.

  5. Geospatial relationships of tree species damage caused by Hurricane Katrina in south Mississippi

    Science.gov (United States)

    Mark W. Garrigues; Zhaofei Fan; David L. Evans; Scott D. Roberts; William H. Cooke III

    2012-01-01

    Hurricane Katrina generated substantial impacts on the forests and biological resources of the affected area in Mississippi. This study seeks to use classification tree analysis (CTA) to determine which variables are significant in predicting hurricane damage (shear or windthrow) in the Southeast Mississippi Institute for Forest Inventory District. Logistic regressions...

  6. Employment and self-employment in the wake of Hurricane Katrina.

    Science.gov (United States)

    Zissimopoulos, Julie; Karoly, Lynn A

    2010-05-01

    We use data from the monthly Current Population Survey to examine the short- and longer-term effects of Hurricane Katrina on the labor market outcomes of prime-age individuals in the most affected states--Alabama, Florida, Louisiana, and Mississippi--and for evacuees in any state. We focus on rates of labor force participation, employment, and unemployment, and we extend prior research by also examining rates of self-employment. With the exception of Mississippi, employment and unemployment one year after the hurricane were at similar rates as the end of 2003. This aggregate pattern of labor market shock and recovery has been observed for other disasters but masks important differences among subgroups. Those evacuated from their residences, even temporarily, were a harder-hit group, and evacuees who had yet to return to their pre-Katrina state up to one year later were hit especially hard; these findings hold even after controlling for differences in observable characteristics. We also find evidence of an important role for self-employment as part of post-disaster labor market recovery, especially for evacuees who did not return. This may result from poor job prospects in the wage and salary sector or new opportunities for starting businesses in the wake of Katrina.

  7. Hurricane Katrina winds damaged longleaf pine less than loblolly pine

    Science.gov (United States)

    Kurt H. Johnsen; John R. Butnor; John S. Kush; Ronald C. Schmidtling; C. Dana. Nelson

    2009-01-01

    Some evidence suggests that longleaf pine might be more tolerant of high winds than either slash pine (Pinus elliotii Englem.) or loblolly pine (Pinus taeda L.). We studied wind damage to these three pine species in a common garden experiment in southeast Mississippi following Hurricane Katrina,...

  8. Lessons learned from the deadly sisters: drug and alcohol treatment disruption, and consequences from Hurricanes Katrina and Rita.

    Science.gov (United States)

    Maxwell, Jane Carlisle; Podus, Deborah; Walsh, David

    2009-01-01

    This paper reports on the effects of Hurricanes Katrina and Rita on drug and alcohol treatment in Texas in 2005-2006. Findings are based on a secondary analysis of administrative data on 567 hurricane-related admissions and on interview data from a sample of 20 staff in 11 treatment programs. Katrina evacuees differed from Rita clients in terms of demographics and primary problem substances and treatment needs, while the experiences of program staff and needed changes to improve disaster readiness were more similar. Additional systematic research is needed to document the intermediate and long-term impacts of the storms in these and other affected areas.

  9. Federal Emergency Management Policy Changes After Hurricane Katrina: A Summary of Statutory Provisions

    National Research Council Canada - National Science Library

    Bea, Keith; Halchin, Elaine; Hogue, Henry; Kaiser, Frederick; Love, Natalie; McCarthy, Francis X; Reese, Shawn; Schwemle, Barbara

    2006-01-01

    ...), among others, concluded that the losses caused by Hurricane Katrina and other disasters were due, in part, to deficiencies such as questionable leadership decisions and capabilities, organizational...

  10. Damage to offshore infrastructure in the Gulf of Mexico by hurricanes Katrina and Rita

    Science.gov (United States)

    Cruz, A. M.; Krausmann, E.

    2009-04-01

    The damage inflicted by hurricanes Katrina and Rita to the Gulf-of-Mexico's (GoM) oil and gas production, both onshore and offshore, has shown the proneness of industry to Natech accidents (natural hazard-triggered hazardous-materials releases). In order to contribute towards a better understanding of Natech events, we assessed the damage to and hazardous-materials releases from offshore oil and natural-gas platforms and pipelines induced by hurricanes Katrina and Rita. Data was obtained through a review of published literature and interviews with government officials and industry representatives from the affected region. We also reviewed over 60,000 records of reported hazardous-materials releases from the National Response Center's (NRC) database to identify and analyze the hazardous-materials releases directly attributed to offshore oil and gas platforms and pipelines affected by the two hurricanes. Our results show that hurricanes Katrina and Rita destroyed at least 113 platforms, and severely damaged at least 53 others. Sixty percent of the facilities destroyed were built 30 years ago or more prior to the adoption of the more stringent design standards that went into effect after 1977. The storms also destroyed 5 drilling rigs and severely damaged 19 mobile offshore drilling units (MODUs). Some 19 MODUs lost their moorings and became adrift during the storms which not only posed a danger to existing facilities but the dragging anchors also damaged pipelines and other infrastructure. Structural damage to platforms included toppling of sections, and tilting or leaning of platforms. Possible causes for failure of structural and non-structural components of platforms included loading caused by wave inundation of the deck. Failure of rigs attached to platforms was also observed resulting in significant damage to the platform or adjacent infrastructure, as well as damage to equipment, living quarters and helipads. The failures are attributable to tie-down components

  11. The Long Term Recovery of New Orleans' Population after Hurricane Katrina.

    Science.gov (United States)

    Fussell, Elizabeth

    2015-09-01

    Hurricane Katrina created a catastrophe in the city of New Orleans when the storm surge caused the levee system to fail on August 29, 2005. The destruction of housing displaced hundreds of thousands of residents for varying lengths of time, often permanently. It also revealed gaps in our knowledge of how population is recovered after a disaster causes widespread destruction of urban infrastructure, housing and workplaces, and how mechanisms driving housing recovery often produce unequal social, spatial and temporal population recovery. In this article, I assemble social, spatial and temporal explanatory frameworks for housing and population recovery and then review research on mobility - both evacuation and migration - after Hurricane Katrina. The review reveals a need for a comprehensive social, spatial and temporal framework for explaining inequality in population recovery and displacement. It also shows how little is known about in-migrants and permanent out-migrants after a disaster.

  12. Large-scale Vertical Motions, Intensity Change and Precipitation Associated with Land falling Hurricane Katrina over the Gulf of Mexico

    Science.gov (United States)

    Reddy, S. R.; Kwembe, T.; Zhang, Z.

    2016-12-01

    We investigated the possible relationship between the large- scale heat fluxes and intensity change associated with the landfall of Hurricane Katrina. After reaching the category 5 intensity on August 28th , 2005 over the central Gulf of Mexico, Katrina weekend to category 3 before making landfall (August 29th , 2005) on the Louisiana coast with the maximum sustained winds of over 110 knots. We also examined the vertical motions associated with the intensity change of the hurricane. The data for Convective Available Potential Energy for water vapor (CAPE), sea level pressure and wind speed were obtained from the Atmospheric Soundings, and NOAA National Hurricane Center (NHC), respectively for the period August 24 to September 3, 2005. We also computed vertical motions using CAPE values. The study showed that the large-scale heat fluxes reached maximum (7960W/m2) with the central pressure 905mb. The Convective Available Potential Energy and the vertical motions peaked 3-5 days before landfall. The large atmospheric vertical motions associated with the land falling hurricane Katrina produced severe weather including thunderstorm, tornadoes, storm surge and floods Numerical model (WRF/ARW) with data assimilations have been used for this research to investigate the model's performances on hurricane tracks and intensities associated with the hurricane Katrina, which began to strengthen until reaching Category 5 on 28 August 2005. The model was run on a doubly nested domain centered over the central Gulf of Mexico, with grid spacing of 90 km and 30 km for 6 hr periods, from August 28th to August 30th. The model output was compared with the observations and is capable of simulating the surface features, intensity change and track associated with hurricane Katrina.

  13. Effects of hurricanes Katrina and Rita on the chemistry of bottom sediments in Lake Pontchartrain, Louisiana, USA

    Science.gov (United States)

    Van Metre, P.C.; Horowitz, A.J.; Mahler, B.J.; Foreman, W.T.; Fuller, C.C.; Burkhardt, M.R.; Elrick, K.A.; Furlong, E.T.; Skrobialowski, S.C.; Smith, J.J.; Wilson, J.T.; Zaugg, S.D.

    2006-01-01

    The effects of Hurricanes Katrina and Rita and the subsequent unwatering of New Orleans, Louisiana, on the sediment chemistry of Lake Pontchartrain were evaluated by chemical analysis of samples of street mud and suspended and bottom sediments. The highest concentrations of urban-related elements and compounds (e.g., Pb, Zn, polycyclic aromatic hydrocarbons, and chlordane) in bottom sediments exceeded median concentrations in U.S. urban lakes and sediment-quality guidelines. The extent of the elevated concentrations was limited, however, to within a few hundred meters of the mouth of the 17th Street Canal, similar to results of historical assessments. Chemical and radionuclide analysis of pre- and post-Hurricane Rita samples indicates that remobilization of near-shore sediment by lake currents and storms is an ongoing process. The effects of Hurricanes Katrina and Rita on the sediment chemistry of Lake Pontchartrain are limited spatially and are most likely transitory. ?? 2006 American Chemical Society.

  14. Challenges to older women's sense of self in the aftermath of Hurricane Katrina.

    Science.gov (United States)

    Roberto, Karen A; Henderson, Tammy L; Kamo, Yoshinori; McCann, Brandy Renee

    2010-11-01

    We examined the personal challenges older women faced as they began to rebuild their sense of self after Hurricane Katrina. In-depth interviews with 74 older women approximately 6 months after the disaster revealed challenges in four domains: maintaining social connections, family connections but loss of independence, reestablishing a sense of place, and managing their own health or the health of a loved one. Follow-up data gathered several months after the initial interviews from 21 of the older women indicated that feelings of displacement persisted as they dealt with health concerns, found a place to live, and managed family roles.

  15. Resiliency and Recovery: Lessons from the Asian Tsunami and Hurricane Katrina

    Science.gov (United States)

    Fernando, Delini M.; Hebert, Barbara B.

    2011-01-01

    Separated by continents and cultures, survivors of the Asian tsunami and Hurricane Katrina share a common bond in their extreme trauma and ensuing struggles. The authors discuss and illustrate core ideas based on the commonalities derived from the experiences of women survivors of these two disasters.

  16. Trend Analysis of Substance Abuse Treatment Admissions in New Orleans From 2000-2012: A Population-Based Comparison Pre- and Post-Hurricane Katrina.

    Science.gov (United States)

    Shuler, Monique N; Wallington, Sherrie F; Qualls-Hampton, Raquel Y; Podesta, Arwen E; Suzuki, Sumihiro

    2016-10-14

    Substance abuse treatment following a natural disaster is often met with challenges. If treatment is available, facilities may be unequipped to service an influx of patients or provide specialized care for unique populations. This paper seeks to evaluate trends in substance abuse treatment over time and assess changes pre- and post-Hurricane Katrina. Substance abuse treatment admission data (N = 42,678) from New Orleans, Louisiana, for years 2000 through 2012 were obtained from the Treatment Episode Data Set. Admissions were examined to evaluate demographic, socioeconomic, psychiatric, and criminality trends in substance abuse treatment and assess changes following Hurricane Katrina. Treatment admissions have decreased from 2000 to 2012. About one in five admissions had a psychiatric illness in addition to a substance abuse problem. A staggering 76% of admissions with a psychiatric illness were referred by the criminal justice system post-Katrina as compared to pre-Katrina. Rates of alcohol and marijuana admissions have remained stable from 2000 to 2012. Cocaine/crack admissions have declined and admissions who abused heroin have increased over time. Treatment admissions stabilized following Hurricane Katrina; however, since 2009, they have begun to decline. Targeted exploration of factors affecting admission to treatment in New Orleans with populations such as the homeless, those with a psychiatric illness in addition to a substance abuse problem, and those referred by the criminal justice system is essential. The results of this study assist in identifying variations in substance abuse treatment characteristics for those admitted to treatment in New Orleans.

  17. Silver linings: a personal memoir about Hurricane Katrina and fungal volatiles

    OpenAIRE

    Bennett, Joan W.

    2015-01-01

    In the aftermath of Hurricane Katrina, the levees protecting New Orleans, Louisiana failed. Because approximately 80% of the city was under sea level, widespread flooding ensued. As a resident of New Orleans who had evacuated before the storm and a life-long researcher on filamentous fungi, I had known what to expect. After the hurricane I traveled home with a suitcase full of Petri dishes and sampling equipment so as to study the fungi that were “eating my house.” Not only were surfaces cove...

  18. A Prospective Study of Religiousness and Psychological Distress Among Female Survivors of Hurricanes Katrina and Rita

    Science.gov (United States)

    Rhodes, Jean E.; Pérez, John E.

    2013-01-01

    This prospective study examined the pathways by which religious involvement affected the post-disaster psychological functioning of women who survived Hurricanes Katrina and Rita. The participants were 386 low-income, predominantly Black, single mothers. The women were enrolled in the study before the hurricane, providing a rare opportunity to document changes in mental health from before to after the storm, and to assess the protective role of religious involvement over time. Results of structural equation modeling indicated that, controlling for level of exposure to the hurricanes, pre-disaster physical health, age, and number of children, pre-disaster religiousness predicted higher levels of post-disaster (1) social resources and (2) optimism and sense of purpose. The latter, but not the former, was associated with better post-disaster psychological outcome. Mediation analysis confirmed the mediating role of optimism and sense of purpose. PMID:21626083

  19. A prospective study of religiousness and psychological distress among female survivors of Hurricanes Katrina and Rita.

    Science.gov (United States)

    Chan, Christian S; Rhodes, Jean E; Pérez, John E

    2012-03-01

    This prospective study examined the pathways by which religious involvement affected the post-disaster psychological functioning of women who survived Hurricanes Katrina and Rita. The participants were 386 low-income, predominantly Black, single mothers. The women were enrolled in the study before the hurricane, providing a rare opportunity to document changes in mental health from before to after the storm, and to assess the protective role of religious involvement over time. Results of structural equation modeling indicated that, controlling for level of exposure to the hurricanes, pre-disaster physical health, age, and number of children, pre-disaster religiousness predicted higher levels of post-disaster (1) social resources and (2) optimism and sense of purpose. The latter, but not the former, was associated with better post-disaster psychological outcome. Mediation analysis confirmed the mediating role of optimism and sense of purpose.

  20. Transformative experiences for Hurricanes Katrina and Rita disaster volunteers.

    Science.gov (United States)

    Clukey, Lory

    2010-07-01

    The massive destruction caused by Hurricanes Katrina and Rita in 2005 provided an opportunity for many volunteers to be involved with disaster relief work. Exposure to devastation and personal trauma can have long-lasting and sometimes detrimental effects on people providing help. This qualitative study explored the experience of volunteer relief workers who provided disaster relief services after the hurricanes. Three major themes emerged: emotional reactions that included feelings of shock, fatigue, anger and grief as well as sleep disturbances; frustration with leadership; and life-changing personal transformation. Stress reactions were noted but appeared to be mitigated by feelings of compassion for the victims and personal satisfaction in being able to provide assistance. Suggestions are provided for further research.

  1. Catholic Schools in New Orleans in the Aftermath of Hurricane Katrina

    Science.gov (United States)

    MacGregor, Carol Ann; Fitzpatrick, Brian

    2014-01-01

    Changes in the education system following Hurricane Katrina have received considerable attention from scholars in recent years. However, the role of Catholic schools is often overlooked in such discussions of school reform, which most often concentrate on the dramatic changes in the public school sector. This oversight is significant given that…

  2. Eye of the storm: analysis of shelter treatment records of evacuees to Acadiana from Hurricanes Katrina and Rita.

    Science.gov (United States)

    Caillouet, L Philip; Paul, P Joseph; Sabatier, Steven M; Caillouet, Kevin A

    2012-01-01

    specific evaluation and care, no population-based experimental hypothesis was framed nor was the effectiveness of any specific intervention researched at the time. This study reports experiential data collected without a particular preconceived hypothesis, because no specific outcome measures had been designed in advance. Data analysis revealed much about the origins and demographics of the evacuees, their hurricane-related risks and injuries, and the loss of continuity in their prior and ongoing healthcare. The authors believe that much can be learned from studying data collected in evacuee triage clinics, and that such insights may influence personal and official preparedness for future events. In the Katrina-Rita evacuations, only paper-based data collection mechanisms were used-and those with great inconsistency-and there was no predeployed mechanism for close-to-real-time collation of evacuee data. Deployment of simple electronic health record systems might well have allowed for a better real-time understanding of the unfolding of events, upon arrival of evacuees in shelters. Information and communication technologies have advanced since 2005, but predisaster staging and training on such technologies is still lacking.

  3. Visual methodologies and participatory action research: Performing women's community-based health promotion in post-Katrina New Orleans.

    Science.gov (United States)

    Lykes, M Brinton; Scheib, Holly

    2016-01-01

    Recovery from disaster and displacement involves multiple challenges including accompanying survivors, documenting effects, and rethreading community. This paper demonstrates how African-American and Latina community health promoters and white university-based researchers engaged visual methodologies and participatory action research (photoPAR) as resources in cross-community praxis in the wake of Hurricane Katrina and the flooding of New Orleans. Visual techniques, including but not limited to photonarratives, facilitated the health promoters': (1) care for themselves and each other as survivors of and responders to the post-disaster context; (2) critical interrogation of New Orleans' entrenched pre- and post-Katrina structural racism as contributing to the racialised effects of and responses to Katrina; and (3) meaning-making and performances of women's community-based, cross-community health promotion within this post-disaster context. This feminist antiracist participatory action research project demonstrates how visual methodologies contributed to the co-researchers' cross-community self- and other caring, critical bifocality, and collaborative construction of a contextually and culturally responsive model for women's community-based health promotion post 'unnatural disaster'. Selected limitations as well as the potential for future cross-community antiracist feminist photoPAR in post-disaster contexts are discussed.

  4. Mapping the Distribution of Sand Live Oak (Quercus geminata) and Determining Growth Responses to Hurricane Katrina (2005) on Cat Island, Mississippi

    Science.gov (United States)

    Funderburk, W.; Carter, G. A.; Harley, G. L.

    2013-12-01

    William R. Funderburk, Gregory A. Carter, Grant Harley Gulf Coast Geospatial Center, University of Southern Mississippi Department of Geography and Geology Stennis Space Center, MS 39529 U.S.A. william.funderburk@usm.edu The Mississippi-Alabama barrier islands serve to buffer mainland coastal areas from the impacts of hurricanes and other extreme weather events. On August 29, 2005, they were impacted heavily by the wind, waves, and storm surges of Hurricane Katrina. The purpose of this study is to determine the growth responses of Quercus geminata, a dominant tree species on Cat Island, MS, in relation to the impact of Hurricane Katrina. Remotely sensed data was utilized in conjunction with ground data to assess growth response post Hurricane Katrina. The main objectives of this study were: 1) determine growth response of Q. geminata through tree ring analysis; 2) understand how Q. geminata adapted to intense weather and climatic phenomena on Cat Island. The hypotheses tested were: 1) growth rates of Q. geminata on Cat Island were decreased by the impact of Hurricane Katrina 2) trees at higher elevations survived or recovered while trees at lower elevations did not recover or died. Decadal scale stability is required for forest stand development on siliciclastic barrier islands. Thus, monitoring the distribution of forest climax community species is key to understanding siliciclastic, subsiding, barrier island geomorphic processes and their relationships to successional patterns and growth rates. Preliminary results indicate that Q. geminata produces a faint growth ring, survive for at least two to three hundred years and is well-adapted to frequent salt water flooding. Cat Island: False color Image

  5. A Qualitative Case Study of Hurricane Katrina and University Presidential Leadership

    Science.gov (United States)

    McNeely, Stanton Francis, III

    2013-01-01

    Leaders of many institutions of higher education are not equipped to manage a major crisis or disaster, and presidential leadership during a disaster is essential, as university presidents are ultimately accountable for the well-being of their institutions. Hurricane Katrina devastated New Orleans in 2005, flooding 80% of the city for many weeks…

  6. Relationships between common forest metrics and realized impacts of Hurricane Katrina on forest resources in Mississippi

    Science.gov (United States)

    Sonja N. Oswalt; Christopher M. Oswalt

    2008-01-01

    This paper compares and contrasts hurricane-related damage recorded across the Mississippi landscape in the 2 years following Katrina with initial damage assessments based on modeled parameters by the USDA Forest Service. Logistic and multiple regressions are used to evaluate the influence of stand characteristics on tree damage probability. Specifically, this paper...

  7. An exploration of post-traumatic stress disorder in emergency nurses following Hurricane Katrina.

    Science.gov (United States)

    Battles, Elizabeth D

    2007-08-01

    As a result of Hurricane Katrina on August 29, 2005, ED nurses were faced with chaos during and after the storm. The purpose of this pilot study was to determine if emergency nurses have experienced signs and symptoms of post-traumatic stress disorder (PTSD) as a result of working in an emergency department of the New Orleans metropolitan area during and immediately after Hurricane Katrina. The research identifies if the nurses perceived satisfaction with measures administrators took to provide Critical Incident Stress Management (CISM). To combat burnout, absenteeism, emotional difficulties, and health problems in nurses, administration must offer adequate crisis management for those affected by a traumatic event in the workplace. Data were captured through a cross-sectional research design using self-reporting questionnaires. A questionnaire captured demographic information as well as information regarding satisfaction with CISM offered by management. The Post Traumatic Checklist (PCL) was utilized to assess PTSD symptoms in the nurse. An emergency department located approximately 40 miles north of downtown New Orleans, Louisiana, served as the setting for this study. The sample included 21 registered nurses who worked in the emergency department. Twenty percent of the nurses has symptoms of PTSD. In addition, 100% of the nurses reported that administrators did not offer CISM. To combat consequences of long-term effects of PTSD, hospital administrators must offer adequate treatment to employees. Further research is needed to expand the sample and gain a wider perspective on PTSD symptoms in nurses who worked during the Hurricane.

  8. From the incident command center oil spills from Hurricanes Katrina and Rita

    Energy Technology Data Exchange (ETDEWEB)

    Guidry, R.J. [Lousiana Oil Spill Coordinator' s Office, Baton Rouge, LA (United States)

    2006-07-01

    Approximately 30.2 million litres of oil were discharged during Hurricanes Katrina and Rita. A total of 230 incidents were reported to the state's spill response community, including ruptured pipelines, damaged and moved storage tanks, refineries, and sunken vessels. By January 2006, industry had reported the recovery of 14.7 million litres of oil. After Hurricane Rita, a further 234 off- and onshore incidents were reported. This paper presented a chronology from August 26 2005 through to June 2006 of clean-up activities for both hurricanes, with specific reference to logistic and communications issues associated with working in environments that are difficult to access due to damaged transportation infrastructure. An outline of the Louisiana Oil Spill Coordinator's Office's role in the incidents was presented, as well as an overview of the Louisiana State Contingency Plan. It was noted that the lack of communications systems caused considerable difficulties for responders. It was concluded that responses to hurricanes can be made more effective by having all response communities incident command structure (ICS)-trained with a thorough knowledge of the National Response Plan as it relates to the National Contingency Plan. Ensuring that plans are operational, having clear lines of authority on all hurricane-related issues, and having a robust communications plan were recommended, as well as the ability to respond without communications.

  9. From the incident command center oil spills from Hurricanes Katrina and Rita

    International Nuclear Information System (INIS)

    Guidry, R.J.

    2006-01-01

    Approximately 30.2 million litres of oil were discharged during Hurricanes Katrina and Rita. A total of 230 incidents were reported to the state's spill response community, including ruptured pipelines, damaged and moved storage tanks, refineries, and sunken vessels. By January 2006, industry had reported the recovery of 14.7 million litres of oil. After Hurricane Rita, a further 234 off- and onshore incidents were reported. This paper presented a chronology from August 26 2005 through to June 2006 of clean-up activities for both hurricanes, with specific reference to logistic and communications issues associated with working in environments that are difficult to access due to damaged transportation infrastructure. An outline of the Louisiana Oil Spill Coordinator's Office's role in the incidents was presented, as well as an overview of the Louisiana State Contingency Plan. It was noted that the lack of communications systems caused considerable difficulties for responders. It was concluded that responses to hurricanes can be made more effective by having all response communities incident command structure (ICS)-trained with a thorough knowledge of the National Response Plan as it relates to the National Contingency Plan. Ensuring that plans are operational, having clear lines of authority on all hurricane-related issues, and having a robust communications plan were recommended, as well as the ability to respond without communications

  10. The Psychological Impact from Hurricane Katrina: Effects of Displacement and Trauma Exposure on University Students

    Science.gov (United States)

    Davis, Thompson E., III; Grills-Taquechel, Amie E.; Ollendick, Thomas H.

    2010-01-01

    The following study examined the reactions of university students to Hurricane Katrina. A group of 68 New Orleans area students who were displaced from their home universities as a result of the hurricane were matched on race, gender, and age to a sample of 68 students who had been enrolled at Louisiana State University (LSU) prior to the…

  11. The Impact of Hurricanes Katrina and Rita on Louisiana School Nurses

    Science.gov (United States)

    Broussard, Lisa; Myers, Rachel; Meaux, Julie

    2008-01-01

    In the fall of 2005, the coast of Louisiana was devastated by two hurricanes, Katrina and Rita. Not only did these natural disasters have detrimental effects for those directly in their path, the storms had an impact on the lives of everyone in Louisiana. The professional practice of many Louisiana school nurses was affected by several factors,…

  12. The psychosocial impact of Hurricane Katrina on persons with disabilities and independent living center staff living on the American Gulf Coast.

    Science.gov (United States)

    Fox, Michael H; White, Glen W; Rooney, Catherine; Cahill, Anthony

    2010-08-01

    To determine the impact of Hurricane Katrina on the psychosocial health of people with disabilities and on the ability of people with disabilities in the affected area to live independently. Transcribed conversations were analyzed for 56 survivors of Hurricane Katrina on the American Gulf Coast, all of whom were persons with disabilities or persons working with them. Semi-structured interviews were conducted either individually or in focus groups with participants. Qualitative analysis was undertaken using hermeneutic techniques. Six major themes emerged: faith, incredulousness, blaming others or oneself, family adaptation and resiliency, and work and professional responsibility. The resiliency of persons with disabilities to adapt to disasters can be better understood through factors such as these, providing an effective barometer of social capital that can help societies prepare for future disasters among those most vulnerable.

  13. Disaster Hits Home: A Model of Displaced Family Adjustment after Hurricane Katrina

    Science.gov (United States)

    Peek, Lori; Morrissey, Bridget; Marlatt, Holly

    2011-01-01

    The authors explored individual and family adjustment processes among parents (n = 30) and children (n = 55) who were displaced to Colorado after Hurricane Katrina. Drawing on in-depth interviews with 23 families, this article offers an inductive model of displaced family adjustment. Four stages of family adjustment are presented in the model: (a)…

  14. A Pilot Study of the Effects of Post-Hurricane Katrina Floodwater Pumping on the Chemistry and Toxicity of Violet Marsh Sediments

    National Research Council Canada - National Science Library

    Suedel, Burton C; Steevens, Jeffery A; Splichal, David E

    2006-01-01

    The Interagency Performance Evaluation Task Force (IPET) is investigating the environmental impacts of the future of the hurricane protection system around New Orleans, Louisiana, during Hurricane Katrina...

  15. REMOTE SENSING DAMAGE ASSESSMENT OF CHEMICAL PLANTS AND REFINERIES FOLLOWING HURRICANES KATRINA AND RITA

    Science.gov (United States)

    The massive destruction brought by Hurricanes Katrina and Rita also impacted the many chemical plants and refineries in the region. The achievement of this rapid analysis capability highlights the advancement of this technology for air quality assessment and monitoring. Case st...

  16. The Military and Domestic Disaster Response: Lead Role Revealed Through the Eye of Hurricane Katrina?

    National Research Council Canada - National Science Library

    Walker, Juliana M

    2006-01-01

    .... During and in the aftermath of Hurricane Katrina however the slow and perceived inept response to the massive disaster prompted a national debate on the appropriate role of the military in major domestic disasters...

  17. Satellite Assessment of Bio-Optical Properties of Northern Gulf of Mexico Coastal Waters Following Hurricanes Katrina and Rita.

    Science.gov (United States)

    Lohrenz, Steven E; Cai, Wei-Jun; Chen, Xiaogang; Tuel, Merritt

    2008-07-10

    The impacts of major tropical storms events on coastal waters include sediment resuspension, intense water column mixing, and increased delivery of terrestrial materials into coastal waters. We examined satellite imagery acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS) ocean color sensor aboard the Aqua spacecraft following two major hurricane events: Hurricane Katrina, which made landfall on 29 August 2005, and Hurricane Rita, which made landfall on 24 September. MODIS Aqua true color imagery revealed high turbidity levels in shelf waters immediately following the storms indicative of intense resuspension. However, imagery following the landfall of Katrina showed relatively rapid return of shelf water mass properties to pre-storm conditions. Indeed, MODIS Aqua-derived estimates of diffuse attenuation at 490 nm (K_490) and chlorophyll (chlor_a) from mid-August prior to the landfall of Hurricane Katrina were comparable to those observed in mid-September following the storm. Regions of elevated K_490 and chlor_a were evident in offshore waters and appeared to be associated with cyclonic circulation (cold-core eddies) identified on the basis of sea surface height anomaly (SSHA). Imagery acquired shortly after Hurricane Rita made landfall showed increased water column turbidity extending over a large area of the shelf off Louisiana and Texas, consistent with intense resuspension and sediment disturbance. An interannual comparison of satellite-derived estimates of K_490 for late September and early October revealed relatively lower levels in 2005, compared to the mean for the prior three years, in the vicinity of the Mississippi River birdfoot delta. In contrast, levels above the previous three year mean were observed off Texas and Louisiana 7-10 d after the passage of Rita. The lower values of K_490 near the delta could be attributed to relatively low river discharge during the preceding months of the 2005 season. The elevated levels off Texas and

  18. Sex Differences in Salivary Cortisol, Alpha-Amylase, and Psychological Functioning Following Hurricane Katrina

    Science.gov (United States)

    Vigil, Jacob M.; Geary, David C.; Granger, Douglas A.; Flinn, Mark V.

    2010-01-01

    The study examines group and individual differences in psychological functioning and hypothalamic-pituitary-adrenal and sympathetic nervous system (SNS) activity among adolescents displaced by Hurricane Katrina and living in a U.S. government relocation camp (n = 62, ages 12-19 years) 2 months postdisaster. Levels of salivary cortisol, salivary…

  19. A Test of the Family Stress Model on Toddler-Aged Children's Adjustment among Hurricane Katrina Impacted and Nonimpacted Low-Income Families

    Science.gov (United States)

    Scaramella, Laura V.; Sohr-Preston, Sara L.; Callahan, Kristin L.; Mirabile, Scott P.

    2008-01-01

    Hurricane Katrina dramatically altered the level of social and environmental stressors for the residents of the New Orleans area. The Family Stress Model describes a process whereby felt financial strain undermines parents' mental health, the quality of family relationships, and child adjustment. Our study considered the extent to which the Family…

  20. Population changes, racial/ethnic disparities, and birth outcomes in Louisiana after Hurricane Katrina.

    Science.gov (United States)

    Harville, Emily W; Tran, Tri; Xiong, Xu; Buekens, Pierre

    2010-09-01

    To examine how the demographic and other population changes affected birth and obstetric outcomes in Louisiana, and the effect of the hurricane on racial disparities in these outcomes. Vital statistics data were used to compare the incidence of low birth weight (LBW) (birth (PTB) (37 weeks' gestation), cesarean section, and inadequate prenatal care (as measured by the Kotelchuck index), in the 2 years after Katrina compared to the 2 years before, for the state as a whole, region 1 (the area around New Orleans), and Orleans Parish (New Orleans). Logistic models were used to adjust for covariates. After adjustment, rates of LBW rose for the state, but preterm birth did not. In region 1 and Orleans Parish, rates of LBW and PTB remained constant or fell. These patterns were all strongest in African American women. Rates of cesarean section and inadequate prenatal care rose. Racial disparities in birth outcomes remained constant or were reduced. Although risk of LBW/PTB remained higher in African Americans, the storm does not appear to have exacerbated health disparities, nor did population shifts explain the changes in birth and obstetric outcomes.

  1. Satellite Images and Aerial Photographs of the Effects of Hurricanes Katrina and Rita on Coastal Louisiana

    Science.gov (United States)

    Barras, John A.

    2007-01-01

    Introduction Hurricane Katrina made landfall on the eastern coastline of Louisiana on August 29, 2005; Hurricane Rita made landfall on the western coastline of Louisiana on September 24, 2005. Comparison of Landsat Thematic Mapper (TM) satellite imagery acquired before and after the landfalls of Katrina and Rita and classified to identify land and water demonstrated that water area increased by 217 mi2 (562 km2) in coastal Louisiana as a result of the storms. Approximately 82 mi2 (212 km2) of new water areas were in areas primarily impacted by Hurricane Katrina (Mississippi River Delta basin, Breton Sound basin, Pontchartrain basin, and Pearl River basin), whereas 99 mi2 (256 km2) were in areas primarily impacted by Hurricane Rita (Calcasieu/Sabine basin, Mermentau basin, Teche/Vermilion basin, Atchafalaya basin, and Terrebonne basin). Barataria basin contained new water areas caused by both hurricanes, resulting in some 18 mi2 (46.6 km2) of new water areas. The fresh marsh and intermediate marsh communities' land areas decreased by 122 mi2 (316 km2) and 90 mi2 (233.1 km2), respectively, and the brackish marsh and saline marsh communities' land areas decreased by 33 mi2 (85.5 km2) and 28 mi2 (72.5 km2), respectively. These new water areas represent land losses caused by direct removal of wetlands. They also indicate transitory changes in water area caused by remnant flooding, removal of aquatic vegetation, scouring of marsh vegetation, and water-level variation attributed to normal tidal and meteorological variation between satellite images. Permanent losses cannot be estimated until several growing seasons have passed and the transitory impacts of the hurricanes are minimized. The purpose of this study was to provide preliminary information on water area changes in coastal Louisiana acquired shortly after the landfalls of both hurricanes (detectable with Landsat TM imagery) and to serve as a regional baseline for monitoring posthurricane wetland recovery. The land

  2. Disaster preparedness of dialysis patients for Hurricanes Gustav and Ike 2008.

    Science.gov (United States)

    Kleinpeter, Myra A

    2009-01-01

    Hurricanes Katrina and Rita resulted in massive devastation of the Gulf Coast at Mississippi, Louisiana, and Texas during 2005. Because of those disasters, dialysis providers, nephrologists, and dialysis patients used disaster planning activities to work to mitigate the morbidity and mortality associated with the 2005 hurricane season for future events affecting dialysis patients. As Hurricane Gustav approached, anniversary events for Hurricane Katrina were postponed because of evacuation orders for nearly the entire Louisiana Gulf Coast. As part of the hurricane preparation, dialysis units reviewed the disaster plans of patients, and patients made preparation for evacuation. Upon evacuation, many patients returned to the dialysis units that had provided services during their exile from Hurricane Katrina; other patients went to other locations as part of their evacuation plan. Patients uniformly reported positive experiences with dialysis providers in their temporary evacuation communities, provided that those communities did not experience the effects of Hurricane Gustav. With the exception of evacuees to Baton Rouge, patients continued to receive their treatments uninterrupted. Because of extensive damage in the Baton Rouge area, resulting in widespread power losses and delayed restoration of power to hospitals and other health care facilities, some patients missed one treatment. However, as a result of compliance with disaster fluid and dietary recommendations, no adverse outcomes occurred. In most instances, patients were able to return to their home dialysis unit or a nearby unit to continue dialysis treatments within 4 - 5 days of Hurricane Gustav. Hurricane Ike struck the Texas Gulf Coast near Galveston, resulting in devastation of that area similar to the devastation seen in New Orleans after Katrina. The storm surge along the Louisiana Gulf Coast resulted in flooding that temporarily closed coastal dialysis units. Patients were prepared and experienced

  3. Emergency Supplemental Appropriations for DoD Needs Arising from Hurricane Katrina at Selected DoD Components

    National Research Council Canada - National Science Library

    Granetto, Paul J; Marsh, Patricia A; Pfeil, Lorin T; Adu, Henry Y; Appiah, Emmanuel A; Lawrence, Charlisa D; Loftin, Sharon A; Straw, Richard W; Davis, Sonya T; Hart, Erin S

    2007-01-01

    .... The Inspector General (IG), DoD, performed this audit to determine if the emergency supplemental appropriations for DoD needs arising from Hurricane Katrina and others were used for their intended purposes...

  4. Correlates of Long-Term Posttraumatic Stress Symptoms in Children Following Hurricane Katrina

    Science.gov (United States)

    Moore, Kathryn W.; Varela, R. Enrique

    2010-01-01

    The present study examined the roles of loss and disruption, major life events, and social support in the relationship between exposure and PTSD symptoms in a group of children 33 months after Hurricane Katrina. One hundred fifty-six 4th, 5th, and 6th graders were surveyed in the New Orleans area. Results indicated that 46% of the children…

  5. Hurricane Katrina-linked environmental injustice: race, class, and place differentials in attitudes.

    Science.gov (United States)

    Adeola, Francis O; Picou, J Steven

    2017-04-01

    Claims of environmental injustice, human neglect, and racism dominated the popular and academic literature after Hurricane Katrina struck the United States in August 2005. A systematic analysis of environmental injustice from the perspective of the survivors remains scanty or nonexistent. This paper presents, therefore, a systematic empirical analysis of the key determinants of Katrina-induced environmental injustice attitudes among survivors in severely affected parishes (counties) in Louisiana and Mississippi three years into the recovery process. Statistical models based on a random sample of survivors were estimated, with the results revealing significant predictors such as age, children in household under 18, education, homeownership, and race. The results further indicate that African-Americans were more likely to perceive environmental injustice following Katrina than their white counterparts. Indeed, the investigation reveals that there are substantial racial gaps in measures of environmental injustice. The theoretical, methodological, and applied policy implications of these findings are discussed. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

  6. Satellite Assessment of Bio-Optical Properties of Northern Gulf of Mexico Coastal Waters Following Hurricanes Katrina and Rita

    OpenAIRE

    Lohrenz, Steven E.; Cai, Wei-Jun; Chen, Xiaogang; Tuel, Merritt

    2008-01-01

    The impacts of major tropical storms events on coastal waters include sediment resuspension, intense water column mixing, and increased delivery of terrestrial materials into coastal waters. We examined satellite imagery acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS) ocean color sensor aboard the Aqua spacecraft following two major hurricane events: Hurricane Katrina, which made landfall on 29 August 2005, and Hurricane Rita, which made landfall on 24 September. MODIS A...

  7. Predictors of business return in New Orleans after Hurricane Katrina.

    Directory of Open Access Journals (Sweden)

    Nina S N Lam

    Full Text Available We analyzed the business reopening process in New Orleans after Hurricane Katrina, which hit the region on August 29, 2005, to better understand what the major predictors were and how their impacts changed through time. A telephone survey of businesses in New Orleans was conducted in October 2007, 26 months after Hurricane Katrina. The data were analyzed using a modified spatial probit regression model to evaluate the importance of each predictor variable through time. The results suggest that the two most important reopening predictors throughout all time periods were the flood depth at the business location and business size as represented by its wages in a logarithmic form. Flood depth was a significant negative predictor and had the largest marginal effects on the reopening probabilities. Smaller businesses had lower reopening probabilities than larger ones. However, the nonlinear response of business size to the reopening probability suggests that recovery aid would be most effective for smaller businesses than for larger ones. The spatial spillovers effect was a significant positive predictor but only for the first nine months. The findings show clearly that flood protection is the overarching issue for New Orleans. A flood protection plan that reduces the vulnerability and length of flooding would be the first and foremost step to mitigate the negative effects from climate-related hazards and enable speedy recovery. The findings cast doubt on the current coastal protection efforts and add to the current debate of whether coastal Louisiana will be sustainable or too costly to protect from further land loss and flooding given the threat of sea-level rise. Finally, a plan to help small businesses to return would also be an effective strategy for recovery, and the temporal window of opportunity that generates the greatest impacts would be the first 6∼9 months after the disaster.

  8. Predictors of business return in New Orleans after Hurricane Katrina.

    Science.gov (United States)

    Lam, Nina S N; Arenas, Helbert; Pace, Kelley; LeSage, James; Campanella, Richard

    2012-01-01

    We analyzed the business reopening process in New Orleans after Hurricane Katrina, which hit the region on August 29, 2005, to better understand what the major predictors were and how their impacts changed through time. A telephone survey of businesses in New Orleans was conducted in October 2007, 26 months after Hurricane Katrina. The data were analyzed using a modified spatial probit regression model to evaluate the importance of each predictor variable through time. The results suggest that the two most important reopening predictors throughout all time periods were the flood depth at the business location and business size as represented by its wages in a logarithmic form. Flood depth was a significant negative predictor and had the largest marginal effects on the reopening probabilities. Smaller businesses had lower reopening probabilities than larger ones. However, the nonlinear response of business size to the reopening probability suggests that recovery aid would be most effective for smaller businesses than for larger ones. The spatial spillovers effect was a significant positive predictor but only for the first nine months. The findings show clearly that flood protection is the overarching issue for New Orleans. A flood protection plan that reduces the vulnerability and length of flooding would be the first and foremost step to mitigate the negative effects from climate-related hazards and enable speedy recovery. The findings cast doubt on the current coastal protection efforts and add to the current debate of whether coastal Louisiana will be sustainable or too costly to protect from further land loss and flooding given the threat of sea-level rise. Finally, a plan to help small businesses to return would also be an effective strategy for recovery, and the temporal window of opportunity that generates the greatest impacts would be the first 6∼9 months after the disaster.

  9. EFFECTS OF HURRICANE KATRINA ON BENTHIC MACROINVERTEBRATE COMMUNITIES ALONG THE NORTHERN GULF OF MEXICO COAST

    Science.gov (United States)

    A study was initiated in fall 2005 to assess potential effects on benthic fauna and habitat quality in coastal waters of Louisiana, Mississippi, and Alabama following Hurricane Katrina, which struck the coast of Louisiana, between New Orleans and Bioloxi, Mississippi on August 29...

  10. Satellite Assessment of Bio-Optical Properties of Northern Gulf of Mexico Coastal Waters Following Hurricanes Katrina and Rita

    Directory of Open Access Journals (Sweden)

    Merritt Tuel

    2008-07-01

    Full Text Available The impacts of major tropical storms events on coastal waters include sediment resuspension, intense water column mixing, and increased delivery of terrestrial materials into coastal waters. We examined satellite imagery acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS ocean color sensor aboard the Aqua spacecraft following two major hurricane events: Hurricane Katrina, which made landfall on 29 August 2005, and Hurricane Rita, which made landfall on 24 September. MODIS Aqua true color imagery revealed high turbidity levels in shelf waters immediately following the storms indicative of intense resuspension. However, imagery following the landfall of Katrina showed relatively rapid return of shelf water mass properties to pre-storm conditions. Indeed, MODIS Aqua-derived estimates of diffuse attenuation at 490 nm (K_490 and chlorophyll (chlor_a from mid-August prior to the landfall of Hurricane Katrina were comparable to those observed in mid-September following the storm. Regions of elevated K_490 and chlor_a were evident in offshore waters and appeared to be associated with cyclonic circulation (cold-core eddies identified on the basis of sea surface height anomaly (SSHA. Imagery acquired shortly after Hurricane Rita made landfall showed increased water column turbidity extending over a large area of the shelf off Louisiana and Texas, consistent with intense resuspension and sediment disturbance. An interannual comparison of satellite-derived estimates of K_490 for late September and early October revealed relatively lower levels in 2005, compared to the mean for the prior three years, in the vicinity of the Mississippi River birdfoot delta. In contrast, levels above the previous three year mean were observed off Texas and Louisiana 7-10 d after the passage of Rita. The lower values of K_490 near the delta could be attributed to relatively low river discharge during the preceding months of the 2005 season. The elevated levels

  11. "Making Lemonade from Lemons:" Early Childhood Teacher Educators' Programmatic Responses to Hurricanes Katrina and Rita

    Science.gov (United States)

    DiCarlo, Cynthia F.; Burts, Diane C.; Buchanan, Teresa K.; Aghayan, Carol; Benedict, Joan

    2007-01-01

    This article describes how early childhood teacher education faculty at one university responded in the aftermath of hurricanes Katrina and Rita and used the disaster to enhance their undergraduate and graduate programs. They explain how they modeled developmentally appropriate practices while responding to community needs. Four companion articles…

  12. HURRICANE CHANGES: EXAMINING ENHANCED MOTIVATION TO CHANGE DRUG USING BEHAVIORS AMONG KATRINA EVACUEES.

    Science.gov (United States)

    Tiburcio, Nelson Jose; Twiggs, Robert; Dunlap, Eloise E

    2009-12-01

    Substance use disorders are credited with greater amounts of death and illness than all other preventable health problems. Billions of dollars are spent on efforts to control drug supplies and fund various treatment approaches, but relatively little resources have been directed towards investigating how environmental conditions can contribute to or detract from substance user's individual motivation to change behavior. Hurricane Katrina caused untold property damage and upheaval, in addition to the vast numbers of people whose lives it drastically affected. This article examines how surviving this ordeal, subsequent evacuation, and eventual resettlement in New Orleans or re-location to a different city (in this case, Houston) impacted individuals' motivation to change their substance use patterns and behaviors. This article's approach is grounded in the values of the social work profession and examines: 1) the role of life events in motivating change of substance using behaviors in the absence of formal treatment interventions; and 2) participant resilience in overcoming the adversities inherent to this disaster.

  13. Illicit Drug Markets Among New Orleans Evacuees Before and Soon After Hurricane Katrina.

    Science.gov (United States)

    Dunlap, Eloise; Johnson, Bruce D; Morse, Edward

    2007-09-01

    This paper analyzes illicit drug markets in New Orleans before and after Hurricane Katrina and access to drug markets following evacuation at many locations and in Houston. Among New Orleans arrestees pre-Katrina, rates of crack and heroin use and market participation was comparable to New York and higher than in other southern cities. Both cities have vigorous outdoor drug markets. Over 100 New Orleans evacuees provide rich accounts describing the illicit markets in New Orleans and elsewhere. The flooding of New Orleans disrupted the city's flourishing drug markets, both during and immediately after the storm. Drug supplies, though limited, were never completely unavailable. Subjects reported that alcohol or drugs were not being used in the Houston Astrodome, and it was a supportive environment. Outside the Astrodome, they were often approached by or could easily locate middlemen and drug sellers. Evacuees could typically access illegal drug markets wherever they went. This paper analyzes the impact of a major disaster upon users of illegal drugs and the illegal drug markets in New Orleans and among the diaspora of New Orleans evacuees following Hurricane Katrina. This analysis includes data from criminal justice sources that specify what the drug markets were like before this disaster occurred. This analysis also includes some comparison cities where no disaster occurred, but which help inform the similarities and differences in drug markets in other cities. The data presented also include an initial analysis of ethnographic interview data from over 100 New Orleans Evacuees recruited in New Orleans and Houston.

  14. After Katrina, Teachers Reaching Out

    Science.gov (United States)

    Perlmutter, David D.

    2005-01-01

    In this article, the author talks about teachers communicating with students to show willingness to listen and care. In cases of real emotional distress, he refers students to the proper campus counseling services, but after Hurricane Katrina, it broke the barriers of his disengagement from students' personal problem. He learned that in many…

  15. Prevalence and predictors of mental health distress post-Katrina: findings from the Gulf Coast Child and Family Health Study.

    Science.gov (United States)

    Abramson, David; Stehling-Ariza, Tasha; Garfield, Richard; Redlener, Irwin

    2008-06-01

    Catastrophic disasters often are associated with massive structural, economic, and population devastation; less understood are the long-term mental health consequences. This study measures the prevalence and predictors of mental health distress and disability of hurricane survivors over an extended period of recovery in a postdisaster setting. A representative sample of 1077 displaced or greatly affected households was drawn in 2006 using a stratified cluster sampling of federally subsidized emergency housing settings in Louisiana and Mississippi, and of Mississippi census tracts designated as having experienced major damage from Hurricane Katrina in 2005. Two rounds of data collection were conducted: a baseline face-to-face interview at 6 to 12 months post-Katrina, and a telephone follow-up at 20 to 23 months after the disaster. Mental health disability was measured using the Medical Outcome Study Short Form 12, version 2 mental component summary score. Bivariate and multivariate analyses were conducted examining socioeconomic, demographic, situational, and attitudinal factors associated with mental health distress and disability. More than half of the cohort at both baseline and follow-up reported significant mental health distress. Self-reported poor health and safety concerns were persistently associated with poorer mental health. Nearly 2 years after the disaster, the greatest predictors of poor mental health included situational characteristics such as greater numbers of children in a household and attitudinal characteristics such as fatalistic sentiments and poor self-efficacy. Informal social support networks were associated significantly with better mental health status. Housing and economic circumstances were not independently associated with poorer mental health. Mental health distress and disability are pervasive issues among the US Gulf Coast adults and children who experienced long-term displacement or other serious effects as a result of Hurricanes

  16. Family and Individual Factors Associated with Substance Involvement and PTS Symptoms among Adolescents in Greater New Orleans after Hurricane Katrina

    Science.gov (United States)

    Rowe, Cynthia L.; La Greca, Annette M.; Alexandersson, Anders

    2010-01-01

    Objective: This study examined the influence of hurricane impact as well as family and individual risk factors on posttraumatic stress (PTS) symptoms and substance involvement among clinically referred adolescents affected by Hurricane Katrina. Method: A total of 80 adolescents (87% male; 13-17 years old; mean age = 15.6 years; 38% minorities) and…

  17. Mapping Pollution Plumes in Areas Impacted by Hurricane Katrina With Imaging Spectroscopy

    Science.gov (United States)

    Swayze, G. A.; Furlong, E. T.; Livo, K. E.

    2007-12-01

    New Orleans endured flooding on a massive scale subsequent to Hurricane Katrina in August of 2005. Contaminant plumes were noticeable in satellite images of the city in the days following flooding. Many of these plumes were caused by oil, gasoline, and diesel that leaked from inundated vehicles, gas stations, and refineries. News reports also suggested that the flood waters were contaminated with sewage from breached pipes. Effluent plumes such as these pose a potential health hazard to humans and wildlife in the aftermath of hurricanes and potentially from other catastrophic events (e.g., earthquakes, shipping accidents, chemical spills, and terrorist attacks). While the extent of effluent plumes can be gauged with synthetic aperture radar and broad- band visible-infrared images (Rykhus, 2005) (e.g., Radarsat and Landsat ETM+) the composition of the plumes could not be determined. These instruments lack the spectral resolution necessary to do chemical identification. Imaging spectroscopy may help solve this problem. Over 60 flight lines of NASA Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) data were collected over New Orleans, the Mississippi Delta, and the Gulf Coast from one to two weeks after Katrina while the contaminated water was being pumped out of flooded areas. These data provide a unique opportunity to test if imaging spectrometer data can be used to identify the chemistry of these flood-related plumes. Many chemicals have unique spectral signatures in the ultraviolet to near-infrared range (0.2 - 2.5 microns) that can be used as fingerprints for their identification. We are particularly interested in detecting thin films of oil, gasoline, diesel, and raw sewage suspended on or in water. If these materials can be successfully differentiated in the lab then we will use spectral-shape matching algorithms to look for their spectral signatures in the AVIRIS data collected over New Orleans and other areas impacted by Katrina. If imaging spectroscopy

  18. Positive Traits versus Previous Trauma: Racially Different Correlates with PTSD Symptoms among Hurricane Katrina-Rita Volunteers

    Science.gov (United States)

    Ai, Amy L.; Plummer, Carol; Kanno, Hanae; Heo, Grace; Appel, Hoa B.; Simon, Cassandra E.; Spigner, Clarence

    2011-01-01

    This study compared risks and protective factors for acquiring symptoms of posttraumatic stress disorder (PTSD) between African-American (n = 299) and European-American (n = 206) student volunteers 3 months after Hurricanes Katrina and Rita (H-KR). Respondents retrospectively provided information on peritraumatic emotional reactions and previous…

  19. Hurricane Katrina Aerial Photography: High-Resolution Imagery of the Gulf Coast of Louisiana, Mississippi and Alabama After Landfall

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The imagery posted on this site is of the Gulf Coast of Louisiana, Mississippi and Alabama after Hurricane Katrina made landfall. The regions photographed range from...

  20. Impacts of Hurricanes Katrina and Rita on the microbial landscape of the New Orleans area.

    Science.gov (United States)

    Sinigalliano, C D; Gidley, M L; Shibata, T; Whitman, D; Dixon, T H; Laws, E; Hou, A; Bachoon, D; Brand, L; Amaral-Zettler, L; Gast, R J; Steward, G F; Nigro, O D; Fujioka, R; Betancourt, W Q; Vithanage, G; Mathews, J; Fleming, L E; Solo-Gabriele, H M

    2007-05-22

    Floodwaters in New Orleans from Hurricanes Katrina and Rita were observed to contain high levels of fecal indicator bacteria and microbial pathogens, generating concern about long-term impacts of these floodwaters on the sediment and water quality of the New Orleans area and Lake Pontchartrain. We show here that fecal indicator microbe concentrations in offshore waters from Lake Pontchartrain returned to prehurricane concentrations within 2 months of the flooding induced by these hurricanes. Vibrio and Legionella species within the lake were more abundant in samples collected shortly after the floodwaters had receded compared with samples taken within the subsequent 3 months; no evidence of a long-term hurricane-induced algal bloom was observed. Giardia and Cryptosporidium were detected in canal waters. Elevated levels of fecal indicator bacteria observed in sediment could not be solely attributed to impacts from floodwaters, as both flooded and nonflooded areas exhibited elevated levels of fecal indicator bacteria. Evidence from measurements of Bifidobacterium and bacterial diversity analysis suggest that the fecal indicator bacteria observed in the sediment were from human fecal sources. Epidemiologic studies are highly recommended to evaluate the human health effects of the sediments deposited by the floodwaters.

  1. Resilience and challenges among staff of gulf coast nursing homes sheltering frail evacuees following Hurricane Katrina, 2005: implications for planning and training.

    Science.gov (United States)

    Laditka, Sarah B; Laditka, James N; Cornman, Carol B; Davis, Courtney B; Richter, Jane V E

    2009-01-01

    The purpose of this study was to: (1) explore experiences and responses of staff in caring for sheltered, frail, Hurricane Katrina evacuees; and (2) identify how planning and training can be enhanced for staff who may care for frail older populations during and after disasters. Individual, in-person, semi-structured interviews were conducted with 38 staff members in four nursing homes in Mississippi, sheltering 109 evacuees in November 2005, nine weeks after Hurricane Katrina. Twenty-four were direct care staff, including certified nursing assistants, licensed nurses, dietary aides, and social workers; 14 were support staff, including maintenance and business managers. The number interviewed in each nursing home averaged 9.5 (range 6-15). Using a discussion guide and focusing on their experiences caring for nursing home evacuees, staff were asked to describe: (1) experiences; (2) problems; (3) what helped; and (4) what was learned. Data were processed using grounded theory and thematic analysis. Responses of direct care staff differed in emphasis from those of support staff in several areas; responses from these groups were analyzed separately and together. Three of the researchers identified recurring themes; two organized themes conceptually. Staff emphasized providing emotional reassurance to evacuees as well as physical care. Many described caring for evacuees as "a blessing," saying the experience helped them bond with residents, evacuees, and other staff. However, caring for evacuees was difficult because staff members were extremely anxious and in poor physical condition after an arduous evacuation. Challenges included communicating with evacuees' families, preventing dehydration, lack of personal hygiene supplies, staff exhaustion, and emotional needs of residents, evacuees, and staff. Teamwork, community help, and having a well-organized disaster plan, extra supplies, and dependable staff helped personnel cope with the situation. Staff of nursing homes

  2. Lessons from Hurricane Katrina: The Employment Effects of The Mass Dismissal of New Orleans Teachers

    Science.gov (United States)

    Lincove, Jane Arnold; Barrett, Nathan; Strunk, Katharine O.

    2018-01-01

    In the aftermath of Hurricane Katrina, the Orleans Parish school district fired over 4,000 public school teachers as the city underwent a transition to a market-based system of charter schools. Using administrative data, we examine whether and how these teachers returned to public school employment and teaching. We estimate that school reform and…

  3. Missed by the Mass Media: The Houma, Pointe-au-Chien, and Hurricanes Katrina and Rita

    Science.gov (United States)

    Collins, Robert Keith

    2008-01-01

    This case study investigates the media discourse from Houma and Pointe-au-Chien tribal leaders in Louisiana on their experiences with Hurricanes Katrina and Rita. One section briefly engages the discourse as discernable from the reports found in Native American and non-Native American news media. Included is a brief yet close examination of these…

  4. Effects of hurricanes Katrina and Rita on Louisiana black bear habitat

    Science.gov (United States)

    Clark, Joseph D.; Murrow, Jennifer L.

    2012-01-01

    The Louisiana black bear (Ursus americanus luteolus) is comprised of 3 subpopulations, each being small, geographically isolated, and vulnerable to extinction. Hurricanes Katrina and Rita struck the Louisiana and Mississippi coasts in 2005, potentially altering habitat occupied by this federally threatened subspecies. We used data collected on radio-telemetered bears from 1993 to 1995 and pre-hurricane landscape data to develop a habitat model based on the Mahalanobis distance (D2) statistic. We then applied that model to post-hurricane landscape data where the telemetry data were collected (i.e., occupied study area) and where bear range expansion might occur (i.e., unoccupied study area) to quantify habitat loss or gain. The D2 model indicated that quality bear habitat was associated with areas of high mast-producing forest density, low water body density, and moderate forest patchiness. Cross-validation and testing on an independent data set in central Louisiana indicated that prediction and transferability of the model were good. Suitable bear habitat decreased from 348 to 345 km2 (0.9%) within the occupied study area and decreased from 34,383 to 33,891 km2 (1.4%) in the unoccupied study area following the hurricanes. Our analysis indicated that bear habitat was not significantly degraded by the hurricanes, although changes that could have occurred on a microhabitat level would be more difficult to detect at the resolution we used. We suggest that managers continue to monitor the possible long-term effects of these hurricanes (e.g., vegetation changes from flooding, introduction of toxic chemicals, or water quality changes).

  5. Lead distributions and risks in New Orleans following Hurricanes Katrina and Rita.

    Science.gov (United States)

    Abel, Michael T; Cobb, George P; Presley, Steven M; Ray, Gary L; Rainwater, Thomas R; Austin, Galen P; Cox, Stephen B; Anderson, Todd A; Leftwich, Blair D; Kendall, Ronald J; Suedel, Burton C

    2010-07-01

    During the last four years, significant effort has been devoted to understanding the effects that Hurricanes Katrina and Rita had on contaminant distribution and redistribution in New Orleans, Louisiana, USA, and the surrounding Gulf Coast area. Elevated concentrations were found for inorganic contaminants (including As, Fe, Pb, and V), several organic pollutants (polycyclic aromatic hydrocarbons, pesticides, and volatiles) and high concentration of bioaerosols, particularly Aeromonas and Vibrio. Data from different research groups confirm that some contaminant concentrations are elevated, that existing concentrations are similar to historical data, and that contaminants such as Pb and As may pose human health risks. Two data sets have been compiled in this article to serve as the foundation for preliminary risk assessments within greater New Orleans. Research from the present study suggests that children in highly contaminated areas of New Orleans may experience Pb exposure from soil ranging from 1.37 microg/d to 102 microg/d. These data are critical in the evaluation of children's health. Copyright (c) 2010 SETAC.

  6. Resource Loss and Depressive Symptoms Following Hurricane Katrina: A Principal Component Regression Study

    OpenAIRE

    Liang L; Hayashi K; Bennett P; Johnson T. J; Aten J. D

    2015-01-01

    To understand the relationship between the structure of resource loss and depression after disaster exposure, the components of resource loss and the impact of these resource loss components on depression was examined among college students (N=654) at two universities who were affected by Hurricane Katrina. The component of resource loss was analyzed by principal component analysis first. Gender, social relationship loss, and financial loss were then examined with the regression model on depr...

  7. Hurricanes Katrina and Rita and the Department of Veterans Affairs: a conceptual model for understanding the evacuation of nursing homes.

    Science.gov (United States)

    Dobalian, Aram; Claver, Maria; Fickel, Jacqueline J

    2010-01-01

    Hurricanes Katrina and Rita exposed significant flaws in US preparedness for catastrophic events and the nation's capacity to respond to them. These flaws were especially evident in the affected disaster areas' nursing homes, which house a particularly vulnerable population of frail older adults. Although evacuation of a healthcare facility is a key preparedness activity, there is limited research on factors that lead to effective evacuation. Our review of the literature on evacuation is focused on developing a conceptual framework to study future evacuations rather than as a comprehensive assessment of prior work. This paper summarizes what is known thus far about disaster response activities of nursing homes following natural and human-caused disasters, describes a conceptual model to guide future inquiry regarding this topic, and suggests future areas of research to further understand the decision-making process of nursing home facilitators regarding evacuating nursing home residents. To demonstrate the utility of the conceptual model and to provide guidance about effective practices and procedures, this paper focuses on the responses of Veterans Health Administration (VHA) nursing homes to the 2 hurricanes. Quarantelli's conceptual framework, as modified by Perry and Mushkatel, is useful in guiding the development of central hypotheses related to the decision-making that occurred in VA nursing homes and other healthcare facilities following Hurricanes Katrina and Rita. However, we define evacuation somewhat differently to account for the fact that evacuation may, in some instances, be permanent. Thus, we propose modifying this framework to improve its applicability beyond preventive evacuation. We need to better understand how disaster plans can be adapted to meet the needs of frail elders and other residents in nursing homes. Moreover, we must address identified gaps in the scientific literature with respect to health outcomes by tracking outcomes over time

  8. Secondary eyewall formation in WRF simulations of Hurricanes Rita and Katrina (2005)

    Science.gov (United States)

    Abarca, Sergio F.; Corbosiero, Kristen L.

    2011-04-01

    An analysis is presented of two high-resolution hurricane simulations of Katrina and Rita (2005) that exhibited secondary eyewall formation (SEF). The results support the notion of vortex Rossby waves (VRWs) having an important role in SEF and suggest that VRW activity is a defining aspect of the moat. SEF occurs at a radius of ˜65 (80) km in Katrina (Rita), close to the hypothesized stagnation radius of VRWs. VRW activity appears to be the result of eye-eyewall mixing events, themselves a product of the release of barotropic instability. The convection in the radial region that becomes the moat is mainly in the form of VRWs propagating radially outward from the primary eyewall until the negative radial gradient of potential vorticity is no longer conducive for their propagation. These convectively coupled waves, originating and being expelled from the eyewall, are rotation dominated and have the coherency necessary to survive their passage through the strain-dominated region outside the eyewall.

  9. Impact of hurricanes katrina and rita on the anesthesiology workforce.

    Science.gov (United States)

    Hutson, Larry R; Vega, Jorge; Schubert, Armin

    2011-01-01

    Hurricanes Katrina and Rita impacted a large portion of the medical community in Louisiana. We attempt to determine their impact on the anesthesiology workforce in Louisiana. In May 2006, a survey was mailed to 368 Louisiana anesthesiologists, collecting demographic data, retirement plans, impact of Hurricanes Katrina and Rita, position vacancies, practice conditions, and the general state of healthcare in their area. All 3 anesthesiology residency programs in the state were contacted regarding their recent graduates. The 2010 RAND survey of the anesthesiology workforce was reviewed with respect to findings relevant to the state and region. One hundred seventy surveys were returned, yielding a 46.2% response rate. Among the respondents, 13.9% intended to retire within 5 years and another 24% in 5 to 10 years. Since 2005, 63.9% had seen an increase in their daily caseload, 46.9% saw an increase in work hours, and 36.8% stated that their practices were trying to hire new anesthesiologists and were having difficulty filling these positions. Since 2005, the number of anesthesiology residents in Louisiana had declined by almost 50%, and the number of graduates remaining to practice in Louisiana had decreased by 43% from 7 to 4 annually. Our 2006 survey provided qualitative evidence for a shortage of anesthesiologists in the state of Louisiana after the natural disasters in 2005 that was likely to worsen as residency output plummeted, fewer residents stayed in the state, and projected retirement increased. The regional data from the RAND survey a year later confirmed the impressions from our survey, with an estimate of an anesthesiologist shortage as high as 39% of the workforce. State membership surveys may serve as accurate barometers in the wake of major environmental upheavals affecting regional anesthesiology workforce conditions.

  10. The Effects of Hurricane Katrina on Food Access Disparities in New Orleans

    Science.gov (United States)

    Bodor, J. Nicholas; Rice, Janet C.; Swalm, Chris M.; Hutchinson, Paul L.

    2011-01-01

    Disparities in neighborhood food access are well documented, but little research exists on how shocks influence such disparities. We examined neighborhood food access in New Orleans at 3 time points: before Hurricane Katrina (2004–2005), in 2007, and in 2009. We combined existing directories with on-the-ground verification and geographic information system mapping to assess supermarket counts in the entire city. Existing disparities for African American neighborhoods worsened after the storm. Although improvements have been made, by 2009 disparities were no better than prestorm levels. PMID:21233432

  11. Assessing Hurricane Katrina Vegetation Damage at Stennis Space Center using IKONOS Image Classification Techniques

    Science.gov (United States)

    Spruce, Joseph P.; Ross, Kenton W.; Graham, William D.

    2007-01-01

    Hurricane Katrina hit southwestern Mississippi on August 29, 2005, at 9:45 a.m. CDT as a category 3 storm with surges up to approx. 9 m and sustained winds of approx. 120 mph. The hurricane's wind, rain, and flooding devastated several coastal towns, from New Orleans through Mobile. The storm also caused significant damage to infrastructure and vegetation of NASA's SSC (Stennis Space Center). Storm recovery at SSC involved not only repairs of critical infrastructure but also forest damage mitigation (via timber harvests and control burns to reduce fire risk). This presentation discusses an effort to use commercially available high spatial resolution multispectral IKONOS data for vegetation damage assessment, based on data collected over SSC on September 2, 2005.

  12. Improving Post-Hurricane Katrina Forest Management with MODIS Time Series Products

    Science.gov (United States)

    Lewis, Mark David; Spruce, Joseph; Evans, David; Anderson, Daniel

    2012-01-01

    Hurricane damage to forests can be severe, causing millions of dollars of timber damage and loss. To help mitigate loss, state agencies require information on location, intensity, and extent of damaged forests. NASA's MODerate Resolution Imaging Spectroradiometer (MODIS) Normalized Difference Vegetation Index (NDVI) time series data products offers a potential means for state agencies to monitor hurricane-induced forest damage and recovery across a broad region. In response, a project was conducted to produce and assess 250 meter forest disturbance and recovery maps for areas in southern Mississippi impacted by Hurricane Katrina. The products and capabilities from the project were compiled to aid work of the Mississippi Institute for Forest Inventory (MIFI). A series of NDVI change detection products were computed to assess hurricane induced damage and recovery. Hurricane-induced forest damage maps were derived by computing percent change between MODIS MOD13 16-day composited NDVI pre-hurricane "baseline" products (2003 and 2004) and post-hurricane NDVI products (2005). Recovery products were then computed in which post storm 2006, 2007, 2008 and 2009 NDVI data was each singularly compared to the historical baseline NDVI. All percent NDVI change considered the 16-day composite period of August 29 to September 13 for each year in the study. This provided percent change in the maximum NDVI for the 2 week period just after the hurricane event and for each subsequent anniversary through 2009, resulting in forest disturbance products for 2005 and recovery products for the following 4 years. These disturbance and recovery products were produced for the Mississippi Institute for Forest Inventory's (MIFI) Southeast Inventory District and also for the entire hurricane impact zone. MIFI forest inventory products were used as ground truth information for the project. Each NDVI percent change product was classified into 6 categories of forest disturbance intensity. Stand age

  13. First-year growth for two oak species and three planting stocks planted on areas disturbed by Hurricane Katrina

    Science.gov (United States)

    Andrew Dowdy; Andrew W. Ezell; Emily B. Schultz; John D. Hodges; Andrew B. Self

    2014-01-01

    Bottomland hardwood forests were damaged by Hurricane Katrina in 2005 when it made landfall along the Gulf Coast. Regenerating these areas, which can be difficult without planning and artificial regeneration, has often been problematic when using 1-0 bare-root seedlings because of inconsistencies with the seedling quality. Some growers have begun producing...

  14. Support for harmful treatment and reduction of empathy toward blacks: "Remnants" of stereotype activation involving Hurricane Katrina and "Lil' Kim"

    NARCIS (Netherlands)

    Johnson, J.D.; Bushman, B.J.

    2008-01-01

    Two experiments involving White participants tested the influence of media-based Black stereotypes on subsequent responses to Black and White persons-in-need. Experiment 1 showed that priming the "Black criminal" stereotype through exposure to photographs of Blacks looting after Hurricane Katrina

  15. Factors Contributing to Mental and Physical Health Care in a Disaster-Prone Environment.

    Science.gov (United States)

    Osofsky, Howard J; Hansel, Tonya Cross; Osofsky, Joy D; Speier, Anthony

    2015-01-01

    Environment as a contextual factor plays an important role in southeastern Louisiana, as this area represents a major economic hub for the United States port, petroleum, and fishing industries. The location also exposes the population to both natural and technological disasters, including Hurricane Katrina and the Gulf oil spill. This study explored associations among hurricane loss, oil spill disruption, and environmental quality of life on mental and physical health on over 1,000 residents (N = 1,225) using structural equation modeling techniques. Results showed that oil spill distress was associated with increased symptoms of mental and physical health; Hurricane Katrina loss; and decreased environmental quality of life. Findings also indicate that mental health symptoms explain the association among oil spill distress and physical health symptoms-specifically, those that overlap with somatic complaints. These findings provide important support of the need for mental health assessment and service availability for disaster recovery.

  16. Land area change analysis following hurricane impacts in Delacroix, Louisiana, 2004--2009

    Science.gov (United States)

    Palaseanu-Lovejoy, Monica; Kranenburg, Christine J.; Brock, John C.

    2012-01-01

    The purpose of this project is to provide improved estimates of Louisiana wetland land loss due to hurricane impacts between 2004 and 2009 based upon a change detection mapping analysis that incorporates pre- and post-landfall (Hurricanes Katrina, Rita, Gustav, and Ike) fractional water classification of a combination of high resolution (QuickBird, IKONOS and Geoeye-1) and medium resolution (Landsat) satellite imagery. This second dataset focuses on Hurricanes Katrina and Gustav, which made landfall on August 29, 2005, and September 1, 2008, respectively. The study area is an approximately 1208-square-kilometer region surrounding Delacroix, Louisiana, in the eastern Delta Plain. Overall, 77 percent of the area remained unchanged between 2004 and 2009, and over 11 percent of the area was changed permanently by Hurricane Katrina (including both land gain and loss). Less than 3 percent was affected, either temporarily or permanently, by Hurricane Gustav. A related dataset (SIM 3141) focused on Hurricane Rita, which made landfall on the Louisiana/Texas border on September 24, 2005, as a Category 3 hurricane.

  17. Toward Transformative Learning: An Inquiry into the Work and Subsequent Learning Experiences of Individuals Who Assisted Hurricane Katrina Evacuees

    Science.gov (United States)

    Ficks, David B., II.

    2010-01-01

    The purpose of this multi-case study was to examine in depth the personal and learning experiences of helping professionals and volunteer helpers when challenged to assist adult Hurricane Katrina evacuees and victims in the aftermath of the disaster. The study contributes theoretically, practically and substantively to the adult education field.…

  18. New Orleans After Hurricane Katrina: An Unnatural Disaster?

    Science.gov (United States)

    McNamara, D.; Werner, B.; Kelso, A.

    2005-12-01

    Motivated by destruction in New Orleans following hurricane Katrina, we use a numerical model to explore how natural processes, economic development, hazard mitigation measures and policy decisions intertwine to produce long periods of quiescence punctuated by disasters of increasing magnitude. Physical, economic and policy dynamics are modeled on a grid representing the subsiding Mississippi Delta region surrounding New Orleans. Water flow and resulting sediment erosion and deposition are simulated in response to prescribed river floods and storms. Economic development operates on a limited number of commodities and services such as agricultural products, oil and chemical industries and port services, with investment and employment responding to both local conditions and global constraints. Development permitting, artificial levee construction and pumping are implemented by policy agents who weigh predicted economic benefits (tax revenue), mitigation costs and potential hazards. Economic risk is reduced by a combination of private insurance, federal flood insurance and disaster relief. With this model, we simulate the initiation and growth of New Orleans coupled with an increasing level of protection from a series of flooding events. Hazard mitigation filters out small magnitude events, but terrain and hydrological modifications amplify the impact of large events. In our model, "natural disasters" are the inevitable outcome of the mismatch between policy based on short-time-scale economic calculations and stochastic forcing by infrequent, high-magnitude flooding events. A comparison of the hazard mitigation response to river- and hurricane-induced flooding will be discussed. Supported by NSF Geology and Paleontology and the Andrew W Mellon Foundation.

  19. Exposures to thoracic particulate matter, endotoxin, and glucan during post-Hurricane Katrina restoration work, New Orleans 2005-2012.

    Science.gov (United States)

    Rando, Roy J; Kwon, Cheol-Woong; Lefante, John J

    2014-01-01

    In the aftermath of Hurricane Katrina, which devastated the city of New Orleans in August 2005, restoration workers were at risk for respiratory illness from exposure to airborne particles and microbial agents. In support of an epidemiologic investigation of this risk, an exposure assessment for restoration work activities (demolition, trash & debris management, landscape restoration, sewer/waterline repair, and mold remediation) was performed from 2005 to 2012. For 2005 and 2006, Occupational Safety and Health Administration (OSHA) data (n = 730) for personal and area monitoring of total and respirable dust exposures of restoration workers were accessed and analyzed. The most significant exposures were for demolition work, with average respirable dust exposures in 2005 above the action level of 2.5 mg/m(3) and 17.6% of exposures exceeding the permissible exposure limit (PEL) (5 mg/m(3)). Additional personal and area monitoring for thoracic particulate matter was performed from 2007 to 2012 (n = 774) and samples were assayed for endotoxin and (1→3, 1→6)-β-D-glucan (n = 202). In order to integrate the OSHA data with the later monitoring data, three independent predictive models were developed to convert total and respirable dust measures into the equivalent thoracic dust. The three models were not statistically different and the modeling results were in good agreement with an overall coefficient of variation of 16% for the thoracic dust means across work activities estimated by each of the three models. Overall, thoracic dust exposure levels decreased by about an order of magnitude within the first year after Katrina and then more gradually declined and stabilized through 2012. Estimated average exposures to endotoxin and microbial glucan in 2005 were as high as 256 EU/m(3) and 118 μg/m(3), respectively, and likewise were seen to decrease dramatically and stabilize after 2005. The results of this exposure assessment support previously published reports of

  20. The Impact of Teacher Qualifications on Student Achievement: An Examination of Schools in New Orleans Pre- and Post-Hurricane Katrina

    Science.gov (United States)

    Stewart, Jennifer Michelle

    2012-01-01

    One important outcome of the restructuring of the New Orleans school system post-Hurricane Katrina, and the subsequent performance of students, was an awareness that some fundamental premises in No Child Left Behind (NCLB) should be revisited. An examination of student performance in the restructured school system, for example, raised questions…

  1. Risk to life due to flooding in post-Katrina New Orleans

    Science.gov (United States)

    Miller, A.; Jonkman, S. N.; Van Ledden, M.

    2015-01-01

    Since the catastrophic flooding of New Orleans due to Hurricane Katrina in 2005, the city's hurricane protection system has been improved to provide protection against a hurricane load with a 1/100 per year exceedance frequency. This paper investigates the risk to life in post-Katrina New Orleans. In a flood risk analysis the probabilities and consequences of various flood scenarios have been analyzed for the central area of the city (the metro bowl) to give a preliminary estimate of the risk to life in the post-Katrina situation. A two-dimensional hydrodynamic model has been used to simulate flood characteristics of various breaches. The model for estimation of fatality rates is based on the loss of life data for Hurricane Katrina. Results indicate that - depending on the flood scenario - the estimated loss of life in case of flooding ranges from about 100 to nearly 500, with the highest life loss due to breaching of the river levees leading to large flood depths. The probability and consequence estimates are combined to determine the individual risk and societal risk for New Orleans. When compared to risks of other large-scale engineering systems (e.g., other flood prone areas, dams and the nuclear sector) and acceptable risk criteria found in literature, the risks for the metro bowl are found to be relatively high. Thus, despite major improvements to the flood protection system, the flood risk to life of post-Katrina New Orleans is still expected to be significant. Indicative effects of reduction strategies on the risk level are discussed as a basis for further evaluation and discussion.

  2. Terrestrial Lidar Datasets of New Orleans, Louisiana, Levee Failures from Hurricane Katrina, August 29, 2005

    Science.gov (United States)

    Collins, Brian D.; Kayen, Robert; Minasian, Diane L.; Reiss, Thomas

    2009-01-01

    Hurricane Katrina made landfall with the northern Gulf Coast on August 29, 2005, as one of the strongest hurricanes on record. The storm damage incurred in Louisiana included a number of levee failures that led to the inundation of approximately 85 percent of the metropolitan New Orleans area. Whereas extreme levels of storm damage were expected from such an event, the catastrophic failure of the New Orleans levees prompted a quick mobilization of engineering experts to assess why and how particular levees failed. As part of this mobilization, civil engineering members of the United States Geological Survey (USGS) performed terrestrial lidar topographic surveys at major levee failures in the New Orleans area. The focus of the terrestrial lidar effort was to obtain precise measurements of the ground surface to map soil displacements at each levee site, the nonuniformity of levee height freeboard, depth of erosion where scour occurred, and distress in structures at incipient failure. In total, we investigated eight sites in the New Orleans region, including both earth and concrete floodwall levee breaks. The datasets extend from the 17th Street Canal in the Orleans East Bank area to the intersection of the Gulf Intracoastal Waterway (GIWW) with the Mississippi River Gulf Outlet (MRGO) in the New Orleans East area. The lidar scan data consists of electronic files containing millions of surveyed points. These points characterize the topography of each levee's postfailure or incipient condition and are available for download through online hyperlinks. The data serve as a permanent archive of the catastrophic damage of Hurricane Katrina on the levee systems of New Orleans. Complete details of the data collection, processing, and georeferencing methodologies are provided in this report to assist in the visualization and analysis of the data by future users.

  3. Rising Above the Water: New Orleans Implements Energy Efficiency and Sustainability Practices Following Hurricanes Katrina and Rita (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2012-07-01

    This fact sheet describes the technical assistance that the U.S. Department of Energy, through its National Renewable Energy Laboratory, provided to New Orleans, Louisiana, which helped the city incorporate energy efficiency into its rebuilding efforts for K-12 schools and homes following Hurricanes Katrina and Rita. NREL also provided support and analysis on energy policy efforts.

  4. A comparative evaluation of semen parameters in pre- and post-Hurricane Katrina human population

    Directory of Open Access Journals (Sweden)

    Caner Baran

    2015-01-01

    Full Text Available A natural disaster leading to accumulation of environmental contaminants may have substantial effects on the male reproductive system. Our aim was to compare and assess semen parameters in a normospermic population residing in the Southern Louisiana, USA area pre- and post-Hurricane Katrina. We retrospectively evaluated semen analyses data (n = 3452 of 1855 patients who attended the Tulane University Andrology/Fertility Clinic between 1999 and 2013. The study inclusion criteria were men whose semen analyses showed ≥ 1.5 ml volume; ≥15 million ml -1 sperm concentration; ≥39 million total sperm count; ≥40% motility; >30% morphology, with an abstinence interval of 2-7 days. After the inclusion criteria applied to the population, 367 normospermic patients were included in the study. Descriptive statistics and group-based analyses were performed to interpret the differences between the pre-Katrina (Group 1, 1999-2005 and the post-Katrina (Group 2, 2006-2013 populations. There were significant differences in motility, morphology, number of white blood cell, immature germ cell count, pH and presence of sperm agglutination, but surprisingly there were no significant differences in sperm count between the two populations. This long-term comparative analysis further documents that a major natural disaster with its accompanied environmental issues can influence certain semen parameters (e.g., motility and morphology and, by extension, fertility potential of the population of such areas.

  5. Sleep deprivation and adverse health effects in United States Coast Guard responders to Hurricanes Katrina and Rita.

    Science.gov (United States)

    Bergan, Timothy; Thomas, Dana; Schwartz, Erica; McKibben, Jodi; Rusiecki, Jennifer

    2015-12-01

    Disaster responders are increasingly called upon to assist in various natural and manmade disasters. A critical safety concern for this population is sleep deprivation; however, there are limited published data regarding sleep deprivation and disaster responder safety. We expanded upon a cross-sectional study of 2695 United States Coast Guard personnel who responded to Hurricanes Katrina and Rita. Data were collected via survey on self-reported timing and location of deployment, missions performed, health effects, medical treatment sought, average nightly sleep, and other lifestyle variables. We created a 4-level sleep deprivation metric based on both average nightly reported sleep (d5hours; >5hours) and length of deployment (d2weeks; >2weeks) to examine the association between sustained sleep deprivation and illnesses, injuries, and symptoms using logistic regression to calculate odds ratios (ORs) and 95% confidence intervals. The strongest, statistically significant positive ORs for the highest sleep deprivation category compared with the least sleep-deprived category were for mental health and neurologic effects, specifically depression (OR=6.76), difficulty concentrating (OR=8.33), and confusion (OR=11.34), and for dehydration (OR=9.0). Injuries most strongly associated with sleep deprivation were twists, sprains, and strains (OR=6.20). Most health outcomes evaluated had monotonically increasing ORs with increasing sleep deprivation, and P tests for trend were statistically significant. Agencies deploying disaster responders should understand the risks incurred to their personnel by sustained sleep deprivation. Improved planning of response efforts to disasters can reduce the potential for sleep deprivation and lead to decreased morbidity in disaster responders. Published by Elsevier Inc.

  6. Hurricane Katrina: Barriers to Mental Health Services for Children Persist in Greater New Orleans, Although Federal Grants Are Helping to Address Them. Testimony before the Ad Hoc Subcommittee on Disaster Recovery, Senate Committee on Homeland Security and Governmental Affairs. GAO-09-935T

    Science.gov (United States)

    Bascetta, Cynthia A.

    2009-01-01

    The greater New Orleans area has yet to fully recover from the effects of Hurricane Katrina, which made landfall on August 29, 2005. One issue of concern in the recovery is the availability of mental health services for children. It is estimated that in 2008 about 187,000 children were living in the greater New Orleans area. Many children in the…

  7. Through Hell and High Water: A Librarian’s Autoethnography of Community Resilience after Hurricane Katrina

    Directory of Open Access Journals (Sweden)

    Beth Patin

    2016-02-01

    Full Text Available This autoethnographic essay presents a critical reflection on personal experiences of the process of rebuilding and working in a library in the Lower Ninth Ward in New Orleans, Louisiana following Hurricane Katrina. I examine meaningful moments during this process in the context of information science and community resiliency. The framework of community resilience is used to help structure the reflection and analysis in a systematic way. I share examples of the adaptive capacities of the school library as evidence of how the community adjusted to demonstrate resiliency.

  8. Geomorphic and ecological effects of Hurricanes Katrina and Rita on coastal Louisiana marsh communities

    Science.gov (United States)

    Piazza, Sarai C.; Steyer, Gregory D.; Cretini, Kari F.; Sasser, Charles E.; Visser, Jenneke M.; Holm, Guerry O.; Sharp, Leigh A.; Evers, D. Elaine; Meriwether, John R.

    2011-01-01

    Hurricanes Katrina and Rita made landfall in 2005, subjecting the coastal marsh communities of Louisiana to various degrees of exposure. We collected data after the storms at 30 sites within fresh (12), brackish/intermediate (12), and saline (6) marshes to document the effects of saltwater storm surge and sedimentation on marsh community dynamics. The 30 sites were comprised of 15 pairs. Most pairs contained one site where data collection occurred historically (that is, prestorms) and one Coastwide Reference Monitoring System site. Data were collected from spring 2006 to fall 2007 on vegetative species composition, percentage of vegetation cover, aboveground and belowground biomass, and canopy reflectance, along with discrete porewater salinity, hourly surface-water salinity, and water level. Where available, historical data acquired before Hurricanes Katrina and Rita were used to compare conditions and changes in ecological trajectories before and after the hurricanes. Sites experiencing direct and indirect hurricane influences (referred to in this report as levels of influence) were also identified, and the effects of hurricane influence were tested on vegetation and porewater data. Within fresh marshes, porewater salinity was greater in directly impacted areas, and this heightened salinity was reflected in decreased aboveground and belowground biomass and increased cover of disturbance species in the directly impacted sites. At the brackish/intermediate marsh sites, vegetation variables and porewater salinity were similar in directly and indirectly impacted areas, but porewater salinity was higher than expected throughout the study. Interestingly, directly impacted saline marsh sites had lower porewater salinity than indirectly impacted sites, but aboveground biomass was greater at the directly impacted sites. Because of the variable and site-specific nature of hurricane influences, we present case studies to help define postdisturbance baseline conditions in

  9. Petroleum and hazardous material releases from industrial facilities associated with Hurricane Katrina.

    Science.gov (United States)

    Santella, Nicholas; Steinberg, Laura J; Sengul, Hatice

    2010-04-01

    Hurricane Katrina struck an area dense with industry, causing numerous releases of petroleum and hazardous materials. This study integrates information from a number of sources to describe the frequency, causes, and effects of these releases in order to inform analysis of risk from future hurricanes. Over 200 onshore releases of hazardous chemicals, petroleum, or natural gas were reported. Storm surge was responsible for the majority of petroleum releases and failure of storage tanks was the most common mechanism of release. Of the smaller number of hazardous chemical releases reported, many were associated with flaring from plant startup, shutdown, or process upset. In areas impacted by storm surge, 10% of the facilities within the Risk Management Plan (RMP) and Toxic Release Inventory (TRI) databases and 28% of SIC 1311 facilities experienced accidental releases. In areas subject only to hurricane strength winds, a lower fraction (1% of RMP and TRI and 10% of SIC 1311 facilities) experienced a release while 1% of all facility types reported a release in areas that experienced tropical storm strength winds. Of industrial facilities surveyed, more experienced indirect disruptions such as displacement of workers, loss of electricity and communication systems, and difficulty acquiring supplies and contractors for operations or reconstruction (55%), than experienced releases. To reduce the risk of hazardous material releases and speed the return to normal operations under these difficult conditions, greater attention should be devoted to risk-based facility design and improved prevention and response planning.

  10. Dissolved and colloidal trace elements in the Mississippi River delta outflow after Hurricanes Katrina and Rita

    Science.gov (United States)

    Shim, Moo-Joon; Swarzenski, Peter W.; Shiller, Alan M.

    2012-07-01

    The Mississippi River delta outflow region is periodically disturbed by tropical weather systems including major hurricanes, which can terminate seasonal bottom water hypoxia and cause the resuspension of shelf bottom sediments which could result in the injection of trace elements into the water column. In the summer of 2005, Hurricanes Katrina and Rita passed over the Louisiana Shelf within a month of each other. Three weeks after Rita, we collected water samples in the Mississippi River delta outflow, examining the distributions of trace elements to study the effect of Hurricanes Katrina and Rita. We observed limited stratification on the shelf and bottom waters that were no longer hypoxic. This resulted, for instance, in bottom water dissolved Mn being lower than is typically observed during hypoxia, but with concentrations still compatible with Mn-O2 trends previously reported. Interestingly, for no element were we able to identify an obvious effect of sediment resuspension on its distribution. In general, elemental distributions were compatible with previous observations in the Mississippi outflow system. Co and Re, which have not been reported for this system previously, showed behavior consistent with other systems: input for Co likely from desorption and conservative mixing for Re. For Cs, an element for which there is little information regarding its estuarine behavior, conservative mixing was also observed. Our filtration method, which allowed us to distinguish the dissolved (<0.02 μm) from colloidal (0.02-0.45 μm) phase, revealed significant colloidal fractions for Fe and Zn, only. For Fe, the colloidal phase was the dominant fraction and was rapidly removed at low salinity. Dissolved Fe, in contrast, persisted out to mid-salinities, being removed in a similar fashion to nitrate. This ability to distinguish the smaller Fe (likely dominantly organically complexed) from larger colloidal suspensates may be useful in better interpreting the bioavailablity

  11. Assessment and control of an invasive aquaculture species: An update on Nile tilapia (Oreochromis niloticus) in coastal Mississippi after Hurricane Katrina

    Science.gov (United States)

    Schofield, Pamela J.; Slack, W. Todd; Peterson, Mark S.; Gregoire, Denise R.

    2007-01-01

    We provide information about the effects of Hurricane Katrina on populations of an invasive fish, the Nile tilapia (Oreochromis niloticus) in southern Mississippi. By resampling areas surveyed before the storm, we attempted to determine whether the species expanded its range by moving with storm-related floods. Additionally, we used rotenone to eradicate individuals of this species at a hurricane-damaged aquaculture facility on the Mississippi coast. Although our survey was limited geographically, we did not find the species to occur beyond the aquaculture facility, other than in an adjacent bayou. Our rotenone treatment of the facility appeared effective with only a single O. niloticus being collected six weeks after the treatment. To reduce the spread of O. niloticus in the southeastern U.S., it is important to continue to control feral populations, work to eliminate vectors for dispersal, and continue monitoring their distribution.

  12. Revisiting the Gulf Coast after Katrina

    Science.gov (United States)

    Principal, 2009

    2009-01-01

    In August 2005, the world witnessed one of the most destructive natural disasters on America's mainland. Hurricane Katrina, followed a month later by Hurricane Rita, brought more than broken levees, flooded streets and homes, and destroyed businesses. It caused changes in the dynamics and the demographic and cultural makeup of the region. One of…

  13. Assessment of the Water Levels and Currents at the Mississippi Bight During Hurricane Katrina.

    Science.gov (United States)

    Nwankwo, U. C.; Howden, S. D.; Dodd, D.; Wells, D. E.

    2017-12-01

    In an effort to extend the length of GPS baselines further offshore, the Hydrographic Science Research Center at the University of Southern Mississippi deployed a buoy which had a survey grade GPS receiver, an ADPC and a motion sensor unit in the Mississippi Bight in late 2004. The GPS data were initially processed using the Post Processed Kinematic technique with data from a nearby GPS base station on Horn Island. This processing technique discontinued when the storm (Hurricane Katrina) destroyed the base station in late August of 2005. However, since then a stand-alone positioning technique termed Precise Point Positioning (PPP) matured and allowed for the reprocessing of the buoy GPS data throughout Katrina. The processed GPS data were corrected for buoy angular motions using Tait Bryan transformation model. Tidal datums (Epoch 1983-2001) were transferred from the National Oceanic and Atmospheric Administration (NOAA) National Water Level at Waveland, Mississippi (Station ID 8747766) to the buoy using the Modified Range Ratio method. The maximum water level during the storm was found to be about 3.578m, relative to the transferred Mean Sea Level datum. The storm surge built over more than 24 hours, but fell back to normal levels in less than 3 hours. The maximum speed of the current with respect to the seafloor was recorded to be about 4knots towards the southeast as the storm surge moved back offshore.

  14. Rebuilding Emergency Care After Hurricane Sandy.

    Science.gov (United States)

    Lee, David C; Smith, Silas W; McStay, Christopher M; Portelli, Ian; Goldfrank, Lewis R; Husk, Gregg; Shah, Nirav R

    2014-04-09

    A freestanding, 911-receiving emergency department was implemented at Bellevue Hospital Center during the recovery efforts after Hurricane Sandy to compensate for the increased volume experienced at nearby hospitals. Because inpatient services at several hospitals remained closed for months, emergency volume increased significantly. Thus, in collaboration with the New York State Department of Health and other partners, the Health and Hospitals Corporation and Bellevue Hospital Center opened a freestanding emergency department without on-site inpatient care. The successful operation of this facility hinged on key partnerships with emergency medical services and nearby hospitals. Also essential was the establishment of an emergency critical care ward and a system to monitor emergency department utilization at affected hospitals. The results of this experience, we believe, can provide a model for future efforts to rebuild emergency care capacity after a natural disaster such as Hurricane Sandy. (Disaster Med Public Health Preparedness. 2014;0:1-4).

  15. Hurricanes Katrina and Rita: Temporary Emergency Impact Aid Provided Education Support for Displaced Students. Report to the Congressional Requesters. GAO-11-839

    Science.gov (United States)

    Scott, George A.

    2011-01-01

    In August and September 2005, Hurricanes Katrina and Rita devastated large portions of the U.S. Gulf Coast, resulting in nearly 2,000 deaths and severe damage to 305,000 houses and apartments. Thousands of families relocated to communities throughout the United States and enrolled their children in local public or private schools. Some families…

  16. Environmental Modeling, Technology, and Communication for Land Falling Tropical Cyclone/Hurricane Prediction

    Directory of Open Access Journals (Sweden)

    Paul Tchounwou

    2010-04-01

    Full Text Available Katrina (a tropical cyclone/hurricane began to strengthen reaching a Category 5 storm on 28th August, 2005 and its winds reached peak intensity of 175 mph and pressure levels as low as 902 mb. Katrina eventually weakened to a category 3 storm and made a landfall in Plaquemines Parish, Louisiana, Gulf of Mexico, south of Buras on 29th August 2005. We investigate the time series intensity change of the hurricane Katrina using environmental modeling and technology tools to develop an early and advanced warning and prediction system. Environmental Mesoscale Model (Weather Research Forecast, WRF simulations are used for prediction of intensity change and track of the hurricane Katrina. The model is run on a doubly nested domain centered over the central Gulf of Mexico, with grid spacing of 90 km and 30 km for 6 h periods, from August 28th to August 30th. The model results are in good agreement with the observations suggesting that the model is capable of simulating the surface features, intensity change and track and precipitation associated with hurricane Katrina. We computed the maximum vertical velocities (Wmax using Convective Available Kinetic Energy (CAPE obtained at the equilibrium level (EL, from atmospheric soundings over the Gulf Coast stations during the hurricane land falling for the period August 21–30, 2005. The large vertical atmospheric motions associated with the land falling hurricane Katrina produced severe weather including thunderstorms and tornadoes 2–3 days before landfall. The environmental modeling simulations in combination with sounding data show that the tools may be used as an advanced prediction and communication system (APCS for land falling tropical cyclones/hurricanes.

  17. Vulnerability and social resilience: comparison of two neighborhoods in New Orleans after Hurricane Katrina

    Directory of Open Access Journals (Sweden)

    Leroy Jeanne

    2016-01-01

    Full Text Available On August 29th of 2005, Hurricane Katrina hit the gulf coast of the United States leading to one of the most powerful disasters in history. Damage costs reached more than 100 billion dollars, as well as 150,000 flooded houses and 1,330 deaths. 10 years later, the damage remains visible in the city of New Orleans, and the rate of recovery is highly varied throughout different neighborhoods in the city. A popular idea is to associate this to the neighborhood social class, i.e. the poorer an area is, the more difficult the recovery process is. However the reality is more complex. This study looks at two economically similar and highly damaged neighborhoods, with two deeply different recoveries. The Lower 9th Ward, an isolated, and poor neighborhood surrounded by water with the Mississippi River and the industrial canal, has experienced an extremely slow recovery. However, in the isolated and relatively poor neighborhood known as Village de l’Est, located on former marshes at the edge of the city between Lake Pontchartrain and the Bayou Bienvenue, the Vietnamese community ties and cohesion have brought the neighborhood back to fruition faster than anyone would have expected. Despite many common features weakening their technical resilience, such as relatively modern and fast urbanization on former natural and low lands protected mostly by levees, their radically different reaction following Katrina points out the key role of social resilience. This communication will aim to present decisive social aspects of resilience aside from geophysical and physical features such as risk awareness, social link and community culture.

  18. Hurricane Katrina: Fishing and Aquaculture Industries -- Damage and Recovery

    National Research Council Canada - National Science Library

    Buck, Eugene H

    2005-01-01

    ...% of the shrimp and 40% of the oysters consumed in the United States. Because of the damage wrought by Katrina, many areas of the Gulf Coast have been closed to fishing because of pollution-related contamination concerns...

  19. Regeneration of coastal marsh vegetation impacted by hurricanes Katrina and Rita

    Science.gov (United States)

    Middleton, B.A.

    2009-01-01

    The dynamics of plant regeneration via seed and vegetative spread in coastal wetlands dictate the nature of community reassembly that takes place after hurricanes or sea level rise. The objectives of my project were to evaluate the potential effects of saltwater intrusion and flooding of Hurricanes Katrina and Rita on seedling regeneration in coastal wetlands of the Gulf Coast. Specifically I tested hypotheses to determine for species in fresh, brackish and salt marshes of the Gulf Coast if 1) the pattern of seed germination and seedling recruitment differed with distance from the shoreline, and 2) seed germination and seedling recruitment for various species were reduced in higher levels of water depth and salinity. Regarding Hypothesis 1, seedling densities increased with distance from the shoreline in fresh and brackish water marshes while decreasing with distance from the shoreline in salt marshes. Also to test Hypothesis 1, I used a greenhouse seed bank assay to examine seed germination from seed banks collected at distances from the shoreline in response to various water depths and salinity levels using a nested factorial design. For all marsh types, the influence of water level and salinity on seed germination shifted with distance from the shoreline (i.e., three way interaction of the main effects of distance nested within site, water depth, and salinity). Data from the seed bank assay were also used to test Hypothesis 2. The regeneration of species from fresh, brackish, and salt marshes were reduced in conditions of high salinity and/or water, so that following hurricanes or sea level rise, seedling regeneration could be reduced. Among the species of these coastal marshes, there was some flexibility of response, so that at least some species were able to germinate in either high or low salinity. Salt marshes had a few fresher marsh species in the seed bank that would not germinate without a period of fresh water input (e.g., Sagittaria lancifolia) as well

  20. Dissolved and colloidal trace elements in the Mississippi River Delta outflow after Hurricanes Katrina and Rita

    Science.gov (United States)

    Shim, Moo-Joon; Swarzenski, Peter W.; Shiller, Alan M.

    2012-01-01

    The Mississippi River delta outflow region is periodically disturbed by tropical weather systems including major hurricanes, which can terminate seasonal bottom water hypoxia and cause the resuspension of shelf bottom sediments which could result in the injection of trace elements into the water column. In the summer of 2005, Hurricanes Katrina and Rita passed over the Louisiana Shelf within a month of each other. Three weeks after Rita, we collected water samples in the Mississippi River delta outflow, examining the distributions of trace elements to study the effect of Hurricanes Katrina and Rita. We observed limited stratification on the shelf and bottom waters that were no longer hypoxic. This resulted, for instance, in bottom water dissolved Mn being lower than is typically observed during hypoxia, but with concentrations still compatible with Mn–O2 trends previously reported. Interestingly, for no element were we able to identify an obvious effect of sediment resuspension on its distribution. In general, elemental distributions were compatible with previous observations in the Mississippi outflow system. Co and Re, which have not been reported for this system previously, showed behavior consistent with other systems: input for Co likely from desorption and conservative mixing for Re. For Cs, an element for which there is little information regarding its estuarine behavior, conservative mixing was also observed. Our filtration method, which allowed us to distinguish the dissolved (<0.02 μm) from colloidal (0.02–0.45 μm) phase, revealed significant colloidal fractions for Fe and Zn, only. For Fe, the colloidal phase was the dominant fraction and was rapidly removed at low salinity. Dissolved Fe, in contrast, persisted out to mid-salinities, being removed in a similar fashion to nitrate. This ability to distinguish the smaller Fe (likely dominantly organically complexed) from larger colloidal suspensates may be useful in better interpreting the

  1. Stages of drug market change during disaster: Hurricane Katrina and reformulation of the New Orleans drug market.

    Science.gov (United States)

    Dunlap, Eloise; Graves, Jennifer; Benoit, Ellen

    2012-11-01

    In recent years, numerous weather disasters have crippled many cities and towns across the United States of America. Such disasters present a unique opportunity for analyses of the disintegration and reformulation of drug markets. Disasters present new facts which cannot be "explained" by existing theories. Recent and continuing disasters present a radically different picture from that of police crack downs where market disruptions are carried out on a limited basis (both use and sales). Generally, users and sellers move to other locations and business continues as usual. The Katrina Disaster in 2005 offered a larger opportunity to understand the functioning and processes by which drug markets may or may not survive. Utilizing a variety of qualitative data including ethnographic field notes, in-depth interview transcripts, and focus group transcripts, we investigate the operation of the New Orleans drug market before, during, and after Hurricane Katrina. Our data clearly indicate that drug markets go through a series of stages in the wake of disaster in which they disintegrate and then reconstitute themselves. In the case of New Orleans, the post-Katrina drug market was radically different from the pre-Katrina drug market. Ultimately this manuscript presents a paradigm which uses stages as a testable concept to scientifically examine the disintegration and reformulation of drug markets during disaster or crisis situations. It describes the specific processes - referred to as stages - which drug markets must go through in order to function and survive during and after a natural disaster. Copyright © 2012 Elsevier B.V. All rights reserved.

  2. The effect of social support, gratitude, resilience and satisfaction with life on depressive symptoms among police officers following Hurricane Katrina.

    Science.gov (United States)

    McCanlies, Erin C; Gu, Ja Kook; Andrew, Michael E; Violanti, John M

    2018-02-01

    Police officers in the New Orleans geographic area faced a number of challenges following Hurricane Katrina. This cross-sectional study examined the effect of social support, gratitude, resilience and satisfaction with life on symptoms of depression. A total of 86 male and 30 female police officers from Louisiana participated in this study. Ordinary least-square (OLS) regression mediation analysis was used to estimate direct and indirect effects between social support, gratitude, resilience, satisfaction with life and symptoms of depression. All models were adjusted for age, alcohol intake, military experience and an increase in the number of sick days since Hurricane Katrina. Mean depressive symptom scores were 9.6 ± 9.1 for females and 10.9 ± 9.6 for males. Mediation analyses indicates that social support and gratitude are directly associated with fewer symptoms of depression. Social support also mediated the relationships between gratitude and depression, gratitude and satisfaction with life, and satisfaction with life and depression. Similarly, resilience mediated the relationship between social support and fewer symptoms of depression. Social support, gratitude and resilience are associated with higher satisfaction with life and fewer symptoms of depression. Targeting and building these factors may improve an officer's ability to address symptoms of depression.

  3. Engaging non-Majors: Teaching From the Eye of Hurricane Katrina and the Pacific Ocean

    Science.gov (United States)

    Sarmiento, S. E.

    2007-12-01

    Engaging non-majors to become interested in the geosciences college courses they take for a science requirement represents a challenge. These courses are most likely the only exposure they will ever have to a formal earth science curriculum. Experience shows a general lack of motivation and the need to find effective teaching methods to raise their interest. In the beginning of the fall 2005 semester, I participated in a research project to measure water vapor contents on the ground of the eye of hurricane Katrina in Slidell, Louisiana. Sharing this experience with my physical and environmental geology students made a significant difference (25 percentage final grade improvement) on their interest and course performance over previous semesters. Class presentations with data collected in Katrina contributed to build a general trust in the instructor and in the way, students viewed the role of geosciences in the mitigation of natural hazardous processes. The use of travel blogs and internet enhanced courses allows teaching real time from almost anywhere as it was recently done from the east pacific (360 miles NW from Guam). An interactive portfolio of the faculty field experiences presented at the beginning of the semester has the potential to build student interest and their trust on the faculty experience and passion for the subject.

  4. Finding holism in disaster: a story of Katrina's aftermath.

    Science.gov (United States)

    Zahourek, Rothlyn

    2007-03-01

    How do we find holism in the aftermath of disasters? This is the author's personal account of being deployed as a psychiatric clinical nurse specialist by the Substance Abuse and Mental Health Services Administration and meeting two survivors in the Lower 9th Ward of New Orleans after Hurricane Katrina. This article tells how she learned from survivors' stories and music about healing and holism in the aftermath of disaster.

  5. Katrina and Rita were lit up with lightning

    Science.gov (United States)

    Shao, X.-M.; Harlin, J.; Stock, M.; Stanley, M.; Regan, A.; Wiens, K.; Hamlin, T.; Pongratz, M.; Suszcynsky, D.; Light, T.

    Hurricanes generally produce very little lightning activity compared to other noncyclonic storms, and lightning is especially sparse in the eye wall and inner regions within tens of kilometers surrounding the eye [Molinari et al., 1994, 1999]. (The eye wall is the wall of clouds that encircles the eye of the hurricane.) Lightning can sometimes be detected in the outer, spiral rainbands, but the lightning occurrence rate varies significantly from hurricane to hurricane as well as within an individual hurricane's lifetime.Hurricanes Katrina and Rita hit the U.S. Gulf coasts of Louisiana, Mississippi, and Texas, and their distinctions were not just limited to their tremendous intensity and damage caused. They also differed from typical hurricanes in their lightning production rate.

  6. Dental care as a vital service response for disaster victims.

    Science.gov (United States)

    Mosca, Nicholas G; Finn, Emanuel; Joskow, Renée

    2007-05-01

    Hurricane Katrina's impact on the infrastructure of public health and the health care system in the affected areas was unprecedented in the United States. Many dental offices were flood-bound in New Orleans and over 60% of dental practices were partially or completely damaged in affected counties in Mississippi. Most needs assessments conducted during the initial recovery operations did not include questions about access to oral health care. However, the extent of the destruction of the health care infrastructure demonstrated the need for significant state and federal support to make dental treatment accessible to survivors and evacuees. The Katrina response is one of the few times that state and federal government agencies responded to provide dental services to victims as part of disaster response and recovery. The purpose of this paper is to share our experiences in Mississippi and the District of Columbia providing urgent dental care to disaster victims as part of a crisis response.

  7. Public Talks and Science Listens: A Community-Based Participatory Approach to Characterizing Environmental Health Risk Perceptions and Assessing Recovery Needs in the Wake of Hurricanes Katrina and Rita

    Science.gov (United States)

    Sullivan, J.; Parras, B.; St. Marie, R.; Subra, W.; Petronella, S.; Gorenstein, J.; Fuchs-Young, R.; Santa, R.K.; Chavarria, A.; Ward, J.; Diamond, P.

    2009-01-01

    In response to the human health threats stemming from Hurricanes Katrina and Rita, inter-disciplinary working groups representing P30-funded Centers of the National Institute Environmental Health Sciences were created to assess threats posed by mold, harmful alga blooms, chemical toxicants, and various infectious agents at selected sites throughout the hurricane impact zone. Because of proximity to impacted areas, UTMB NIEHS Center in Environmental Toxicology was charged with coordinating direct community outreach efforts, primarily in south Louisiana. In early October 2005, UTMB/NIEHS Center Community Outreach and Education Core, in collaboration with outreach counterparts at The University of Texas MD Anderson Cancer Center @ Smithville TX/Center for Research in Environmental Disease sent two groups into southern Louisiana. One group used Lafourche Parish as a base to deliver humanitarian aid and assess local needs for additional supplies during local recovery/reclamation. A second group, ranging through New Iberia, New Orleans, Chalmette, rural Terrebonne, Lafourche and Jefferson Parishes and Baton Rouge met with community environmental leaders, emergency personnel and local citizens to 1) sample public risk perceptions, 2) evaluate the scope and reach of ongoing risk communication efforts, and 3) determine how the NIEHS could best collaborate with local groups in environmental health research and local capacity building efforts. This scoping survey identified specific information gaps limiting efficacy of risk communication, produced a community “wish list” of potential collaborative research projects. The project provided useful heuristics for disaster response and management planning and a platform for future collaborative efforts in environmental health assessment and risk communication with local advocacy groups in south Terrebonne-Lafourche parishes. PMID:20508756

  8. Public Talks and Science Listens: A Community-Based Participatory Approach to Characterizing Environmental Health Risk Perceptions and Assessing Recovery needs in the Wake of Hurricanes Katrina and Rita

    Directory of Open Access Journals (Sweden)

    J. Sullivan

    2009-01-01

    Full Text Available In response to the human health threats stemming from Hurricanes Katrina and Rita, inter-disciplinary working groups representing P30-funded Centers of the National Institute Environmental Health Sciences were created to assess threats posed by mold, harmful alga blooms, chemical toxicants, and various infectious agents at selected sites throughout the hurricane impact zone. Because of proximity to impacted areas, UTMB NIEHS Center in Environmental Toxicology was charged with coordinating direct community outreach efforts, primarily in south Louisiana. In early October 2005, UTMB/NIEHS Center Community Outreach and Education Core, in collaboration with outreach counterparts at The University of Texas MD Anderson Cancer Center @ Smithville TX/Center for Research in Environmental Disease sent two groups into southern Louisiana. One group used Lafourche Parish as a base to deliver humanitarian aid and assess local needs for additional supplies during local recovery/reclamation. A second group, ranging through New Iberia, New Orleans, Chalmette, rural Terrebonne, Lafourche and Jefferson Parishes and Baton Rouge met with community environmental leaders, emergency personnel and local citizens to 1 sample public risk perceptions, 2 evaluate the scope and reach of ongoing risk communication efforts, and 3 determine how the NIEHS could best collaborate with local groups in environmental health research and local capacity building efforts. This scoping survey identified specific information gaps limiting efficacy of risk communication, produced a community “wish list” of potential collaborative research projects. The project provided useful heuristics for disaster response and management planning and a platform for future collaborative efforts in environmental health assessment and risk communication with local advocacy groups in south Terrebonne-Lafourche parishes.

  9. Elevated in-home sediment contaminant concentrations - the consequence of a particle settling-winnowing process from Hurricane Katrina floodwaters.

    Science.gov (United States)

    Ashley, Nicholas A; Valsaraj, Kalliat T; Thibodeaux, Louis J

    2008-01-01

    Sediment samples were collected from two homes which were flooded in the wake of Hurricane Katrina in August 2005. The samples were analyzed for trace metals and semi-volatile organic compounds using techniques based on established EPA methods. The data showed higher concentrations of some metals and semi-volatile organic pollutants than reported in previous outdoor sampling events of soils and sediments. The Lake Pontchartrain sediments became resuspended during the hurricane, and this material subsequently was found in the residential areas of New Orleans following levee breaches. The clay and silt particles appear to be selectively deposited inside homes, and sediment contaminant concentrations are usually greatest within this fraction. Re-entry advisories based on outdoor sample concentration results may have under-predicted the exposure levels to homeowners and first responders. All contaminants found in the sediment sampled in this study have their origin in the sediments of Lake Pontchartrain and other localized sources.

  10. Silver linings: a personal memoir about Hurricane Katrina and fungal volatiles.

    Science.gov (United States)

    Bennett, Joan W

    2015-01-01

    In the aftermath of Hurricane Katrina, the levees protecting New Orleans, Louisiana failed. Because approximately 80% of the city was under sea level, widespread flooding ensued. As a resident of New Orleans who had evacuated before the storm and a life-long researcher on filamentous fungi, I had known what to expect. After the hurricane I traveled home with a suitcase full of Petri dishes and sampling equipment so as to study the fungi that were "eating my house." Not only were surfaces covered with fungal growth, the air itself was full of concentrated mold odor, a smell that was orders of magnitude more funky than any damp, musty basement I had ever encountered. The smell made me feel bad and I had to take regular breaks as I sampled. Being a mycotoxin expert, I knew a fair amount about "sick building syndrome" but believed that it was difficult to get enough respiratory exposure to toxins to cause the array of symptoms associated with the syndrome. So why was I feeling sick? Some Scandinavian experts had hypothesized that mold volatile organic compounds (VOCs) might be the fungal metabolites to blame for sick building syndrome and the time in my smelly, mold infested home made me think they might be right. After securing a new job and establishing a new laboratory, I endeavored to test the hypothesis that some volatile mold metabolites might be toxic. My laboratory at Rutgers University has interrogated the role of VOCs in possible interkingdom toxicity by developing controlled microcosms for exposing simple genetic model organisms to the vapor phase of growing fungi. Both Arabidopsis thaliana and Drosophila melanogaster exhibit a range of toxic symptoms that vary with the species of fungus, the duration of exposure, and other experimental parameters. Moreover, low concentrations of chemical standards of individual fungal VOCs such as 1-octen-3-ol also exhibit varying toxicity and cause neurotoxicity in a Drosophila model. Collectively, these data suggest that

  11. Campaign contributions, lobbying and post-Katrina contracts.

    Science.gov (United States)

    Hogan, Michael J; Long, Michael A; Stretesky, Paul B

    2010-07-01

    This research explores the relationship between political campaign contributions, lobbying and post-Hurricane Katrina cleanup and reconstruction contracts. Specifically, a case-control study design is used to determine whether campaign contributions to national candidates in the 2000-04 election cycles and/or the employment of lobbyists and lobbying firms increased a company's probability of receiving a post-hurricane contract. Results indicate that both a campaign contribution dichotomous variable and the dollar amount of contributions are significantly related to whether a company received a contract, but that lobbying activity was not. These findings are discussed in the context of previous research on the politics of natural disasters, government contracting and governmental and corporate deviance.

  12. Looking for the Silver Lining: Benefit Finding after Hurricanes Katrina and Rita in Middle-Aged, Older, and Oldest-Old Adults

    OpenAIRE

    Stanko, Katie E.; Cherry, Katie E.; Ryker, Kyle S.; Mughal, Farra; Marks, Loren D.; Brown, Jennifer Silva; Gendusa, Patricia F.; Sullivan, Marisa C.; Bruner, John; Welsh, David A.; Su, L. Joseph; Jazwinski, S. Michal

    2015-01-01

    Looking for potentially positive outcomes is one way that people cope with stressful events. In two studies, we examined perceived “silver linings” after the 2005 Hurricanes Katrina and Rita among indirectly affected adults. In Study 1, middle-aged (ages 47–64 years), older (ages 65–89 years), and oldest-old (ages 90–95 years) adults in the Louisiana Healthy Aging Study (LHAS) responded to an open-ended question on perceived silver linings in a longitudinal assessment carried out during the i...

  13. Birth Outcomes in a Disaster Recovery Environment: New Orleans Women After Katrina.

    Science.gov (United States)

    Harville, Emily W; Giarratano, Gloria; Savage, Jane; Barcelona de Mendoza, Veronica; Zotkiewicz, TrezMarie

    2015-11-01

    To examine how the recovery following Hurricane Katrina affected pregnancy outcomes. 308 New Orleans area pregnant women were interviewed 5-7 years after Hurricane Katrina about their exposure to the disaster (danger, damage, and injury); current disruption; and perceptions of recovery. Birthweight, gestational age, birth length, and head circumference were examined in linear models, and low birthweight (<2500 g) and preterm birth (<37 weeks) in logistic models, with adjustment for confounders. Associations were found between experiencing damage during Katrina and birthweight (adjusted beta for high exposure = -158 g) and between injury and gestational age (adjusted beta = -0.5 days). Of the indicators of recovery experience, most consistently associated with worsened birth outcomes was worry that another hurricane would hit the region (adjusted beta for birthweight: -112 g, p = 0.08; gestational age: -3.2 days, p = 0.02; birth length: -0.65 cm, p = 0.06). Natural disaster may have long-term effects on pregnancy outcomes. Alternately, women who are most vulnerable to disaster may be also vulnerable to poor pregnancy outcome.

  14. "Natural" disasters as (neo-liberal opportunity? Discussing post-hurricane Katrina urban regeneration in New Orleans

    Directory of Open Access Journals (Sweden)

    Cecilia Scoppetta

    2016-03-01

    Full Text Available By providing a wide literature review, post-hurricane Katrina uneven urban regeneration in New Orleans is presented here by framing it within a historical perspective in order to underline how environmental threats too often seem to be not so much “natural” but rather man-made as well as to highlight both the reasons and the ways in which, in post-disaster reconstruction, competitive growth has been valued over equity, by directly benefiting those who were already the most advantaged. The aim is to highlight how environmental disasters can be considered as socially constructed phenomena, as they cannot be seen as a single event but rather as a process made by a series of progressive steps occurring within different spheres, which do not necessarily concern the environment only.

  15. School Choice, Student Mobility, and School Quality: Evidence from Post-Katrina New Orleans

    Science.gov (United States)

    Welsh, Richard O.; Duque, Matthew; McEachin, Andrew

    2016-01-01

    In recent decades, school choice policies predicated on student mobility have gained prominence as urban districts address chronically low-performing schools. However, scholars have highlighted equity concerns related to choice policies. The case of post-Hurricane Katrina New Orleans provides an opportunity to examine student mobility patterns in…

  16. Somatic experiencing treatment with social service workers following Hurricanes Katrina and Rita.

    Science.gov (United States)

    Leitch, M Laurie; Vanslyke, Jan; Allen, Marisa

    2009-01-01

    In a disaster, social service workers are often survivors themselves.This study examines whether somatic intervention using a brief (one to two session) stabilization model now called the Trauma Resiliency Model (TRM), which uses the skills of Somatic Experiencing (SE), can reduce the postdisaster symptoms of social service workers involved in postdisaster service delivery.The study was implemented with a nonrandom sample of 142 social service workers who were survivors of Hurricanes Katrina and Rita in New Orleans and Baton Rouge, Louisiana, two to three months after the disasters. Ninety-one participants received SE/TRM and were compared with a matched comparison group of 51 participants through the use of propensity score matching. All participants first received group psychoeducation. Results support the benefits of the brief intervention inspired by SE. The treatment group showed statistically significant gains in resiliency indicators and decreases in posttraumatic stress disorder symptoms. Although psychological symptoms increased in both groups at the three to four month follow-up, the treatment group's psychological symptoms were statistically lower than those of the comparison group.

  17. Recovery Migration After Hurricanes Katrina and Rita: Spatial Concentration and Intensification in the Migration System.

    Science.gov (United States)

    Curtis, Katherine J; Fussell, Elizabeth; DeWaard, Jack

    2015-08-01

    Changes in the human migration systems of the Gulf of Mexico coastline counties affected by Hurricanes Katrina and Rita provide an example of how climate change may affect coastal populations. Crude climate change models predict a mass migration of "climate refugees," but an emerging literature on environmental migration suggests that most migration will be short-distance and short-duration within existing migration systems, with implications for the population recovery of disaster-stricken places. In this research, we derive a series of hypotheses on recovery migration predicting how the migration system of hurricane-affected coastline counties in the Gulf of Mexico was likely to have changed between the pre-disaster and the recovery periods. We test these hypotheses using data from the Internal Revenue Service on annual county-level migration flows, comparing the recovery period migration system (2007-2009) with the pre-disaster period (1999-2004). By observing county-to-county ties and flows, we find that recovery migration was strong: the migration system of the disaster-affected coastline counties became more spatially concentrated, while flows within it intensified and became more urbanized. Our analysis demonstrates how migration systems are likely to be affected by the more intense and frequent storms anticipated by climate change scenarios, with implications for the population recovery of disaster-affected places.

  18. Hurricane Public Health Research Center at Louisiana State University a Case of Academia Being Prepared

    Science.gov (United States)

    van Heerden, I. L.

    2006-12-01

    Recent floods along the Atlantic and Gulf seaboards and elsewhere in the world before Katrina had demonstrated the complexity of public health impacts including trauma; fires; chemical, sewerage, and corpse contamination of air and water; and diseases. We realized that Louisiana's vulnerability was exacerbated because forty percent of the state is coastal zone in which 70% of the population resides. Ninety percent of this zone is near or below sea level and protected by man-made hurricane-protection levees. New Orleans ranked among the highest in the nation with respect to potential societal, mortality, and economic impacts. Recognizing that emergency responders had in the past been unprepared for the extent of the public health impacts of these complex flooding disasters, we created a multi-disciplinary, multi-campus research center to address these issues for New Orleans. The Louisiana Board of Regents, through its millennium Health Excellence Fund, awarded a 5-year contract to the Center in 2001. The research team combined the resources of natural scientists, social scientists, engineers, and the mental health and medical communities. We met annually with a Board of Advisors, made up of federal, state, local government, and non-governmental agency officials, first responders and emergency managers. Their advice was invaluable in acquiring various datasets and directing aspects of the various research efforts. Our center developed detailed models for assessment and amelioration of public health impacts due to hurricanes and major floods. Initial research had showed that a Category 3 storm would cause levee overtopping, and that most levee systems were unprotected from the impacts of storm-induced wave erosion. Sections of levees with distinct sags suggested the beginnings of foundation and subsidence problems. We recognized that a slow moving Cat 3 could flood up to the eaves of houses and would have residence times of weeks. The resultant mix of sewage, corpses

  19. Spatiotemporal exposome dynamics of soil lead and children's blood lead pre- and ten years post-Hurricane Katrina: Lead and other metals on public and private properties in the city of New Orleans, Louisiana, U.S.A.

    Science.gov (United States)

    Mielke, Howard W; Gonzales, Christopher R; Powell, Eric T; Mielke, Paul W

    2017-05-01

    Anthropogenic re-distribution of lead (Pb) principally through its use in gasoline additives and lead-based paints have transformed the urban exposome. This unique study tracks urban-scale soil Pb (SPb) and blood Pb (BPb) responses of children living in public and private communities in New Orleans before and ten years after Hurricane Katrina (29 August 2005). To compare and evaluate associations of pre- and ten years post-Katrina SPb and children's BPb on public and private residential census tracts in the core and outer areas of New Orleans, and to examine correlations between SPb and nine other soil metals. The Louisiana Healthy Housing and Childhood Lead Poisoning Prevention Program BPb (µg/dL) data from pre- (2000-2005) and post-Katrina (2010-2015) for ≤6-year-old children. Data from public and adjacent private residential census tracts within core and outer areas are stratified from a database that includes 916 and 922 SPb and 13,379 and 4830 BPb results, respectively, from pre- and post-Katrina New Orleans. Statistical analyses utilize Multi-Response Permutation Procedure and Spearman's Rho Correlation. Pre- to Post-Katrina median SPb decreases in public and private core census tracts were from 285 to 55mg/kg and 710-291mg/kg, respectively. In public and private outer census tracts the median SPb decreased from 109 to 56mg/kg and 88-55mg/kg. Children's BPb percent ≥5µg/dL on public and private core areas pre-Katrina was 63.2% and 67.5%, and declined post-Katrina to 7.6% and 20.2%, respectively. BPb decreases also occurred in outer areas. Soil Pb is strongly correlated with other metals. Post-Katrina re-building of public housing plus landscaping amends the exposome and reduces children's BPb. Most importantly, Hurricane Katrina revealed that decreasing the toxicants in the soil exposome is an effective intervention for decreasing children's BPb. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. The effects of Hurricanes Katrina and Rita on seabed polycyclic aromatic hydrocarbon dynamics in the Gulf of Mexico.

    Science.gov (United States)

    Mitra, Siddhartha; Lalicata, Joseph J; Allison, Mead A; Dellapenna, Timothy M

    2009-06-01

    To assess the extent to which Hurricanes Katrina and Rita affected polycyclic aromatic hydrocarbons (PAH) in the Gulf of Mexico (GOM), sediment cores were analyzed in late 2005 from: a shallow shelf, a deeper shelf, and a marsh station. Sediment geochronology, fabric, and geochemistry show that the 2005 storms deposited approximately 10cm of sediment to the surface of a core at 5-12A. Bulk carbon geochemistry and PAH isomers in this top layer suggest that the source of sediment to the top portion of core 5-12A was from a relatively more marine area. Particulate PAHs in the marsh core (04M) appeared unaffected by the storms while sediments in the core from Station 5-1B (deeper shelf) were affected minimally (some possible storm-derived deposition). Substantial amounts of PAH-laden particles may have been displaced from the seabed in shallow areas of the water column in the GOM by these 2005 storms.

  1. Services oriented architectures and rapid deployment of ad-hoc health surveillance systems: lessons from Katrina relief efforts.

    Science.gov (United States)

    Mirhaji, Parsa; Casscells, S Ward; Srinivasan, Arunkumar; Kunapareddy, Narendra; Byrne, Sean; Richards, David Mark; Arafat, Raouf

    2006-01-01

    During the Hurricane Katrina relief efforts, a new city was born overnight within the City of Houston to provide accommodation and health services for thousands of evacuees deprived of food, rest, medical attention, and sanitation. The hurricane victims had been exposed to flood water, toxic materials, physical injury, and mental stress. This scenario was an invitation for a variety of public health hazards, primarily infectious disease outbreaks. Early detection and monitoring of morbidity and mortality among evacuees due to unattended health conditions was an urgent priority and called for deployment of real-time surveillance to collect and analyze data at the scene, and to enable and guide appropriate response and planning activities. The University of Texas Health Science Center at Houston (UTHSC) and the Houston Department of Health and Human Services (HDHHS) deployed an ad hoc surveillance system overnight by leveraging Internet-based technologies and Services Oriented Architecture (SOA). The system was post-coordinated through the orchestration of Web Services such as information integration, natural language processing, syndromic case finding, and online analytical processing (OLAP). Here we will report the use of Internet-based and distributed architectures in providing timely, novel, and customizable solutions on demand for unprecedented events such as natural disasters.

  2. Katrina in Historical Context: Environment and Migration in the U.S.

    Science.gov (United States)

    Gutmann, Myron P; Field, Vincenzo

    2010-01-01

    The massive publicity surrounding the exodus of residents from New Orleans spurred by Hurricane Katrina has encouraged interest in the ways that past migration in the U.S. has been shaped by environmental factors. So has Timothy Egan's exciting book, The Worst Hard Time: The Untold Story of those who survived the Great American Dust Bowl. This paper places those dramatic stories into a much less exciting context, demonstrating that the kinds of environmental factors exemplified by Katrina and the Dust Bowl are dwarfed in importance and frequency by the other ways that environment has both impeded and assisted the forces of migration. We accomplish this goal by enumerating four types of environmental influence on migration in the U.S.: 1) environmental calamities, including floods, hurricanes, earthquakes, and tornadoes, 2) environmental hardships and their obverse, short-term environmental benefits, including both drought and short periods of favorable weather, 3) environmental amenities, including warmth, sun, and proximity to water or mountains, and 4) environmental barriers and their management, including heat, air conditioning, flood control, drainage, and irrigation. In U.S. history, all four of these have driven migration flows in one direction or another. Placing Katrina into this historical context is an important task, both because the environmental calamities of which Katrina is an example are relatively rare and have not had a wide impact, and because focusing on them defers interest from the other kinds of environmental impacts, whose effect on migration may have been stronger and more persistent, though less dramatic.

  3. Post disaster resilience: Racially different correlates of depression symptoms among hurricane Katrina-Rita volunteers.

    Science.gov (United States)

    Nicdao, Ethel G; Noel, La Tonya; Ai, Amy L; Plummer, Carol; Groff, Sara

    2013-01-01

    The present analyses examined the differential risks of and protective factors against depressive symptoms of African American and Non-Hispanic White American student volunteers, respectively after Hurricanes Katrina and Rita (H-KR). A total sample of 554 student volunteers were recruited from mental health professional programs at five universities located in the Deep South, namely areas severely impacted by H-KR during fall semester 2005. The response rate was 91% (n = 505). African American respondents (n = 299) and Non-Hispanic White Americans (n = 206) completed the survey questionnaires. Respondents retrospectively provided information on peritraumatic emotional reactions and previous trauma that were recalled by H-KR and H-KR stressors. African American respondents reported higher levels of depressive symptoms (65.2%) than their Non-Hispanic White counterparts (34.8%). Hierarchical regression analyses revealed that disaster related stressors affected African Americans (p < 0.001), but not Non-Hispanic Whites. However, African Americans who experienced peritraumatic positive emotions had lower depression levels. Lower rates of recollection of prior traumas during H-KR were reported by African American respondents, whereas previous trauma recollections predicted symptoms among Non-Hispanic White Americans (p < 0.05). Exhibiting more optimism had lower depression levels among Non-Hispanic White Americans. Peritraumatic negative emotion was the only shared risk for depressive symptoms of both groups. Findings underscore racially different levels of depressive symptoms that may contribute to varying degrees of resilience among student volunteers. Future research and practice may address these racial differences by understanding the risk factors for depressive symptoms to develop appropriate interventions for racial groups, and cultivating the protective factors that contribute to resilience from traumatic experiences.

  4. Hurricane-related emergency department visits in an inland area: an analysis of the public health impact of Hurricane Hugo in North Carolina.

    Science.gov (United States)

    Brewer, R D; Morris, P D; Cole, T B

    1994-04-01

    To evaluate the public health impact of a hurricane on an inland area. Descriptive study. Seven hospital emergency departments. Patients who were treated from September 22 to October 6, 1989, for an injury or illness related to Hurricane Hugo. None. Over the two-week study period, 2,090 patients were treated for injuries or illnesses related to the hurricane. Of these, 1,833 (88%) were treated for injuries. Insect stings and wounds accounted for almost half of the total cases. A substantial proportion (26%) of the patients suffering from stings had a generalized reaction (eg, hives, wheezing, or both). Nearly one-third of the wounds were caused by chain saws. Hurricanes can lead to substantial morbidity in an inland area. Disaster plans should address risks associated with stinging insects and hazardous equipment and should address ways to improve case reporting.

  5. Children and Trauma: A Post-Katrina and Rita Response

    Science.gov (United States)

    Hebert, Barbara B.; Ballard, Mary B.

    2007-01-01

    Many children have struggled to cope with the traumatic experiences brought about by hurricanes Katrina and Rita. This article recounts how the authors intervened in the lives of children and families after the storms. (Contains 3 figures.)

  6. Impacts of cloud flare-ups on hurricane intensity resulting from departures from balance laws

    Directory of Open Access Journals (Sweden)

    T. N. Krishnamurti

    2012-05-01

    Full Text Available Cloud flare-ups along the inner eye wall of a hurricane lead to enhancement of cloud scale divergence, which in turn leads to a large local enhancement of the departure from balance laws and can lead to local supergradient winds. This scenario is tested using the results from a mesoscale microphysical model at horizontal resolution of 1.33 km for the simulation of hurricane Katrina. Rainwater mixing ratio tags growing cloud elements. The departure from balance laws includes terms such as the local, horizontal and vertical advections of divergence, divergence square and a term invoking the gradient of vertical velocity. It is noted that these terms collectively contribute to a substantial local enhancement of the departure from balance laws. Departures from balance laws are related to the radial gradient wind imbalances in a storm-centred coordinate. In this study, several examples, from the hurricane Katrina simulations, that display this scenario of rapid intensification are illustrated. Organisation of convection in the azimuthal direction seems important for the hurricane scale; cloud flare-ups away from such regions of azimuthal organisation fail to contribute to this scenario for the overall intensification of the hurricane.

  7. Recovery Migration after Hurricanes Katrina and Rita: Spatial Concentration and Intensification in the Migration System

    Science.gov (United States)

    Fussell, Elizabeth; DeWaard, Jack

    2015-01-01

    Changes in the human migration systems of Hurricane Katrina- and Rita-affected Gulf of Mexico coastline counties provide an example of how climate change may affect coastal populations. Crude climate change models predict a mass migration of “climate refugees,” but an emerging literature on environmental migration suggests most migration will be short-distance and short-duration within existing migration systems, with implications for the population recovery of disaster-struck places. In this research, we derive a series of hypotheses on recovery migration predicting how the migration system of hurricane-affected coastline counties in the Gulf of Mexico was likely to have changed between the pre-disaster and the recovery periods. We test these hypotheses using data from the Internal Revenue Service on annual county-level migration flows, comparing the recovery period migration system (2007–2009) to the pre-disaster period (1999–2004). By observing county-to-county ties and flows we find that recovery migration was strong, as the migration system of the disaster-affected coastline counties became more spatially concentrated while flows within it intensified and became more urbanized. Our analysis demonstrates how migration systems are likely to be affected by the more intense and frequent storms anticipated by climate change scenarios with implications for the population recovery of disaster-affected places. PMID:26084982

  8. Bacteriological water quality in the Lake Pontchartrain basin Louisiana following Hurricanes Katrina and Rita, September 2005

    Science.gov (United States)

    Stoeckel, Donald M.; Bushon, Rebecca N.; Demcheck, Dennis K.; Skrobialowski, Stanley C.; Kephart, Christopher M.; Bertke, Erin E.; Mailot, Brian E.; Mize, Scott V.; Fendick, Robert B.

    2005-01-01

    The U.S. Geological Survey (USGS), in collaboration with the Louisiana Department of Environmental Quality, monitored bacteriological quality of water at 22 sites in and around Lake Pontchartrain, La., for three consecutive weeks beginning September 13, 2005, following hurricanes Katrina and Rita and the associated flooding. Samples were collected and analyzed by USGS personnel from the USGS Louisiana Water Science Center and the USGS Ohio Water Microbiology Laboratory. Fecal-indicator bacteria (Escherichia coli, enterococci, and fecal coliform) concentrations ranged from the detection limit to 36,000 colony-forming units per 100 milliliters. Data are presented in tabular form and as plots of data in the context of available historical data and water-quality standards and criteria for each site sampled. Quality-control data were reviewed to ensure that methods performed as expected in a mobile laboratory setting.

  9. Silver linings: a personal memoir about Hurricane Katrina and fungal volatiles

    Directory of Open Access Journals (Sweden)

    Joan W. Bennett

    2015-03-01

    Full Text Available In the aftermath of Hurricane Katrina, the levees protecting New Orleans, Louisiana failed. Because approximately 80% of the city was under sea level, widespread flooding ensued. As a resident of New Orleans who had evacuated before the storm, and a life-long researcher on filamentous fungi, I had known what to expect. After the hurricane I traveled home with a suitcase full of Petri dishes and sampling equipment so as to study the fungi that were eating my house. Not only were surfaces covered with fungal growth, the air itself was full of concentrated mold odor, a smell that was orders of magnitude more funky than any damp, musty basement I had ever encountered. The smell made me feel bad and I had to take regular breaks as I sampled. Being a mycotoxin expert, I knew a fair amount about sick building syndrome but believed that it was difficult to get enough respiratory exposure to toxins to cause the array of symptoms associated with the syndrome. So why was I feeling sick? Some Scandinavian experts had hypothesized that mold volatile organic compounds (VOCs might be the fungal metabolites to blame for sick building syndrome and the time in my smelly, mold infested home made me think they might be right. After securing a new job and establishing a new laboratory, I endeavored to test the hypothesis that some volatile mold metabolites might be toxic. My laboratory at Rutgers University has interrogated the role of VOCs in possible interkingdom toxicity by developing controlled microcosms for exposing simple genetic model organisms to the vapor phase of growing fungi. Both Arabidopsis thaliana and Drosophila melanogaster exhibit a range of toxic symptoms that vary with the species of fungus, the duration of exposure, and other experimental parameters. Moreover, low concentrations of chemical standards of individual fungal VOCs such as 1-octen-3-ol also exhibit varying toxicity and cause neurotoxicity in a Drosophila model.

  10. Recovery Migration to the City of New Orleans after Hurricane Katrina: A Migration Systems Approach.

    Science.gov (United States)

    Fussell, Elizabeth; Curtis, Katherine J; Dewaard, Jack

    2014-03-01

    Hurricane Katrina's effect on the population of the City of New Orleans provides a model of how severe weather events, which are likely to increase in frequency and strength as the climate warms, might affect other large coastal cities. Our research focuses on changes in the migration system - defined as the system of ties between Orleans Parish and all other U.S. counties - between the pre-disaster (1999-2004) and recovery (2007-2009) periods. Using Internal Revenue Service county-to-county migration flow data, we find that in the recovery period Orleans Parish increased the number of migration ties with and received larger migration flows from nearby counties in the Gulf of Mexico coastal region, thereby spatially concentrating and intensifying the in-migration dimension of this predominantly urban system, while the out-migration dimension contracted and had smaller flows. We interpret these changes as the migration system relying on its strongest ties to nearby and less damaged counties to generate recovery in-migration.

  11. Oil spills and other issues in the aftermath of Hurricanes Katrina and Rita : an overview

    International Nuclear Information System (INIS)

    Davis, D.W.

    2006-01-01

    The aftermath of Hurricane Katrina revealed weaknesses in the command, control, communications, and information dissemination functions within a variety of emergency response systems. This paper gave an outline of clean-up procedures involving hazardous materials. To date, clean-up crews have disposed of 8.0 million tonnes of an estimated 22.0 million tonnes of debris. The clean-up involved more than 1.3 million containerized hazardous materials; more than 230,000 damaged white goods; and nearly 43,000 damaged electronic goods. More than 3,400 samples of water, soil and air have been collected. Nearly 75 chemistry laboratories in schools have been inspected, and an additional 1500 emergency assessments of potential chemical releases were investigated. The floodwaters carried nearly 4.1 million litres of oil from a Chalmette refinery. Between September and the end of 2005, the Louisiana Oil Spill Coordinator's Office logged in 81 spill events in southwest Louisiana involving 22,000 bbls of crude. Six major, 3 medium and 131 minor events have occurred in southeast Louisiana. More than 3000 offshore platforms were shut down or damaged during the 2005 hurricane season. At least 115 platforms were destroyed and 52 were damaged. Onshore spills of concern included incidents at Murphy Oil Refinery; Bass Enterprise Production Company; Chevron at Port Fourchon; Venice Energy Services Company; Shell Pipeline; and Sundown Energy. It was concluded work done by the spill community will result in the development of more effective response plans. 23 refs

  12. Oil spills and other issues in the aftermath of Hurricanes Katrina and Rita : an overview

    Energy Technology Data Exchange (ETDEWEB)

    Davis, D.W. [Lousiana Applied and Educational Research and Development Program, Baton Rouge, LA (United States)

    2006-07-01

    The aftermath of Hurricane Katrina revealed weaknesses in the command, control, communications, and information dissemination functions within a variety of emergency response systems. This paper gave an outline of clean-up procedures involving hazardous materials. To date, clean-up crews have disposed of 8.0 million tonnes of an estimated 22.0 million tonnes of debris. The clean-up involved more than 1.3 million containerized hazardous materials; more than 230,000 damaged white goods; and nearly 43,000 damaged electronic goods. More than 3,400 samples of water, soil and air have been collected. Nearly 75 chemistry laboratories in schools have been inspected, and an additional 1500 emergency assessments of potential chemical releases were investigated. The floodwaters carried nearly 4.1 million litres of oil from a Chalmette refinery. Between September and the end of 2005, the Louisiana Oil Spill Coordinator's Office logged in 81 spill events in southwest Louisiana involving 22,000 bbls of crude. Six major, 3 medium and 131 minor events have occurred in southeast Louisiana. More than 3000 offshore platforms were shut down or damaged during the 2005 hurricane season. At least 115 platforms were destroyed and 52 were damaged. Onshore spills of concern included incidents at Murphy Oil Refinery; Bass Enterprise Production Company; Chevron at Port Fourchon; Venice Energy Services Company; Shell Pipeline; and Sundown Energy. It was concluded work done by the spill community will result in the development of more effective response plans. 23 refs.

  13. Resilience in Post-Katrina New Orleans, Louisiana: A Preliminary ...

    African Journals Online (AJOL)

    Background: Much scholarly and practitioner attention to the impact of Hurricane Katrina on the city of New Orleans, Louisiana has focused on the failures of government disaster prevention and management at all levels, often overlooking the human strength and resourcefulness observed in individuals and groups among ...

  14. Public Libraries Can Play an Important Role in the Aftermath of a Natural Disaster. A Review of: Welsh, T. S. & Higgins, S. E. (2009). Public libraries post-Hurricane Katrina: A pilot study. Library Review, 58(9), 652-659.

    OpenAIRE

    Virginia Wilson

    2010-01-01

    Objective – This paper analyzes Hurricane Katrina-related narratives to document the challenges faced by public libraries after the disaster and the disaster-relief services these libraries provided.Design – A qualitative thematic analysis of narratives obtained by convenience sampling.Setting – Narratives were collected and analyzed in 2005 and 2006 across the Gulf Coast area of the United States.Subjects – Seventy-two library and information science students enrolled in the University of So...

  15. Investigating the sensitivity of hurricane intensity and trajectory to sea surface temperatures using the regional model WRF

    Directory of Open Access Journals (Sweden)

    Cevahir Kilic

    2013-12-01

    Full Text Available The influence of sea surface temperature (SST anomalies on the hurricane characteristics are investigated in a set of sensitivity experiments employing the Weather Research and Forecasting (WRF model. The idealised experiments are performed for the case of Hurricane Katrina in 2005. The first set of sensitivity experiments with basin-wide changes of the SST magnitude shows that the intensity goes along with changes in the SST, i.e., an increase in SST leads to an intensification of Katrina. Additionally, the trajectory is shifted to the west (east, with increasing (decreasing SSTs. The main reason is a strengthening of the background flow. The second set of experiments investigates the influence of Loop Current eddies idealised by localised SST anomalies. The intensity of Hurricane Katrina is enhanced with increasing SSTs close to the core of a tropical cyclone. Negative nearby SST anomalies reduce the intensity. The trajectory only changes if positive SST anomalies are located west or north of the hurricane centre. In this case the hurricane is attracted by the SST anomaly which causes an additional moisture source and increased vertical winds.

  16. Hurricane-induced failure of low salinity wetlands

    Science.gov (United States)

    Howes, Nick C.; FitzGerald, Duncan M.; Hughes, Zoe J.; Georgiou, Ioannis Y.; Kulp, Mark A.; Miner, Michael D.; Smith, Jane M.; Barras, John A.

    2010-01-01

    During the 2005 hurricane season, the storm surge and wave field associated with Hurricanes Katrina and Rita eroded 527 km2 of wetlands within the Louisiana coastal plain. Low salinity wetlands were preferentially eroded, while higher salinity wetlands remained robust and largely unchanged. Here we highlight geotechnical differences between the soil profiles of high and low salinity regimes, which are controlled by vegetation and result in differential erosion. In low salinity wetlands, a weak zone (shear strength 500–1450 Pa) was observed ∼30 cm below the marsh surface, coinciding with the base of rooting. High salinity wetlands had no such zone (shear strengths > 4500 Pa) and contained deeper rooting. Storm waves during Hurricane Katrina produced shear stresses between 425–3600 Pa, sufficient to cause widespread erosion of the low salinity wetlands. Vegetation in low salinity marshes is subject to shallower rooting and is susceptible to erosion during large magnitude storms; these conditions may be exacerbated by low inorganic sediment content and high nutrient inputs. The dramatic difference in resiliency of fresh versus more saline marshes suggests that the introduction of freshwater to marshes as part of restoration efforts may therefore weaken existing wetlands rendering them vulnerable to hurricanes. PMID:20660777

  17. Preparing for the Worst: Psychological Excellence of First Responders - A Katrina Lessons Learned Study

    National Research Council Canada - National Science Library

    Seong, Younho; Springs, Sherry; Chung, Yongchul; Avery-Epps, Regina

    2008-01-01

    ... formidable disaster. In fact, there have been several official lessons learned reports and the findings and recommendations from these reports of the response to Hurricane Katrina have been addressed...

  18. Impacts of Hurricane Rita on the beaches of western Louisiana: Chapter 5D in Science and the storms-the USGS response to the hurricanes of 2005

    Science.gov (United States)

    Stockdon, Hilary F.; Fauver, Laura A.; Sallenger,, Asbury H.; Wright, C. Wayne

    2007-01-01

    Hurricane Rita made landfall as a category 3 storm in western Louisiana in late September 2005, 1 month following Hurricane Katrina's devastating landfall in the eastern part of the State. Large waves and storm surge inundated the lowelevation coastline, destroying many communities and causing extensive coastal change including beach, dune, and marsh erosion.

  19. Community Resilience, Psychological Resilience, and Depressive Symptoms: An Examination of the Mississippi Gulf Coast 10 Years After Hurricane Katrina and 5 Years After the Deepwater Horizon Oil Spill.

    Science.gov (United States)

    Lee, Joohee; Blackmon, Bret J; Cochran, David M; Kar, Bandana; Rehner, Timothy A; Gunnell, Mauri Stubbs

    2018-04-01

    This study examined the role of community resilience and psychological resilience on depressive symptoms in areas on the Mississippi Gulf Coast that have experienced multiple disasters. Survey administration took place in the spring of 2015 to a spatially stratified, random sample of households. This analysis included a total of 294 subjects who lived in 1 of the 3 counties of the Mississippi Gulf Coast at the time of both Hurricane Katrina in 2005 and the Deepwater Horizon oil spill in 2010. The survey included the Communities Advancing Resilience Toolkit (CART) scale, the Connor-Davidson Resilience Scale (CD-RISC 10), and the Center for Epidemiologic Studies Depression Scale (CES-D). There was a significant inverse relationship between psychological resilience and depressive symptoms and a significant positive relationship between community resilience and psychological resilience. The results also revealed that community resilience was indirectly related to depressive symptoms through the mediating variable of psychological resilience. These findings highlight the importance of psychological resilience in long-term disaster recovery and imply that long-term recovery efforts should address factors associated with both psychological and community resilience to improve mental health outcomes. (Disaster Med Public Health Preparedness. 2018;12:241-248).

  20. Kinematic structure of convective-scale elements in the rainbands of Hurricanes Katrina and Rita (2005)

    Science.gov (United States)

    Hence, Deanna A.; Houze, Robert A.

    2008-08-01

    Airborne Doppler radar data collected during the Hurricane Rainband and Intensity Change Experiment (RAINEX) show the convective-scale air motions embedded in the principal rainbands of hurricanes Katrina and Rita. These embedded convective cells have overturning updrafts and low-level downdrafts (originating at 2-4 km) that enter the rainband on its radially outward side and cross over each other within the rainband as well as a strong downdraft emanating from upper levels (6+ km) on the radially inward side. These vertical motion structures repeat from one convective cell to another along each rainband. The resulting net vertical mass transport is upward in the upwind portion of the band and greatest in the middle sector of the principal rainband, where the updraft motions contribute generally to an increase of potential vorticity below the 3-4 km level. Because the convective cells in the middle sector are systematically located radially just inside the secondary horizontal wind maximum (SHWM), the local increase in vorticity implied by the convective mass transport is manifest locally as an increase in the strength of the SHWM at midlevels (˜4 km). The overturning updrafts of the convective cells tilt, stretch, and vertically transport vorticity such that the convergence of the vertical flux of vorticity strengthens the vorticity anomaly associated with the SHWM. This process could strengthen the SHWM by several meters per second per hour, and may explain how high wave number convective-scale features can influence a low wave number feature such as the principal rainband, and subsequently influence the primary vortex.

  1. An Observational Study of Tropical Cyclone Spin-Up in Supertyphoon Jangmi and Hurricane Georges

    Science.gov (United States)

    2011-12-01

    Marks et al. (2008) flight level and radar observations from Hurricane Hugo shown in Figure 9 (their Figure 3) and Hurricane Isabel (Montgomery et al...Figure 3c and Figure 6c) and Persing and Montgomery (2003, their Figures 8, 9, and 12). For the case of Hurricane Hugo , a cross-section of the... Hurricane Hugo (1989). Mon. Wea. Rev., 136, 1237–1259. McTaggart-Cowan, R., L. F. Bosart, J. R. Gyakum, and E. H. Atallah, 2007: Hurricane Katrina

  2. Environmental chemical data for perishable sediments and soils collected in New Orleans, Louisiana, and along the Louisiana Delta following Hurricanes Katrina and Rita, 2005

    Science.gov (United States)

    Witt, Emitt C.; Shi, Honglan; Karstensen, Krista A.; Wang, Jianmin; Adams, Craig D.

    2008-01-01

    In October 2005, nearly one month after Hurricanes Katrina and Rita, a team of scientists from the U.S. Geological Survey and the Missouri University of Science and Technology deployed to southern Louisiana to collect perishable environmental data resulting from the impacts of these storms. Perishable samples collected for this investigation are subject to destruction or ruin by removal, mixing, or natural decay; therefore, collection is time-critical following the depositional event. A total of 238 samples of sediment, soil, and vegetation were collected to characterize chemical quality. For this analysis, 157 of the 238 samples were used to characterize trace element, iron, total organic carbon, pesticide, and polychlorinated biphenyl concentrations of deposited sediment and associated shallow soils. In decreasing order, the largest variability in trace element concentration was detected for lead, vanadium, chromium, copper, arsenic, cadmium, and mercury. Lead was determined to be the trace element of most concern because of the large concentrations present in the samples ranging from 4.50 to 551 milligrams per kilogram (mg/kg). Sequential extraction analysis of lead indicate that 39.1 percent of the total lead concentration in post-hurricane sediment is associated with the iron-manganese oxide fraction. This fraction is considered extremely mobile under reducing environmental conditions, thereby making lead a potential health hazard. The presence of lead in post-hurricane sediments likely is from redistribution of pre-hurricane contaminated soils and sediments from Lake Pontchartrain and the flood control canals of New Orleans. Arsenic concentrations ranged from 0.84 to 49.1 mg/kg. Although Arsenic concentrations generally were small and consistent with other research results, all samples exceeded the U.S. Environmental Protection Agency’s Human Health Medium-Specific Screening Level of 0.39 mg/kg. Mercury concentrations ranged from 0.02 to 1.30 mg

  3. Toxic trace element assessment for soils/sediments deposited during Hurricanes Katrina and Rita from southern Louisiana, USA: a sequential extraction analysis.

    Science.gov (United States)

    Shi, Honglan; Witt, Emitt C; Shu, Shi; Su, Tingzhi; Wang, Jianmin; Adams, Craig

    2010-07-01

    Analysis of soil/sediment samples collected in the southern Louisiana, USA, region three weeks after Hurricanes Katrina and Rita passed was performed using sequential extraction procedures to determine the origin, mode of occurrence, biological availability, mobilization, and transport of trace elements in the environment. Five fractions: exchangeable, bound to carbonates, bound to iron (Fe)-manganese (Mn) oxides, bound to organic matter, and residual, were subsequently extracted. The toxic trace elements Pb, As, V, Cr, Cu, and Cd were analyzed in each fraction, together with Fe in 51 soil/sediment samples. Results indicated that Pb and As were at relatively high concentrations in many of the soil/sediment samples. Because the forms in which Pb and As are present tend to be highly mobile under naturally occurring environmental conditions, these two compounds pose an increased health concern.Vanadium and Cr were mostly associated with the crystal line nonmobile residual fraction. A large portion of the Cu was associated with organic matter and residual fraction. Cadmium concentrations were low in all soil/sediment samples analyzed and most of this element tended to be associated with the mobile fractions. An average of 21% of the Fe was found in the Fe-Mn oxide fraction, indicating that a substantial part of the Fe was in an oxidized form. The significance of the overall finding of the present study indicated that the high concentrations and high availabilities of the potentially toxic trace elements As and Pb may impact the environment and human health in southern Louisiana and, in particular, the New Orleans area. Copyright (c) 2010 SETAC.

  4. Florida Department of Health Workers’ Response to 2004 Hurricanes: A Qualitative Analysis

    Science.gov (United States)

    Herberman Mash, Holly B.; Fullerton, Carol S.; Kowalski-Trakofler, Kathleen; Reissman, Dori B.; Scharf, Ted; Shultz, James M.; Ursano, Robert J.

    2015-01-01

    Objective Examinations of the demands on public health workers after disaster exposure have been limited. Workers provide emergency care while simultaneously risking injury, damage to personal property, and threats to their own and their family’s safety. We examined the disaster management experiences of 4323 Florida Department of Health workers 9 months after their response to 4 hurricanes and 1 tropical storm during a 7-week period in August and September of 2004. Methods Participants completed a self-report questionnaire focused on work performance, mental and physical health, daily functioning, sleep disturbance, physiological arousal, and injury and work demand at the time of the hurricanes, and answered open-ended questions that described their experiences in more detail. Results A qualitative analysis conducted from the write-in data yielded 4 domains: (1) work/life balance; (2) training for disaster response role; (3) workplace support; and (4) recovery. Conclusions Study findings highlighted a number of concerns that are important to public health workers who provide emergency care after a disaster and, in particular, multiple disasters such as during the 2004 hurricane season. The findings also yielded important recommendations for emergency public health preparedness. PMID:24618166

  5. Florida Department of Health workers' response to 2004 hurricanes: a qualitative analysis.

    Science.gov (United States)

    Herberman Mash, Holly B; Fullerton, Carol S; Kowalski-Trakofler, Kathleen; Reissman, Dori B; Scharf, Ted; Shultz, James M; Ursano, Robert J

    2013-04-01

    Examinations of the demands on public health workers after disaster exposure have been limited. Workers provide emergency care while simultaneously risking injury, damage to personal property, and threats to their own and their family's safety. We examined the disaster management experiences of 4323 Florida Department of Health workers 9 months after their response to 4 hurricanes and 1 tropical storm during a 7-week period in August and September of 2004. Participants completed a self-report questionnaire focused on work performance, mental and physical health, daily functioning, sleep disturbance, physiological arousal, and injury and work demand at the time of the hurricanes, and answered open-ended questions that described their experiences in more detail. A qualitative analysis conducted from the write-in data yielded 4 domains: (1) work/life balance; (2) training for disaster response role; (3) workplace support; and (4) recovery. Study findings highlighted a number of concerns that are important to public health workers who provide emergency care after a disaster and, in particular, multiple disasters such as during the 2004 hurricane season. The findings also yielded important recommendations for emergency public health preparedness.

  6. Resilience in post-Katrina New Orleans, Louisiana: a preliminary study.

    Science.gov (United States)

    Glandon, Douglas M; Muller, Jocelyn; Almedom, Astier M

    2008-12-01

    Much scholarly and practitioner attention to the impact of Hurricane Katrina on the city of New Orleans, Louisiana has focused on the failures of government disaster prevention and management at all levels, often overlooking the human strength and resourcefulness observed in individuals and groups among the worst-affected communities. This preliminary study sought to investigate human resilience in the city of New Orleans, State of Louisiana, eighteen months after Hurricane Katrina struck the Mississippi delta region. The Sense of Coherence scale, short form (SOC-13) was administered to a sample of 41 residents of Lower Ninth Ward and adjacent Wards who had been displaced by Hurricane Katrina but were either living in or visiting their home area during March 2007. Study participants were recruited through the local branch of the Association of Community Organizations for Reform Now (ACORN), a nation-wide grassroots organization whose mission is to promote the housing rights of low and moderate-income individuals and families across the USA and in several other countries. Those who had returned to their homes had significantly higher SOC scores compared to those who were still displaced (p<0.001). Among the latter, those who were members of ACORN scored significantly higher than non-members (p<0.005), and their SOC-13 scores were not significantly different from the scores of study participants who had returned home (including both members and non-members of ACORN). The findings of this preliminary study concur with previous reports in the literature on the deleterious impact of displacement on individual and collective resilience to disasters. Relevant insight gleaned from the qualitative data gathered during the course of administering the SOC-13 scale compensate for the limitations of the small sample size as they draw attention to the importance of the study participants' sources of social support. Possible avenues for further research are outlined.

  7. The Visible Hand: Markets, Politics, and Regulation in Post-Katrina New Orleans

    Science.gov (United States)

    Jabbar, Huriya

    2016-01-01

    In this article Huriya Jabbar examines how the regulatory environment in post-Hurricane Katrina New Orleans has influenced choice, incentives, and competition among schools. While previous research has highlighted the mechanisms of competition and individual choice--the "invisible hand"--and the creation of markets in education, Jabbar…

  8. Louisiana State University Health Sciences Center Katrina Inspired Disaster Screenings (KIDS): Psychometric Testing of the National Child Traumatic Stress Network Hurricane Assessment and Referral Tool

    Science.gov (United States)

    Hansel, Tonya Cross; Osofsky, Joy D.; Osofsky, Howard J.

    2015-01-01

    Background: Post disaster psychosocial surveillance procedures are important for guiding effective and efficient recovery. The Louisiana State University Health Sciences Center Katrina Inspired Disaster Screenings (KIDS) is a model designed with the goal of assisting recovering communities in understanding the needs of and targeting services…

  9. Spatial confidentiality and GIS: re-engineering mortality locations from published maps about Hurricane Katrina

    Directory of Open Access Journals (Sweden)

    Leitner Michael

    2006-10-01

    Full Text Available Abstract Background Geographic Information Systems (GIS can provide valuable insight into patterns of human activity. Online spatial display applications, such as Google Earth, can democratise this information by disseminating it to the general public. Although this is a generally positive advance for society, there is a legitimate concern involving the disclosure of confidential information through spatial display. Although guidelines exist for aggregated data, little has been written concerning the display of point level information. The concern is that a map containing points representing cases of cancer or an infectious disease, could be re-engineered back to identify an actual residence. This risk is investigated using point mortality locations from Hurricane Katrina re-engineered from a map published in the Baton Rouge Advocate newspaper, and a field team validating these residences using search and rescue building markings. Results We show that the residence of an individual, visualized as a generalized point covering approximately one and half city blocks on a map, can be re-engineered back to identify the actual house location, or at least a close neighbour, even if the map contains little spatial reference information. The degree of re-engineering success is also shown to depend on the urban characteristic of the neighborhood. Conclusion The results in this paper suggest a need to re-evaluate current guidelines for the display of point (address level data. Examples of other point maps displaying health data extracted from the academic literature are presented where a similar re-engineering approach might cause concern with respect to violating confidentiality. More research is also needed into the role urban structure plays in the accuracy of re-engineering. We suggest that health and spatial scientists should be proactive and suggest a series of point level spatial confidentiality guidelines before governmental decisions are made

  10. Spatial confidentiality and GIS: re-engineering mortality locations from published maps about Hurricane Katrina.

    Science.gov (United States)

    Curtis, Andrew J; Mills, Jacqueline W; Leitner, Michael

    2006-10-10

    Geographic Information Systems (GIS) can provide valuable insight into patterns of human activity. Online spatial display applications, such as Google Earth, can democratise this information by disseminating it to the general public. Although this is a generally positive advance for society, there is a legitimate concern involving the disclosure of confidential information through spatial display. Although guidelines exist for aggregated data, little has been written concerning the display of point level information. The concern is that a map containing points representing cases of cancer or an infectious disease, could be re-engineered back to identify an actual residence. This risk is investigated using point mortality locations from Hurricane Katrina re-engineered from a map published in the Baton Rouge Advocate newspaper, and a field team validating these residences using search and rescue building markings. We show that the residence of an individual, visualized as a generalized point covering approximately one and half city blocks on a map, can be re-engineered back to identify the actual house location, or at least a close neighbour, even if the map contains little spatial reference information. The degree of re-engineering success is also shown to depend on the urban characteristic of the neighborhood. The results in this paper suggest a need to re-evaluate current guidelines for the display of point (address level) data. Examples of other point maps displaying health data extracted from the academic literature are presented where a similar re-engineering approach might cause concern with respect to violating confidentiality. More research is also needed into the role urban structure plays in the accuracy of re-engineering. We suggest that health and spatial scientists should be proactive and suggest a series of point level spatial confidentiality guidelines before governmental decisions are made which may be reactionary toward the threat of revealing

  11. Science and the storms: The USGS response to the hurricanes of 2005

    Science.gov (United States)

    Farris, G. S.; Smith, G.J.; Crane, M.P.; Demas, C.R.; Robbins, L.L.; Lavoie, D.L.

    2007-01-01

    This report is designed to give a view of the immediate response of the U.S. Geological Survey (USGS) to four major hurricanes of 2005: Dennis, Katrina, Rita, and Wilma. Some of this response took place days after the hurricanes; other responses included fieldwork and analysis through the spring. While hurricane science continues within the USGS, this overview of work following these hurricanes reveals how a Department of the Interior bureau quickly brought together a diverse array of its scientists and technologies to assess and analyze many hurricane effects. Topics vary from flooding and water quality to landscape and ecosystem impacts, from geotechnical reconnaissance to analyzing the collapse of bridges and estimating the volume of debris. Thus, the purpose of this report is to inform the American people of the USGS science that is available and ongoing in regard to hurricanes. It is the hope that such science will help inform the decisions of those citizens and officials tasked with coastal restoration and planning for future hurricanes. Chapter 1 is an essay establishing the need for science in building a resilient coast. The second chapter includes some hurricane facts that provide hurricane terminology, history, and maps of the four hurricanes’ paths. Chapters that follow give the scientific response of USGS to the storms. Both English and metric measurements are used in the articles in anticipation of both general and scientific audiences in the United States and elsewhere. Chapter 8 is a compilation of relevant ongoing and future hurricane work. The epilogue marks the 2-year anniversary of Hurricane Katrina. An index of authors follows the report to aid in finding articles that are cross-referenced within the report. In addition to performing the science needed to understand the effects of hurricanes, USGS employees helped in the rescue of citizens by boat and through technology by “geoaddressing” 911 calls after Katrina and Rita so that other

  12. The Transformation of a School System: Principal, Teacher, and Parent Perceptions of Charter and Traditional Schools in Post-Katrina New Orleans. Technical Report

    Science.gov (United States)

    Steele, Jennifer L.; Vernez, Georges; Gottfried, Michael A.; Schwam-Baird, Michael

    2011-01-01

    Hurricane Katrina set the stage for a transformation of public education in New Orleans, replacing the city's existing school system with a decentralized choice-based system of both charter and district-run schools. Using principal, teacher, and parent surveys administered three years after Katrina, this study examined schools' governance and…

  13. Effect of Hurricane Katrina on Low Birth Weight and Preterm Deliveries in African American Women in Louisiana, Mississippi, and Alabama

    Directory of Open Access Journals (Sweden)

    Chau-Kuang Chen

    2012-04-01

    Full Text Available Using three modeling techniques (GLR, GEP, and GM, the effect of Hurricane Katrina on low birth weight and preterm delivery babies for African American women is examined in Louisiana, Mississippi and Alabama. The study results indicate that risk factors associated with low birth weight and preterm delivery for American African women include unemployment and percent of mothers between the ages of 15-19. Among White women, ages 15-19, risk factors included poverty rate, median household income, and total birth rate. The GMs performed accurate predictions with increasing low birth weight and preterm delivery trends for African American women in the Gulf Coast states and other U.S. states, and decreasing low birth weight and preterm delivery trends for their White counterparts in the same state locations. Data presented between 2007-2010 show low birth weight and preterm delivery for White women as a decreasing tendency while adverse birth outcomes for African American women exhibited a monotonically increasing trend. The empirical findings suggest that health disparities will continue to exist in the foreseeable future, if no effective intervention is taken. The models identify risk factors that contribute to adverse birth outcomes and offer some insight into strategies and programs to address and ameliorate these effects.

  14. Hurricane & Tropical Storm Impacts over the South Florida Metropolitan Area: Mortality & Government

    Science.gov (United States)

    Colon Pagan, I. C.

    2007-12-01

    Since 1985, the South Florida Metropolitan area (SFMA), which covers the counties of Miami-Dade, Broward, and Palm Beach, has been directly affected by 9 tropical cyclones: four tropical storms and 5 hurricanes. This continuous hurricane and tropical storm activity has awakened the conscience of the communities, government, and private sector, about the social vulnerability, in terms of age, gender, ethnicity, and others. Several factors have also been significant enough to affect the vulnerability of the South Florida Metropolitan area, like its geographic location which is at the western part of the Atlantic hurricane track, with a surface area of 6,137 square miles, and elevation of 15 feet. And second, from the 2006 Census estimate, this metropolitan area is the 7th most populous area in the United States supporting almost 1,571 individuals per square mile. Mortality levels due to hurricanes and tropical storms have fluctuated over the last 21 years without any signal of a complete reduction, a phenomenon that can be related to both physical characteristics of the storms and government actions. The average annual death count remains almost the same from 4.10 between 1985 and 1995 to 4 from 1996 to 2006. However, the probability of occurrence of a direct impact of an atmospheric disturbance has increase from 0.3 to 0.6, with an average of three hurricane or tropical storm direct impacts for every five. This analysis suggests an increasing problem with regard to atmospheric disturbances-related deaths in the South Florida Metropolitan area. In other words, despite substantial increases in population during the last 21 years, the number of tropical cyclone-related deaths is not declining; it's just being segregated among more storms. Gaps between each impact can be related to mortality levels. When that time increases in five years or more, such as Bob and Andrew or Irene and Katrina, or decreases in weeks or months, such as Harvey and Irene or Katrina and Wilma

  15. Use of outpatient mental health services by homeless veterans after hurricanes.

    Science.gov (United States)

    Brown, Lisa M; Barnett, Scott; Hickling, Edward; Frahm, Kathryn; Campbell, Robert R; Olney, Ronald; Schinka, John A; Casey, Roger

    2013-05-01

    Little is known about the impact of hurricanes on people who are homeless at the time a disaster occurs. Although researchers have extensively studied the psychosocial consequences of disaster produced homelessness on the general population, efforts focused on understanding how homeless people fare have been limited to a few media reports and the gray literature. In the event of a hurricane, homeless veterans may be at increased risk for negative outcomes because of their cumulative vulnerabilities. Health care statistics consistently document that homeless veterans experience higher rates of medical, emotional, substance abuse, legal, and financial problems compared with the general population. This study used the 2004 to 2006 Veterans Health Administration (VHA) Outpatient Medical Dataset to examine the effects of hurricanes on use of outpatient mental health services by homeless veterans. Homeless veterans residing in hurricane-affected counties were significantly more likely to participate in group psychotherapy (32.4% vs. 13.4%, p < .002), but less likely to participate in individual 30-40-min sessions with medical evaluations (3.5% vs. 17.3%, p < .001). The study findings have implications for homeless programs and the provision of VHA mental health services to homeless veterans postdisaster. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  16. Disaster-related injuries and illnesses treated by American Red Cross disaster health services during Hurricanes Gustav and Ike.

    Science.gov (United States)

    Noe, Rebecca S; Schnall, Amy H; Wolkin, Amy F; Podgornik, Michelle N; Wood, April D; Spears, Jeanne; Stanley, Sharon A R

    2013-01-01

    To describe the injuries and illnesses treated by the American Red Cross (Red Cross) during Hurricanes Gustav and Ike disaster relief operations reported on a new Aggregate Morbidity Report Form. From August 28 to October 18, 2008, 119 Red Cross field service locations in Louisiana, Mississippi, Tennessee, and Texas addressed the healthcare needs of people affected by the hurricanes. From these locations, individual client visit data were retrospectively collated per site onto new 24-hour Aggregate Morbidity Report Forms. A total of 3863 clients were treated. Of the clients, 48% were girls and women and 44% were boys and men; 61% were 19 to 64 years old. Ninety-eight percent of the visits occurred in shelters. The reasons for half of the visits were acute illness and symptoms (eg, pain) and 16% were for routine follow-up care. The majority (65%) of the 2516 visits required treatment at a field location, although 34%, or 1296 visits, required a referral, including 543 healthcare facility transfers. During the hurricanes, a substantial number of displaced evacuees sought care for acute and routine healthcare needs. The capacity of the Red Cross to address the immediate and ongoing health needs of sheltered clients for an extended period of time is a critical resource for local public health agencies, which are often overwhelmed during a disaster. This article highlights the important role that this humanitarian organization fills, to decrease surge to local healthcare systems and to monitor health effects following a disaster. The Aggregate Morbidity Report Form has the potential to assist greatly in this role, and thus its utility for real-time reporting should be evaluated further.

  17. Chemical constituents in sediment in Lake Pontchartrain and in street mud and canal sediment in New Orleans, Louisiana, following Hurricanes Katrina and Rita, 2005

    Science.gov (United States)

    Van Metre, Peter C.; Wilson, Jennifer T.; Horowitz, Arthur J.; Skrobialowski, Stanley C.; Foreman, William T.; Fuller, Christopher C.; Burkhardt, Mark R.; Elrick, Kent A.; Mahler, Barbara J.; Smith, James J.; Zaugg, Steven D.

    2007-01-01

    Samples of street mud, suspended and bottom sediment in canals discharging to Lake Ponchartrain, and suspended and bottom sediment in the lake were collected and analyzed for chemical constituents to help evaluate the effects of Hurricanes Katrina and Rita and the subsequent unwatering of New Orleans, Louisiana. The approach used for sampling and analysis of chemical data for the study is presented herein. Radionuclides, major and trace elements, and numerous organic compounds in sediment were analyzed. The organic compounds include organochlorine pesticides, polychlorinated biphenyls, polycyclic aromatic hydrocarbons, urban waste indicator compounds, and current-use pesticides. Methods for the analysis of urban waste indicator compounds and current-use pesticides in sediment were developed only recently.

  18. Floating Foundations: "Kairos," Community, and a Composition Program in Post-Katrina New Orleans

    Science.gov (United States)

    Johnson, T. R.; Letter, Joe; Livingston, Judith Kemerait

    2009-01-01

    The authors describe their individual and collective experiences reconstructing their New Orleans-based university composition program in the aftermath of Hurricane Katrina. They emphasize how the concept of "floating foundations" helps account for changes in their students' interests, and they suggest that this idea is applicable to the…

  19. Leadership for Change in the Educational Wild West of Post-Katrina New Orleans

    Science.gov (United States)

    Beabout, Brian R.

    2010-01-01

    This study examines the perceptions of public school principals in New Orleans, Louisiana during the period of extensive decentralization in the aftermath of Hurricane Katrina. Using the frameworks of systems theory and chaos/complexity theories, iterative interviews with 10 school principals form the core data which examines leaders' experiences…

  20. The broken trailer fallacy: seeing the unseen effects of government policies in post-Katrina New Orleans

    OpenAIRE

    Stringham, Edward; Snow, Nicholas

    2008-01-01

    Purpose – The purpose of this paper is to analyze some of the unseen negative effects of the post-Katrina government policies dealing with housing in New Orleans. Design/methodology/approach – Since Hurricane Katrina, the government, along with private for profit and not-for-profit organizations, has worked to rebuild the city of New Orleans. This effort is most evident in the response to the housing crisis that followed the storm. The government has spent billions of dollars and brought ...

  1. Hurricane Katrina and climate change

    International Nuclear Information System (INIS)

    Ferrara, Vincenzo

    2005-01-01

    Serious and widely reported scientific analyses and assessments have called attention to climate changes and to the additional risks the world now faces. Through science has not yet provided proof positive of a connection between the increased intensity of extreme weather events and climate change, there can be no valid reason for failing to hedge the risk with preventive action. The catastrophe that struck New Orleans had can been predicted since the 1990s. The 2050 Coast Plan for reducing the vulnerability of the Louisiana coast and preventing hurricane disasters had been approved by the local authorities but not the federal government. Partly because of its cost, it was never carried into effect [it

  2. 2005 Mississippi Merged LiDAR Data (2005 LiDAR data merged with 2005 Post-Katrina LiDAR data to create a bare-earth product for flood plain mapping in coastal Mississippi).

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Pre- and post-hurricane Katrina LiDAR datasets of Hancock, Harrison, and Jackson Counties, MS, were merged into a seamless coverage by URS. The pre-Katrina LiDAR...

  3. Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms.

    Science.gov (United States)

    Schwartz, Rebecca M; Gillezeau, Christina N; Liu, Bian; Lieberman-Cribbin, Wil; Taioli, Emanuela

    2017-08-24

    Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130). There were statistically significant decreases in anxiety scores (mean difference = -0.33, p Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment.

  4. Politique sociale et religion aux Etats-Unis : du « conservatisme compatissant » à l’ouragan Katrina Social Policy and Religion in the United States: From Compassionate Conservatism to Hurricane Katrina

    Directory of Open Access Journals (Sweden)

    Taoufik Djebali

    2011-03-01

    Full Text Available Breaking with the traditional conservatism championed by Ronald Reagan, George W. Bush wanted his social policy to move away from monetary considerations to embrace a religious and spiritual method in healing social ills. The Office of Faith-Based and Community Initiatives, located in the White House, was inaugurated a few days after Bush was sworn in. However, the Office was immediately plagued by internal strife, lack of funding and absence of political commitment. Hurricane Katrina (2005 dealt a serious political blow to the Republican President. But paradoxically, it reinforced the ideological hegemony of faith-based organizations. Indeed, following the relief efforts, faith-based organizations, rather than government, were hailed as effective instruments in the fight against poverty, distress, and deviance. This article will argue that contrary to this perception, faith-based organizations have a limited effect on poverty and that the Bush administration exploited them for political purposes.

  5. Assessing the Relationship Between Mental Distress and Tobacco Use in Post-Katrina and Rita Louisiana.

    Science.gov (United States)

    Mukherjee, Snigdha; Canterberry, Melanie; Yore, Jennifer B; Ledford, Edward Cannon; Carton, Thomas W

    2017-08-24

    The relationship between mental health status and smoking is complicated and often confounded by bi-directionality, yet most research on this relationship assumes exogeneity. The goal of this article is to implement an instrumental variable approach to (1) test the exogeneity assumption and (2) report on the association between mental health status and smoking post-disaster. This analysis utilizes the 2006 and 2007 Louisiana Behavioral Risk Factor Surveillance Survey to examine the link between mental distress and smoking in areas affected by Hurricanes Katrina and Rita. Residence in a hurricane-affected parish (county) was used as an instrumental variable for mental distress. Just over 22% of the sample resided in a hurricane-affected parish. Residents of hurricane-affected parishes were significantly more likely to report occasional and frequent mental distress. Residence in a hurricane-affected parish was not significantly associated with smoking status. With residence established as a salient instrumental variable for mental distress, the exogeneity assumption was tested and confirmed in this sample. A dose-response relationship existed between mental distress and smoking, with smoking prevalence increasing directly (and non-linearly) with mental distress. In this sample, the relationship between mental distress and smoking status was exogenous and followed a dose-response relationship, suggesting that the disasters did not result in an uptake of smoking initiation, but that the higher amounts of mental distress may lead to increased use among smokers. The findings suggest that tobacco control programs should devise unique strategies to address mentally distressed populations.

  6. USGS environmental characterization of flood sediments left in the New Orleans area after Hurricanes Katrina and Rita, 2005--Progress Report

    Science.gov (United States)

    Plumlee, Geoffrey S.; Meeker, Gregory P.; Lovelace, John K.; Rosenbauer, Robert J.; Lamothe, Paul J.; Furlong, Edward T.; Demas, Charles R.

    2006-01-01

    Introduction: The flooding in the greater New Orleans area that resulted from Hurricanes Katrina and Rita in September, 2005, left behind accumulations of sediments up to many centimeters thick on streets, lawns, parking lots, and other flat surfaces. These flood sediment deposits have been the focus of extensive study by the US Environmental Protection Agency (EPA) and Louisiana Department of Environmental Quality (LDEQ) due to concerns that the sediments may contain elevated levels of heavy metals, organic contaminants, and microbes. The U.S. Geological Survey (USGS) is characterizing a limited number of flood sediment samples that were collected on September 15-16 and October 6-7, 2005, from the greater New Orleans area by personnel from the USGS Louisiana Water Science Center in Baton Rouge. Small samples (< 3 pints each) of wet to dry flood sediment were collected from 11 localities around downtown New Orleans on September 15, 2005, and two large samples (40 pints each) of wet flood sediment were collected from the Chalmette area on September 16. Twelve additional samples (8-10 pints each) were collected from New Orleans, Slidell, Rigolets, and Violet on October 6 and 7. The USGS characterization studies of these flood sediments are designed to produce data and interpretations regarding how the sediments and any contained contaminants may respond to environmental processes. This information will be of use to cleanup managers and DoI/USGS scientists assessing environmental impacts of the hurricanes and subsequent cleanup activities.

  7. Dopady hurikánu Katrina na pojistné trhy

    OpenAIRE

    Blabla, Jan

    2014-01-01

    This thesis examines the problem of impact of catastrophic natural events on insurance and reinsurance markets, with special focus on 2005 hurricane Katrina. It aims to analyze and evaluate the consequences of large scale economic loss on global insurance market. First part of the thesis describes the event and its implications. Impact on oil and gas industry and others is discussed. Main section is focused on repercussions of this event for both local and global insurance markets. Influence ...

  8. Connecting the Disconnected: Scholar Activists and Education Reform in Post-Katrina New Orleans

    Science.gov (United States)

    Cook, Daniella Ann

    2014-01-01

    When Hurricane Katrina slammed into New Orleans on August 29, 2005, the failure of the levees resulted in the largest single human-made disaster in the United States. In addition to the physical devastation of the city, the landscape of public schools in New Orleans was permanently altered, as was the national dialogue about school reform in the…

  9. Caring for non-combatants, refugees, and detainees.

    Science.gov (United States)

    Place, Ronald J

    2006-06-01

    The recently reported abuses at Abu Ghraib prison have brought the issue of medical care for displaced persons (DPs) to greater prominence. Natural disasters in the United States (eg, Hurricane Katrina) and elsewhere also require significant medical resources in situations that lack basic infrastructure. Intimate knowledge of the basic tenets of international law is crucial to the care of DPsin any capacity. This article provides an introduction to the Geneva Conventions and the medical and administrative issues that form a framework on which to base DP care.

  10. Multi-hazard risk analysis related to hurricanes

    Science.gov (United States)

    Lin, Ning

    Hurricanes present major hazards to the United States. Associated with extreme winds, heavy rainfall, and storm surge, landfalling hurricanes often cause enormous structural damage to coastal regions. Hurricane damage risk assessment provides the basis for loss mitigation and related policy-making. Current hurricane risk models, however, often oversimplify the complex processes of hurricane damage. This dissertation aims to improve existing hurricane risk assessment methodology by coherently modeling the spatial-temporal processes of storm landfall, hazards, and damage. Numerical modeling technologies are used to investigate the multiplicity of hazards associated with landfalling hurricanes. The application and effectiveness of current weather forecasting technologies to predict hurricane hazards is investigated. In particular, the Weather Research and Forecasting model (WRF), with Geophysical Fluid Dynamics Laboratory (GFDL)'s hurricane initialization scheme, is applied to the simulation of the wind and rainfall environment during hurricane landfall. The WRF model is further coupled with the Advanced Circulation (AD-CIRC) model to simulate storm surge in coastal regions. A case study examines the multiple hazards associated with Hurricane Isabel (2003). Also, a risk assessment methodology is developed to estimate the probability distribution of hurricane storm surge heights along the coast, particularly for data-scarce regions, such as New York City. This methodology makes use of relatively simple models, specifically a statistical/deterministic hurricane model and the Sea, Lake and Overland Surges from Hurricanes (SLOSH) model, to simulate large numbers of synthetic surge events, and conducts statistical analysis. The estimation of hurricane landfall probability and hazards are combined with structural vulnerability models to estimate hurricane damage risk. Wind-induced damage mechanisms are extensively studied. An innovative windborne debris risk model is

  11. ASTER and USGS EROS emergency imaging for hurricane disasters: Chapter 4D in Science and the storms-the USGS response to the hurricanes of 2005

    Science.gov (United States)

    Duda, Kenneth A.; Abrams, Michael

    2007-01-01

    Satellite images have been extremely useful in a variety of emergency response activities, including hurricane disasters. This article discusses the collaborative efforts of the U.S. Geological Survey (USGS), the Joint United States-Japan Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) Science Team, and the National Aeronautics and Space Administration (NASA) in responding to crisis situations by tasking the ASTER instrument and rapidly providing information to initial responders. Insight is provided on the characteristics of the ASTER systems, and specific details are presented regarding Hurricane Katrina support.

  12. Collaborative Research in a Post-Katrina Environment: The Facilitation, Communication, and Ethical Considerations of University Researchers

    Science.gov (United States)

    Peters, Gary; McNeese, Rose M.

    2008-01-01

    The aftermath of Hurricane Katrina brought devastation and confusion to the Mississippi Gulf Coast region on August 29, 2005. A desperate need for leadership, collaboration, and coordination of relief and recovery efforts was revealed during a March 2007 strategic planning session involving 96 organizations, groups, agencies, and researchers…

  13. The Hancock County Katrina Relief Initiative: Focusing Collaborative Leadership to Facilitate Recovery after a Natural Disaster

    Science.gov (United States)

    McNeese, Rose M.; Peters, Gary

    2009-01-01

    Eighteen months after Hurricane Katrina devastated the Mississippi coastal community of Hancock County on August 29, 2005, volunteers and organizations assisting with recovery in the area found chaos, confusion, and a desperate need for leadership. This qualitative study reflects the efforts of two University of Southern Mississippi professors as…

  14. Factors predicting crisis counselor referrals to other crisis counseling, disaster relief, and psychological services: a cross-site analysis of post-Katrina programs.

    Science.gov (United States)

    Rosen, Craig S; Matthieu, Monica M; Norris, Fran H

    2009-05-01

    An important aspect of crisis counseling is linking survivors with services for their unmet needs. We examined determinants of referrals for disaster relief, additional crisis counseling, and psychological services in 703,000 crisis counseling encounters 3-18 months after Hurricane Katrina. Referrals for disaster relief were predicted by clients' losses, age (adults rather than children), and urbanicity. Referrals for additional counseling and psychological services were predicted by urbanicity, losses and trauma exposure, prior trauma, and preexisting mental health problems. Counseling and psychological referrals declined over time despite continuing mental health needs. Results confirm large urban-rural disparities in access to services.

  15. Maternal exposure to hurricane destruction and fetal mortality.

    Science.gov (United States)

    Zahran, Sammy; Breunig, Ian M; Link, Bruce G; Snodgrass, Jeffrey G; Weiler, Stephan; Mielke, Howard W

    2014-08-01

    The majority of research documenting the public health impacts of natural disasters focuses on the well-being of adults and their living children. Negative effects may also occur in the unborn, exposed to disaster stressors when critical organ systems are developing and when the consequences of exposure are large. We exploit spatial and temporal variation in hurricane behaviour as a quasi-experimental design to assess whether fetal death is dose-responsive in the extent of hurricane damage. Data on births and fetal deaths are merged with Parish-level housing wreckage data. Fetal outcomes are regressed on housing wreckage adjusting for the maternal, fetal, placental and other risk factors. The average causal effect of maternal exposure to hurricane destruction is captured by difference-in-differences analyses. The adjusted odds of fetal death are 1.40 (1.07-1.83) and 2.37 (1.684-3.327) times higher in parishes suffering 10-50% and >50% wreckage to housing stock, respectively. For every 1% increase in the destruction of housing stock, we observe a 1.7% (1.1-2.4%) increase in fetal death. Of the 410 officially recorded fetal deaths in these parishes, between 117 and 205 may be attributable to hurricane destruction and postdisaster disorder. The estimated fetal death toll is 17.4-30.6% of the human death toll. The destruction caused by Hurricanes Katrina and Rita imposed significant measurable losses in terms of fetal death. Postdisaster migratory dynamics suggest that the reported effects of maternal exposure to hurricane destruction on fetal death may be conservative. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  16. Home care during the aftermath of Hurricane Hugo.

    Science.gov (United States)

    Chubon, S J

    1992-06-01

    During the course of field observations for an ethnographic study of home care nurses' job stress, Hurricane Hugo struck the community, causing extensive damage. The nurses' office building was heavily damaged by wind and water, and their office was not habitable for almost a week. The author had observed the nurses' work practices over 10 weeks before the hurricane. In the aftermath of the storm, the nurses were simultaneously disaster victims and caregivers for other victims. They experienced grief, anger, and frustration about their losses, as well as conflict between their family- and work-related responsibilities. Their experiences and behaviors were consistent with those described in prior disaster research literature, lending further support to the earlier studies. A major asset for these nurses was their open, supportive work environment. They were able to accept and affirm one another's negative feelings and to provide support to each other as they dealt with their losses.

  17. Hurricane Season Public Health Preparedness, Response, and Recovery Guidance for Health Care Providers, Response and Recovery Workers, and Affected Communities - CDC, 2017.

    Science.gov (United States)

    2017-09-22

    CDC and the Agency for Toxic Substances and Disease Registry (ATSDR) have guidance and technical materials available in both English and Spanish to help communities prepare for hurricanes and floods (Table 1). To help protect the health and safety of the public, responders, and clean-up workers during response and recovery operations from hurricanes and floods, CDC and ATSDR have developed public health guidance and other resources; many are available in both English and Spanish (Table 2).

  18. Measuring and Comparing Hospital Accessibility for Palm Beach County's Elderly and Nonelderly Populations During a Hurricane.

    Science.gov (United States)

    Prasad, Shivangi

    2017-09-18

    To determine whether, during a hurricane, geographic accessibility to hospitals with emergency care is compromised disproportionately for the elderly than for the nonelderly. The locations of hospitals with emergency health care and a subset of those hospitals functional during a hurricane were compared with the distribution of the elderly population at the block group level in Palm Beach County, Florida. Geographic Information Systems (GIS) proximity analysis (minimum distance to closest hospital) and cumulative distribution functions were used to measure and compare hospital accessibility during normal and hurricane conditions for the elderly and nonelderly populations. Accessibility to closest functional hospital during a hurricane was compromised disproportionately for the elderly. Geographic accessibility to emergency health care is compromised disproportionately for the elderly in Palm Beach County. Compounding the risk is the likelihood of the elderly experiencing a greater health care need during a hurricane. This poses a community public health crisis and calls for effective and collaborative planning between health professionals and disaster planners to address the health care needs of the elderly. (Disaster Med Public Health Preparedness. 2017;page 1 of 5).

  19. Telehealth at the US Department of Veterans Affairs after Hurricane Sandy.

    Science.gov (United States)

    Der-Martirosian, Claudia; Griffin, Anne R; Chu, Karen; Dobalian, Aram

    2018-01-01

    Background Like other integrated health systems, the US Department of Veterans Affairs has widely implemented telehealth during the past decade to improve access to care for its patient population. During major crises, the US Department of Veterans Affairs has the potential to transition healthcare delivery from traditional care to telecare. This paper identifies the types of Veterans Affairs telehealth services used during Hurricane Sandy (2012), and examines the patient characteristics of those users. Methods This study conducted both quantitative and qualitative analyses. Veterans Affairs administrative and clinical data files were used to illustrate the use of telehealth services 12 months pre- and 12 months post- Hurricane Sandy. In-person interviews with 31 key informants at the Manhattan Veterans Affairs Medical Center three-months post- Hurricane Sandy were used to identify major themes related to telecare. Results During the seven-month period of hospital closure at the Manhattan Veterans Affairs Medical Center after Hurricane Sandy, in-person patient visits decreased dramatically while telehealth visits increased substantially, suggesting that telecare was used in lieu of in-person care for some vulnerable patients. The most commonly used types of Veterans Affairs telehealth services included primary care, triage, mental health, home health, and ancillary services. Using qualitative analyses, three themes emerged from the interviews regarding the use of Veterans Affairs telecare post- Hurricane Sandy: patient safety, provision of telecare, and patient outreach. Conclusion Telehealth offers the potential to improve post-disaster access to and coordination of care. More information is needed to better understand how telehealth can change the processes and outcomes during disasters. Future studies should also evaluate key elements, such as adequate resources, regulatory and technology issues, workflow integration, provider resistance, diagnostic fidelity and

  20. Strategic Planning for Emergencies: Lessons Learned from Katrina

    International Nuclear Information System (INIS)

    Hamilton, M. G.; Mashhadi, H.; Habeck, D.

    2007-01-01

    The tragedy that was unleashed when hurricane Katrina hit the United States southern coast and most particularly New Orleans is still being examined. Regardless of the allocation of blame for the response, or lack thereof, several very important components of what needs to be included in effective strategic, management, and response plans were revealed in the aftermath. The first tenet is to be sure not to make the problem worse. In other words, the goal is to prevent emergencies from becoming a disaster that subsequently grows to a catastrophe. Essential components that need to be addressed start with protection and rescue of affected people. Several characteristics of an effective strategic plan that will address saving lives include leadership, continuity of government and business, effective communications, adequate evacuation plans and security of electronic infrastructure. Katrina analysis confirms that the process to integrate all the components is too complex to be accomplished ad hoc. This presentation will outline objective methodology to successfully integrate the various facets that comprise an effective strategic plan, management plan, and tactical plans.(author)

  1. Public Libraries Can Play an Important Role in the Aftermath of a Natural Disaster. A Review of: Welsh, T. S. & Higgins, S. E. (2009. Public libraries post-Hurricane Katrina: A pilot study. Library Review, 58(9, 652-659.

    Directory of Open Access Journals (Sweden)

    Virginia Wilson

    2010-09-01

    Full Text Available Objective – This paper analyzes Hurricane Katrina-related narratives to document the challenges faced by public libraries after the disaster and the disaster-relief services these libraries provided.Design – A qualitative thematic analysis of narratives obtained by convenience sampling.Setting – Narratives were collected and analyzed in 2005 and 2006 across the Gulf Coast area of the United States.Subjects – Seventy-two library and information science students enrolled in the University of Southern Mississippi’s School of Library and Information Science. Many worked in local libraries.Methods – In this pilot study, studentsvolunteered to participate in a confidential process that involved telling their stories of their post-Hurricane Katrina experiences. Data was collected in a natural setting (the libraries in which the students worked, and inductive reasoning was used to build themes based on these research questions: What post-disaster problems related to public libraries were noted in the students’ narratives? What post-disaster public library services were noted in the narratives?NVivo7 qualitative analysis software was used to analyze and code the narratives. Passages related to public libraries were coded by library location and student. These passages were analyzed for themes related to post-disaster challenges and disaster-recovery services pertaining to public libraries. Main Results – Ten of the 72 narratives contained passages related to public libraries. The libraries included four in Alabama, one in Louisiana, and five in Mississippi. Results related to the first research question (What post-disaster problems related to public libraries were noted in the students’ narrative? were physical damage to the building, from light damage to total destruction (reported in 8 or 80% of the students’ narratives, and inundation by refugees, evacuees, and relief workers (reported in 8 or 80% of the narratives. Results

  2. New Orleans before and after Hurricanes Katrina/Rita: a quasi-experiment of the association between soil lead and children's blood lead.

    Science.gov (United States)

    Zahran, Sammy; Mielke, Howard W; Gonzales, Christopher R; Powell, Eric T; Weiler, Stephan

    2010-06-15

    Prior to Hurricanes Katrina and Rita (HKR), significant associations were noted between soil lead (SL) and blood lead (BL) in New Orleans. Engineering failure of New Orleans levees and canal walls after HKR set the stage for a quasi-experiment to evaluate BL responses by 13 306 children to reductions in SL. High density soil surveying conducted in 46 census tracts before HKR was repeated after the flood. Paired t test results show that SL decreased from 328.54 to 203.33 mg/kg post-HKR (t = 3.296, p or =50% decrease in SL. Also individual BL in children was predicted as a function of SL, adjusting for age, year of observation, and depth of flood waters. At the individual scale, BL decreased significantly in post-HKR as a function of SL, with BL decreases ranging from b = -1.20 to -1.65 microg/dL, depending on the decline of SL and whether children were born in the post-HKR period. Our results support policy to improve soil conditions for children.

  3. The impact of Hurricane Sandy on the mental health of New York area residents.

    Science.gov (United States)

    Schwartz, Rebecca M; Sison, Cristina; Kerath, Samantha M; Murphy, Lisa; Breil, Trista; Sikavi, Daniel; Taioli, Emanuela

    2015-01-01

    To evaluate the long-term psychological impact of Hurricane Sandy on New York residents. Prospective, cross-sectional study. Community-based study. From October 2013 to February 2015, 669 adults in Long Island, Queens, and Staten Island completed a survey on their behavioral and psychological health, demographics, and hurricane impact (ie, exposure). Depression, anxiety, and post-traumatic stress disorder (PTSD). Using multivariable logistic regression models, the relationships between Hurricane Sandy exposure and depression, anxiety, and PTSD were examined. Participants experienced an average of 3.9 exposures to Hurricane Sandy, most of which were related to property damage/loss. Probable depression was reported in 33.4 percent of participants, probable anxiety in 46 percent, and probable PTSD in 21.1 percent. Increased exposure to Hurricane Sandy was significantly associated with a greater likelihood of depression (odds ratio [OR] = 1.09, 95% confidence interval [CI]: 1.04-1.14), anxiety (OR = 1.08, 95% CI: 1.03-1.13), and probable PTSD (OR = 1.32, 95% CI: 1.23-1.40), even after controlling for demographic factors known to increase susceptibility to mental health issues. Individuals affected by Hurricane Sandy reported high levels of mental health issues and were at an increased risk of depression, anxiety, and PTSD in the years following the storm. Recovery and prevention efforts should focus on mental health issues in affected populations.

  4. Effects of Hurricane Hugo: Mental Health Workers and Community Members.

    Science.gov (United States)

    Muzekari, Louis H.; And Others

    This paper reports the effects of Hurricane Hugo on mental health workers and indigenous community members. The response and perceptions of mental health staff from the South Carolina Department of Mental Health (Go Teams) from areas unaffected by the hurricane were compared and contrasted with those of a subsequent Hugo Outreach Support Team…

  5. Mold prevention strategies and possible health effects in the aftermath of hurricanes and major floods.

    Science.gov (United States)

    Brandt, Mary; Brown, Clive; Burkhart, Joe; Burton, Nancy; Cox-Ganser, Jean; Damon, Scott; Falk, Henry; Fridkin, Scott; Garbe, Paul; McGeehin, Mike; Morgan, Juliette; Page, Elena; Rao, Carol; Redd, Stephen; Sinks, Tom; Trout, Douglas; Wallingford, Kenneth; Warnock, David; Weissman, David

    2006-06-09

    Extensive water damage after major hurricanes and floods increases the likelihood of mold contamination in buildings. This report provides information on how to limit exposure to mold and how to identify and prevent mold-related health effects. Where uncertainties in scientific knowledge exist, practical applications designed to be protective of a person's health are presented. Evidence is included about assessing exposure, clean-up and prevention, personal protective equipment, health effects, and public health strategies and recommendations. The recommendations assume that, in the aftermath of major hurricanes or floods, buildings wet for health effects in susceptible persons regardless of the type of mold or the extent of contamination. For the majority of persons, undisturbed mold is not a substantial health hazard. Mold is a greater hazard for persons with conditions such as impaired host defenses or mold allergies. To prevent exposure that could result in adverse health effects from disturbed mold, persons should 1) avoid areas where mold contamination is obvious; 2) use environmental controls; 3) use personal protective equipment; and 4) keep hands, skin, and clothing clean and free from mold-contaminated dust. Clinical evaluation of suspected mold-related illness should follow conventional clinical guidelines. In addition, in the aftermath of extensive flooding, health-care providers should be watchful for unusual mold-related diseases. The development of a public health surveillance strategy among persons repopulating areas after extensive flooding is recommended to assess potential health effects and the effectiveness of prevention efforts. Such a surveillance program will help CDC and state and local public health officials refine the guidelines for exposure avoidance, personal protection, and clean-up and assist health departments to identify unrecognized hazards.

  6. Using remotely sensed data and elementary analytical techniques in post-katrina mississippi to examine storm damage modeling

    Science.gov (United States)

    Curtis A. Collins; David L. Evans; Keith L. Belli; Patrick A. Glass

    2010-01-01

    Hurricane Katrina’s passage through south Mississippi on August 29, 2005, which damaged or destroyed thousands of hectares of forest land, was followed by massive salvage, cleanup, and assessment efforts. An initial assessment by the Mississippi Forestry Commission estimated that over $1 billion in raw wood material was downed by the storm, with county-level damage...

  7. Cloud Spirals and Outflow in Tropical Storm Katrina

    Science.gov (United States)

    2005-01-01

    On Tuesday, August 30, 2005, NASA's Multi-angle Imaging SpectroRadiometer retrieved cloud-top heights and cloud-tracked wind velocities for Tropical Storm Katrina, as the center of the storm was situated over the Tennessee valley. At this time Katrina was weakening and no longer classified as a hurricane, and would soon become an extratropical depression. Measurements such as these can help atmospheric scientists compare results of computer-generated hurricane simulations with observed conditions, ultimately allowing them to better represent and understand physical processes occurring in hurricanes. Because air currents are influenced by the Coriolis force (caused by the rotation of the Earth), Northern Hemisphere hurricanes are characterized by an inward counterclockwise (cyclonic) rotation towards the center. It is less widely known that, at high altitudes, outward-spreading bands of cloud rotate in a clockwise (anticyclonic) direction. The image on the left shows the retrieved cloud-tracked winds as red arrows superimposed across the natural color view from MISR's nadir (vertical-viewing) camera. Both the counter-clockwise motion for the lower-level storm clouds and the clockwise motion for the upper clouds are apparent in these images. The speeds for the clockwise upper level winds have typical values between 40 and 45 m/s (144-162 km/hr). The low level counterclockwise winds have typical values between 7 and 24 m/s (25-86 km/hr), weakening with distance from the storm center. The image on the right displays the cloud-top height retrievals. Areas where cloud heights could not be retrieved are shown in dark gray. Both the wind velocity vectors and the cloud-top height field were produced by automated computer recognition of displacements in spatial features within successive MISR images acquired at different view angles and at slightly different times. The Multi-angle Imaging SpectroRadiometer observes the daylit Earth continuously, viewing the entire globe

  8. Mapping knowledge investments in the aftermath of Hurricane Katrina: a new approach for assessing regulatory agency responses to environmental disaster

    International Nuclear Information System (INIS)

    Frickel, Scott; Campanella, Richard; Vincent, M. Bess

    2009-01-01

    In the aftermath of large-scale disasters, the public's dependency on federal and state agencies for information about public safety and environmental risk is acute. While formal rules and procedures are in place to guide policy decisions in environmental risk assessment of spatially concentrated hazards such as regulated waste sites or vacant city lots, standard procedures for risk assessment seem potentially less well-suited for urban-scale disaster zones where environmental hazards may be widely dispersed and widely varying. In this paper we offer a new approach for the social assessment of regulatory science in response to large-scale disaster, illustrating our methodology through a socio-spatial analysis of the U.S. Environmental Protection Agency's (EPA) hazard assessment in New Orleans, Louisiana, following Hurricane Katrina in 2005. We find that the agency's commitment of epistemic resources or 'knowledge investments' varied considerably across the flood-impacted portion of the city, concentrating in poorer and disproportionately African American neighborhoods previously known to be heavily contaminated. We address some of the study's social and policy implications, noting the multidimensionality and interactive nature of knowledge investments and the prospects for deepening and extending this approach through comparative research

  9. Logistics: Use of DoD Resources Supporting Hurricane Katrina Disaster

    National Research Council Canada - National Science Library

    Scott, Wanda A; Bloomer, Donald A; Owens, Keith M; Bryant, Leon D; Matthews, Takia A; Chavez, Bryan M; Torres, Anthony M; Woolard, Alan J; Pugh, Jacqueline N

    2006-01-01

    We performed the audit in response to a September 2005 request by the Principal Deputy Inspector General, DoD to assess the use of DoD resources in providing relief efforts in support of the Hurricane...

  10. Longitudinal Impact of Hurricane Sandy Exposure on Mental Health Symptoms

    Directory of Open Access Journals (Sweden)

    Rebecca M. Schwartz

    2017-08-01

    Full Text Available Hurricane Sandy hit the eastern coast of the United States in October 2012, causing billions of dollars in damage and acute physical and mental health problems. The long-term mental health consequences of the storm and their predictors have not been studied. New York City and Long Island residents completed questionnaires regarding their initial Hurricane Sandy exposure and mental health symptoms at baseline and 1 year later (N = 130. There were statistically significant decreases in anxiety scores (mean difference = −0.33, p < 0.01 and post-traumatic stress disorder (PTSD scores (mean difference = −1.98, p = 0.001 between baseline and follow-up. Experiencing a combination of personal and property damage was positively associated with long-term PTSD symptoms (ORadj 1.2, 95% CI [1.1–1.4] but not with anxiety or depression. Having anxiety, depression, or PTSD at baseline was a significant predictor of persistent anxiety (ORadj 2.8 95% CI [1.1–6.8], depression (ORadj 7.4 95% CI [2.3–24.1 and PTSD (ORadj 4.1 95% CI [1.1–14.6] at follow-up. Exposure to Hurricane Sandy has an impact on PTSD symptoms that persists over time. Given the likelihood of more frequent and intense hurricanes due to climate change, future hurricane recovery efforts must consider the long-term effects of hurricane exposure on mental health, especially on PTSD, when providing appropriate assistance and treatment.

  11. Measuring the Storm: Methods of Quantifying Hurricane Exposure in Public Health

    Science.gov (United States)

    Increasing coastal populations and storm intensity may lead to more adverse health effects from tropical storms and hurricanes. Exposure during pregnancy can influence birth outcomes through mechanisms related to healthcare, infrastructure disruption, stress, nutrition, and inju...

  12. Outcomes among buprenorphine-naloxone primary care patients after Hurricane Sandy.

    Science.gov (United States)

    Tofighi, Babak; Grossman, Ellie; Williams, Arthur R; Biary, Rana; Rotrosen, John; Lee, Joshua D

    2014-01-27

    The extent of damage in New York City following Hurricane Sandy in October 2012 was unprecedented. Bellevue Hospital Center (BHC), a tertiary public hospital, was evacuated and temporarily closed as a result of hurricane-related damages. BHC's large primary care office-based buprenorphine clinic was relocated to an affiliate public hospital for three weeks. The extent of environmental damage and ensuing service disruption effects on rates of illicit drug, tobacco, and alcohol misuse, buprenorphine medication supply disruptions, or direct resource losses among office-based buprenorphine patients is to date unknown. A quantitative and qualitative semi-structured survey was administered to patients in BHC's primary care buprenorphine program starting one month after the hurricane. Survey domains included: housing and employment disruptions; social and economic support; treatment outcomes (buprenorphine adherence and ability to get care), and tobacco, alcohol, and drug use. Open-ended questions probed general patient experiences related to the storm, coping strategies, and associated disruptions. There were 132 patients enrolled in the clinic at the time of the storm; of those, 91 patients were recruited to the survey, and 89 completed (98% of those invited). Illicit opioid misuse was rare, with 7 respondents reporting increased heroin or illicit prescription opioid use following Sandy. Roughly half of respondents reported disruption of their buprenorphine-naloxone medication supply post-event, and self-lowering of daily doses to prolong supply was common. Additional buprenorphine was obtained through unscheduled telephone or written refills from relocated Bellevue providers, informally from friends and family, and, more rarely, from drug dealers. The findings highlight the relative adaptability of public sector office-based buprenorphine treatment during and after a significant natural disaster. Only minimal increases in self-reported substance use were reported

  13. Posttraumatic stress disorder, depression, and perceived needs for psychological care in older persons affected by Hurricane Ike

    Science.gov (United States)

    Pietrzak, Robert H.; Southwick, Steven M.; Tracy, Melissa; Galea, Sandro; Norris, Fran H.

    2012-01-01

    Objective To examine the prevalence and correlates of disaster-related posttraumatic stress disorder (PTSD), depression, and needs for psychological care in older persons affected by Hurricane Ike. Method A total of 193 adults age 60 or older who resided in the Galveston Bay area were interviewed 2–5 months following Hurricane Ike. Pre-, peri-, and post-disaster variables hypothesized to be related to PTSD and depressive symptoms, and perceived needs for psychological care were assessed. Results Weighted prevalences of past-month Ike-related PTSD and depression were 7.6% and 8.6%, respectively. Risk factors for Ike-related PTSD symptoms were predominantly peri-disaster in nature, with greater hurricane exposure, and peri-event dissociative and autonomic activation symptoms associated positively with these symptoms. Risk factors for depressive symptoms were predominantly pre-disaster in nature, with being married/living with partner associated negatively, and prior disaster exposure and pre-disaster PTSD or depression associated positively with these symptoms. 27.2% of the sample endorsed at least one of the perceived needs for psychological care assessed. A history of PTSD or depression, greater peri-event autonomic activation, and Ike-related PTSD and depressive symptoms were associated with greater need for psychological care. Limitations This study is limited by its cross-sectional design and employment of psychiatric screening instruments. Conclusions A substantial proportion of older adults may have PTSD and depression, as well as perceived needs for psychological care, after a disaster. Assessment of disaster exposures, and peri-event dissociative and autonomic symptoms may help identify older adults at risk for disaster-related psychopathology. Older adults with a history of PTSD or depression, and greater peri-event autonomic activation and PTSD symptoms may be more likely to have needs for psychological care. PMID:22285792

  14. Risk Perceptions on Hurricanes: Evidence from the U.S. Stock Market.

    Science.gov (United States)

    Feria-Domínguez, José Manuel; Paneque, Pilar; Gil-Hurtado, María

    2017-06-05

    This article examines the market reaction of the main Property and Casualty (P & C) insurance companies listed in the New York Stock Exchange (NYSE) to seven most recent hurricanes that hit the East Coast of the United States from 2005 to 2012. For this purpose, we run a standard short horizon event study in order to test the existence of abnormal returns around the landfalls. P & C companies are one of the most affected sectors by such events because of the huge losses to rebuild, help and compensate the inhabitants of the affected areas. From the financial investors' perception, this kind of events implies severe losses, which could influence the expected returns. Our research highlights the existence of significant cumulative abnormal returns around the landfall event window in most of the hurricanes analyzed, except for the Katrina and Sandy Hurricanes.

  15. LPD 17 San Antonio Class Amphibious Transport Dock (LPD 17)

    Science.gov (United States)

    2015-12-01

    Grumman’s shipbuilding division and deferred depreciation expenses for recovery of insurance proceeds associated with Hurricane Katrina damages. Contract...Safety and Health Administration and the Pension Protection Act. The government liability for deferred depreciation from Hurricane Katrina was...of engineering change proposals and negotiation of a contract price adjustment to cover the Navy’s share of deferred depreciation expenses for

  16. Writing Critical Race Theory and Method: A Composite Counterstory on the Experiences of Black Teachers in New Orleans Post-Katrina

    Science.gov (United States)

    Cook, Daniella Ann; Dixson, Adrienne D.

    2013-01-01

    Using a critical race theory lens, the authors propose a way of writing race research using composite counterstories. Drawing on data from a yearlong study of school rebuilding in the time period immediately after Hurricane Katrina devastated the City of New Orleans, the authors examine the experiences of African-American educators in the school…

  17. Social and psychological resources associated with health status in a representative sample of adults affected by the 2004 Florida hurricanes.

    Science.gov (United States)

    Ruggiero, Kenneth J; Amstadter, Ananda B; Acierno, Ron; Kilpatrick, Dean G; Resnick, Heidi S; Tracy, Melissa; Galea, Sandro

    2009-01-01

    Overall health status after a disaster may be associated with long-term physical morbidity and mortality. Little is known about factors associated with overall health status in the aftermath of disasters. We examined self-rated health in relation to disaster characteristics, social resources, and post-disaster outcomes in a sample of adults who experienced the 2004 Florida hurricanes. We interviewed a representative sample of 1,452 adults aged 18 years and older residing in the 33 Florida counties that were in the direct path of at least one of the 2004 hurricanes (Charley, Frances, Ivan, Jeanne). Overall health status was assessed using a self-rating format known to be predictive of mortality. Poor self-rated health was endorsed by 14.6% of the sample. Final multivariable models showed that poor self-rated health was associated with older age (p hurricane (p = 0.03), low social support (p = 0.03), and depression (p = 0.003) since the hurricane. Self-rated health following the Florida hurricanes was strongly associated with two variables (social support and depression) that potentially can be mitigated through targeted interventions after disasters. Future work should evaluate secondary prevention strategies that can address general health-related concerns in the wake of a disaster.

  18. Mental health outcomes among adults in Galveston and Chambers counties after Hurricane Ike.

    Science.gov (United States)

    Ruggiero, Kenneth J; Gros, Kirstin; McCauley, Jenna L; Resnick, Heidi S; Morgan, Mark; Kilpatrick, Dean G; Muzzy, Wendy; Acierno, Ron

    2012-03-01

      To examine the mental health effects of Hurricane Ike, the third costliest hurricane in US history, which devastated the upper Texas coast in September 2008.   Structured telephone interviews assessing immediate effects of Hurricane Ike (damage, loss, displacement) and mental health diagnoses were administered via random digit-dial methods to a household probability sample of 255 Hurricane Ike-affected adults in Galveston and Chambers counties.   Three-fourths of respondents evacuated the area because of Hurricane Ike and nearly 40% were displaced for at least one week. Postdisaster mental health prevalence estimates were 5.9% for posttraumatic stress disorder, 4.5% for major depressive episode, and 9.3% for generalized anxiety disorder. Bivariate analyses suggested that peritraumatic indicators of hurricane exposure severity-such as lack of adequate clean clothing, electricity, food, money, transportation, or water for at least one week-were most consistently associated with mental health problems.   The significant contribution of factors such as loss of housing, financial means, clothing, food, and water to the development and/or maintenance of negative mental health consequences highlights the importance of systemic postdisaster intervention resources targeted to meet basic needs in the postdisaster period.

  19. Integration of Ground, Buoys, Satellite and Model data to map the Changes in Meteorological Parameters Associated with Harvey Hurricane

    Science.gov (United States)

    Chauhan, A.; Sarkar, S.; Singh, R. P.

    2017-12-01

    The coastal areas have dense onshore and marine observation network and are also routinely monitored by constellation of satellites. The monitoring of ocean, land and atmosphere through a range of meteorological parameters, provides information about the land and ocean surface. Satellite data also provide information at different pressure levels that help to access the development of tropical storms and formation of hurricanes at different categories. Integration of ground, buoys, satellite and model data showing the changes in meteorological parameters during the landfall stages of hurricane Harvey will be discussed. Hurricane Harvey was one of the deadliest hurricanes at the Gulf coast which caused intense flooding from the precipitation. The various observation networks helped city administrators to evacuate the coastal areas, that minimized the loss of lives compared to the Galveston hurricane of 1900 which took 10,000 lives. Comparison of meteorological parameters derived from buoys, ground stations and satellites associated with Harvey and 2005 Katrina hurricane present some of the interesting features of the two hurricanes.

  20. A Community Checklist for Health Sector Resilience Informed by Hurricane Sandy.

    Science.gov (United States)

    Toner, Eric S; McGinty, Meghan; Schoch-Spana, Monica; Rose, Dale A; Watson, Matthew; Echols, Erin; Carbone, Eric G

    This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services. It also includes community-based organizations that support these entities and represent patients. We define health sector resilience very broadly, including all factors that preserve public health and healthcare delivery under extreme stress and contribute to the rapid restoration of normal or improved health sector functioning after a disaster. We present the key findings organized into 8 themes. We then describe a conceptual map of health sector resilience that ties these themes together. Lastly, we provide a series of recommended actions for improving health sector resilience at the local level. The recommended actions emphasize those items that individuals who experienced Hurricane Sandy deemed to be most important. The recommendations are presented as a checklist that can be used by a variety of interested parties who have some role to play in disaster preparedness, response, and recovery in their own communities. Following a general checklist are supplemental checklists that apply to specific parts of the larger health sector.

  1. The astonishingly holistic role of urban soil in the exposure of children to lead.

    Science.gov (United States)

    Mielke, Howard; Gonzales, Christopher; Powell, Eric

    2017-04-01

    The long-term resilience and sustainability of urban communities is associated with its environmental quality. One major impediment to community welfare is children's exposure to lead because it is a root cause of disparity and chronic conditions including health, learning, and behavioral differences. There is no safe level of lead exposure and this revelation is confounded by the lack of an effective intervention after exposure takes place. In August, 2005, Hurricane Katrina flooded 80% of New Orleans. This report explores the natural experiment of the dynamic changes of soil and children's blood lead in New Orleans before and ten years after the flood. Matched pre- and post-Hurricane soil lead and children's blood lead results were stratified by 172 communities of New Orleans. GIS methods were used to organize, describe, and map the pre- and post-Katrina data. Comparing pre- and post-Katrina results, simultaneous decreases occurred in soil lead and children's blood lead response. Health and welfare disparities continue to exist between environments and children's exposure living in interior compared with outer communities of the city. At the scale of a city this investigation demonstrates that declining soil lead effectively reduces children's blood lead. The astonishingly holistic role of soil relates to its position as a lead dust deposition reservoir and, at the same time, as an open source of ingestible and inhalable lead dust. Decreasing the soil lead on play areas of urban communities is beneficial and economical as a method for effective lead intervention and primary prevention. References Mielke, H.W.; Gonzales, C.R.; Powell, E.T.; Mielke, P.W. Jr. Spatiotemporal dynamic transformations of soil lead and children's blood lead ten years after Hurricane Katrina: New grounds for primary prevention. Environ. Int. 2016, DOI: 10.1016/j.envint.2016.06.017. Mielke, H.W.; Gonzales, C.R.; Powell, E.T. In review. The dynamic lead exposome and children's health in New

  2. The US Air Force Aerial Spray Unit: a history of large area disease vector control operations, WWII through Katrina.

    Science.gov (United States)

    Breidenbaugh, Mark; Haagsma, Karl

    2008-01-01

    The US Air Force has had a long history of aerial applications of pesticides to fulfill a variety of missions, the most important being the protection of troops through the minimization of arthropod vectors capable of disease transmission. Beginning in World War II, aerial application of pesticides by the military has effectively controlled vector and nuisance pest populations in a variety of environments. Currently, the military aerial spray capability resides in the US Air Force Reserve (USAFR), which operates and maintains C-130 airplanes capable of a variety of missions, including ultra low volume applications for vector and nuisance pests, as well as higher volume aerial applications of herbicides and oil-spill dispersants. The USAFR aerial spray assets are the only such fixed-wing aerial spray assets within the Department of Defense. In addition to troop protection, the USAFR Aerial Spray Unit has participated in a number of humanitarian/relief missions, most recently in the response to the 2005 Hurricanes Katrina and Rita, which heavily damaged the Gulf Coasts of Louisiana, Mississippi, and Texas. This article provides historical background on the Air Force Aerial Spray Unit and describes the operations in Louisiana in the aftermath of Hurricane Katrina.

  3. Addressing the Health and Wellness Needs of Vulnerable Rockaway Residents in the Wake of Hurricane Sandy: Findings From a Health Coaching and Community Health Worker Program.

    Science.gov (United States)

    Russell, David; Oberlink, Mia R; Shah, Shivani; Evans, Lauren; Bassuk, Karen

    To describe the design and participants of a program that employed health coaches and community health workers to address the social, health, and long-term disaster recovery needs of Rockaway residents roughly 2 years after Hurricane Sandy made landfall. Baseline and exit questionnaires, containing demographic, health, and health care utilization measures, were administered to participants at the start and end of the program. Enrollment and encounter information was captured in program administrative records. Descriptive statistics were used to summarize participant characteristics, personal goals, referrals to local organizations and agencies, and outcomes. Qualitative analyses were used to identify recurring themes in challenges faced by participants and barriers to health and wellness. The program served 732 community residents, of whom 455 (62%) completed baseline and exit questionnaires. Participants were directly and/or indirectly impacted by Hurricane Sandy through property damage, closures of health care facilities, limited employment opportunities, and trouble securing affordable housing. Furthermore, many participants faced considerable adversities and struggled to manage chronic health conditions. Personal goals set by participants included locating health care and other resources (44%), weight management and healthy eating (35%), and self-management of chronic conditions (24%). Health coaches and community health workers engaged participants an average of 4 times-providing counseling and referrals to local organizations and services, including medical and dental services (29%), city-issued identification cards (27%), and health insurance and other entitlements (23%). Comparisons of baseline and exit surveys indicated significant improvements in self-reported health, health care utilization, and confidence managing health issues. No significant improvement was observed in the use of preventive health care services. The program represents a model for

  4. Pre-Hurricane Perceived Social Support Protects against Psychological Distress: A Longitudinal Analysis of Low-Income Mothers

    Science.gov (United States)

    Lowe, Sarah R.; Chan, Christian S.; Rhodes, Jean E.

    2010-01-01

    Objective: In this study, we examined the influence of pre-disaster perceived social support on post-disaster psychological distress among survivors of Hurricane Katrina. Method: Participants (N = 386) were low-income mothers between 18 and 34 years of age at baseline (M = 26.4, SD = 4.43). The majority (84.8%) was African American; 10.4%…

  5. Orkaan Katrina

    Index Scriptorium Estoniae

    2006-01-01

    28. augustil 2005. a. New Orleansi tabanud orkaanist Katrina, selle põhjustatud kahjudest ja päästetööde organiseerimisest. Vt. samas: Katrina taustal. Eesti päästemeeskonna juht Alo Tammsalu selgitab, miks Eesti päästjatel jäi Ameerikasse appi minemata

  6. Sex and drug risk behavior pre- and post-emigration among Latino migrant men in post-Hurricane Katrina New Orleans

    Science.gov (United States)

    Mills, Jennifer; Burton, Nicole; Schmidt, Norine; Salinas, Oscar; Hembling, John; Aran, Alberto; Shedlin, Michele; Kissinger, Patricia

    2012-01-01

    High rates of sex and drug risk behaviors have been documented among Latino migrant men in the U.S. Whether these behaviors were established in the migrants’ home countries or were adopted in the U.S. has not been described and has implications for prevention strategies. Quarterly surveys were conducted to gather information on selected sex and drug risk practices of Latino migrant men who arrived in New Orleans after Hurricane Katrina seeking work. Both kappa scores and McNemar’s tests were performed to determine if practice of these behaviors in home country was similar to practice post-emigration to the U.S. Female sex worker (FSW) patronage, same sex encounters (MSM), and crack cocaine use was more likely to occur post-rather than pre-emigration. Of those who ever engaged in these selected behaviors, most adopted the behavior in the U.S. (i.e. 75.8% of FSW patrons, 72.7% of MSM participants, and 85.7% of crack cocaine users), with the exception of binge drinking (26.8%). Men who were living with a family member were less likely to adopt FSW patronage OR=0.27, CI=0.10-0.76, whereas men who earned >$465 per week were more likely to adopt crack cocaine use OR=6.29 CI=1.29, 30.57. Interventions that facilitate the maintenance of family cohesion and provide strategies for financial management may be useful for reducing sex and drug risk among newly arrived migrants. PMID:22669638

  7. Daily MODIS Data Trends of Hurricane-Induced Forest Impact and Early Recovery

    Science.gov (United States)

    Ramsey, Elijah, III; Spruce, Joseph; Rangoonwala, Amina; Suzuoki, Yukihiro; Smoot, James; Gasser, Jerry; Bannister, Terri

    2011-01-01

    We studied the use of daily satellite data from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensors to assess wetland forest damage and recovery from Hurricane Katrina (29 August 2005 landfall). Processed MODIS daily vegetation index (VI) trends were consistent with previously determined impact and recovery patterns provided by the "snapshot" 25 m Landsat Thematic Mapper optical and RADARSAT-1 synthetic aperture radar satellite data. Phenological trends showed high 2004 and 2005 pre-hurricane temporal correspondence within bottomland hardwood forest communities, except during spring green-up, and temporal dissimilarity between these hardwoods and nearby cypress-tupelo swamp forests (Taxodium distichum [baldcypress] and Nyssa aquatica [water tupelo]). MODIS VI trend analyses established that one year after impact, cypress-tupelo and lightly impacted hardwood forests had recovered to near prehurricane conditions. In contrast, canopy recovery lagged in the moderately and severely damaged hardwood forests, possibly reflecting regeneration of pre-hurricane species and stand-level replacement by invasive trees.

  8. Another hurricane, high prices and more chaos in Iraq

    International Nuclear Information System (INIS)

    Anon.

    2005-01-01

    Another hurricane, this time called Rita, battered the US Gulf Coast, sending oil prices up worldwide, though not to the heights seen when its predecessor, Katrina, arrived. As before, a large swathe of US refinery capacity was temporarily put out of action: this time mainly in Texas. For around a week in late September, when Rita arrived, nearly 4.1 mn bpd of crude distillation capacity was taken off-line. At the same time, some 0.9 mn bpd was still unusable as a result of the depredations of Katrina in late August, leaving the US briefly minus nearly one third of its refinery capacity. The situation improved as some capacity was brought slowly back on-line, but by the beginning of October around 3.0 mn bpd was still not back in operation. The main price effects of Katrina were on gasoline, prompting demands in the Congress and elsewhere for investigations into overcharging by refiners and retailers (see 'Focus'). A record weekly increase in the first week of September propelled the average price of regular gasoline across the US to $3.07/gall. Rita's principal effect was on heating oil, which went up in the last week of September by nearly 20% to $2.51/gall in the US Gulf. US crude oil prices remained below their immediate post-Katrina record highs (see 'The Month in Brief', September 2005) despite the loss of the entire 1.5 mn bpd production in the Gulf of Mexico following Rita's arrival. (author)

  9. Early Childhood Education Students' Reflections: Volunteering after Hurricanes Katrina and Rita

    Science.gov (United States)

    Buchanan, Teresa K.; Benedict, Joan

    2007-01-01

    After the hurricanes, faculty asked the students to help with the relief efforts in different ways. Most students volunteered to work in shelters directly with individual or groups of children, youths, and adults. After their experiences, they wrote brief reflections about what they had done. Their comments show that they developed a better…

  10. Development and Application of Syndromic Surveillance for Severe Weather Events Following Hurricane Sandy.

    Science.gov (United States)

    Tsai, Stella; Hamby, Teresa; Chu, Alvin; Gleason, Jessie A; Goodrow, Gabrielle M; Gu, Hui; Lifshitz, Edward; Fagliano, Jerald A

    2016-06-01

    Following Hurricane Superstorm Sandy, the New Jersey Department of Health (NJDOH) developed indicators to enhance syndromic surveillance for extreme weather events in EpiCenter, an online system that collects and analyzes real-time chief complaint emergency department (ED) data and classifies each visit by indicator or syndrome. These severe weather indicators were finalized by using 2 steps: (1) key word inclusion by review of chief complaints from cases where diagnostic codes met selection criteria and (2) key word exclusion by evaluating cases with key words of interest that lacked selected diagnostic codes. Graphs compared 1-month, 3-month, and 1-year periods of 8 Hurricane Sandy-related severe weather event indicators against the same period in the following year. Spikes in overall ED visits were observed immediately after the hurricane for carbon monoxide (CO) poisoning, the 3 disrupted outpatient medical care indicators, asthma, and methadone-related substance use. Zip code level scan statistics indicated clusters of CO poisoning and increased medicine refill needs during the 2 weeks after Hurricane Sandy. CO poisoning clusters were identified in areas with power outages of 4 days or longer. This endeavor gave the NJDOH a clearer picture of the effects of Hurricane Sandy and yielded valuable state preparation information to monitor the effects of future severe weather events. (Disaster Med Public Health Preparedness. 2016;10:463-471).

  11. ‘New Ways to Frame the Mammoth Horror’: Media First Responders and the Katrina Event

    Directory of Open Access Journals (Sweden)

    Sara Knox

    2011-04-01

    Full Text Available This article explores the state of emergency following Hurrican Katrina or ‘the Katrina Event’ with reference to the role of media first responders. Throughout the ensuing disaster the performance of the media (including celebrity advocates like Oprah Winfrey, Geraldo Rivera and Kanye West worked as a mechanism for technical remastery in the face of systemic breakdown. This re-mediation of panic and of the state of emergency shifted attention from the local (that is, from the acts of witness by Katrina’s victims to national reactions (as figured by advocates of the cause of the neglected poor of New Orleans. In this way even as voice was given to the failure of the nation to rise to the needs of its most vulnerable citizens, the figure of the nation as carer was re-instantiated in the televised outrage and frustration of talk show hosts, news anchors, and charity fund-raising celebrities.

  12. Race, Income Inequality, and Impervious Surfaces in Relation to Flooding Associated with Hurricane Harvey

    Science.gov (United States)

    de Sherbinin, A. M.; Mills, J.; Borkovska, O.

    2017-12-01

    Differential vulnerability is a concept that suggests that certain demographic groups - the poor, less educated, or minorities - are likely to be more impacted by climate extremes such as floods owing to their higher sensitivity and lower adaptive capacity. Differential exposure represents the concept that these same groups may be more highly exposed to flood events by virtue of their residing in less desirable, low-lying neighborhoods with higher percentages of impervious surface cover. This paper tests the hypothesis that poor communities of color were differentially exposed to flood risks in the aftermath of Hurricane Harvey, which struck Houston, Texas in August 2017. We explore the spatial relationship among census tracts with high percentages of low income communities of color, those with high percentages of impervious surface, and those most impacted by floods. We incorporat datasets disseminated by the NASA Socioeconomic Data and Application Center (SEDAC) - the Global Man-made Impervious Surface (GMIS) data set and the U.S. Census Grids 2010 - together with the American Community Survey (ACS) 2011-2015 and flood extent and depth data from FEMA. Preliminary analysis suggests that predominantly non-white neighborhoods have higher percentages of impervious surface cover, but that impervious surface cover is negatively correlated with flood risk. This paper will situate these findings in the context of a larger body of research exploring differential exposure to flood risks during Hurricanes Katrina and Sandy, as well as differential exposure to extreme heat in urban environments in Houston and beyond.

  13. Katrina's Lessons in California: Social and Political Trajectories of Flood Management in the Sacramento River Watershed since 2005

    Science.gov (United States)

    Comby, E.; Le Lay, Y. F.; Piegay, H.

    2017-12-01

    Over the last decade, major changes have occurred in the way that environments are managed. They can be linked with external or internal events which may shape public perception. An external event can reveal a forgotten risk and create a social problem (Hilgartner et Bosk 1988). Following the Advocacy Coalition Framework (Sabatier 1988), we studied the role of Hurricane Katrina in flood management in California from 2005 to 2013. How do policies intend to increase the city's resilience? We compared different flood policies of the Sacramento River from 2005 to 2013, by combining field observations with a principal dataset of 340 regional newspaper items (Sacramento Bee). Media coverage was analyzed using content, quotation, and textometry as well as GIS. We underlined temporal variability in public perceptions towards floods. Some planning choices (such as levees) became controversial, while journalists praised weirs, bypasses, and dams. However, Katrina does not seem to have a real impact on urban sprawl strategies in three Sacramento neighborhoods (Fig.1). We analyzed also the limits of the comparison between New Orleans and Sacramento. Dialog between stakeholders existed in space and time between here (California) and elsewhere (Louisiana), present (post-2005) and past (Katrina catastrophe), and risk and disaster. Katrina was a national scandal with political announcements. However, flood policy was developed first at a regional and then local scales. After Katrina awareness, conflicts appear: some California residents refuse to have a policy linked to Katrina applied to them. We underlined that different stakeholders became prominent: it may be useless to tackle with only one institution. Some institutions had an integrated river management, while others kept a traditional risk management. We assessed the changes in river management while using discourse to understand the (potential) shift in human-river relationships from risk management to integrated river

  14. Incentivizing primary care providers to innovate: building medical homes in the post-Katrina New Orleans safety net.

    Science.gov (United States)

    Rittenhouse, Diane R; Schmidt, Laura A; Wu, Kevin J; Wiley, James

    2014-02-01

    To evaluate safety-net clinics' responses to a novel community-wide Patient-Centered Medical Home (PCMH) financial incentive program in post-Katrina New Orleans. Between June 2008 and June 2010, we studied 50 primary care clinics in New Orleans receiving federal funds to expand services and improve care delivery. Multiwave, longitudinal, observational study of a local safety-net primary care system. Clinic-level data from a semiannual survey of clinic leaders (89.3 percent response rate), augmented by administrative records. Overall, 62 percent of the clinics responded to financial incentives by achieving PCMH recognition from the National Committee on Quality Assurance (NCQA). Higher patient volume, higher baseline PCMH scores, and type of ownership were significant predictors of achieving NCQA recognition. The steepest increase in adoption of PCMH processes occurred among clinics achieving the highest, Level 3, NCQA recognition. Following NCQA recognition, 88.9 percent stabilized or increased their use of PCMH processes, although several specific PCMH processes had very low rates of adoption overall. Findings demonstrate that widespread PCMH implementation is possible in a safety-net environment when external financial incentives are aligned with the goal of practice innovation. © Health Research and Educational Trust.

  15. HIV-Related discrimination in European health care settings.

    Science.gov (United States)

    Nöstlinger, Christiana; Rojas Castro, Daniela; Platteau, Tom; Dias, Sonia; Le Gall, Jean

    2014-03-01

    This cross-sectional European study assessed self-reported HIV-related discrimination and its associated factors in health care settings. Socio-demographics, health status, support needs relating to sexual and reproductive health (SRH), and self-reported HIV-related discrimination were measured using an anonymous survey in a sample of 1549 people living with HIV from 14 countries. Thirty-two per cent of the participants had experienced HIV-related discrimination during the previous 3 years; almost half of them felt discriminated against by health care providers. For this type of discrimination, logistic regression analysis revealed significant associations with not being a migrant (OR: 2.0; IC 1.0-3.7; psex practices (OR: 1.8; IC 1.0-3.2; pgender had a protective effect (OR: 0.2; IC 0.0-0.9; pdiscrimination. Improving health care providers' communication skills, and fostering openness about SRH topics in HIV care could contribute to destigmatization of PLHIV.

  16. Environmental and health disparities in residential communities of New Orleans: the need for soil lead intervention to advance primary prevention.

    Science.gov (United States)

    Mielke, Howard W; Gonzales, Christopher R; Powell, Eric T; Mielke, Paul W

    2013-01-01

    Urban environments are the major sites for human habitation and this study evaluates soil lead (Pb) and blood Pb at the community scale of a U.S. city. There is no safe level of Pb exposure for humans and novel primary Pb prevention strategies are requisite to mitigate children's Pb exposure and health disparities observed in major cities. We produced a rich source of environmental and Pb exposure data for metropolitan New Orleans by combining a large soil Pb database (n=5467) with blood Pb databases (n=55,551 pre-Katrina and 7384 post-Katrina) from the Louisiana Childhood Lead Poisoning Prevention Program (LACLPPP). Reanalysis of pre- and post-Hurricane Katrina soil samples indicates relatively unchanged soil Pb. The objective was to evaluate the New Orleans soil Pb and blood Pb database for basic information about conditions that may merit innovative ways to pursue primary Pb exposure prevention. The city was divided into high (median census tract soil≥100 mg/kg) and low Pb areas (median census tract soilprevention. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. A survey of the occurrence of Bacillus anthracis in North American soils over two long-range transects and within post-Katrina New Orleans

    Science.gov (United States)

    Griffin, Dale W.; Petrosky, Terry; Morman, Suzette A.; Luna, Vicki A.

    2009-01-01

    Soil samples were collected along a north-south transect extending from Manitoba, Canada, to the US-Mexico border near El Paso, Texas in 2004 (104 samples), a group of sites within New Orleans, Louisiana following Hurricane Katrina in 2005 (19 samples), and a Gulf Coast transect extending from Sulphur, Louisiana, to DeFuniak Springs, Florida, in 2007 (38 samples). Samples were collected from the top 40 cm of soil and were screened for the presence of total Bacillus species and Bacillus anthracis (anthrax), specifically using multiplex-polymerase chain reaction (PCR). Using an assay with a sensitivity of ~170 equivalent colony-forming units (CFU) g-1 field moist soil, the prevalence rate of Bacillus sp./B. anthracis in the north-south transect and the 2005 New Orleans post-Katrina sample set were 20/5% and 26/26%, respectively. Prevalence in the 2007 Gulf Coast sample set using an assay with a sensitivity of ~4 CFU g-1 of soil was 63/0%. Individual transect-set data indicate a positive relation between occurrences of species and soil moisture or soil constituents (i.e., Zn and Cu content). The 2005 New Orleans post-Katrina data indicated that B. anthracis is readily detectable in Gulf Coast soils following flood events. The data also indicated that occurrence, as it relates to soil chemistry, may be confounded by flood-induced dissemination of germinated cells and the mixing of soil constituents for short temporal periods following an event.

  18. Relational Climate and Health Care Costs: Evidence From Diabetes Care.

    Science.gov (United States)

    Soley-Bori, Marina; Stefos, Theodore; Burgess, James F; Benzer, Justin K

    2018-01-01

    Quality of care worries and rising costs have resulted in a widespread interest in enhancing the efficiency of health care delivery. One area of increasing interest is in promoting teamwork as a way of coordinating efforts to reduce costs and improve quality, and identifying the characteristics of the work environment that support teamwork. Relational climate is a measure of the work environment that captures shared employee perceptions of teamwork, conflict resolution, and diversity acceptance. Previous research has found a positive association between relational climate and quality of care, yet its relationship with costs remains unexplored. We examined the influence of primary care relational climate on health care costs incurred by diabetic patients at the U.S. Department of Veterans Affairs between 2008 and 2012. We found that better relational climate is significantly related to lower costs. Clinics with the strongest relational climate saved $334 in outpatient costs per patient compared with facilities with the weakest score in 2010. The total outpatient cost saving if all clinics achieved the top 5% relational climate score was $20 million. Relational climate may contribute to lower costs by enhancing diabetic treatment work processes, especially in outpatient settings.

  19. Challenges in estimating the health impact of Hurricane Sandy using macro-level flood data.

    Science.gov (United States)

    Lieberman-Cribbin, W.; Liu, B.; Schneider, S.; Schwartz, R.; Taioli, E.

    2016-12-01

    Background: Hurricane Sandy caused extensive physical and economic damage but the long-term health impacts are unknown. Flooding is a central component of hurricane exposure, influencing health through multiple pathways that unfold over months after flooding recedes. This study assesses concordance in Federal Emergency Management (FEMA) and self-reported flood exposure after Hurricane Sandy to elucidate discrepancies in flood exposure assessments. Methods: Three meter resolution New York State flood data was obtained from the FEMA Modeling Task Force Hurricane Sandy Impact Analysis. FEMA data was compared to self-reported flood data obtained through validated questionnaires from New York City and Long Island residents following Sandy. Flooding was defined as both dichotomous and continuous variables and analyses were performed in SAS v9.4 and ArcGIS 10.3.1. Results: There was a moderate agreement between FEMA and self-reported flooding (Kappa statistic 0.46) and continuous (Spearman's correlation coefficient 0.50) measures of flood exposure. Flooding was self-reported and recorded by FEMA in 23.6% of cases, while agreement between the two measures on no flooding was 51.1%. Flooding was self-reported but not recorded by FEMA in 8.5% of cases, while flooding was not self-reported but indicated by FEMA in 16.8% of cases. In this last instance, 84% of people (173/207; 83.6%) resided in an apartment (no flooding reported). Spatially, the most concordance resided in the interior of New York City / Long Island, while the greatest areas of discordance were concentrated in the Rockaway Peninsula and Long Beach, especially among those living in apartments. Conclusions: There were significant discrepancies between FEMA and self-reported flood data. While macro-level FEMA flood data is a relatively less expensive and faster way to provide exposure estimates spanning larger geographic areas affected by Hurricane Sandy than micro-level estimates from cohort studies, macro

  20. Community Disasters, Psychological Trauma, and Crisis Intervention.

    Science.gov (United States)

    Boscarino, Joseph A

    The current issue of International Journal of Emergency Mental Health and Human Resilience is focused on community disasters, the impact of trauma exposure, and crisis intervention. The articles incorporated include studies ranging from the World Trade Center disaster to Hurricane Sandy. These studies are related to public attitudes and beliefs about disease outbreaks, the impact of volunteerism following the World Trade Center attacks, alcohol misuse among police officers after Hurricane Katrina, posttraumatic stress disorder after Hurricane Sandy among those exposed to the Trade Center disaster, compassion fatigue and burnout among trauma workers, crisis interventions in Eastern Europe, and police officers' use of stress intervention services. While this scope is broad, it reflects the knowledge that has emerged since the Buffalo Creek and Chernobyl catastrophes, to the more recent Hurricane Katrina and Sandy disasters. Given the current threat environment, psychologists, social workers, and other providers need to be aware of these developments and be prepared to mitigate the impact of psychological trauma following community disasters, whether natural or man-made.

  1. 2005 United States Army Corps of Engineers (USACE) Post-Hurricane Katrina Levee Surveys

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These topographic data were collected for the U.S. Army Corps of Engineers by a helicopter-mounted LiDAR sensor over the New Orleans Hurricane Protection Levee...

  2. The Impact of Microphysical Schemes on Hurricane Intensity and Track

    Science.gov (United States)

    Tao, Wei-Kuo; Shi, Jainn Jong; Chen, Shuyi S.; Lang, Stephen; Lin, Pay-Liam; Hong, Song-You; Peters-Lidard, Christa; Hou, Arthur

    2011-01-01

    During the past decade, both research and operational numerical weather prediction models [e.g. the Weather Research and Forecasting Model (WRF)] have started using more complex microphysical schemes originally developed for high-resolution cloud resolving models (CRMs) with 1-2 km or less horizontal resolutions. WRF is a next-generation meso-scale forecast model and assimilation system. It incorporates a modern software framework, advanced dynamics, numerics and data assimilation techniques, a multiple moveable nesting capability, and improved physical packages. WRF can be used for a wide range of applications, from idealized research to operational forecasting, with an emphasis on horizontal grid sizes in the range of 1-10 km. The current WRF includes several different microphysics options. At NASA Goddard, four different cloud microphysics options have been implemented into WRF. The performance of these schemes is compared to those of the other microphysics schemes available in WRF for an Atlantic hurricane case (Katrina). In addition, a brief review of previous modeling studies on the impact of microphysics schemes and processes on the intensity and track of hurricanes is presented and compared against the current Katrina study. In general, all of the studies show that microphysics schemes do not have a major impact on track forecasts but do have more of an effect on the simulated intensity. Also, nearly all of the previous studies found that simulated hurricanes had the strongest deepening or intensification when using only warm rain physics. This is because all of the simulated precipitating hydrometeors are large raindrops that quickly fall out near the eye-wall region, which would hydrostatically produce the lowest pressure. In addition, these studies suggested that intensities become unrealistically strong when evaporative cooling from cloud droplets and melting from ice particles are removed as this results in much weaker downdrafts in the simulated

  3. Looking for the Silver Lining: Benefit Finding after Hurricanes Katrina and Rita in Middle-Aged, Older, and Oldest-Old Adults.

    Science.gov (United States)

    Stanko, Katie E; Cherry, Katie E; Ryker, Kyle S; Mughal, Farra; Marks, Loren D; Brown, Jennifer Silva; Gendusa, Patricia F; Sullivan, Marisa C; Bruner, John; Welsh, David A; Su, L Joseph; Jazwinski, S Michal

    2015-09-01

    Looking for potentially positive outcomes is one way that people cope with stressful events. In two studies, we examined perceived "silver linings" after the 2005 Hurricanes Katrina and Rita among indirectly affected adults. In Study 1, middle-aged (ages 47-64 years), older (ages 65-89 years), and oldest-old (ages 90-95 years) adults in the Louisiana Healthy Aging Study (LHAS) responded to an open-ended question on perceived silver linings in a longitudinal assessment carried out during the immediate impact (1 to 4 months after landfall) and post-disaster recovery phase (6 to 14 months post-storm). Qualitative grounded theory methods were employed to analyze these narrative data. Team-based coding yielded three core themes: (1) learning experience and better preparedness for future disasters, (2) having improved cities (Baton Rouge and New Orleans), and (3) an increase in "Good Samaritan" acts such as strangers helping one another. Responses were similar across age groups, although older adults were the least likely to report positive outcomes. Study 2 was a conceptual replication using a different sample of adults (ages 31 to 82 years) tested at least five years after the storms. A learning experience and preparedness core theme replicated Study 1's findings while improved social cohesion amongst family and friends emerged as a new core theme in Study 2. These data indicate that identifying lessons learned and potentially positive outcomes are psychological reactions that may facilitate post-disaster coping and foster resilience for indirectly affected adults in the years after disaster.

  4. Automatic urban debris zone extraction from post-hurricane very high-resolution satellite and aerial imagery

    Directory of Open Access Journals (Sweden)

    Shasha Jiang

    2016-05-01

    Full Text Available Automated remote sensing methods have not gained widespread usage for damage assessment after hurricane events, especially for low-rise buildings, such as individual houses and small businesses. Hurricane wind, storm surge with waves, and inland flooding have unique damage signatures, further complicating the development of robust automated assessment methodologies. As a step toward realizing automated damage assessment for multi-hazard hurricane events, this paper presents a mono-temporal image classification methodology that quickly and accurately differentiates urban debris from non-debris areas using post-event images. Three classification approaches are presented: spectral, textural, and combined spectral–textural. The methodology is demonstrated for Gulfport, Mississippi, using IKONOS panchromatic satellite and NOAA aerial colour imagery collected after 2005 Hurricane Katrina. The results show that multivariate texture information significantly improves debris class detection performance by decreasing the confusion between debris and other land cover types, and the extracted debris zone accurately captures debris distribution. Additionally, the extracted debris boundary is approximately equivalent regardless of imagery type, demonstrating the flexibility and robustness of the debris mapping methodology. While the test case presents results for hurricane hazards, the proposed methodology is generally developed and expected to be effective in delineating debris zones for other natural hazards, including tsunamis, tornadoes, and earthquakes.

  5. Academic Development of First-Year Living-Learning Program Students before and after Hurricanes Katrina and Rita of 2005

    Science.gov (United States)

    Rohli, Robert V.; Keppler, Kurt J.; Winkler, Daniel L.

    2013-01-01

    Previous research suggests that the far-reaching impacts of hurricanes include the academic performance of students. In an examination of such impacts, we found a trend toward self-perceived decline in some performance indicators relative to students at peer universities. However, few longitudinal impacts were found, perhaps because of the sense…

  6. What Happened to Our Environment and Mental Health as a Result of Hurricane Sandy?

    Science.gov (United States)

    Lin, Shao; Lu, Yi; Justino, John; Dong, Guanghui; Lauper, Ursula

    2016-06-01

    This study describes findings of the impacts of Hurricane Sandy on environmental factors including power outages, air quality, water quality, and weather factors and how these affected mental health during the hurricane. An ecological study was conducted at the county level to describe changes in environmental factors-especially power outages-and their relationships to emergency department (ED) visits for mental health problems by use of a Poisson regression model. We found that many environmental hazards occurred as co-exposures during Hurricane Sandy in addition to flooding. Mental health ED visits corresponded with the peak of maximum daily power blackouts, with a 3-day lag, and were positively associated with power blackouts in Bronx (prevalence ratio [PR]: 8.82, 95% confidence interval [CI]: 1.27-61.42) and Queens (PR: 2.47, 95% CI: 1.05-5.82) counties. A possible dose-response relationship was found between the quantile of maximum blackout percentage and the risk of mental health in the Bronx. We found that multiple co-environmental hazards occurred during Hurricane Sandy, especially power blackouts that mediated this disaster's impacts. The effects of power outage on mental health had large geographic variations and were substantial, especially in communities with low sociodemographic status. These findings may provide new insights for future disaster response and preparedness efforts. (Disaster Med Public Health Preparedness. 2016;10:314-319).

  7. Business Return in New Orleans: Decision Making Amid Post-Katrina Uncertainty

    Science.gov (United States)

    Lam, Nina S. N.; Pace, Kelley; Campanella, Richard; LeSage, James; Arenas, Helbert

    2009-01-01

    Background Empirical observations on how businesses respond after a major catastrophe are rare, especially for a catastrophe as great as Hurricane Katrina, which hit New Orleans, Louisiana on August 29, 2005. We analyzed repeated telephone surveys of New Orleans businesses conducted in December 2005, June 2006, and October 2007 to understand factors that influenced decisions to re-open amid post-disaster uncertainty. Methodology/Principal Findings Businesses in the group of professional, scientific, and technical services reopened the fastest in the near term, but differences in the rate of reopening for businesses stratified by type became indistinguishable in the longer term (around two years later). A reopening rate of 65% was found for all businesses by October 2007. Discriminant analysis showed significant differences in responses reflecting their attitudes about important factors between businesses that reopened and those that did not. Businesses that remained closed at the time of our third survey (two years after Katrina) ranked levee protection as the top concern immediately after Katrina, but damage to their premises and financing became major concerns in subsequent months reflected in the later surveys. For businesses that had opened (at the time of our third survey), infrastructure protection including levee, utility, and communications were the main concerns mentioned in surveys up to the third survey, when the issue of crime became their top concern. Conclusions/Significance These findings underscore the need to have public policy and emergency plans in place prior to the actual disaster, such as infrastructure protection, so that the policy can be applied in a timely manner before business decisions to return or close are made. Our survey results, which include responses from both open and closed businesses, overcome the “survivorship bias” problem and provide empirical observations that should be useful to improve micro-level spatial economic

  8. Business return in New Orleans: decision making amid post-Katrina uncertainty.

    Directory of Open Access Journals (Sweden)

    Nina S N Lam

    Full Text Available BACKGROUND: Empirical observations on how businesses respond after a major catastrophe are rare, especially for a catastrophe as great as Hurricane Katrina, which hit New Orleans, Louisiana on August 29, 2005. We analyzed repeated telephone surveys of New Orleans businesses conducted in December 2005, June 2006, and October 2007 to understand factors that influenced decisions to re-open amid post-disaster uncertainty. METHODOLOGY/PRINCIPAL FINDINGS: Businesses in the group of professional, scientific, and technical services reopened the fastest in the near term, but differences in the rate of reopening for businesses stratified by type became indistinguishable in the longer term (around two years later. A reopening rate of 65% was found for all businesses by October 2007. Discriminant analysis showed significant differences in responses reflecting their attitudes about important factors between businesses that reopened and those that did not. Businesses that remained closed at the time of our third survey (two years after Katrina ranked levee protection as the top concern immediately after Katrina, but damage to their premises and financing became major concerns in subsequent months reflected in the later surveys. For businesses that had opened (at the time of our third survey, infrastructure protection including levee, utility, and communications were the main concerns mentioned in surveys up to the third survey, when the issue of crime became their top concern. CONCLUSIONS/SIGNIFICANCE: These findings underscore the need to have public policy and emergency plans in place prior to the actual disaster, such as infrastructure protection, so that the policy can be applied in a timely manner before business decisions to return or close are made. Our survey results, which include responses from both open and closed businesses, overcome the "survivorship bias" problem and provide empirical observations that should be useful to improve micro

  9. Navy Seabees: Versatile Instruments of Power Projection

    Science.gov (United States)

    2013-04-16

    Bay Area, Hurricane Hugo in Florida, Northridge Earthquake in Southern California, Hurricane Andrew in Homestead Florida, and many other significant...to the Hurricane Katrina disaster in between deployments from Iraq and Afghanistan in 2005. 1 Seabees cleared debris from roads and harbors...normal capacity. During the biggest and costliest natural disaster in recent history, Hurricane Katrina demonstrated the difficulty of local and federal

  10. Exploring community resilience in workforce communities of first responders serving Katrina survivors.

    Science.gov (United States)

    Wyche, Karen Fraser; Pfefferbaum, Rose L; Pfefferbaum, Betty; Norris, Fran H; Wisnieski, Deborah; Younger, Hayden

    2011-01-01

    Community resilience activities were assessed in workplace teams that became first responders for Hurricane Katrina survivors. Community resilience was assessed by a survey, focus groups, and key informant interviews. On the survey, 90 first responders ranked their team's disaster response performance as high on community resilience activities. The same participants, interviewed in 11 focus groups and 3 key informant interviews, discussed how their teams engaged in community resilience activities to strengthen their ability to deliver services. Specifically, their resilient behaviors were characterized by: shared organizational identity, purpose, and values; mutual support and trust; role flexibility; active problem solving; self-reflection; shared leadership; and skill building. The implications for research, policy, practice, and education of professionals are discussed. © 2011 American Orthopsychiatric Association.

  11. Income-related inequality in health and health care utilization in Chile, 2000-2009.

    Science.gov (United States)

    Vásquez, Felipe; Paraje, Guillermo; Estay, Manuel

    2013-02-01

    To measure and explain income-related inequalities in health and health care utilization in the period 2000 - 2009 in Chile, while assessing variations within the country and determinants of inequalities. Data from the National Socioeconomic Characterization Survey for 2000, 2003, and 2009 were used to measure inequality in health and health care utilization. Income-related inequality in health care utilization was assessed with standardized concentration indices for the probability and total number of visits to specialized care, generalized care, emergency care, dental care, mental health care, and hospital care. Self-assessed health status and physical limitations were used as proxies for health care need. Standardization was performed with demographic and need variables. The decomposition method was applied to estimate the contribution of each factor used to calculate the concentration index, including ethnicity, employment status, health insurance, and region of residence. In Chile, people in lower-income quintiles report worse health status and more physical limitations than people in higher quintiles. In terms of health service utilization, pro-rich inequities were found for specialized and dental visits with a slight pro-rich utilization for general practitioners and all physician visits. All pro-rich inequities have decreased over time. Emergency room visits and hospitalizations are concentrated among lower-income quintiles and have increased over time. Higher education and private health insurance contribute to a pro-rich inequity in dentist, general practitioner, specialized, and all physician visits. Income contributes to a pro-rich inequity in specialized and dentist visits, whereas urban residence and economic activity contribute to a pro-poor inequity in emergency room visits. The pattern of health care utilization in Chile is consistent with policies implemented in the country and in the intended direction. The significant income inequality in the

  12. 42 CFR 433.57 - General rules regarding revenues from provider-related donations and health care-related taxes.

    Science.gov (United States)

    2010-10-01

    ...-related donations and health care-related taxes. 433.57 Section 433.57 Public Health CENTERS FOR MEDICARE... rules regarding revenues from provider-related donations and health care-related taxes. Effective... FFP, funds from provider-related donations and revenues generated by health care-related taxes...

  13. Building integrated mental health and medical programs for vulnerable populations post-disaster: connecting children and families to a medical home.

    Science.gov (United States)

    Madrid, Paula A; Sinclair, Heidi; Bankston, Antoinette Q; Overholt, Sarah; Brito, Arturo; Domnitz, Rita; Grant, Roy

    2008-01-01

    Hurricane Katrina, a Category 3 hurricane, made landfall in August 2005. Approximately 1,500 deaths have been directly attributed to the hurricane, primarily in Louisiana and Mississippi. In New Orleans, Louisiana, most of the healthcare infrastructure was destroyed by flooding, and > 200,000 residents became homeless. Many of these internally displaced persons received transitional housing in trailer parks ("villages") under the auspices of the [US] Federal Emergency Management Agency (FEMA). The FEMA villages are isolated from residential communities, lack access to healthcare services, and have become unsafe environments. The trailers that house families have been found to be contaminated with formaldehyde. The Children's Health Fund, in partnership with the Mailman School of Public Health at Columbia University, began a program ("Operation Assist") to provide health and mental health services within a medical home model. This program includes the Baton Rouge Children's Health Project (BRCHP), which consists of two mobile medical units (one medical and one mental health). Licensed professionals at the FEMA villages and other isolated communities provide care on these mobile units. Medical and psychiatric diagnoses from the BRCHP are summarized and case vignettes presented. Immediately after the hurricane, prescription medications were difficult to obtain. Complaints of headache, nosebleeds, and stomachache were observed at an unusually frequent degree for young children, and were potentially attributable to formaldehyde exposure. Dermatological conditions included eczema, impetigo, methicillin-resistant staphylococcus aureus (MRSA) abscesses, and tinea corporis and capitis. These were especially difficult to treat because of unhygienic conditions in the trailers and ongoing formaldehyde exposure. Signs of pediatric under-nutrition included anemia, failure to thrive, and obesity. Utilization of initial mental health services was low due to pressing survival needs

  14. 78 FR 13077 - Notice of Proposed Information Collection for Public Comment; Section 901 Implementation

    Science.gov (United States)

    2013-02-26

    ... subject proposal. Eligible public housing agencies (PHAs) in areas most heavily impacted by Hurricanes... flexibility to address the impacts of Hurricanes Rita and Katrina. Some PHAs have used the fungibility plan... collection was 6,624 hours assuming all ninety-six PHAs in the areas impacted by Hurricanes Katrina and Rita...

  15. Pre-hurricane perceived social support protects against psychological distress: A longitudinal analysis of low-income mothers

    OpenAIRE

    Lowe, SR; Chan, CS; Rhodes, JE

    2010-01-01

    Objective: In this study, we examined the influence of pre-disaster perceived social support on post-disaster psychological distress among survivors of Hurricane Katrina. Method: Participants (N = 386) were low-income mothers between 18 and 34 years of age at baseline (M = 26.4, SD = 4.43). The majority (84.8) was African American; 10.4 identified as Caucasian, 3.2 identified as Hispanic, and 1.8 identified as other. Participants were enrolled in an educational intervention study in 2004 and ...

  16. Interpersonal relations between health care workers and young clients: barriers to accessing sexual and reproductive health care.

    Science.gov (United States)

    Alli, Farzana; Maharaj, Pranitha; Vawda, Mohammed Yacoob

    2013-02-01

    Interpersonal relations between health care providers and young clients have long being cited as an important element for improving client up take of services, satisfaction and overall health outcomes. In an era of HIV and AIDS this forms a critical determinant to young people accessing sexual and reproductive health care. This study explores to what extent interpersonal relations form a barrier to young peoples access to and satisfaction of health services. The study draws on data from 200 client exit interviews and four in-depth interviews conducted with university students and university health care staff in Kwazulu-Natal, South Africa. While young people are aware of the importance of utilising STI, HIV and family planning services they experienced barriers in their relationship with providers. This served as a deterrent to their use of the health facility. Adequate training in interpersonal relations for youth-friendly service provision is essential in helping overcome communication problems and enabling providers to interact with young clients at a more personal level.

  17. An assessment of change in risk perception and optimistic bias for hurricanes among Gulf Coast residents.

    Science.gov (United States)

    Trumbo, Craig; Meyer, Michelle A; Marlatt, Holly; Peek, Lori; Morrissey, Bridget

    2014-06-01

    This study focuses on levels of concern for hurricanes among individuals living along the Gulf Coast during the quiescent two-year period following the exceptionally destructive 2005 hurricane season. A small study of risk perception and optimistic bias was conducted immediately following Hurricanes Katrina and Rita. Two years later, a follow-up was done in which respondents were recontacted. This provided an opportunity to examine changes, and potential causal ordering, in risk perception and optimistic bias. The analysis uses 201 panel respondents who were matched across the two mail surveys. Measures included hurricane risk perception, optimistic bias for hurricane evacuation, past hurricane experience, and a small set of demographic variables (age, sex, income, and education). Paired t-tests were used to compare scores across time. Hurricane risk perception declined and optimistic bias increased. Cross-lagged correlations were used to test the potential causal ordering between risk perception and optimistic bias, with a weak effect suggesting the former affects the latter. Additional cross-lagged analysis using structural equation modeling was used to look more closely at the components of optimistic bias (risk to self vs. risk to others). A significant and stronger potentially causal effect from risk perception to optimistic bias was found. Analysis of the experience and demographic variables' effects on risk perception and optimistic bias, and their change, provided mixed results. The lessening of risk perception and increase in optimistic bias over the period of quiescence suggest that risk communicators and emergency managers should direct attention toward reversing these trends to increase disaster preparedness. © 2013 Society for Risk Analysis.

  18. Role of a database-driven web site in the immediate disaster response and recovery of Academic Health Center: the Katrina experience.

    Science.gov (United States)

    Fordis, Michael; Alexander, J Douglas; McKellar, Julie

    2007-08-01

    In the wake of Hurricane Katrina's landfall on August 29, 2005, and the subsequent levee failures, operations of Tulane University School of Medicine became unsustainable. As New Orleans collapsed, faculty, students, residents, and staff were scattered nationwide. In response, four Texas medical schools created an alliance to assist Tulane in temporarily relocating operations to south Texas. Resuming operations in a three- to four-week time span required developing and implementing a coordinated communication plan in the face of widespread communication infrastructure disruptions. A keystone of the strategy involved rapidly creating a "recovery Web site" to provide essential information on immediate recovery plans, mechanisms for reestablishing communications with displaced persons, housing relocation options (over 200 students, faculty, and staff were relocated using Web site resources), classes and residency training, and other issues (e.g., financial services, counseling support) vitally important to affected individuals. The database-driven Web site was launched in four days on September 11, 2005, by modifying an existing system and completing new programming. Additional functions were added during the next week, and the site operated continuously until March 2006, providing about 890,000 pages of information in over 100,000 visitor sessions. The site proved essential in disseminating announcements, reestablishing communications among the Tulane family, and supporting relocation and recovery. This experience shows the importance of information technology in collaborative efforts of academic health centers in early disaster response and recovery, reinforcing recommendations published recently by the Association of Academic Health Centers and the National Academy of Sciences.

  19. Implications and Constraints of Fiscal Laws in Contingency Contracting

    Science.gov (United States)

    2013-09-01

    humanitarian assistance (for example, after Hurricanes Hugo , Andrew, and Katrina and, most recently, Hurricane Sandy in the northeastern U.S...the aftermath of Hurricane Katrina and in New York after storm damage in 2012. The military has also supported disasters in other countries, such as...focus on natural disasters such as hurricanes , weather storms, earthquakes, and floods and are supported by U.S. military forces providing clean-up and

  20. Cross-sectional Survey of Long-Term Care Facilities in the Rockaway Peninsula: Preparedness and Response During Hurricane Sandy.

    Science.gov (United States)

    Jiang, Lynn; Tedeschi, Christopher; Subaiya, Saleena

    2018-04-01

    Few studies have described the challenges experienced by long-term care facilities (LTCFs) following Hurricane Sandy. This study examined LTCF preparedness and experiences during and after the storm. A cross-sectional survey was conducted 2 years after Hurricane Sandy to assess LTCF demographics, preparation, and post-storm resources. Surveys were conducted at LTCFs located on the Rockaway Peninsula of New York City. All LTCFs located in a heavily affected area were approached. Of 29 facilities, 1 had closed, 5 did not respond, 9 declined to participate, and 14 participated, yielding a response rate of 50% for open facilities. Twenty-one percent of the facilities had preparations specifically for hurricanes. More than 70% of the facilities had lost electricity, heat, and telephone service, and one-half had evacuated. Twenty-one percent of the facilities reported not receiving any assistance and over one-half reported that relief resources did not meet their needs. Many LTCFs lacked plans specific to such a large-scale event. Since nearly all of the LTCFs in the region were affected, preexisting transportation and housing plans may have been inadequate. Future preparation could include hazard-specific planning and reliance on resources from a wider geographic area. Access to electricity emerged as a top priority. (Disaster Med Public Health Preparedness. 2018;12:194-200).

  1. Adolescent Survivors of Hurricane Katrina: A Pilot Study of Hypothalamic-Pituitary-Adrenal Axis Functioning

    Science.gov (United States)

    Pfefferbaum, Betty; Tucker, Phebe; Nitiéma, Pascal

    2015-01-01

    Background: The hypothalamic-pituitary-adrenal (HPA) axis constitutes an important biological component of the stress response commonly studied through the measurement of cortisol. Limited research has examined HPA axis dysregulation in youth exposed to disasters. Objective: This study examined HPA axis activation in adolescent Hurricane Katrina…

  2. Self-Reported and FEMA Flood Exposure Assessment after Hurricane Sandy: Association with Mental Health Outcomes.

    Directory of Open Access Journals (Sweden)

    Wil Lieberman-Cribbin

    Full Text Available Hurricane Sandy caused extensive physical and economic damage; the long-term mental health consequences are unknown. Flooding is a central component of hurricane exposure, influencing mental health through multiple pathways that unfold over months after flooding recedes. Here we assess the concordance in self-reported and Federal Emergency Management (FEMA flood exposure after Hurricane Sandy and determine the associations between flooding and anxiety, depression, and post-traumatic stress disorder (PTSD. Self-reported flood data and mental health symptoms were obtained through validated questionnaires from New York City and Long Island residents (N = 1231 following Sandy. Self-reported flood data was compared to FEMA data obtained from the FEMA Modeling Task Force Hurricane Sandy Impact Analysis. Multivariable logistic regressions were performed to determine the relationship between flooding exposure and mental health outcomes. There were significant discrepancies between self-reported and FEMA flood exposure data. Self-reported dichotomous flooding was positively associated with anxiety (ORadj: 1.5 [95% CI: 1.1-1.9], depression (ORadj: 1.7 [1.3-2.2], and PTSD (ORadj: 2.5 [1.8-3.4], while self-reported continuous flooding was associated with depression (ORadj: 1.1 [1.01-1.12] and PTSD (ORadj: 1.2 [1.1-1.2]. Models with FEMA dichotomous flooding (ORadj: 2.1 [1.5-2.8] or FEMA continuous flooding (ORadj: 1.1 [1.1-1.2] were only significantly associated with PTSD. Associations between mental health and flooding vary according to type of flood exposure measure utilized. Future hurricane preparedness and recovery efforts must integrate micro and macro-level flood exposures in order to accurately determine flood exposure risk during storms and realize the long-term importance of flooding on these three mental health symptoms.

  3. Emotional stress and heart rate variability measures associated with cardiovascular risk in relocated Katrina survivors.

    Science.gov (United States)

    Tucker, Phebe; Pfefferbaum, Betty; Jeon-Slaughter, Haekyung; Khan, Qaiser; Garton, Theresa

    2012-01-01

    To explore the effects of hurricane exposure and forced relocation on the mind and body, we compared psychiatric diagnoses and symptoms with heart rate variability (HRV) for 34 relocated Katrina survivors and 34 demographically matched controls. All participants were healthy and free of psychiatric and cardiovascular medications. We measured symptoms of posttraumatic stress disorder (PTSD) (Clinician-Administered PTSD Scale 1) and depression (Beck Depression Inventory), Axis I psychiatric diagnoses (Structured Clinical Interview for DSM-IV), psychosocial disability (Sheehan Disability Scale), and power spectral analysis HRV reactivity to trauma reminders. Katrina-related PTSD occurred in 38% of survivors and 12% of controls. Survivors reported higher levels of PTSD and depression symptoms, within diagnostic ranges, and greater psychosocial disability than controls. Survivors had higher resting heart rate (80.82 [standard deviation = 13.60] versus 74.85 [10.67], p = .05), lower parasympathetic (high-frequency [HF] normalized unit) baseline HRV activity (40.14 [23.81] versus 50.67 [19.93], p = .04) and less reactivity with trauma cues (-2.63 [20.70] versus -11.96 [15.84], p = .04), and higher baseline sympathovagal activity (low frequency/HF ratio) (2.84 [3.08] versus 1.35 [1.08], p = .04) than controls. Survivors with depression (n = 12) and with depression and PTSD combined (n = 7), but not those with PTSD (n = 13), had flattened parasympathetic responsiveness to trauma cues. HRV indices correlated with depressive (low frequency/HF, p = .01; HF normalized unit, p = .046) but not PTSD symptoms (p values > .05). Results showed this multilayer trauma's impact on emotional health and HRV-based measures of autonomic nervous system dysregulation. Specifically, dysregulation of depressed survivors' HRV in response to trauma reminders supports more autonomic involvement in traumatic loss/depression than in PTSD. Diagnostic criteria for PTSD include physiologic reactivity

  4. LEED AND THE DESIGN/BUILD EXPERIENCE: A SHELTER FOR HOMELESS FAMILIES RETURNING TO POST-KATRINA NEW ORLEANS.

    Directory of Open Access Journals (Sweden)

    Stephen Verderber

    2011-03-01

    Full Text Available Hurricane Katrina displaced nearly one million citizens from the New Orleans metro region in 2005. Five years after the catastrophe, in August of 2010, more than 150,000 citizens remained scattered across the United States. Katrina was the largest Diaspora in the nation’s history. The number of homes damaged or destroyed by Katrina’s devastation numbered more than 125,000. An award-winning case study is presented of a unique partnership forged between academia, a local social service agency, professional architectural and engineering firms, and a national humanitarian aid organization whose mission is to provide affordable housing for homeless persons in transition. This collaboration resulted in a sustainable design/build project that originated in a research-based university design studio. The facility is a 38-bed family shelter for homeless mothers and their children seeking to rebuild their lives in post-Katrina New Orleans. The site for this 4,400 facility did not flood when the city’s federally built levee system failed in 2005. This case study is presented from its inception, to programming and design, construction, occupancy, and the postoccupancy assessment of the completed building. This facility is the first LEED certified (Silver building in New Orleans. Project limitations, lessons learned, and recommendations for future initiatives of this type are discussed, particularly in the context of any inner urban community coping with the aftermath of an urban disaster.

  5. Service characteristics and counseling outcomes: lessons from a cross-site evaluation of crisis counseling after Hurricanes Katrina, Rita and Wilma.

    Science.gov (United States)

    Norris, Fran H; Hamblen, Jessica L; Rosen, Craig S

    2009-05-01

    The 2005 hurricane season was the worst on record, resulting in disaster declarations and the implementation of federally-funded crisis counseling programs in five states. As part of a larger cross-site evaluation of these programs, data from 2,850 participant surveys, 805 provider surveys, and 132,733 encounter logs (submitted from 3 weeks before to 3 weeks after the participant surveys) were aggregated to the county level (N = 50) and used to test hypotheses regarding factors that influence program performance. County-level outcomes (aggregate ratings of participants' perceived benefits) improved as service intensity, service intimacy, and frequency of psychological referrals increased and as provider job stress decreased. The percent of providers with advanced degrees was indirectly related to participants' perceived benefits by increasing service intensity and referral frequency. The results yielded recommendations for achieving excellence in disaster mental health programs.

  6. Epidemic gasoline exposures following Hurricane Sandy.

    Science.gov (United States)

    Kim, Hong K; Takematsu, Mai; Biary, Rana; Williams, Nicholas; Hoffman, Robert S; Smith, Silas W

    2013-12-01

    Major adverse climatic events (MACEs) in heavily-populated areas can inflict severe damage to infrastructure, disrupting essential municipal and commercial services. Compromised health care delivery systems and limited utilities such as electricity, heating, potable water, sanitation, and housing, place populations in disaster areas at risk of toxic exposures. Hurricane Sandy made landfall on October 29, 2012 and caused severe infrastructure damage in heavily-populated areas. The prolonged electrical outage and damage to oil refineries caused a gasoline shortage and rationing unseen in the USA since the 1970s. This study explored gasoline exposures and clinical outcomes in the aftermath of Hurricane Sandy. Prospectively collected, regional poison control center (PCC) data regarding gasoline exposure cases from October 29, 2012 (hurricane landfall) through November 28, 2012 were reviewed and compared to the previous four years. The trends of gasoline exposures, exposure type, severity of clinical outcome, and hospital referral rates were assessed. Two-hundred and eighty-three gasoline exposures were identified, representing an 18 to 283-fold increase over the previous four years. The leading exposure route was siphoning (53.4%). Men comprised 83.0% of exposures; 91.9% were older than 20 years of age. Of 273 home-based calls, 88.7% were managed on site. Asymptomatic exposures occurred in 61.5% of the cases. However, minor and moderate toxic effects occurred in 12.4% and 3.5% of cases, respectively. Gastrointestinal (24.4%) and pulmonary (8.4%) symptoms predominated. No major outcomes or deaths were reported. Hurricane Sandy significantly increased gasoline exposures. While the majority of exposures were managed at home with minimum clinical toxicity, some patients experienced more severe symptoms. Disaster plans should incorporate public health messaging and regional PCCs for public health promotion and toxicological surveillance.

  7. Hurricane Hugo: Emergency Preparedness Planning and Response for Mental Health Services.

    Science.gov (United States)

    Carter, Nancy C.; And Others

    This report describes how, in the aftermath of Hurricane Hugo, the South Carolina Department of Mental Health activated its Emergency Preparedness Plan to assist mental health centers and their staff in providing crisis counseling services to the general public. The first section explains the history and structure of the involvement by the…

  8. Not so close but still extremely loud: recollection of the World Trade Center terror attack and previous hurricanes moderates the association between exposure to hurricane Sandy and posttraumatic stress symptoms.

    Science.gov (United States)

    Palgi, Yuval; Shrira, Amit; Hamama-Raz, Yaira; Palgi, Sharon; Goodwin, Robin; Ben-Ezra, Menachem

    2014-05-01

    The present study examined whether recollections of the World Trade Center (WTC) terror attack and previous hurricanes moderated the relationship between exposure to Hurricane Sandy and related posttraumatic stress disorder (PTSD) symptoms. An online sample of 1000 participants from affected areas completed self-report questionnaires a month after Hurricane Sandy hit the East Coast of the United States. Participants reported their exposure to Hurricane Sandy, their PTSD symptoms, and recollections of the WTC terror attack and previous hurricanes elicited due to Hurricane Sandy. Exposure to Hurricane Sandy was related to PTSD symptoms among those with high level of recollections of the WTC terror attack and past hurricanes, but not among those with low level of recollections. The aftermath of exposure to Hurricane Sandy is related not only to exposure, but also to its interaction with recollections of past traumas. These findings have theoretical and practical implications for practitioners and health policy makers in evaluating and interpreting the impact of past memories on future natural disasters. This may help in intervention plans of social and psychological services. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Data Assimilation within the Advanced Circulation (ADCIRC) Modeling Framework for Hurricane Storm Surge Forecasting

    KAUST Repository

    Butler, T.

    2012-07-01

    Accurate, real-time forecasting of coastal inundation due to hurricanes and tropical storms is a challenging computational problem requiring high-fidelity forward models of currents and water levels driven by hurricane-force winds. Despite best efforts in computational modeling there will always be uncertainty in storm surge forecasts. In recent years, there has been significant instrumentation located along the coastal United States for the purpose of collecting data—specifically wind, water levels, and wave heights—during these extreme events. This type of data, if available in real time, could be used in a data assimilation framework to improve hurricane storm surge forecasts. In this paper a data assimilation methodology for storm surge forecasting based on the use of ensemble Kalman filters and the advanced circulation (ADCIRC) storm surge model is described. The singular evolutive interpolated Kalman (SEIK) filter has been shown to be effective at producing accurate results for ocean models using small ensemble sizes initialized by an empirical orthogonal function analysis. The SEIK filter is applied to the ADCIRC model to improve storm surge forecasting, particularly in capturing maximum water levels (high water marks) and the timing of the surge. Two test cases of data obtained from hindcast studies of Hurricanes Ike and Katrina are presented. It is shown that a modified SEIK filter with an inflation factor improves the accuracy of coarse-resolution forecasts of storm surge resulting from hurricanes. Furthermore, the SEIK filter requires only modest computational resources to obtain more accurate forecasts of storm surge in a constrained time window where forecasters must interact with emergency responders.

  10. The Role of Peers in the Relation between Hurricane Exposure and Ataques de Nervios among Puerto Rican Adolescents.

    Science.gov (United States)

    Rubens, Sonia L; Felix, Erika D; Vernberg, Eric M; Canino, Glorisa

    2014-11-01

    Although a relation between disaster exposure and ataques de nervios ( ataques ) has been established in adult samples, little is known about this among youth, including factors that may moderate this relation. This study examined the role of the peer context in the relation between exposure to Hurricane Georges and experiencing a past year and lifetime ataques among a representative community sample of 905 youth (N = 476 boys and 429 girls; ages 11-18) residing in Puerto Rico. Data were gathered from 1999-2000 in Puerto Rico, 12-27 months following Hurricane Georges. Logistic regression analyses found that peer violence significantly predicted experiencing an ataque in the past year. Hurricane exposure and peer violence were both significant predictors of a lifetime experience of an ataque . An interaction was found between hurricane exposure and peer violence, indicating that hurricane exposure was significantly related to a lifetime experience of an ataque among adolescents who do not report associating with violent peers. For participants reporting high levels of peer violence, hurricane exposure did not add additional risk for a lifetime experience of an ataque . Understanding the influence of peers in the relation between hurricane exposure and experiencing an ataque may assist in planning developmentally and culturally sensitive response plans.

  11. Initial Public Health Laboratory Response After Hurricane Maria - Puerto Rico, 2017.

    Science.gov (United States)

    Concepción-Acevedo, Jeniffer; Patel, Anita; Luna-Pinto, Carolina; Peña, Rafael González; Cuevas Ruiz, Rosa Ivette; Arbolay, Héctor Rivera; Toro, Mayra; Deseda, Carmen; De Jesus, Victor R; Ribot, Efrain; Gonzalez, Jennifer-Quiñones; Rao, Gouthami; De Leon Salazar, Alfonsina; Ansbro, Marisela; White, Brunilís B; Hardy, Margaret C; Georgi, Joaudimir Castro; Stinnett, Rita; Mercante, Alexandra M; Lowe, David; Martin, Haley; Starks, Angela; Metchock, Beverly; Johnston, Stephanie; Dalton, Tracy; Joglar, Olga; Stafford, Cortney; Youngblood, Monica; Klein, Katherine; Lindstrom, Stephen; Berman, LaShondra; Galloway, Renee; Schafer, Ilana J; Walke, Henry; Stoddard, Robyn; Connelly, Robin; McCaffery, Elaine; Rowlinson, Marie-Claire; Soroka, Stephen; Tranquillo, Darin T; Gaynor, Anne; Mangal, Chris; Wroblewski, Kelly; Muehlenbachs, Atis; Salerno, Reynolds M; Lozier, Matthew; Sunshine, Brittany; Shapiro, Craig; Rose, Dale; Funk, Renee; Pillai, Satish K; O'Neill, Eduardo

    2018-03-23

    Hurricane Maria made landfall in Puerto Rico on September 20, 2017, causing major damage to infrastructure and severely limiting access to potable water, electric power, transportation, and communications. Public services that were affected included operations of the Puerto Rico Department of Health (PRDOH), which provides critical laboratory testing and surveillance for diseases and other health hazards. PRDOH requested assistance from CDC for the restoration of laboratory infrastructure, surveillance capacity, and diagnostic testing for selected priority diseases, including influenza, rabies, leptospirosis, salmonellosis, and tuberculosis. PRDOH, CDC, and the Association of Public Health Laboratories (APHL) collaborated to conduct rapid needs assessments and, with assistance from the CDC Foundation, implement a temporary transport system for shipping samples from Puerto Rico to the continental United States for surveillance and diagnostic and confirmatory testing. This report describes the initial laboratory emergency response and engagement efforts among federal, state, and nongovernmental partners to reestablish public health laboratory services severely affected by Hurricane Maria. The implementation of a sample transport system allowed Puerto Rico to reinitiate priority infectious disease surveillance and laboratory testing for patient and public health interventions, while awaiting the rebuilding and reinstatement of PRDOH laboratory services.

  12. Gilda's Academy

    Science.gov (United States)

    Duplessis, Gilda

    2008-01-01

    Immediately after the devastation of Hurricane Katrina, the author and her partner made a decision to rebuild their child care center as two apartments. However, the city of New Orleans would only approve the location for one dwelling with a child care center. This article describes the author's experiences in rebuilding Gilda's Academy, her child…

  13. A Working Landscape: "Water as an Amenity" as strategy for a Delta city that suffers from stormwater flooding

    NARCIS (Netherlands)

    Hermens, P.; Salm, J.N.; Zwet, van der C.; Etteger Ma, van R.; Duchhart, I.

    2010-01-01

    First a hurricane, now oil; contemporary New Orleans is revising its relation with landscape and water, out of necessity and out of ambition. Since Hurricane Katrina devastated the city in 2005, the Dutch Dialogue workshops. initiated by local architect David Waggonner and the Royal Dutch Embassy -

  14. 75 FR 25284 - Tracking the Use of CDBG Homeowners and Small Landlords Disaster Assistance Grants

    Science.gov (United States)

    2010-05-07

    ... affected by hurricanes Katrina and Rita (Louisiana, Mississippi, and Texas) and identify the most important... affected by hurricanes Katrina and Rita (Louisiana, Mississippi, and Texas) and identify the most important... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5376-N-32] Tracking the Use of CDBG...

  15. Hospitalizations for ambulatory care sensitive conditions and quality of primary care: their relation with socioeconomic and health care variables in the Madrid regional health service (Spain).

    Science.gov (United States)

    Magán, Purificación; Alberquilla, Angel; Otero, Angel; Ribera, José Manuel

    2011-01-01

    Hospitalizations for ambulatory care sensitive conditions (ACSH) have been proposed as an indirect indicator of the effectiveness and quality of care provided by primary health care. To investigate the association of ACSH rates with population socioeconomic factors and with characteristics of primary health care. Cross-sectional, ecologic study. Using hospital discharge data, ACSH were selected from the list of conditions validated for Spain. All 34 health districts in the Region of Madrid, Spain. Individuals aged 65 years or older residing in the region of Madrid between 2001 and 2003, inclusive. Age- and gender-adjusted ACSH rates in each health district. The adjusted ACSH rate per 1000 population was 35.37 in men and 20.45 in women. In the Poisson regression analysis, an inverse relation was seen between ACSH rates and the socioeconomic variables. Physician workload was the only health care variable with a statistically significant relation (rate ratio of 1.066 [95% CI; 1.041-1.091]). These results were similar in the analyses disaggregated by gender. In the multivariate analyses that included health care variables, none of the health care variables were statistically significant. ACSH may be more closely related with socioeconomic variables than with characteristics of primary care activity. Therefore, other factors outside the health system must be considered to improve health outcomes in the population.

  16. The value of wetlands in protecting southeast louisiana from hurricane storm surges.

    Science.gov (United States)

    Barbier, Edward B; Georgiou, Ioannis Y; Enchelmeyer, Brian; Reed, Denise J

    2013-01-01

    The Indian Ocean tsunami in 2004 and Hurricanes Katrina and Rita in 2005 have spurred global interest in the role of coastal wetlands and vegetation in reducing storm surge and flood damages. Evidence that coastal wetlands reduce storm surge and attenuate waves is often cited in support of restoring Gulf Coast wetlands to protect coastal communities and property from hurricane damage. Yet interdisciplinary studies combining hydrodynamic and economic analysis to explore this relationship for temperate marshes in the Gulf are lacking. By combining hydrodynamic analysis of simulated hurricane storm surges and economic valuation of expected property damages, we show that the presence of coastal marshes and their vegetation has a demonstrable effect on reducing storm surge levels, thus generating significant values in terms of protecting property in southeast Louisiana. Simulations for four storms along a sea to land transect show that surge levels decline with wetland continuity and vegetation roughness. Regressions confirm that wetland continuity and vegetation along the transect are effective in reducing storm surge levels. A 0.1 increase in wetland continuity per meter reduces property damages for the average affected area analyzed in southeast Louisiana, which includes New Orleans, by $99-$133, and a 0.001 increase in vegetation roughness decreases damages by $24-$43. These reduced damages are equivalent to saving 3 to 5 and 1 to 2 properties per storm for the average area, respectively.

  17. Homeland Security is Hometown Security: Comparison and Case Studies of Vertically Synchronized Catastrophe Response Plans

    Science.gov (United States)

    2015-09-01

    Hurricanes Andrew, Hugo , and Katrina resonate as failures where there was little, if any, federal response in the initial hours, which left the depleted...was also initiated by several large scale incidents, including the Three Mile Island Disaster and Hurricanes Hugo and Andrew.67 This evolved at the...persist during large scale disasters, as was demonstrated during Hurricane Katrina and Super Storm Sandy. Catastrophe response planning at the

  18. Hurricane Season: Are You Ready?

    Centers for Disease Control (CDC) Podcasts

    Hurricanes are one of Mother Nature’s most powerful forces. Host Bret Atkins talks with CDC’s National Center for Environmental Health Director Dr. Chris Portier about the main threats of a hurricane and how you can prepare.

  19. Indoor environmental exposures for children with asthma enrolled in the HEAL study, post-Katrina New Orleans.

    Science.gov (United States)

    Grimsley, L Faye; Chulada, Patricia C; Kennedy, Suzanne; White, LuAnn; Wildfire, Jeremy; Cohn, Richard D; Mitchell, Herman; Thornton, Eleanor; El-Dahr, Jane; Mvula, Mosanda M; Sterling, Yvonne; Martin, William J; Stephens, Kevin U; Lichtveld, Maureen

    2012-11-01

    Rain and flooding from Hurricane Katrina resulted in widespread growth of mold and bacteria and production of allergens in New Orleans, Louisiana, which may have led to increased exposures and morbidity in children with asthma. The goal of the Head-off Environmental Asthma in Louisiana (HEAL) study was to characterize post-Katrina exposures to mold and allergens in children with asthma. The homes of 182 children with asthma in New Orleans and surrounding parishes were evaluated by visual inspection, temperature and moisture measurements, and air and dust sampling. Air was collected using vacuum-pump spore traps and analyzed for > 30 mold taxa using bright field microscopy. Dust was collected from the children's beds and bedroom floors and analyzed for mouse (Mus m 1), dust mite (Der p 1), cockroach (Bla g 1), and mold (Alternaria mix) allergens using ELISA. More than half (62%) of the children were living in homes that had been damaged by rain, flooding, or both. Geometric mean indoor and outdoor airborne mold levels were 501 and 3,958 spores/m3, respectively. Alternaria antigen was detected in dust from 98% of homes, with 58% having concentrations > 10 µg/g. Mus m 1, Der p 1, and Bla g 1 were detected in 60%, 35%, and 20% of homes, respectively, at low mean concentrations. Except for Alternaria antigen in dust, concentrations of airborne mold (ratio of indoor to outdoor mold) and dust allergens in the homes of HEAL children were lower than measurements found in other studies, possibly because of extensive post-Katrina mold remediation and renovations, or because children moved into cleaner homes upon returning to New Orleans.

  20. Discipline for Students with Disabilities in the Recovery School District (RSD) of New Orleans

    Science.gov (United States)

    Jeffers, Elizabeth K.

    2014-01-01

    This article focuses on special education in New Orleans post Hurricane Katrina. After Hurricane Katrina, Louisiana's Recovery School District (RSD) took over 102 of the city's 128 schools with the stated goal of creating a "choice district" for parents. This "choice distric"' is made up of RSD direct-run schools, Orleans…

  1. Hurricane Season: Are You Ready?

    Centers for Disease Control (CDC) Podcasts

    2012-09-24

    Hurricanes are one of Mother Nature’s most powerful forces. Host Bret Atkins talks with CDC’s National Center for Environmental Health Director Dr. Chris Portier about the main threats of a hurricane and how you can prepare.  Created: 9/24/2012 by Office of Public Health Preparedness and Response (OPHPR), National Center for Environmental Health (NCEH), and the Agency for Toxic Substances and Disease Registry (ATSDR).   Date Released: 9/24/2012.

  2. Impact on Primary Care Access Post-Disaster: A Case Study From the Rockaway Peninsula.

    Science.gov (United States)

    Sood, Rishi K; Bocour, Angelica; Kumar, Supriya; Guclu, Hasan; Potter, Margaret; Shah, Tanya B

    2016-06-01

    Assess Hurricane Sandy's impact on primary care providers' services in the Rockaways. In-person surveys were conducted in 2014. A list of 46 health care sites in the area of interest was compiled and each site was called to offer participation in our survey. Respondents included physicians and practice administrators who remained familiar with Sandy-related operational challenges. Of the 40 sites that opted in, most had been in their current location for more than 10 years (73%) and were a small practice (1 or 2 physicians) before Hurricane Sandy (75%). All but 2 (95%) had to temporarily close or relocate. All sites experienced electrical problems that impacted landline, fax, and Internet. Less than one-quarter (n = 9) reported having a plan for continuity of services before Hurricane Sandy, and 43% reported having a plan poststorm. The majority (80%) did not report coordinating with other primary care stakeholders or receiving support from government agencies during the Sandy response. Hurricane Sandy significantly disrupted access to primary care in the Rockaways. Severe impact to site operations and infrastructure forced many practices to relocate. Greater emergency response and recovery planning is needed, including with government agencies, to minimize disruptions of access to primary care during disaster recovery. (Disaster Med Public Health Preparedness. 2016;10:492-495).

  3. The melding of drug markets in Houston after Katrina: dealer and user perspectives.

    Science.gov (United States)

    Kotarba, Joseph A; Fackler, Jennifer; Johnson, Bruce D; Dunlap, Eloise

    2010-07-01

    In the aftermath of Hurricane Katrina, the majority of routine activities in New Orleans were disrupted, including the illegal drug market. The large-scale relocation of New Orleans evacuees (NOEs), including many illegal drug users and sellers, to host cities led to a need for new sources of illegal drugs. This need was quickly satisfied by two initially distinct drug markets (1) drug dealers from New Orleans who were themselves evacuees and (2) established drug dealers in the host cities. To be expected, the two markets did not operate indefinitely in parallel fashion. This paper describes the evolving, operational relationship between these two drug markets over time, with a focus on Houston. We analyze the reciprocal evolution of these two markets at two significant points in time: at the beginning of the relocation (2005) and two years later (2007). The overall trend is towards a melding of the two drug markets, as evidenced primarily by decreases in drug-related violence and the cross-fertilization of drug tastes. We describe the process by which the two drug markets are melded over time, in order to seek a better understanding of the social processes by which drug markets in general evolve.

  4. Female hurricanes are deadlier than male hurricanes.

    Science.gov (United States)

    Jung, Kiju; Shavitt, Sharon; Viswanathan, Madhu; Hilbe, Joseph M

    2014-06-17

    Do people judge hurricane risks in the context of gender-based expectations? We use more than six decades of death rates from US hurricanes to show that feminine-named hurricanes cause significantly more deaths than do masculine-named hurricanes. Laboratory experiments indicate that this is because hurricane names lead to gender-based expectations about severity and this, in turn, guides respondents' preparedness to take protective action. This finding indicates an unfortunate and unintended consequence of the gendered naming of hurricanes, with important implications for policymakers, media practitioners, and the general public concerning hurricane communication and preparedness.

  5. How a Beacon Community Program in New Orleans Helped Create a Better Health Care System by Building Relationships before Technology.

    Science.gov (United States)

    Khurshid, Anjum; Brown, Lisanne

    2014-01-01

    In the aftermath of Hurricane Katrina, much of New Orleans' healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans' large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce technology improvements based on their input and on their terms. The purpose of this paper is to describe how those partnerships were wrought, including the innovative use of a conceptual framework, and how they are being sustained; how different technologies were and are being introduced; and what the results have been so far. Past successful community experiences, as well as a proven conceptual framework, were used to help establish community partnerships and governance structures, as well as to demonstrate their linkages. This paper represents a compilation of reports and information from key Beacon leaders, staff and providers and their firsthand experiences in setting up those structures, as well as their conclusions. The community partnerships proved extremely successful in not only devising successful ways to introduce new technology into healthcare settings, but in sustaining those changes by creating a governance structure that has enough fluidity to adapt to changing circumstances. Building and developing community partnerships takes time and effort; however, these relationships are necessary and essential to introducing and sustaining new technologies in a healthcare setting and should be a first step for any organization looking to accomplish such goals.

  6. Renovating Charity Hospital or building a new hospital in post-Katrina New Orleans: economic rationale versus political will.

    Science.gov (United States)

    Leleu, Hervé; Moises, James; Valdmanis, Vivian Grace

    2013-02-01

    Since September 2005, Charity Hospital of New Orleans has been closed due to Hurricane Katrina. A debate following the closing arose about whether this public hospital should be renovated or a new medical center affiliated with the Louisiana State University should be built. Using academic literature, government statistics, and popular press reports, we describe the economic implications that support the view that Charity Hospital should have been renovated. We also address why this policy was not pursued by demonstrating the influence politics and individual stakeholders (specifically, Louisiana State University) had on the eventual policy pursued. In this commentary we also note the political identity movement away from public-sector provision of services to private-sector interests.

  7. The Impact of Microphysics on Intensity and Structure of Hurricanes and Mesoscale Convective Systems

    Science.gov (United States)

    Tao, Wei-Kuo; Shi, Jainn J.; Jou, Ben Jong-Dao; Lee, Wen-Chau; Lin, Pay-Liam; Chang, Mei-Yu

    2007-01-01

    During the past decade, both research and operational numerical weather prediction models, e.g. Weather Research and Forecast (WRF) model, have started using more complex microphysical schemes originally developed for high-resolution cloud resolving models (CRMs) with a 1-2 km or less horizontal resolutions. WRF is a next-generation mesoscale forecast model and assimilation system that has incorporated modern software framework, advanced dynamics, numeric and data assimilation techniques, a multiple moveable nesting capability, and improved physical packages. WRF model can be used for a wide range of applications, from idealized research to operational forecasting, with an emphasis on horizontal grid sizes in the range of 1-10 km. The current WRF includes several different microphysics options such as Purdue Lin et al. (1983), WSM 6-class and Thompson microphysics schemes. We have recently implemented three sophisticated cloud microphysics schemes into WRF. The cloud microphysics schemes have been extensively tested and applied for different mesoscale systems in different geographical locations. The performances of these schemes have been compared to those from other WRF microphysics options. We are performing sensitivity tests in using WRF to examine the impact of six different cloud microphysical schemes on precipitation processes associated hurricanes and mesoscale convective systems developed at different geographic locations [Oklahoma (IHOP), Louisiana (Hurricane Katrina), Canada (C3VP - snow events), Washington (fire storm), India (Monsoon), Taiwan (TiMREX - terrain)]. We will determine the microphysical schemes for good simulated convective systems in these geographic locations. We are also performing the inline tracer calculation to comprehend the physical processes (i.e., boundary layer and each quadrant in the boundary layer) related to the development and structure of hurricanes and mesoscale convective systems.

  8. Validation of a 10-item care-related regret intensity scale (RIS-10) for health care professionals.

    Science.gov (United States)

    Courvoisier, Delphine S; Cullati, Stéphane; Haller, Chiara S; Schmidt, Ralph E; Haller, Guy; Agoritsas, Thomas; Perneger, Thomas V

    2013-03-01

    Regret after one of the many decisions and interventions that health care professionals make every day can have an impact on their own health and quality of life, and on their patient care practices. To validate a new care-related regret intensity scale (RIS) for health care professionals. Retrospective cross-sectional cohort study with a 1-month follow-up (test-retest) in a French-speaking University Hospital. A total of 469 nurses and physicians responded to the survey, and 175 answered the retest. RIS, self-report questions on the context of the regret-inducing event, its consequences for the patient, involvement of the health care professionals, and changes in patient care practices after the event. We measured the impact of regret intensity on health care professionals with the satisfaction with life scale, the SF-36 first question (self-reported health), and a question on self-esteem. On the basis of factor analysis and item response analysis, the initial 19-item scale was shortened to 10 items. The resulting scale (RIS-10) was unidimensional and had high internal consistency (α=0.87) and acceptable test-retest reliability (0.70). Higher regret intensity was associated with (a) more consequences for the patient; (b) lower life satisfaction and poorer self-reported health in health care professionals; and (c) changes in patient care practices. Nurses reported analyzing the event and apologizing, whereas physicians reported talking preferentially to colleagues, rather than to their supervisor, about changing practices. The RIS is a valid and reliable measure of care-related regret intensity for hospital-based physicians and nurses.

  9. The puzzle of Fran: home healthcare in a hurricane.

    Science.gov (United States)

    King, D

    1998-10-01

    A natural disaster in the form of Hurricane Fran resulted not only in stories of ingenuity and compassion, but in a major performance improvement (PI) process for the entire agency. Through this PI process we learned about ourselves as a home health agency and discovered ways to improve our performance. More importantly we discovered ways to improve patient tracking and care during a disaster.

  10. Unit Nonresponse in a Population-Based Study of Prostate Cancer.

    Directory of Open Access Journals (Sweden)

    Evrim Oral

    Full Text Available Low unit response rates can increase bias and compromise study validity. Response rates have continued to fall over the past decade despite all efforts to increase participation. Many factors have been linked to reduced response, yet relatively few studies have employed multivariate approaches to identify characteristics that differentiate respondents from nonrespondents since it is hard to collect information on the latter. We aimed to assess factors contributing to enrollment of prostate cancer (PCa patients. We combined data from the North Carolina-Louisiana (LA PCa Project's LA cohort, with additional sources such as US census tract and LA tumor registry data. We included specific analyses focusing on blacks, a group often identified as hard to enroll in health-related research. The ability to study the effect of Hurricane Katrina, which occurred amidst enrollment, as a potential determinant of nonresponse makes our study unique. Older age (≥ 70 for blacks (OR 0.65 and study phase with respect to Hurricane Katrina for both races (OR 0.59 for blacks, OR 0.48 for whites were significant predictors of participation with lower odds. Neighborhood poverty for whites (OR 1.53 also was a significant predictor of participation, but with higher odds. Among blacks, residence in Orleans parish was associated with lower odds of participation (OR 0.33 before Katrina. The opposite occurred in whites, with lower odds (OR 0.43 after Katrina. Our results overall underscore the importance of tailoring enrollment approaches to specific target population characteristics to confront the challenges posed by nonresponse. Our results also show that recruitment-related factors may change when outside forces bring major alterations to a population's environment and demographics.

  11. Building infrastructure to prevent disasters like Hurricane Maria

    Science.gov (United States)

    Bandaragoda, C.; Phuong, J.; Mooney, S.; Stephens, K.; Istanbulluoglu, E.; Pieper, K.; Rhoads, W.; Edwards, M.; Pruden, A.; Bales, J.; Clark, E.; Brazil, L.; Leon, M.; McDowell, W. G.; Horsburgh, J. S.; Tarboton, D. G.; Jones, A. S.; Hutton, E.; Tucker, G. E.; McCready, L.; Peckham, S. D.; Lenhardt, W. C.; Idaszak, R.

    2017-12-01

    2000 words Recovery efforts from natural disasters can be more efficient with data-driven information on current needs and future risks. We aim to advance open-source software infrastructure to support scientific investigation and data-driven decision making with a prototype system using a water quality assessment developed to investigate post-Hurricane Maria drinking water contamination in Puerto Rico. The widespread disruption of water treatment processes and uncertain drinking water quality within distribution systems in Puerto Rico poses risk to human health. However, there is no existing digital infrastructure to scientifically determine the impacts of the hurricane. After every natural disaster, it is difficult to answer elementary questions on how to provide high quality water supplies and health services. This project will archive and make accessible data on environmental variables unique to Puerto Rico, damage caused by Hurricane Maria, and will begin to address time sensitive needs of citizens. The initial focus is to work directly with public utilities to collect and archive samples of biological and inorganic drinking water quality. Our goal is to advance understanding of how the severity of a hazard to human health (e.g., no access to safe culinary water) is related to the sophistication, connectivity, and operations of the physical and related digital infrastructure systems. By rapidly collecting data in the early stages of recovery, we will test the design of an integrated cyberinfrastructure system to for usability of environmental and health data to understand the impacts from natural disasters. We will test and stress the CUAHSI HydroShare data publication mechanisms and capabilities to (1) assess the spatial and temporal presence of waterborne pathogens in public water systems impacted by a natural disaster, (2) demonstrate usability of HydroShare as a clearinghouse to centralize selected datasets related to Hurricane Maria, and (3) develop a

  12. The Situational Small World of a Post-Disaster Community: Insights into Information Behaviors after the Devastation of Hurricane Katrina in Slidell, Louisiana

    Science.gov (United States)

    Slagle, Tisha Anne

    2010-01-01

    Catastrophes like Katrina destroy a community's critical infrastructure--a situation that instigates several dilemmas. Immediately, the community experiences information disruption within the community, as well as between the community and the outside world. The inability to communicate because of physical or virtual barriers to information…

  13. Storm Impact and Depression Among Older Adults Living in Hurricane Sandy-Affected Areas.

    Science.gov (United States)

    Sirey, Jo Anne; Berman, Jacquelin; Halkett, Ashley; Giunta, Nancy; Kerrigan, Janice; Raeifar, Elmira; Artis, Amanda; Banerjee, Samprit; Raue, Patrick J

    2017-02-01

    Research on the impact of natural disasters on the mental health of older adults finds both vulnerabilities and resilience. We report on the rates of clinically significant depression among older adults (aged ≥60 years) living in areas affected by Hurricane Sandy in 2012 and the factors associated with mental health need. The Sandy Mobilization, Assessment, Referral and Treatment for Mental Health (SMART-MH) program integrates community outreach and needs assessments to identify older adults with mental health and aging service needs. Older adults with significant anxiety or depressive symptoms were offered short-term psychotherapy. Social service referrals were made directly to community agencies. All SMART-MH activities were offered in Spanish, Russian, Mandarin/Cantonese, and English. Across the full sample, 14% of participants screened positive for depression. Hurricane Sandy stressors predicted increased odds of depression, including storm injury, post-storm crime, and the total count of stressors. Outcomes varied significantly by age group, such that all Sandy-related variables remained significant for younger-old adults (aged 60-74 years), whereas only the loss of access to medical care was significant for older-old adults (aged ≥75 years). Storm-affected communities show higher rates of depressive symptoms than seen in the general population, with storm stressors affecting mental health needs differentially by age group. (Disaster Med Public Health Preparedness. 2017;11:97-109).

  14. Katrina Millard | IDRC - International Development Research Centre

    International Development Research Centre (IDRC) Digital Library (Canada)

    Katrina Millard is the Director of Grant Administration. Katrina has held various positions in IDRC's Finance and Administration and Grant Administration divisions, as well as in the Office of the Vice-President, Resources. She has gained a range of professional experience from these positions, both on a corporate level and ...

  15. Elements of patient-health-care provider communication related to cardiovascular rehabilitation referral.

    Science.gov (United States)

    Pourhabib, Sanam; Chessex, Caroline; Murray, Judy; Grace, Sherry L

    2016-04-01

    Cardiovascular rehabilitation has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-health-care provider interactions regarding cardiovascular rehabilitation and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their health-care providers. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 health-care providers and 50 patients were recorded. Cardiovascular rehabilitation referral was related to greater health-care provider interactivity (odds ratio = 2.82, 95% confidence interval = 1.01-7.86) and less patient concern and worry (odds ratio = 0.64, 95% confidence interval = 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral. © The Author(s) 2014.

  16. Health-related quality of life of patients of Brazilian primary health care

    Directory of Open Access Journals (Sweden)

    Bruna de Oliveira Ascef

    2017-11-01

    Full Text Available ABSTRACT OBJECTIVE To analyze the Health-Related Quality of Life (HRQoL of patients of the primary health care of the Brazilian Unified Health System (SUS and its associated factors. METHODS This is a cross-sectional study with data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015. Data were collected with a questionnaire that included the EuroQol 5 Dimensions (EQ-5D instrument. Patients from the five regions of Brazil were interviewed. Multiple linear regression was used to analyze their Health-Related Quality of Life and its associated factors. RESULTS Of the total of 8,590 patients, the most frequent dimensions were pain/discomfort (50.7% and anxiety/depression (38.8%. About 10% of the patients reported extreme problems in these dimensions. The following factors were significantly associated with a worse quality of life: being female; having arthritis, osteoarthritis, or rheumatism; cerebrovascular accident; heart disease; depression; health self-assessment as poor or very poor; drinking alcoholic beverages once or more per month; dieting to lose weight, avoiding salt consumption, and reducing fat intake. Significant association was observed between a better quality of life and: living in the North and Southeast regions of Brazil; practicing physical activities; and having a higher educational level. No association was observed with factors related to the health services. CONCLUSIONS The Health-Related Quality of Life of patients was influenced by demographic and socioeconomic factors that were related to health conditions and lifestyle, being useful to guide specific actions for promoting health and the integral care to patients of the Brazilian Unified Health System.

  17. Safety and design impact of hurricane Andrew

    International Nuclear Information System (INIS)

    Guey, Ching N.

    2004-01-01

    Turkey Point completed the IPE in June of 1991. Hurricane Andrew landed at Turkey Point on August 24, 1992. Although the safety related systems, components and structures were not damaged by the Hurricane Andrew, certain nonsafety related components and the neighboring fossil plant sustained noticeable damage. Among the major components that were nonsafety related but would affect the PRA of the plant included the service water pumps and the high tower. This paper discusses the safety and design impact of Hurricane Andrew on Turkey Point Nuclear Power Plant. The risk of hurricanes on the interim and evolving plant configurations are briefly described. The risk of the plant from internal events as a result of damage incurred during Hurricane Andrew are discussed. The design change as the result of Hurricane Andrew and its impact on the PRA are presented. (author)

  18. Emergency Response Imagery Related to Hurricanes Harvey, Irma, and Maria

    Science.gov (United States)

    Worthem, A. V.; Madore, B.; Imahori, G.; Woolard, J.; Sellars, J.; Halbach, A.; Helmricks, D.; Quarrick, J.

    2017-12-01

    NOAA's National Geodetic Survey (NGS) and Remote Sensing Division acquired and rapidly disseminated emergency response imagery related to the three recent hurricanes Harvey, Irma, and Maria. Aerial imagery was collected using a Trimble Digital Sensor System, a high-resolution digital camera, by means of NOAA's King Air 350ER and DeHavilland Twin Otter (DHC-6) Aircraft. The emergency response images are used to assess the before and after effects of the hurricanes' damage. The imagery aids emergency responders, such as FEMA, Coast Guard, and other state and local governments, in developing recovery strategies and efforts by prioritizing areas most affected and distributing appropriate resources. Collected imagery is also used to provide damage assessment for use in long-term recovery and rebuilding efforts. Additionally, the imagery allows for those evacuated persons to see images of their homes and neighborhoods remotely. Each of the individual images are processed through ortho-rectification and merged into a uniform mosaic image. These remotely sensed datasets are publically available, and often used by web-based map servers as well as, federal, state, and local government agencies. This poster will show the imagery collected for these three hurricanes and the processes involved in getting data quickly into the hands of those that need it most.

  19. Chronic care model in primary care: can it improve health-related quality of life?

    Directory of Open Access Journals (Sweden)

    Aryani FMY

    2016-01-01

    Full Text Available Faridah Md Yusof Aryani,1 Shaun Wen Huey Lee,2 Siew Siang Chua,3 Li Ching Kok,4 Benny Efendie,2 Thomas Paraidathathu5 1Pharmaceutical Services Division, Ministry of Health Malaysia, Petaling Jaya, 2School of Pharmacy, Monash University Malaysia, Bandar Sunway, 3Department of Pharmacy, Faculty of Medicine, University of Malaya, 4Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur, 5School of Pharmacy, Taylor’s University, Subang Jaya, Selangor, Malaysia Purpose: Chronic diseases such as hypertension, diabetes mellitus, and hyperlipidemia are public health concerns. However, little is known about how these affect patient-level health measures. The aim of the study was to examine the impact of a chronic care model (CCM on the participant’s health-related quality of life (QoL. Patients and methods: Participants received either usual care or CCM by a team of health care professionals including pharmacists, nurses, dietitians, and general practitioners. The participants in the intervention group received medication counseling, adherence, and dietary advice from the health care team. The QoL was measured using the EQ-5D (EuroQoL-five dimension, health-related quality of life questionnaire and comparison was made between usual care and intervention groups at the beginning and end of the study at 6 months. Results: Mean (standard deviation EQ-5D index scores improved significantly in the intervention group (0.92±0.10 vs 0.95±0.08; P≤0.01, but not in the usual care group (0.94±0.09 vs 0.95±0.09; P=0.084. Similarly, more participants in the intervention group reported improvements in their QoL compared with the usual care group, especially in the pain/discomfort and anxiety/depression dimensions. Conclusion: The implementation of the CCM resulted in significant improvement in QoL. An interdisciplinary team CCM approach should be encouraged, to ultimately result in behavior changes and improve the QoL of the patients. Keywords: diabetes

  20. Windstorm Impact Reduction Implementation Plan

    National Research Council Canada - National Science Library

    2007-01-01

    The tragedy caused by Hurricanes Katrina and Rita in August and September 2005, the unprecedented hurricane season of 2004 in which five hurricanes made landfall in Florida, and the May 1999 outbreak...

  1. The Chaos of Katrina

    National Research Council Canada - National Science Library

    Morris, Jr, Gerald W

    2007-01-01

    .... The study investigates whether chaos theory, part of complexity science, can extract information from Katrina contracting data to help managers make better logistics decisions during disaster relief operations...

  2. Predicting hurricane wind damage by claim payout based on Hurricane Ike in Texas

    Directory of Open Access Journals (Sweden)

    Ji-Myong Kim

    2016-09-01

    Full Text Available The increasing occurrence of natural disasters and their related damage have led to a growing demand for models that predict financial loss. Although considerable research on the financial losses related to natural disasters has found significant predictors, there has been a lack of comprehensive study that addresses the relationship among vulnerabilities, natural disasters, and the economic losses of individual buildings. This study identifies the vulnerability indicators for hurricanes to establish a metric to predict the related financial loss. We classify hurricane-prone areas by highlighting the spatial distribution of losses and vulnerabilities. This study used a Geographical Information System (GIS to combine and produce spatial data and a multiple regression method to establish a wind damage prediction model. As the dependent variable, we used the value of the Texas Windstorm Insurance Association (TWIA claim payout divided by the appraised values of the buildings to predict real economic loss. As independent variables, we selected a hurricane indicator and built environment vulnerability indicators. The model we developed can be used by government agencies and insurance companies to predict hurricane wind damage.

  3. Medicaid program; health care-related taxes. Final rule.

    Science.gov (United States)

    2009-06-30

    This rule finalizes our proposal to delay enforcement of certain clarifications regarding standards for determining hold harmless arrangements in the final rule entitled, "Medicaid Program; Health Care-Related Taxes" from the expiration of a Congressional moratorium on enforcement from July 1, 2009 to June 30, 2010.

  4. 76 FR 17867 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2011-03-31

    .... Proposed Project Registration of Individuals Displaced by the Hurricanes Katrina and Rita (Pilot Project... objective and credible research, of air quality conditions present in FEMA housing units to guide FEMA...-term study of the health effects among residents if feasible. Formaldehyde testing conducted and...

  5. 30 CFR 250.192 - What reports and statistics must I submit relating to a hurricane, earthquake, or other natural...

    Science.gov (United States)

    2010-07-01

    ... relating to a hurricane, earthquake, or other natural occurrence? 250.192 Section 250.192 Mineral Resources... statistics must I submit relating to a hurricane, earthquake, or other natural occurrence? (a) You must... tropical storm, or an earthquake. Statistics include facilities and rigs evacuated and the amount of...

  6. Assessment of Risk of Cholera in Haiti following Hurricane Matthew.

    Science.gov (United States)

    Khan, Rakib; Anwar, Rifat; Akanda, Shafqat; McDonald, Michael D; Huq, Anwar; Jutla, Antarpreet; Colwell, Rita

    2017-09-01

    Damage to the inferior and fragile water and sanitation infrastructure of Haiti after Hurricane Matthew has created an urgent public health emergency in terms of likelihood of cholera occurring in the human population. Using satellite-derived data on precipitation, gridded air temperature, and hurricane path and with information on water and sanitation (WASH) infrastructure, we tracked changing environmental conditions conducive for growth of pathogenic vibrios. Based on these data, we predicted and validated the likelihood of cholera cases occurring past hurricane. The risk of cholera in the southwestern part of Haiti remained relatively high since November 2016 to the present. Findings of this study provide a contemporary process for monitoring ground conditions that can guide public health intervention to control cholera in human population by providing access to vaccines, safe WASH facilities. Assuming current social and behavioral patterns remain constant, it is recommended that WASH infrastructure should be improved and considered a priority especially before 2017 rainy season.

  7. Costs of war: excess health care burdens during the wars in Afghanistan and Iraq (relative to the health care experience pre-war).

    Science.gov (United States)

    2012-11-01

    This report estimates the health care burden related to the wars in Iraq and Afghanistan by calculating the difference between the total health care delivered to U.S. military members during wartime (October 2001 to June 2012) and that which would have been delivered if pre-war (January 1998 to August 2001) rates of ambulatory visits, hospitalizations, and hospital bed days of active component members of the U.S. Armed Forces had persisted during the war. Overall, there were estimated excesses of 17,023,491 ambulatory visits, 66,768 hospitalizations, and 634,720 hospital bed days during the war period relative to that expected based on pre-war experience. Army and Marine Corps members and service members older than 30 accounted for the majority of excess medical care during the war period. The illness/injury-specific category of mental disorders was the single largest contributor to the total estimated excesses of ambulatory visits, hospitalizations, and bed days. The total health care burdens associated with the wars in Afghanistan and Iraq are undoubtedly greater than those enumerated in this report because this analysis did not address care delivered in deployment locations or at sea, care rendered by civilian providers to reserve component members in their home communities, care of veterans by the Departments of Defense and Veterans Affairs, preventive care for the sake of force health protection, and future health care associated with wartime injuries and illnesses.

  8. 7 CFR 701.50 - 2005 hurricanes.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false 2005 hurricanes. 701.50 Section 701.50 Agriculture... ADMINISTERED UNDER THIS PART § 701.50 2005 hurricanes. In addition benefits elsewhere allowed by this part, claims related to calendar year 2005 hurricane losses may be allowed to the extent provided for in §§ 701...

  9. Effects of Stress Related to the Gulf Oil Spill on Child and Adolescent Mental Health.

    Science.gov (United States)

    Osofsky, Joy D; Osofsky, Howard J; Weems, Carl F; Hansel, Tonya C; King, Lucy S

    2016-01-01

    To examine the interactive effects of stress related to the Gulf oil spill on mental health of children and adolescents on the Gulf Coast who were also affected by previous hurricanes. A prospective design, with n = 1,577 youth (aged 3-18 years), evaluated pre-oil spill and again post-oil spill for posttraumatic stress disorder (PTSD) symptoms, previous hurricane exposure, and amount of oil spill stress. Stressors related to the spill were common and were associated with PTSD symptoms. Moreover, there was an interactive effect such that those with high preexisting PTSD symptoms, high previous hurricane exposure, and high oil spill stress had the most elevated post-oil spill PTSD symptoms. This study provides initial evidence linking stress related to the Gulf oil spill to youth mental health symptoms. The effects of the oil spill on youth mental health were most evident among those with cumulative risk. © The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. Cardiovascular Health and Related Health Care Use of Moluccan-Dutch Immigrants.

    Directory of Open Access Journals (Sweden)

    Tim R de Back

    Full Text Available Studies regularly show a higher incidence, prevalence and mortality of cardiovascular disease among immigrant groups from low-income countries. Despite residing in the Netherlands for over 60 years, the Moluccan-Dutch cardiovascular disease profile and health care use are still unknown. We aimed to compare (a the clinical prevalence of cardiovascular diseases and (b the use of health care services by cardiovascular disease patients of 5,532 Moluccan-Dutch to an age-sex matched control group of 55,320 native Dutch.We performed a cross-sectional analysis of data of the Achmea health insurance company for the period of 1 January 2009 to 31 December 2010. We collected information on health care use, including diagnostic information. Linear and logistic regression models were used for comparison.Moluccans had a higher clinical prevalence of ischemic heart diseases (odds ratio 1.26; 95% confidence interval 1.03-1.56, but tended to have a lower prevalence of cerebrovascular accidents (0.79; 0.56-1.11 and cardiac failure (0.67; 0.44-1.03. The clinical prevalence of cardiovascular diseases together tended to be lower among Moluccans (0.90; 0.80-1.00. Consultation of medical specialists did not differ. Angiotensin II inhibitors (1.42; 1.09-1.84, antiplatelet agents (1.27; 1.01-1.59 and statins (1.27; 1.00-1.60 were prescribed more frequently to Moluccans, as were cardiovascular agents in general (1.27; 0.94-1.71.The experience of Moluccans in the Netherlands suggests that, in the long run, cardiovascular risk and related health care use of ethnic minority groups may converge towards that of the majority population.

  11. 77 FR 6801 - Agency for Toxic Substances and Disease Registry; Agency Forms Undergoing Paperwork Reduction Act...

    Science.gov (United States)

    2012-02-09

    ... Individuals Displaced by the Hurricanes Katrina and Rita (Pilot Project)--New--Agency for Toxic Substances and... credible research, of air quality conditions present in FEMA housing units to guide FEMA policy makers and... of the health effects among resident children. Formaldehyde testing conducted and evaluated by the...

  12. High Resolution Hurricane Storm Surge and Inundation Modeling (Invited)

    Science.gov (United States)

    Luettich, R.; Westerink, J. J.

    2010-12-01

    Coastal counties are home to nearly 60% of the U.S. population and industry that accounts for over 16 million jobs and 10% of the U.S. annual gross domestic product. However, these areas are susceptible to some of the most destructive forces in nature, including tsunamis, floods, and severe storm-related hazards. Since 1900, tropical cyclones making landfall on the US Gulf of Mexico Coast have caused more than 9,000 deaths; nearly 2,000 deaths have occurred during the past half century. Tropical cyclone-related adjusted, annualized losses in the US have risen from 1.3 billion from 1949-1989, to 10.1 billion from 1990-1995, and $35.8 billion per year for the period 2001-2005. The risk associated with living and doing business in the coastal areas that are most susceptible to tropical cyclones is exacerbated by rising sea level and changes in the characteristics of severe storms associated with global climate change. In the five years since hurricane Katrina devastated the northern Gulf of Mexico Coast, considerable progress has been made in the development and utilization of high resolution coupled storm surge and wave models. Recent progress will be presented with the ADCIRC + SWAN storm surge and wave models. These tightly coupled models use a common unstructured grid in the horizontal that is capable of covering large areas while also providing high resolution (i.e., base resolution down to 20m plus smaller subgrid scale features such as sea walls and levees) in areas that are subject to surge and inundation. Hydrodynamic friction and overland winds are adjusted to account for local land cover. The models scale extremely well on modern high performance computers allowing rapid turnaround on large numbers of compute cores. The models have been adopted for FEMA National Flood Insurance Program studies, hurricane protection system design and risk analysis, and quasi-operational forecast systems for several regions of the country. They are also being evaluated as

  13. Characterization of Carbon Monoxide Exposure During Hurricane Sandy and Subsequent Nor'easter.

    Science.gov (United States)

    Schnall, Amy; Law, Royal; Heinzerling, Amy; Sircar, Kanta; Damon, Scott; Yip, Fuyuen; Schier, Josh; Bayleyegn, Tesfaye; Wolkin, Amy

    2017-10-01

    Carbon monoxide (CO) is an odorless, colorless gas produced by fossil fuel combustion. On October 29, 2012, Hurricane Sandy moved ashore near Atlantic City, New Jersey, causing widespread morbidity and mortality, $30 to $50 billion in economic damage, and 8.5 million households to be without power. The combination of power outages and unusually low temperatures led people to use alternate power sources, placing many at risk for CO exposure. We examined Hurricane Sandy-related CO exposures from multiple perspectives to help identify risk factors and develop strategies to prevent future exposures. This report combined data from 3 separate sources (health departments, poison centers via the National Poison Data System, and state and local public information officers). Results indicated that the number of CO exposures in the wake of Hurricane Sandy was significantly greater than in previous years. The persons affected were mostly females and those in younger age categories and, despite messaging, most CO exposures occurred from improper generator use. Our findings emphasize the continued importance of CO-related communication and ongoing surveillance of CO exposures to support public health response and prevention during and after disasters. Additionally, regional poison centers can be a critical resource for potential on-site management, public health promotion, and disaster-related CO exposure surveillance. (Disaster Med Public Health Preparedness. 2017;11:562-567).

  14. The effects of age, gender, and crash types on drivers' injury-related health care costs.

    Science.gov (United States)

    Shen, Sijun; Neyens, David M

    2015-04-01

    There are many studies that evaluate the effects of age, gender, and crash types on crash related injury severity. However, few studies investigate the effects of those crash factors on the crash related health care costs for drivers that are transported to hospital. The purpose of this study is to examine the relationships between drivers' age, gender, and the crash types, as well as other crash characteristics (e.g., not wearing a seatbelt, weather condition, and fatigued driving), on the crash related health care costs. The South Carolina Crash Outcome Data Evaluation System (SC CODES) from 2005 to 2007 was used to construct six separate hierarchical linear regression models based on drivers' age and gender. The results suggest that older drivers have higher health care costs than younger drivers and male drivers tend to have higher health care costs than female drivers in the same age group. Overall, single vehicle crashes had the highest health care costs for all drivers. For males older than 64-years old sideswipe crashes are as costly as single vehicle crashes. In general, not wearing a seatbelt, airbag deployment, and speeding were found to be associated with higher health care costs. Distraction-related crashes are more likely to be associated with lower health care costs in most cases. Furthermore this study highlights the value of considering drivers in subgroups, as some factors have different effects on health care costs in different driver groups. Developing an understanding of longer term outcomes of crashes and their characteristics can lead to improvements in vehicle technology, educational materials, and interventions to reduce crash-related health care costs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. The Impact of Hurricanes Katrina and Rita on People with Disabilities: A Look Back and Remaining Challenges

    Science.gov (United States)

    Powell, Robyn; Gilbert, Sheldon

    2006-01-01

    This paper focuses on the effects of the hurricanes on people with all types of disabilities. The National Council on Disability (NCD) released another report that addressed in detail the specific challenges for people with psychiatric disabilities. Please refer to "The Needs of People with Psychiatric Disabilities During and After Hurricanes…

  16. Multidisciplinary program for stress-related disease in primary health care

    Directory of Open Access Journals (Sweden)

    Eva Ekvall Hansson

    2009-05-01

    Full Text Available Eva Ekvall Hansson1, Eva Håkansson2, Annelie Raushed2, Anders Håkansson1 1Lund University, Department of Clinical Sciences in Malmö/General Practice, Malmö, Sweden; 2Primary Health Care Malmö, SwedenObjective: To describe a multidisciplinary program, given by an occupational therapist and a physiotherapist, for patients with stress-related disease in primary health care and to measure the effect of this program in terms of self-perceived health, degree of burnout, physical activity, symptoms, recreational activities, and psychological and physical well-being.Method: Retrospective study.Results: At measures after three months, the thirteen patients included in this study had improved in self-estimated health, measured with EuroQol-5D Visual Analogue Scale (p = 0.000, and in degree of burnout, measured with the Shirom–Melamed Burnout Questionnaire (p = 0.001. There was also a decrease in presence of headache, in physical activity and in satisfaction with leisure time, although not statistically significant. After six months, the improvements remained for all measures except physical activity. The patients were also satisfied with the program to a high degree, measured with Client Satisfaction Questionnaire (median 3.7.Conclusion: This descriptive study shows that a stress-management program, provided by a team including an occupational therapist and a physiotherapist in primary health care, is both feasible and effective in terms of self-estimated health, degree of burnout, and patient satisfaction. Keywords: stress-related health, burnout, occupational therapy, physiotherapy

  17. Emergency Preparedness and Professional Competency Among Health Care Providers During Hurricanes Katrina and Rita

    Science.gov (United States)

    2008-04-09

    and Prevention cooperative agreements should help to reverse the problem, but it will not be a cure . Years of chronic underfunding and lack of planning...the absentee rate at 30-50% ’FLU of the EMS workforce, the same as the expected national rate) This lack of staffing will place an additional burden...difference Estimates put the absentee rate of the EMS workforce at 30-50%. This will place an additional burden on those who are able to work. should also

  18. Co-occurrence of substance use related and mental health problems in the Finnish social and health care system.

    Science.gov (United States)

    Kuussaari, Kristiina; Hirschovits-Gerz, Tanja

    2016-03-01

    Many studies have noted that substance abuse and mental health problems often occur simultaneously. The aim of the work reported here was to study the co-occurrence of mental health problems and problems related to substance use in a sample of clients visiting the Finnish social and health care services for issues related to substance use. We collected background information on the clients and considered the parts of the treatment system in which these clients were treated. Survey data on intoxicant-related cases in the Finnish health care and social services were gathered on a single day in 2011. During the 24 hours of data collection, all intoxicant-related cases were reported and data were obtained for 11,738 intoxicant-related cases. In this analysis we took into account the clients' background variables, mental health variables, information on the treatment type and the main reasons for the client being in treatment. The χ(2) test, Fisher's exact test and binary logistic regression analysis were used. Half of the visiting clients had both substance use related and mental health problems. The strongest factors associated with the co-occurrence of substance use related and mental health problems were female sex, younger age and single marital status. Clients with co-occurring problems were more often treated in the health care services, whereas clients with only substance use related problems were primarily treated in specialized services for the treatment of substance abuse. It is important to identify clients with co-occurring substance use related and mental health problems. In this study, half of the clients presenting to the Finnish social and health care treatment system had both these problems. © 2015 the Nordic Societies of Public Health.

  19. eHealth, Participatory Medicine, and Ethical Care: A Focus Group Study of Patients' and Health Care Providers' Use of Health-Related Internet Information.

    Science.gov (United States)

    Townsend, Anne; Leese, Jenny; Adam, Paul; McDonald, Michael; Li, Linda C; Kerr, Sheila; Backman, Catherine L

    2015-06-22

    The rapid explosion in online digital health resources is seen as transformational, accelerating the shift from traditionally passive patients to patients as partners and altering the patient-health care professional (HCP) relationship. Patients with chronic conditions are increasingly engaged, enabled, and empowered to be partners in their care and encouraged to take responsibility for managing their conditions with HCP support. In this paper, we focus on patients' and HCPs' use of health-related Internet information and how it influences the patient-HCP relationship. In particular, we examine the challenges emerging in medical encounters as roles and relationships shift and apply a conceptual framework of relational ethics to examine explicit and nuanced ethical dimensions emerging in patient-HCP interactions as both parties make increased use of health-related Internet information. We purposively sampled patients and HCPs in British Columbia, Canada, to participate in focus groups. To be eligible, patients self-reported a diagnosis of arthritis and at least one other chronic health condition; HCPs reported a caseload with >25% of patients with arthritis and multimorbidity. We used a semistructured, but flexible, discussion guide. All discussions were audiotaped and transcribed verbatim. Elements of grounded theory guided our constant comparison thematic analytic approach. Analysis was iterative. A relational ethics conceptual lens was applied to the data. We recruited 32 participants (18 patients, 14 HCPs). They attended seven focus groups: four with patients and three with rehabilitation professionals and physicians. Predominant themes to emerge were how use of health-related Internet information fostered (1) changing roles, (2) patient-HCP partnerships, and (3) tensions and burdens for patients and HCPs. Relational aspects such as mutual trust, uncertainty, and vulnerability are illuminated in patient-HCP interactions around health-related Internet information

  20. Frequencies and predictors of barriers to mental health service use: a longitudinal study of Hurricane Ike survivors.

    Science.gov (United States)

    Lowe, Sarah R; Fink, David S; Norris, Fran H; Galea, Sandro

    2015-01-01

    The majority of disaster survivors suffering from psychological symptoms do not receive mental health services. Research on barriers to service use among disaster survivors is limited by a lack of longitudinal studies of representative samples and investigations of predictors of barriers. The purpose of this study was to address these limitations through analysis of a three-wave population-based study of Hurricane Ike survivors (N = 658). Frequencies of preference, outcome expectancy, resource, and stigma barriers among participants with unmet mental health needs were documented and logistic regression using a generalized estimating equations approach explored predisposing (e.g., age), illness-related (e.g., posttraumatic stress) and enabling (e.g., insurance coverage) factors as predictors of each type of barrier. Preference barriers were most frequently cited at each wave, whereas stigma barriers were least frequently cited. Older age and higher emotional support predicted preference barriers; being a parent of a child under 18-years old at the time of the hurricane, higher generalized anxiety, and lack of insurance predicted resource barriers; and higher posttraumatic stress predicted stigma barriers. These findings suggest that postdisaster practices targeting subpopulations most likely to have barriers to service use may be indicated.

  1. Constraining Big Hurricanes: Remotely sensing Galveston Islands' changing coastal landscape from days to millennia

    Science.gov (United States)

    Dougherty, A. J.; Choi, J. H.; Heo, S.; Dosseto, A.

    2017-12-01

    Climate change models forecast increased storm intensity, which will drive coastal erosion as sea-level rise accelerates with global warming. Over the last five years the largest hurricanes ever recorded in the Pacific (Patricia) and the Atlantic (Irma) occurred as well as the devastation of Harvey. The preceding decade was marked with Super Storm Sandy, Katrina and Ike. A century prior, the deadliest natural disaster in North America occurred as a category 4 hurricane known as `The 1900 Storm' hit Galveston Island. This research aims to contextualize the impact of storms long before infrastructure and historical/scientific accounts documented erosion. Unlike the majority of barrier islands in the US, Galveston built seaward over the Holocene. As the beach prograded it preserved a history of storms and shoreline change over millennia to the present-day. These systems (called prograded barriers) were first studied over 50 years ago using topographic profiles, sediment cores and radiocarbon dating. This research revisits some of these benchmark study sites to augment existing data utilizing state-of-the-art Light Detection and Ranging (LiDAR), Ground Penetrating Radar (GPR), and Optically Stimulated Luminescence (OSL) techniques. In 2016 GPR and OSL data were collected from Galveston Island, with the aim to combine GPR, OSL and LiDAR (GOaL) to extract a high-resolution geologic record spanning 6,000 years. The resulting millennia-scale coastal evolution can be used to contextualize the impact of historic hurricanes over the past century (`The 1900 Storm'), decade (Ike in 2008) and year (now with Harvey). Preliminary results reveal a recent change in shoreline behaviour, and data from Harvey are currently being accessed within the perspective of these initial findings. This dataset will be discussed with respect to the other two benchmark prograded barriers studied in North America: Nayarit Barrier (Mexico) that Hurricane Patricia passed directly over in 2013 and

  2. Effects of Hurricanes Katrina and Rita on the chemistry of bottom sediments in Lake Pontchartrain, La.: Chapter 7F in Science and the storms-the USGS response to the hurricanes of 2005

    Science.gov (United States)

    Van Metre, Peter C.; Horowitz, Arthur J.; Mahler, Barbara J.; Foreman, William T.; Fuller, Christopher C.; Burkhardt, Mark R.; Elrick, Kent A.; Furlong, Edward T.; Skrobialowski, Stanley C.; Smith, James J.; Wilson, Jennifer T.; Zaugg, Stephen D.

    2007-01-01

    Concerns about the effect of pumping contaminated flood waters into Lake Pontchartrain following the hurricanes of 2005 prompted the U.S. Geological Survey (USGS) to sample street mud, canal-suspended sediment, and bottom sediment in Lake Pontchartain. The samples were analyzed for a wide variety of potential inorganic and organic contaminants. Results indicate that contamination of lake sediment relative to other urban lakes and to accepted sedimentquality guidelines was limited to a relatively small area offshore from the Metairie Outfall Canal (popularly known as the 17th Street Canal) and that this contamination is probably transient.

  3. Gender Disparities in Osteoarthritis-Related Health Care Utilization Before Total Knee Arthroplasty.

    Science.gov (United States)

    Bawa, Harpreet S; Weick, Jack W; Dirschl, Douglas R

    2016-10-01

    Women older than 50 years have higher prevalence of knee osteoarthritis (OA) and experience greater functional disability than men. No studies have examined large populations to identify knee OA-related health care utilization differences. The purpose of this investigation was to evaluate gender differences in the utilization of OA-related health care resources in the 12 months preceding total knee arthroplasty (TKA). Truven Health MarketScan Commercial Claims and Encounters and Medicare Supplemental and Coordination of Benefit databases were reviewed from 2005 to 2012. Subjects were included if they underwent TKA, had associated diagnosis of lower leg OA, and were continuously in the database for 12 months preceding TKA. Patient-specific OA-related health care utilization was identified. Multivariate logistic regression analysis controlling for age, region, and Charlson Comorbidity Index was performed to isolate the influence of gender. A total of 244,059 patients with a mean age of 64.8 years consisting of 61.2% women were included. Multivariate logistic regression adjusted odds ratios showed that when compared to men, women were 30%, 20%, 31%, 18%, 19%, 29%, and 39%, more likely to receive a narcotic analgesic, nonnarcotic analgesics, corticosteroid injection, hyaluronic acid injection, knee magnetic resonance imaging, a physical therapy evaluation, and occupational therapy evaluation in the 12 months preceding TKA, respectively. Women have a significantly higher utilization of knee OA-related health care in the 12 months preceding TKA. Although the precise cause for this discrepancy in care cannot be determined from this study, it highlights a potential bias in management of advanced knee OA and directions for further investigation. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. The chronic care model and relationships to patient health status and health-related quality of life.

    Science.gov (United States)

    Hung, Dorothy Y; Glasgow, Russell E; Dickinson, L Miriam; Froshaug, Desireé B; Fernald, Douglas H; Balasubramanian, Bijal A; Green, Larry A

    2008-11-01

    The chronic care model (CCM) is a system-level framework used to guide quality improvement efforts in health care. However, little is known about its relationship to patient-level health measures. This study describes the implementation of the CCM as adapted for prevention and health behavior counseling in primary care practices, and examines relationships between the CCM and patient health measures, including general health status and health-related quality of life (HRQOL). Baseline data from Round 2 of the Prescription for Health initiative (2005-2007) were used to assess CCM implementation in 57 practices located nationwide. Relationships between the CCM and three separate measures of health among 4735 patients were analyzed in 2007. A hierarchical generalized linear modeling approach to ordinal regression was used to estimate categories of general health status, unhealthy days, and activity-limiting days, adjusting for patient covariates and clustering effects. Outcome variances were significantly accounted for by differences in practice characteristics (pPractices that used individual or group planned visits were more likely to see patients in lower health categories across all measures (OR=0.74-0.81, pPractices that used patient registries, health promotion champions, evidence-based guidelines, publicly reported performance measures, and support for behavior change were associated with higher patient health levels (OR=1.28-1.98, ppractice's implementation of the CCM was significantly related to patient health status and HRQOL. Adapting the CCM for prevention may serve to reorient care delivery toward more proactive behavior change and improvements in patient health outcomes.

  5. Hurricane impact and recovery shoreline change analysis of the Chandeleur Islands, Louisiana, USA: 1855 to 2005

    Science.gov (United States)

    Fearnley, Sarah Mary; Miner, Michael D.; Kulp, Mark; Bohling, Carl; Penland, Shea

    2009-12-01

    Results from historical (1855-2005) shoreline change analysis conducted along the Chandeleur Islands, Louisiana demonstrate that tropical cyclone frequency dominates the long-term evolution of this barrier island chain. Island area decreased at a rate of -0.16 km2/year for the relatively quiescent time period up until 1996, when an increase in tropical cyclone frequency accelerated this island area reduction to a rate of -1.01 km2/year. More frequent hurricanes also affected shoreline retreat rates, which increased from -11.4 m/year between 1922 and 1996 to -41.9 m/year between 1982 and 2005. The erosional impact caused by the passage of Hurricane Katrina in 2005 was unprecedented. Between 2004 and 2005, the shoreline of the northern islands retreated -201.5 m/year, compared with an average retreat rate of -38.4 m/year between 1922 and 2004. A linear regression analysis of shoreline change predicts that, as early as 2013, the backbarrier marsh that serves to stabilize the barrier island chain will be completely destroyed if storm frequency observed during the past decade persists. If storm frequency decreases to pre-1996 recurrence intervals, the backbarrier marsh is predicted to remain until 2037. Southern portions of the barrier island chain where backbarrier marsh is now absent behave as ephemeral islands that are destroyed after storm impacts and reemerge during extended periods of calm weather, a coastal behavior that will eventually characterize the entire island chain.

  6. The U.S. Navy in the World (2001-2010): Context for U.S. Navy Capstone Strategies and Concepts

    Science.gov (United States)

    2011-12-01

    NOCJO, Fleet Response Plan NSP ISO POM 08 NOC Rumsfeld Winter Iraq ABOT attack Indian Ocean tsunami Hurricane Katrina Bali terror bombings OEF begins...Colombia Cuban Communist anti-US leadership transition uncertainties  Increasing Venezuelan hostility to US Anti-American & authoritarian Hugo Chavez...disasters hit US Gulf Coast  Hurricane Katrina (Aug 2005) Deepwater Horizon Oil Spill (2010) 53 54 2000s: The nation (VI)  Press reporting on military

  7. Mental health care use in relation to depressive symptoms among pregnant women in the USA.

    Science.gov (United States)

    Byatt, Nancy; Xiao, Rui S; Dinh, Kate H; Waring, Molly E

    2016-02-01

    We examined mental health care use in relation to depressive symptoms (Patient Health Questionnaire (PHQ-9) ≥ 10) among a nationally representative sample of pregnant women using data from the National Health and Nutrition Examination Survey 2005-2012. Logistic regression models estimated crude and adjusted odds ratios for mental health care use in the past year in relation to depressive symptoms. While 8.2 % (95 % CI 4.6-11.8) of pregnant women were depressed, only 12 % (95 % CI 1.8-22.1) of these women reported mental health care use in the past year.

  8. Disaster: would your community bounce back?

    Energy Technology Data Exchange (ETDEWEB)

    Sims, Benjamin H [Los Alamos National Laboratory

    2011-01-12

    ) Competent organizations - Government, health care, community service, and religious organizations are competent and trustworthy, and have resources to handle community needs; and (4) High-quality infrastructure - Road, power, and water systems (etc.) are in good condition and are designed to provide service even if some connections are destroyed. To explore how these factors make communities resilient, I will tell two stories of disasters. The first is the Buffalo Creek flood, which wiped out a coal mining community in West Virginia in 1972. This is a classic example of community that was not resilient in the aftermath of a disaster. The second example is the Vietnamese immigrant community in the Versailles neighborhood of New Orleans. In spite of being relatively poor and culturally isolated, this community was one of the first to fully rebound following Hurricane Katrina.

  9. Year-ahead prediction of US landfalling hurricane numbers: intense hurricanes

    OpenAIRE

    Khare, Shree; Jewson, Stephen

    2005-01-01

    We continue with our program to derive simple practical methods that can be used to predict the number of US landfalling hurricanes a year in advance. We repeat an earlier study, but for a slightly different definition landfalling hurricanes, and for intense hurricanes only. We find that the averaging lengths needed for optimal predictions of numbers of intense hurricanes are longer than those needed for optimal predictions of numbers of hurricanes of all strengths.

  10. 75 FR 18138 - Health Care Eligibility Under the Secretarial Designee Program and Related Special Authorities

    Science.gov (United States)

    2010-04-09

    ... Component members not in a present duty status. This authority includes payment for health care services in... 0790-AI52] Health Care Eligibility Under the Secretarial Designee Program and Related Special... establish policies and assign responsibilities for health care eligibility under the Secretarial Designee...

  11. 75 FR 72682 - Health Care Eligibility Under the Secretarial Designee Program and Related Special Authorities

    Science.gov (United States)

    2010-11-26

    ... members not in a present duty status. This authority includes payment for health care services in private... 0790-AI52 Health Care Eligibility Under the Secretarial Designee Program and Related Special... assigns responsibilities for health care eligibility under the Secretarial Designee Program. It also...

  12. The Role of Grit in College Student Health Care Management Skills and Health-Related Quality of Life.

    Science.gov (United States)

    Sharkey, Christina M; Bakula, Dana M; Gamwell, Kaitlyn L; Mullins, Alexandria J; Chaney, John M; Mullins, Larry L

    2017-10-01

    To examine the relationship of grit, an intrapersonal characteristic defined by perseverance and passion for long-term goals, to health care management skills and adolescent and young adult (AYA) health-related quality of life (HRQoL). Higher levels of grit were expected to relate to greater health care management skills and HRQoL, and skills were predicted to mediate the relationship between grit and HRQoL. Four hundred seventy undergraduates (Mdnage=19, interquartile range = 2) completed online questionnaires, including the short Grit Scale, Transition Readiness Assessment Questionnaire, and 36-Item Short Form Survey (SF-36) (HRQoL). Higher grit related to greater health care management skills (R2=0.15 p.05). This preliminary investigation illustrates the role of grit in AYA health, suggesting that it may be a target for interventions aimed at improving skills and HRQoL outcomes. © The Author 2017. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  13. Posttraumatic stress disorder, depression, and alcohol and tobacco use in public health workers after the 2004 Florida hurricanes.

    Science.gov (United States)

    Fullerton, Carol S; McKibben, Jodi B A; Reissman, Dori B; Scharf, Ted; Kowalski-Trakofler, Kathleen M; Shultz, James M; Ursano, Robert J

    2013-02-01

    We examined the relationship of probable posttraumatic stress disorder (PTSD), probable depression, and increased alcohol and/or tobacco use to disaster exposure and work demand in Florida Department of Health workers after the 2004 hurricanes. Participants (N = 2249) completed electronic questionnaires assessing PTSD, depression, alcohol and tobacco use, hurricane exposure, and work demand. Total mental and behavioral health burden (probable PTSD, probable depression, increased alcohol and/or tobacco use) was 11%. More than 4% had probable PTSD, and 3.8% had probable depression. Among those with probable PTSD, 29.2% had increased alcohol use, and 50% had increased tobacco use. Among those with probable depression, 34% indicated increased alcohol use and 55.6% increased tobacco use. Workers with greater exposure were more likely to have probable PTSD and probable depression (ORs = 3.3 and 3.06, respectively). After adjusting for demographics and work demand, those with high exposure were more likely to have probable PTSD and probable depression (ORs = 3.21 and 3.13). Those with high exposure had increased alcohol and tobacco use (ORs = 3.01 and 3.40), and those with high work demand indicated increased alcohol and tobacco use (ORs = 1.98 and 2.10). High exposure and work demand predicted increased alcohol and tobacco use, after adjusting for demographics, work demand, and exposure. Work-related disaster mental and behavioral health burden indicate the need for additional mental health interventions in the public health disaster workforce.

  14. Leveraging Naval Riverine Forces to Achieve Information Superiority in Stability Operations

    Science.gov (United States)

    2010-12-01

    Commanding Officer, USS TORTUGA (LSD-46) surveys the extent of flooding in the 9th Ward, New Orleans, LA, after Hurricane Katrina (From Watkins...13). Even though forces had been on site for many days prior to the author’s arrival on USS TORTUGA eight days after the storm, on the first day...Commanding Officer, USS TORTUGA (LSD-46) surveys the extent of flooding in the 9th Ward, New Orleans, LA, after Hurricane Katrina (From Watkins, 2005

  15. HIV/AIDS-related stigma and discrimination among health-care providers in a tertiary health facility

    Directory of Open Access Journals (Sweden)

    Pauline Justin S Doka

    2017-01-01

    Full Text Available Aim: This study was aimed at assessing dispositions, attitudes, and behavioral tendencies for HIV/AIDS-related stigma and discrimination among health-care providers in Specialist Hospital Gombe, Northern Nigeria. Materials and Methods: Out of a total of 397 health personnel of the hospital, a sample of 201 health-care providers of various professional backgrounds was drawn using quota sampling technique. A descriptive exploratory survey method was adopted. Using a structured questionnaire, relevant data were collected from the subjects. Reliability test on key segments of the instrument yielded alpha Cronbach's internal consistency test values of not 0.05. If given the choice, 34 (16.9% of the personnel would not treat a patient with HIV. Conclusion: A prevalence rate of HIV/AIDS-related stigma of 15.4% among the health personnel is quite worrisome. Stigma reduction seminars and workshops would go a long way toward mitigating this trend.

  16. Integrating UAV and orbital remote sensing for spatiotemporal assessment of coastal vegetation health following hurricane events

    Science.gov (United States)

    Bernardes, S.; Madden, M.; Jordan, T.; Knight, A.; Aragon, A.

    2017-12-01

    Hurricane impacts often include the total or partial removal of vegetation due to strong winds (e.g., uprooted trees and broken trunks and limbs). Those impacts can usually be quickly assessed following hurricanes, by using established field and remote sensing methods. Conversely, impacts on vegetation health may present challenges for identification and assessment, as they are disconnected in time from the hurricane event and may be less evident. For instance, hurricanes may promote drastic increases in salinity of water available to roots and may increase exposure of aerial parts to salt spray. Derived stress conditions can negatively impact biological processes and may lead to plant decline and death. Large areas along the coast of the United States have been affected by hurricanes and show such damage (vegetation browning). Those areas may continue to be impacted, as climate projections indicate that hurricanes may become more frequent and intense, resulting from the warming of ocean waters. This work uses remote sensing tools and techniques to record and assess impacts resulting from recent hurricanes at Sapelo Island, a barrier island off the coast of the State of Georgia, United States. Analyses included change detection at the island using time series of co-registered Sentinel 2 and Landsat images. A field campaign was conducted in September 2017, which included flying three UAVs over the island and collecting high-overlap 20-megapixel RGB images at two spatial resolutions (1 and 2 inches/pixel). A five-band MicaSense RedEdge camera, a downwelling radiation sensor and calibration panel were used to collect calibrated multispectral images of multiple vegetation types, including healthy vegetation and vegetation affected by browning. Drone images covering over 600 acres were then analyzed for vegetation status and damage, with emphasis to vegetation removal and browning resulting from salinity alterations and salt spray. Results from images acquired by drones

  17. Frequencies and Predictors of Barriers to Mental Health Service Use: A Longitudinal Study of Hurricane Ike Survivors

    Science.gov (United States)

    Lowe, Sarah R.; Fink, David S.; Norris, Fran H.; Galea, Sandro

    2014-01-01

    Background The majority of disaster survivors suffering from psychological symptoms do not receive mental health services. Research on barriers to service use among disaster survivors is limited by a lack of longitudinal studies of representative samples and investigations of predictors of barriers. The purpose of this study was to address these limitations through analysis of a three-wave population-based study of Hurricane Ike survivors (N = 658). Methods Frequencies of preference, outcome expectancy, resource, and stigma barriers among participants with unmet mental health needs were documented and logistic regression using a generalized estimating equations approach explored predisposing (e.g., age), illness-related (e.g., posttraumatic stress) and enabling (e.g., insurance coverage) factors as predictors of each type of barrier. Results Preference barriers were most frequently cited at each wave, whereas stigma barriers were least frequently cited. Older age and higher emotional support predicted preference barriers; being a parent of a child under 18-years old at the time of the hurricane, higher generalized anxiety, and lack of insurance predicted resource barriers; and higher posttraumatic stress predicted stigma barriers. Conclusions These findings suggest that postdisaster practices targeting subpopulations most likely to have barriers to service use may be indicated. PMID:24929355

  18. Health professionals' beliefs related to parental involvement in ambulatory care: an international inquiry.

    Science.gov (United States)

    Tourigny, Jocelyne; Chartrand, Julie; Massicotte, Julie

    2008-01-01

    Changes in health care delivery in Canada and Europe, especially the shift to ambulatory care, have modified the care that children and parents receive and have prompted the need for a partnership alliance. The objectives of this exploratory study were to identify Canadian and Belgian health professionals' beliefs and attitudes towards parental involvement in their child's ambulatory care and to determine if these beliefs varied according to cultural background. Health professionals from both countries generally were in favor of parental involvement in their child's care, but are uncertain about its advantages and disadvantages. Facilitators and barriers mentioned by the health care providers were related to parents' abilities or their attitudes toward partnership, and they also expressed a need for more education on the subject. Results of this study indicate that health professionals working in ambulatory care are not fully ready to utilize parents as true partners in their interventions with children and families. Staff education is an important step towards the establishment and maintenance of a real partnership.

  19. Availability and Primary Health Care Orientation of Dementia-Related Services in Rural Saskatchewan, Canada.

    Science.gov (United States)

    Morgan, Debra G; Kosteniuk, Julie G; Stewart, Norma J; O'Connell, Megan E; Kirk, Andrew; Crossley, Margaret; Dal Bello-Haas, Vanina; Forbes, Dorothy; Innes, Anthea

    2015-01-01

    Community-based services are important for improving outcomes for individuals with dementia and their caregivers. This study examined: (a) availability of rural dementia-related services in the Canadian province of Saskatchewan, and (b) orientation of services toward six key attributes of primary health care (i.e., information/education, accessibility, population orientation, coordinated care, comprehensiveness, quality of care). Data were collected from 71 rural Home Care Assessors via cross-sectional survey. Basic health services were available in most communities (e.g., pharmacists, family physicians, palliative care, adult day programs, home care, long-term care facilities). Dementia-specific services typically were unavailable (e.g., health promotion, counseling, caregiver support groups, transportation, week-end/night respite). Mean scores on the primary health care orientation scales were low (range 12.4 to 17.5/25). Specific services to address needs of rural individuals with dementia and their caregivers are limited in availability and fit with primary health care attributes.

  20. Varicella-related Primary Health-care Visits, Hospitalizations and Mortality in Norway, 2008-2014.

    Science.gov (United States)

    Mirinaviciute, Grazina; Kristensen, Erle; Nakstad, Britt; Flem, Elmira

    2017-11-01

    Norway does not currently implement universal varicella vaccination in childhood. We aimed to characterize health care burden of varicella in Norway in the prevaccine era. We linked individual patient data from different national registries to examine varicella vaccinations and varicella-coded primary care consultations, hospitalizations, outpatient hospital visits, deaths and viral infections of central nervous system in the whole population of Norway during 2008-2014. We estimated health care contact rates and described the epidemiology of medically attended varicella infection. Each year approximately 14,600 varicella-related contacts occurred within primary health care and hospital sector in Norway. The annual contact rate was 221 cases per 100,000 population in primary health care and 7.3 cases per 100,000 in hospital care. Both in primary and hospital care, the highest incidences were observed among children 1 year of age: 2,654 and 78.1 cases per 100,000, respectively. The annual varicella mortality was estimated at 0.06 deaths per 100,000 and in-hospital case-fatality rate at 0.3%. Very few (0.2-0.5%) patients were vaccinated against varicella. Among hospitalized varicella patients, 22% had predisposing conditions, 9% had severe-to-very severe comorbidities and 5.5% were immunocompromised. Varicella-related complications were reported in 29.3% of hospitalized patients. Varicella zoster virus was the third most frequent virus found among 16% of patients with confirmed viral infections of central nervous system. Varicella causes a considerable health care burden in Norway, especially among children. To inform the policy decision on the use of varicella vaccination, a health economic assessment of vaccination and mathematical modeling of vaccination impact are needed.

  1. Genesis of tornadoes associated with hurricanes

    Science.gov (United States)

    Gentry, R. C.

    1983-01-01

    The climatological history of hurricane-tornadoes is brought up to date through 1982. Most of the tornadoes either form near the center of the hurricane, from the outer edge of the eyewall outward, or in an area between north and east-southeast of the hurricane center. The blackbody temperatures of the cloud tops which were analyzed for several hurricane-tornadoes that formed in the years 1974, 1975, and 1979, did not furnish strong precursor signals of tornado formation, but followed one of two patterns: either the temperatures were very low, or the tornado formed in areas of strong temperature gradients. Tornadoes with tropical cyclones most frequently occur at 1200-1800 LST, and although most are relatively weak, they can reach the F3 intensity level. Most form in association with the outer rainbands of the hurricane.

  2. Leveraging Twitter to gauge evacuation compliance: Spatiotemporal analysis of Hurricane Matthew.

    Science.gov (United States)

    Martín, Yago; Li, Zhenlong; Cutter, Susan L

    2017-01-01

    Hurricane Matthew was the deadliest Atlantic storm since Katrina in 2005 and prompted one of the largest recent hurricane evacuations along the Southeastern coast of the United States. The storm and its projected landfall triggered a massive social media reaction. Using Twitter data, this paper examines the spatiotemporal variability in social media response and develops a novel approach to leverage geotagged tweets to assess the evacuation responses of residents. The approach involves the retrieval of tweets from the Twitter Stream, the creation and filtering of different datasets, and the statistical and spatial processing and treatment to extract, plot and map the results. As expected, peak Twitter response was reached during the pre-impact and preparedness phase, and decreased abruptly after the passage of the storm. A comparison between two time periods-pre-evacuation (October 2th-4th) and post-evacuation (October 7th-9th)-indicates that 54% of Twitter users moved away from the coast to a safer location, with observed differences by state on the timing of the evacuation. A specific sub-state analysis of South Carolina illustrated overall compliance with evacuation orders and detailed information on the timing of departure from the coast as well as the destination location. These findings advance the use of big data and citizen-as-sensor approaches for public safety issues, providing an effective and near real-time alternative for measuring compliance with evacuation orders.

  3. Leveraging Twitter to gauge evacuation compliance: Spatiotemporal analysis of Hurricane Matthew.

    Directory of Open Access Journals (Sweden)

    Yago Martín

    Full Text Available Hurricane Matthew was the deadliest Atlantic storm since Katrina in 2005 and prompted one of the largest recent hurricane evacuations along the Southeastern coast of the United States. The storm and its projected landfall triggered a massive social media reaction. Using Twitter data, this paper examines the spatiotemporal variability in social media response and develops a novel approach to leverage geotagged tweets to assess the evacuation responses of residents. The approach involves the retrieval of tweets from the Twitter Stream, the creation and filtering of different datasets, and the statistical and spatial processing and treatment to extract, plot and map the results. As expected, peak Twitter response was reached during the pre-impact and preparedness phase, and decreased abruptly after the passage of the storm. A comparison between two time periods-pre-evacuation (October 2th-4th and post-evacuation (October 7th-9th-indicates that 54% of Twitter users moved away from the coast to a safer location, with observed differences by state on the timing of the evacuation. A specific sub-state analysis of South Carolina illustrated overall compliance with evacuation orders and detailed information on the timing of departure from the coast as well as the destination location. These findings advance the use of big data and citizen-as-sensor approaches for public safety issues, providing an effective and near real-time alternative for measuring compliance with evacuation orders.

  4. Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy.

    Science.gov (United States)

    Heid, Allison R; Christman, Zachary; Pruchno, Rachel; Cartwright, Francine P; Wilson-Genderson, Maureen

    2016-06-01

    Drawing on pre-disaster, peri-disaster, and post-disaster data, this study examined factors associated with the development of post-traumatic stress disorder (PTSD) symptoms in older adults exposed to Hurricane Sandy. We used a sample of older participants matched by gender, exposure, and geographic region (N=88, mean age=59.83 years) in which one group reported clinically significant levels of PTSD symptoms and the other did not. We conducted t-tests, chi-square tests, and exact logistic regressions to examine differences in pre-disaster characteristics and peri-disaster experiences. Older adults who experienced PTSD symptoms reported lower levels of income, positive affect, subjective health, and social support and were less likely to be working 4 to 6 years before Hurricane Sandy than were people not experiencing PTSD symptoms. Those developing PTSD symptoms reported more depressive symptoms, negative affect, functional disability, chronic health conditions, and pain before Sandy and greater distress and feelings of danger during Hurricane Sandy. Exact logistic regression revealed independent effects of preexisting chronic health conditions and feelings of distress during Hurricane Sandy in predicting PTSD group status. Our findings indicated that because vulnerable adults can be identified before disaster strikes, the opportunity to mitigate disaster-related PTSD exists through identification and resource programs that target population subgroups. (Disaster Med Public Health Preparedness. 2016;10:362-370).

  5. Orkaan Katrina kergitas nafta hinna järjekordse rekordini / Annika Matson

    Index Scriptorium Estoniae

    Matson, Annika, 1976-

    2005-01-01

    Naftabarreli hind tõusis börsil üle 70 dollari taseme, kui orkaan Katrina sundis kompaniisid katkestama nafta pumpamise Mehhiko lahel. Diagramm. Vt. samas: Martin Hanson. Orkaan ei sunni aktsiisiplaanist loobuma; Tõnis Arnover. Katrina sundis miljon ameeriklast kodust põgenema

  6. Differences in Health Care Costs and Utilization among Adults with Selected Lifestyle-Related Risk Factors.

    Science.gov (United States)

    Tucker, Larry A.; Clegg, Alan G.

    2002-01-01

    Examined the relationship between lifestyle-related health risks and health care costs and utilization among young adults. Data collected at a primarily white collar worksite in over 2 years indicated that health risks, particularly obesity, stress, and general lifestyle, were significant predictors of health care costs and utilization among these…

  7. The perfect storm of information: combining traditional and non-traditional data sources for public health situational awareness during hurricane response.

    Science.gov (United States)

    Bennett, Kelly J; Olsen, Jennifer M; Harris, Sara; Mekaru, Sumiko; Livinski, Alicia A; Brownstein, John S

    2013-12-16

    Hurricane Isaac made landfall in southeastern Louisiana in late August 2012, resulting in extensive storm surge and inland flooding. As the lead federal agency responsible for medical and public health response and recovery coordination, the Department of Health and Human Services (HHS) must have situational awareness to prepare for and address state and local requests for assistance following hurricanes. Both traditional and non-traditional data have been used to improve situational awareness in fields like disease surveillance and seismology. This study investigated whether non-traditional data (i.e., tweets and news reports) fill a void in traditional data reporting during hurricane response, as well as whether non-traditional data improve the timeliness for reporting identified HHS Essential Elements of Information (EEI). HHS EEIs provided the information collection guidance, and when the information indicated there was a potential public health threat, an event was identified and categorized within the larger scope of overall Hurricane Issac situational awareness. Tweets, news reports, press releases, and federal situation reports during Hurricane Isaac response were analyzed for information about EEIs. Data that pertained to the same EEI were linked together and given a unique event identification number to enable more detailed analysis of source content. Reports of sixteen unique events were examined for types of data sources reporting on the event and timeliness of the reports. Of these sixteen unique events identified, six were reported by only a single data source, four were reported by two data sources, four were reported by three data sources, and two were reported by four or more data sources. For five of the events where news tweets were one of multiple sources of information about an event, the tweet occurred prior to the news report, press release, local government\\emergency management tweet, and federal situation report. In all circumstances where

  8. A Grounded Theory Study of HIV-Related Stigma in U.S.-Based Health Care Settings.

    Science.gov (United States)

    Davtyan, Mariam; Olshansky, Ellen F; Brown, Brandon; Lakon, Cynthia

    Despite progress made in the treatment and care of people living with HIV (PLWH), HIV-related stigma has remained persistent. Health care settings and workers have been identified as important sources of stigma. Studies have addressed the construct of stigma in U.S. health care settings, but mainly from the perspectives of PLWH. We used Grounded Theory to understand how health care workers conceptualized HIV-related stigma and to develop a model to project a purposive view of stigma in health care settings. Our model indicates that stigma may be rooted in historically derogatory representations of HIV and intensified by power inequalities. Stigma may be triggered by fear, inadequate clinical education and training, unintentional behaviors, and limited contact with PLWH. Study participants perceived stigma as injurious to patient and provider health outcomes. Additional research on provider perceptions of stigma and programs that encourage empowerment, communication, and training may be necessary for stigma reduction. Copyright © 2017 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  9. Hurricane Evacuation Routes

    Data.gov (United States)

    Department of Homeland Security — Hurricane Evacuation Routes in the United States A hurricane evacuation route is a designated route used to direct traffic inland in case of a hurricane threat. This...

  10. Impact of socioeconomic status on the course of rheumatoid arthritis and on related use of health care services

    NARCIS (Netherlands)

    Jacobi, Catharina E.; Mol, Geert D.; Boshuizen, Hendriek C.; Rupp, Ines; Dinant, Huibert J.; van den Bos, Geertrudis A. M.

    2003-01-01

    Objective. To quantify the impact of socioeconomic status (SES) among patients with rheumatoid arthritis on 1) health outcomes and related health care utilization in relation to disease duration and 2) changes in health outcomes and related health care utilization over a 2-year period. Methods. A

  11. Hurricane Resource Reel

    Data.gov (United States)

    National Aeronautics and Space Administration — This Reel Includes the Following Sections TRT 50:10 Hurricane Overviews 1:02; Hurricane Arthur 15:07; Cyclone Pam 19:48; Typhoon Hagupit 21:27; Hurricane Bertha...

  12. Internet and social media for health-related information and communication in health care: preferences of the Dutch general population.

    Science.gov (United States)

    Van de Belt, Tom H; Engelen, Lucien J L P G; Berben, Sivera A A; Teerenstra, Steven; Samsom, Melvin; Schoonhoven, Lisette

    2013-10-02

    Health care is increasingly featured by the use of Web 2.0 communication and collaborative technologies that are reshaping the way patients and professionals interact. These technologies or tools can be used for a variety of purposes: to instantly debate issues, discover news, analyze research, network with peers, crowd-source information, seek support, and provide advice. Not all tools are implemented successfully; in many cases, the nonusage attrition rates are high. Little is known about the preferences of the Dutch general population regarding the use of the Internet and social media in health care. To determine the preferences of the general population in the Netherlands regarding the use of the Internet and social media in health care. A cross-sectional survey was disseminated via a popular Dutch online social network. Respondents were asked where they searched for health-related information, how they qualified the value of different sources, and their preferences regarding online communication with health care providers. Results were weighed for the Dutch population based on gender, age, and level of education using official statistics. Numbers and percentages or means and standard deviations were presented for different subgroups. One-way ANOVA was used to test for statistical differences. The survey was completed by 635 respondents. The Internet was found to be the number one source for health-related information (82.7%), closely followed by information provided by health care professionals (71.1%). Approximately one-third (32.3%) of the Dutch population search for ratings of health care providers. The most popular information topics were side effects of medication (62.5%) and symptoms (59.7%). Approximately one-quarter of the Dutch population prefer to communicate with a health care provider via social media (25.4%), and 21.2% would like to communicate via a webcam. The Internet is the main source of health-related information for the Dutch population

  13. Building Energy-Efficient Schools in New Orleans: Lessons Learned (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2011-12-01

    This case study presents the lessons learned from incorporating energy efficiency in the rebuilding and renovating of New Orleans K-12 schools after Hurricanes Katrina and Rita. Hurricane Katrina was the largest natural disaster in the United States, striking the Gulf Coast on August 29, 2005, and flooding 80% of New Orleans; to make matters worse, the city was flooded again only three weeks later by the effects of Hurricane Rita. Many of the buildings, including schools, were heavily damaged. The devastation of schools in New Orleans from the hurricanes was exacerbated by many years of deferred school maintenance. This case study presents the lessons learned from incorporating energy efficiency in the rebuilding and renovating of New Orleans K-12 schools after Hurricanes Katrina and Rita. The experiences of four new schools-Langston Hughes Elementary School, Andrew H. Wilson Elementary School (which was 50% new construction and 50% major renovation), L.B. Landry High School, and Lake Area High School-and one major renovation, Joseph A. Craig Elementary School-are described to help other school districts and design teams with their in-progress and future school building projects in hot-humid climates. Before Hurricane Katrina, New Orleans had 128 public schools. As part of the recovery planning, New Orleans Public Schools underwent an assessment and planning process to determine how many schools were needed and in what locations. Following a series of public town hall meetings and a district-wide comprehensive facility assessment, a Master Plan was developed, which outlined the renovation or construction of 85 schools throughout the city, which are expected to be completed by 2017. New Orleans Public Schools expects to build or renovate approximately eight schools each year over a 10-year period to achieve 21st century schools district-wide. Reconstruction costs are estimated at nearly $2 billion.

  14. Hidden consequences of success in pediatrics: parental health-related quality of life--results from the Care Project.

    Science.gov (United States)

    Hatzmann, Janneke; Heymans, Hugo S A; Ferrer-i-Carbonell, Ada; van Praag, Bernard M S; Grootenhuis, Martha A

    2008-11-01

    The number of parents who care for a chronically ill child is increasing. Because of advances in medical care, parental caring tasks are changing. A detailed description of parental health-related quality of life will add to the understanding of the impact of caring for a chronically ill child. This will contribute to pediatric family care. Our goal was to determine the health-related quality of life of parents of chronically ill children compared with parents of healthy schoolchildren. A survey of 533 parents of children with chronic conditions (10 diagnosis groups, children aged 1-19 years, diagnosed >1 year ago, living at home) and 443 parents of schoolchildren was conducted between January 2006 and September 2007. Parents were approached through Emma Children's Hospital (which has a tertiary referral and a regional function) and through parent associations. The comparison group included parents of healthy schoolchildren. Health-related quality of life was assessed with the TNO-AZL Questionnaire for Adult's Health Related Quality of Life. Health-related quality of life measures gross and fine motor function, cognitive functioning, sleep, pain, social functioning, daily activities, sexuality, vitality, positive and depressive emotions, and aggressiveness. The health-related quality of life of the study group was compared with that of the comparison group, and effect sizes were estimated. The percentages of parents at risk for a low health-related quality of life were compared with the 25th percentile scores of the comparison group. RESULTS. Parents of chronically ill children had a significantly lower health-related quality of life. Subgroup analysis showed lower health-related quality of life on sleep, social functioning, daily activities, vitality, positive emotions, and depressive emotions in disease-specific groups. On average, 45% of the parents were at risk for health-related quality-of-life impairment. Parents of chronically ill children report a seriously

  15. HIV/aids related home based care practices among primary health care workers in Ogun state, Nigeria

    Directory of Open Access Journals (Sweden)

    E Amoran

    2012-05-01

    Full Text Available Abstract Background HIV/AIDS is fast becoming a chronic disease with the advent of antiretroviral drugs, therefore making home based care key in the management of chronically ill HIV/AIDS patient. The objective of this study was to determine the perception and practice of health care workers on HIV/AIDS related home based care in the health facilities in Ogun state, Nigeria. Methods This study is an analytical cross-sectional study. A multistage cluster sampling technique was used to obtain a representative sample of the primary health care workers in Ogun state. An interviewer administered structured questionnaire was administered by trained health workers to elicit the required information. Result A total of 350 health care workers were interviewed, 70% of the respondents could adequately describe the components of home based care. Only 38.7% were aware of the National guideline on home based care practices and 17.1% believe that home based care will not significantly improve the prognosis of PLWAs. Few 19.1% had ever been trained or ever involved 16.6% in home based care practices. Only 20 [5.7%] are involved on a weekly basis, 16 [4.6%] monthly and 22 [6.3%] quarterly. Reasons given for non implementation of home based care are inadequate number of healthcare workers 45%, lack of political will 24.4%, lack of implementation by facility managers 14% and inadequate funds 16.6%. Factors that were significantly associated with the practice of home based care were perception of its relevance in improving prognosis [OR = 54.21, C.I = 23.22-129.52] and presence of a support group in the facility [OR = 4.80, C.I = 2.40-9.57]. There was however no statistically significant relationship between adequate knowledge of home based care [OR = 0.78, C.I = 0.39-1.54] and previous training on home based care (OR = 1.43, C.I = 0.66-3.06]. Conclusion The practice of home based care for HIV/AIDS among the study population is low

  16. Hurricane impacts on a pair of coastal forested watersheds: implications of selective hurricane damage to forest structure and streamflow dynamics

    Science.gov (United States)

    Jayakaran, A. D.; Williams, T. M.; Ssegane, H.; Amatya, D. M.; Song, B.; Trettin, C. C.

    2014-03-01

    Hurricanes are infrequent but influential disruptors of ecosystem processes in the southeastern Atlantic and Gulf coasts. Every southeastern forested wetland has the potential to be struck by a tropical cyclone. We examined the impact of Hurricane Hugo on two paired coastal South Carolina watersheds in terms of streamflow and vegetation dynamics, both before and after the hurricane's passage in 1989. The study objectives were to quantify the magnitude and timing of changes including a reversal in relative streamflow difference between two paired watersheds, and to examine the selective impacts of a hurricane on the vegetative composition of the forest. We related these impacts to their potential contribution to change watershed hydrology through altered evapotranspiration processes. Using over 30 years of monthly rainfall and streamflow data we showed that there was a significant transformation in the hydrologic character of the two watersheds - a transformation that occurred soon after the hurricane's passage. We linked the change in the rainfall-runoff relationship to a catastrophic change in forest vegetation due to selective hurricane damage. While both watersheds were located in the path of the hurricane, extant forest structure varied between the two watersheds as a function of experimental forest management techniques on the treatment watershed. We showed that the primary damage was to older pines, and to some extent larger hardwood trees. We believe that lowered vegetative water use impacted both watersheds with increased outflows on both watersheds due to loss of trees following hurricane impact. However, one watershed was able to recover to pre hurricane levels of evapotranspiration at a quicker rate due to the greater abundance of pine seedlings and saplings in that watershed.

  17. Burnout and Engagement: Relative Importance of Predictors and Outcomes in Two Health Care Worker Samples.

    Science.gov (United States)

    Fragoso, Zachary L; Holcombe, Kyla J; McCluney, Courtney L; Fisher, Gwenith G; McGonagle, Alyssa K; Friebe, Susan J

    2016-06-09

    This study's purpose was twofold: first, to examine the relative importance of job demands and resources as predictors of burnout and engagement, and second, the relative importance of engagement and burnout related to health, depressive symptoms, work ability, organizational commitment, and turnover intentions in two samples of health care workers. Nurse leaders (n = 162) and licensed emergency medical technicians (EMTs; n = 102) completed surveys. In both samples, job demands predicted burnout more strongly than job resources, and job resources predicted engagement more strongly than job demands. Engagement held more weight than burnout for predicting commitment, and burnout held more weight for predicting health outcomes, depressive symptoms, and work ability. Results have implications for the design, evaluation, and effectiveness of workplace interventions to reduce burnout and improve engagement among health care workers. Actionable recommendations for increasing engagement and decreasing burnout in health care organizations are provided. © 2016 The Author(s).

  18. [Violence against health care providers and its correlations with sociodemographic and workplace-related factors].

    Science.gov (United States)

    Irinyi, Tamás; Németh, Anikó; Lampek, Kinga

    2017-02-01

    Violence against health care providers is getting more awareness nowadays. This topic is in the focus of international scientific attention also, although in Hungary exact data is lacking. The present study aimed to assess the correlations between violent acts against health care workers and their effects with different sociodemographic and workplace-related factors. A quantitative cross-sectional online survey was conducted enrolling 1201 health care providers. Data were analysed trough chi-square, Kolmogorov-Smirnov, Mann-Whitney and Kruskal-Wallis tests, where appropriate. Verbal and physical aggression was experienced more frequently by nurses who were males, above the age of fifty, working in in-patient care or in 12 hours shifts or constant night shifts. The same groups of health care providers suffered more from the negative emotional consequences of violent acts. Aggression is a serious problem in the Hungarian health care system, therefore employees have to be prepared for these acts. Orv. Hetil., 2017, 158(6), 229-237.

  19. Electronic health records to support obesity-related patient care: Results from a survey of United States physicians.

    Science.gov (United States)

    Bronder, Kayla L; Dooyema, Carrie A; Onufrak, Stephen J; Foltz, Jennifer L

    2015-08-01

    Obesity-related electronic health record functions increase the rates of measuring Body Mass Index, diagnosing obesity, and providing obesity services. This study describes the prevalence of obesity-related electronic health record functions in clinical practice and analyzes characteristics associated with increased obesity-related electronic health record sophistication. Data were analyzed from DocStyles, a web-based panel survey administered to 1507 primary care providers practicing in the United States in June, 2013. Physicians were asked if their electronic health record has specific obesity-related functions. Logistical regression analyses identified characteristics associated with improved obesity-related electronic health record sophistication. Of the 88% of providers with an electronic health record, 83% of electronic health records calculate Body Mass Index, 52% calculate pediatric Body Mass Index percentile, and 32% flag patients with abnormal Body Mass Index values. Only 36% provide obesity-related decision support and 17% suggest additional resources for obesity-related care. Characteristics associated with having a more sophisticated electronic health record include age ≤45years old, being a pediatrician or family practitioner, and practicing in a larger, outpatient practice. Few electronic health records optimally supported physician's obesity-related clinical care. The low rates of obesity-related electronic health record functions currently in practice highlight areas to improve the clinical health information technology in primary care practice. More work can be done to develop, implement, and promote the effective utilization of obesity-related electronic health record functions to improve obesity treatment and prevention efforts. Published by Elsevier Inc.

  20. Analyzing Social Spaces: Relational Citizenship for Patients Leaving Mental Health Care Institutions.

    Science.gov (United States)

    Pols, Jeannette

    2016-01-01

    "Citizenship" is a term from political theory. The term has moved from the relationship between the individual and the state toward addressing the position of 'others' in society. Here, I am concerned with people with long-term mental health problems. I explore the possibilities of ethnographically studying this rather more cultural understanding of citizenship with the use of the concept of relational citizenship, attending to people who leave Dutch institutions for mental health care. Relational citizenship assumes that people become citizens through interactions, whereby they create particular relations and social spaces. Rather than studying the citizen as a particular individual, citizenship becomes a matter of sociality. In this article, I consider what social spaces these relationships create and what values and mechanisms keep people together. I argue that the notion of neighborhood as a form of community, although built implicitly or explicitly into mental health care policy, is no longer the most plausible model to understand social spaces.

  1. How and why do countries differ in their governance and financing-related administrative expenditure in health care? An analysis of OECD countries by health care system typology.

    Science.gov (United States)

    Hagenaars, Luc L; Klazinga, Niek S; Mueller, Michael; Morgan, David J; Jeurissen, Patrick P T

    2018-01-01

    Administration is vital for health care. Its importance may increase as health care systems become more complex, but academic attention has remained minimal. We investigated trends in administrative expenditure across OECD countries, cross-country spending differences, spending differences between health care system typologies, and differences in the scale and scope of administrative functions across typologies. We used OECD data, which include health system governance and financing-related administrative activities by regulators, governance bodies, and insurers (macrolevel), but exclude administrative expenditure by health care providers (mesolevel and microlevel). We find that governance and financing-related administrative spending at the macrolevel has remained stable over the last decade at slightly over 3% of total health spending. Cross-country differences range from 1.3% of health spending in Iceland to 8.3% in the United States. Voluntary private health insurance bears much higher administrative costs than compulsory schemes in all countries. Among compulsory schemes, multiple payers exhibit significantly higher administrative spending than single payers. Among single-payer schemes, those where entitlements are based on residency have significantly lower administrative spending than those with single social health insurance, albeit with a small difference. These differences can partially be explained because multi-payer and voluntary private health insurance schemes require additional administrative functions and enjoy less economies of scale. Studies in hospitals and primary care indicate similar differences in administrative costs across health system typologies at the mesolevel and microlevel of health care delivery, which warrants more research on total administrative costs at all the levels of health systems. Copyright © 2017 John Wiley & Sons, Ltd.

  2. The effects of built environment attributes on physical activity-related health and health care costs outcomes in Australia.

    Science.gov (United States)

    Zapata-Diomedi, Belen; Herrera, Ana Maria Mantilla; Veerman, J Lennert

    2016-11-01

    Attributes of the built environment can positively influence physical activity of urban populations, which results in health and economic benefits. In this study, we derived scenarios from the literature for the association built environment-physical activity and used a mathematical model to translate improvements in physical activity to health-adjusted life years and health care costs. We modelled 28 scenarios representing a diverse range of built environment attributes including density, diversity of land use, availability of destinations, distance to transit, design and neighbourhood walkability. Our results indicated potential health gains in 24 of the 28 modelled built environment attributes. Health care cost savings due to prevented physical activity-related diseases ranged between A$1300 to A$105,355 per 100,000 adults per year. On the other hand, additional health care costs of prolonged life years attributable to improvements in physical activity were nearly 50% higher than the estimated health care costs savings. Our results give an indication of the potential health benefits of investing in physical activity-friendly built environments. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Modeling lost production from destroyed platforms in the 2004-2005 Gulf of Mexico hurricane seasons

    International Nuclear Information System (INIS)

    Kaiser, Mark J.; Yu, Yunke; Jablonowski, Christopher J.

    2009-01-01

    Hurricanes Ivan, Katrina, and Rita passed through the Gulf of Mexico during 2004 and 2005 and resulted in the largest number of destroyed and damaged offshore oil and gas structures in the history of Gulf operations. In the final official government assessment, a total of 126 platforms were destroyed and over 183 structures were identified as having extensive damage. Production associated with wells and structures that are not redeveloped are classified as lost. The purpose of this paper is to derive functional relations that describe the likely contribution the collection of destroyed assets would have made to future production in the Gulf of Mexico. We estimate that the total remaining reserves from the set of destroyed structures range in value between 1.3 and 4.5 billion depending on the assumptions employed. We summarize the impact of the storms on the Gulf of Mexico oil and gas infrastructure and discuss the main issues involved in redevelopment decision making. A meta-model analytic framework is applied to perform sensitivity analysis and to explore the interactions of assumptions on model output. A discussion of the limitations of the analysis is presented. (author)

  4. Internet and Social Media For Health-Related Information and Communication in Health Care: Preferences of the Dutch General Population

    Science.gov (United States)

    Engelen, Lucien JLPG; Berben, Sivera AA; Teerenstra, Steven; Samsom, Melvin; Schoonhoven, Lisette

    2013-01-01

    Background Health care is increasingly featured by the use of Web 2.0 communication and collaborative technologies that are reshaping the way patients and professionals interact. These technologies or tools can be used for a variety of purposes: to instantly debate issues, discover news, analyze research, network with peers, crowd-source information, seek support, and provide advice. Not all tools are implemented successfully; in many cases, the nonusage attrition rates are high. Little is known about the preferences of the Dutch general population regarding the use of the Internet and social media in health care. Objective To determine the preferences of the general population in the Netherlands regarding the use of the Internet and social media in health care. Methods A cross-sectional survey was disseminated via a popular Dutch online social network. Respondents were asked where they searched for health-related information, how they qualified the value of different sources, and their preferences regarding online communication with health care providers. Results were weighed for the Dutch population based on gender, age, and level of education using official statistics. Numbers and percentages or means and standard deviations were presented for different subgroups. One-way ANOVA was used to test for statistical differences. Results The survey was completed by 635 respondents. The Internet was found to be the number one source for health-related information (82.7%), closely followed by information provided by health care professionals (71.1%). Approximately one-third (32.3%) of the Dutch population search for ratings of health care providers. The most popular information topics were side effects of medication (62.5%) and symptoms (59.7%). Approximately one-quarter of the Dutch population prefer to communicate with a health care provider via social media (25.4%), and 21.2% would like to communicate via a webcam. Conclusions The Internet is the main source of health-related

  5. Wind vs Water in Hurricanes: The Challenge of Multi-peril Hazard Modeling

    Science.gov (United States)

    Powell, M. D.

    2017-12-01

    With the advancing threat of Sea Level Rise much of the U. S. is in danger of falling into the "protection gap". Residential property flood risk is not yet covered by the insurance market. Many coastal properties are not paying into the National Flood Insurance Program (NFIP) at premiums commensurate with the risk. This is exasperated by the program being deep in debt, despite only covering a fraction of the potential loss, while windstorm insurance covers up to replacement value. This results in a battle that benefits nobody. Any significant hurricane will include both wind and storm surge perils at the same time and any coastal property has to contend with the risk of damage by both. If you have extensive flood damage your wind storm policy might deny your claim and your flood policy (if you even have one) will in most cases be constrained to a $250,000 limit. Bring on the litigators! Some homeowners will claim that the wind destroyed the home first and then it was carried away by flood waters or pulverized by waves. Insurers might respond that the storm surge did all the damage and deny the claim. We've seen this already following Hurricane Katrina in 2005, and Hurricane Ike in 2008, with thousands of litigation claims and a cottage industry of scientists serving as expert witnesses on both sides of the aisle. Congress responded in 2012 with the Coastal Act, which provided an "unfunded mandate" directing NOAA to provide wind and water level data to FEMA for input to their "Coastal Formula" for attributing loss to wind and water. The results of the formula would then limit the amount paid by the NFIP by subtracting out the wind loss portion. The Texas Windstorm Insurance Association (TWIA) went further by assembling a panel of experts to recommend guidelines for how the state should respond to future hurricane impacting properties on the Texas coast. The expert panel report was released in April of 2016, and TWIA is currently developing a comprehensive

  6. Hurricane Imaging Radiometer

    Science.gov (United States)

    Cecil, Daniel J.; Biswas, Sayak K.; James, Mark W.; Roberts, J. Brent; Jones, W. Linwood; Johnson, James; Farrar, Spencer; Sahawneh, Saleem; Ruf, Christopher S.; Morris, Mary; hide

    2014-01-01

    The Hurricane Imaging Radiometer (HIRAD) is a synthetic thinned array passive microwave radiometer designed to allow retrieval of surface wind speed in hurricanes, up through category five intensity. The retrieval technology follows the Stepped Frequency Microwave Radiometer (SFMR), which measures surface wind speed in hurricanes along a narrow strip beneath the aircraft. HIRAD maps wind speeds in a swath below the aircraft, about 50-60 km wide when flown in the lower stratosphere. HIRAD has flown in the NASA Genesis and Rapid Intensification Processes (GRIP) experiment in 2010 on a WB-57 aircraft, and on a Global Hawk unmanned aircraft system (UAS) in 2012 and 2013 as part of NASA's Hurricane and Severe Storms Sentinel (HS3) program. The GRIP program included flights over Hurricanes Earl and Karl (2010). The 2012 HS3 deployment did not include any hurricane flights for the UAS carrying HIRAD. The 2013 HS3 flights included one flight over the predecessor to TS Gabrielle, and one flight over Hurricane Ingrid. This presentation will describe the HIRAD instrument, its results from the 2010 and 2013 flights, and potential future developments.

  7. Health Care, Health Insurance, and the Relative Income of the Elderly and Nonelderly

    OpenAIRE

    Gary Burtless; Pavel Svaton

    2009-01-01

    Cash income offers an incomplete picture of the resources available to finance household consumption. Most American families are covered by an insurance plan that pays for some or all of the health care they consume. Only a comparatively small percentage of families pay for the full cost of this insurance out of their cash incomes. As health care has claimed a growing share of consumption, the percentage of care that is financed out of household incomes has declined. Because health care consu...

  8. Sociodemographic and health-(care-)related characteristics of online health information seekers: a cross-sectional German study.

    Science.gov (United States)

    Nölke, Laura; Mensing, Monika; Krämer, Alexander; Hornberg, Claudia

    2015-01-29

    Although the increasing dissemination and use of health-related information on the Internet has the potential to empower citizens and patients, several studies have detected disparities in the use of online health information. This is due to several factors. So far, only a few studies have examined the impact of socio-economic status (SES) on health information seeking on the Internet. This study was designed to identify sociodemographic and health-(care-)related differences between users and non-users of health information gleaned from the Internet with the aim of detecting hard-to-reach target groups. This study analyzed data from the NRW Health Survey LZG.NRW 2011 (n = 2,000; conducted in North Rhine-Westphalia, Germany, via telephone interviews). Logistic regression analysis was used to examine the determinants of online health information seeking behavior. 68% of Internet users refer to the Internet for health-related purposes. Of the independent variables tested, SES proved to exert the strongest influence on searching the Internet for health information. The final multivariate regression model shows that people from the middle (OR: 2.2, 95% CI: 1.6-3.2) and upper (OR: 4.0, 95% CI: 2.7-6.2) social classes are more likely to seek health information on the Internet than those from the lower class. Also, women are more likely to look for health information on the Internet than men (OR: 1.5, 95% CI: 1.1-2.1). Individuals with a migration background are less likely to conduct health searches on the Internet (OR: 0.6, 95% CI: 0.4-0.8). Married people or individuals in a stable relationship search the Internet more often for health information than do singles (OR: 1.9, 95% CI: 1.2-2.9). Also, heavy use of health-care services compared to non-use is associated with a higher likelihood of using the Internet for health-related matters (OR: 1.7, 95% CI: 1.2-2.5). In order to achieve equity in health, health-related Internet use by the socially deprived should be

  9. Rethinking Disasters: Finding Efficiencies Through Collaboration

    Science.gov (United States)

    2012-12-01

    in FEMA.4 Dating back to 1989 and 1992, catastrophic disasters, such as Hurricane Hugo , the Loma Prieta earthquake, and Hurricanes Andrew and Iniki...is over-engineered resulting in missed opportunities to capitalize on collaborative, decentralized solutions. As Hurricane Sandy ripped through the...generated intense criticism of the federal response effort.5 In 2006, despite recognition of the catastrophic effects caused by Hurricane Katrina

  10. Validation of a 15-item care-related regret coping scale for health-care professionals (RCS-HCP).

    Science.gov (United States)

    Courvoisier, Delphine Sophie; Cullati, Stephane; Ouchi, Rieko; Schmidt, Ralph Eric; Haller, Guy; Chopard, Pierre; Agoritsas, Thomas; Perneger, Thomas V

    2014-01-01

    Coping with difficult care-related situations is a common challenge for health-care professionals. How these professionals deal with the regrets they may experience following one of the many decisions and interventions they must make every day can have an impact on their own health and quality of life, and also on their patient care practices. To identify professionals most at need for extra support, development and validation of a tool measuring coping style are needed. We performed a survey of physicians and nurses of a French-speaking University hospital; 469 health-care professionals responded to the survey, and 175 responded to the same survey one-month later. Regret was assessed with the regret coping scale developed for this study, self-report questions on the frequency of regretted situations and the intensity of regret. Construct validity was assessed using measures of health-care professionals' quality of life (including job and life satisfaction, and self-reported health) as well as sleep problems and depression. Based on factor analysis and item response analysis, the initial 31-item scale was shortened to 15 items, which measured three types of strategies: problem-focused strategies (i.e., trying to find solutions, talking to colleagues) and two types of emotion-focused strategies, A (i.e., self-blame, rumination) and B (e.g., acceptance, emotional distance). All subscales showed high internal consistency (α >0.85). Overall, as expected, problem-focused and emotion-focused B strategies correlated with higher quality of life, fewer sleep problems and less depression, and emotion-focused A strategies showed the opposite pattern. The regret coping scale (RCS-HCP) is a valid and reliable measure of coping abilities of hospital-based health-care professionals.

  11. Köied ja sõlmed tõid Katrina Kaubile võidu / Monika Puutsa

    Index Scriptorium Estoniae

    Puutsa, Monika

    2007-01-01

    Supernoova moevõistluse tulemustest. Noorte disainerite auhind Katrina Kaubile oli 20 000 krooni ja Supernoova hõbedane pross, vanemas kategoorias Liisi Eesmaale 50 000 krooni. Žürii koosseis. Katrina Kaubi kommentaarid

  12. Oral health-related concerns, behavior, and communication with health care providers of patients with breast cancer: impact of different treatments.

    Science.gov (United States)

    Taichman, L Susan; Van Poznak, Catherine H; Inglehart, Marita R

    2018-01-01

    The objectives are to compare responses of breast cancer (BCa) treatment groups (chemotherapy, tamoxifen, and aromatase inhibitors (AIs) to each other and a control regarding (a) subjective oral health, (b) oral health-related behaviors, (c) oral health-related concerns, and (d) communication with health care providers. Survey data were collected from 140 postmenopausal BCa patients and 41 healthy postmenopausal control respondents. BCa patients reported on average more frequent mouth sores/mucositis (5-point scale with 1 = never: 1.63 vs. 1.14; p oral health than patients on tamoxifen/AI (93% vs. 55%/56%; p oral health-related effects of cancer treatment than by dentists. Oncologists/nurses were more likely to communicate about oral health-related treatment effects with patients undergoing chemotherapy than patients on tamoxifen or AIs. Few BCa patients perceived dentists as knowledgeable about cancer treatment-related oral concerns and trusted them less than oncologists. BCa treatments impact oral health. Low percentages of BCa patients had received specific information about impacts of BCa treatments on oral health from their dentists. © 2018 Special Care Dentistry Association and Wiley Periodicals, Inc.

  13. Increased Sensitization to Mold Allergens Measured by Intradermal Skin Testing following Hurricanes.

    Science.gov (United States)

    Saporta, Diego; Hurst, David

    2017-01-01

    Objective . To report on changes in sensitivity to mold allergens determined by changes in intradermal skin testing reactivity, after exposure to two severe hurricanes. Methods . A random, retrospective allergy charts review divided into 2 groups of 100 patients each: Group A, patients tested between 2003 and 2010 prior to hurricanes, and Group B, patients tested in 2014 and 2015 following hurricanes. Reactivity to eighteen molds was determined by intradermal skin testing. Test results, age, and respiratory symptoms were recorded. Chi-square test determined reactivity/sensitivity differences between groups. Results . Posthurricane patients had 34.6 times more positive results ( p hurricanes ( p hurricanes ( p hurricanes. This supports climatologists' hypothesis that environmental changes resulting from hurricanes can be a health risk as reflected in increased allergic sensitivities and symptoms and has significant implications for physicians treating patients from affected areas.

  14. 77 FR 64564 - Implementation of Regulatory Guide 1.221 on Design-Basis Hurricane and Hurricane Missiles

    Science.gov (United States)

    2012-10-22

    ...-Basis Hurricane and Hurricane Missiles AGENCY: Nuclear Regulatory Commission. ACTION: Proposed interim...-ISG-024, ``Implementation of Regulatory Guide 1.221 on Design-Basis Hurricane and Hurricane Missiles....221, ``Design-Basis Hurricane and Hurricane Missiles for Nuclear Power Plants.'' DATES: Submit...

  15. Development of wave and surge atlas for the design and protection of coastal bridges in south Louisiana : [tech summary].

    Science.gov (United States)

    2015-02-01

    The failures of highway bridges on the Gulf Coast seen in the aftermath of Hurricane Katrina in 2005 were unprecedented. : In the past four decades, wind waves accompanied by high surges from hurricanes have damaged a number of coastal : bridges alon...

  16. An Agent-Based Model for Addressing the Impact of a Disaster on Access to Primary Care Services.

    Science.gov (United States)

    Guclu, Hasan; Kumar, Supriya; Galloway, David; Krauland, Mary; Sood, Rishi; Bocour, Angelica; Hershey, Tina Batra; van Nostrand, Elizabeth; Potter, Margaret

    2016-06-01

    Hurricane Sandy in the Rockaways, Queens, forced residents to evacuate and primary care providers to close or curtail operations. A large deficit in primary care access was apparent in the immediate aftermath of the storm. Our objective was to build a computational model to aid responders in planning to situate primary care services in a disaster-affected area. Using an agent-based modeling platform, HAZEL, we simulated the Rockaways population, its evacuation behavior, and primary care providers' availability in the aftermath of Hurricane Sandy. Data sources for this model included post-storm and community health surveys from New York City, a survey of the Rockaways primary care providers, and research literature. The model then tested geospatially specific interventions to address storm-related access deficits. The model revealed that areas of high primary care access deficit were concentrated in the eastern part of the Rockaways. Placing mobile health clinics in the most populous census tracts reduced the access deficit significantly, whereas increasing providers' capacity by 50% reduced the deficit to a lesser degree. An agent-based model may be a useful tool to have in place so that policy makers can conduct scenario-based analyses to plan interventions optimally in the event of a disaster. (Disaster Med Public Health Preparedness. 2016;10:386-393).

  17. Administrative Costs Associated With Physician Billing and Insurance-Related Activities at an Academic Health Care System.

    Science.gov (United States)

    Tseng, Phillip; Kaplan, Robert S; Richman, Barak D; Shah, Mahek A; Schulman, Kevin A

    2018-02-20

    Administrative costs in the US health care system are an important component of total health care spending, and a substantial proportion of these costs are attributable to billing and insurance-related activities. To examine and estimate the administrative costs associated with physician billing activities in a large academic health care system with a certified electronic health record system. This study used time-driven activity-based costing. Interviews were conducted with 27 health system administrators and 34 physicians in 2016 and 2017 to construct a process map charting the path of an insurance claim through the revenue cycle management process. These data were used to calculate the cost for each major billing and insurance-related activity and were aggregated to estimate the health system's total cost of processing an insurance claim. Estimated time required to perform billing and insurance-related activities, based on interviews with management personnel and physicians. Estimated billing and insurance-related costs for 5 types of patient encounters: primary care visits, discharged emergency department visits, general medicine inpatient stays, ambulatory surgical procedures, and inpatient surgical procedures. Estimated processing time and total costs for billing and insurance-related activities were 13 minutes and $20.49 for a primary care visit, 32 minutes and $61.54 for a discharged emergency department visit, 73 minutes and $124.26 for a general inpatient stay, 75 minutes and $170.40 for an ambulatory surgical procedure, and 100 minutes and $215.10 for an inpatient surgical procedure. Of these totals, time and costs for activities carried out by physicians were estimated at a median of 3 minutes or $6.36 for a primary care visit, 3 minutes or $10.97 for an emergency department visit, 5 minutes or $13.29 for a general inpatient stay, 15 minutes or $51.20 for an ambulatory surgical procedure, and 15 minutes or $51.20 for an inpatient surgical procedure. Of

  18. Deaths associated with Hurricane Sandy - October-November 2012.

    Science.gov (United States)

    2013-05-24

    On October 29, 2012, Hurricane Sandy hit the northeastern U.S. coastline. Sandy's tropical storm winds stretched over 900 miles (1,440 km), causing storm surges and destruction over a larger area than that affected by hurricanes with more intensity but narrower paths. Based on storm surge predictions, mandatory evacuations were ordered on October 28, including for New York City's Evacuation Zone A, the coastal zone at risk for flooding from any hurricane. By October 31, the region had 6-12 inches (15-30 cm) of precipitation, 7-8 million customers without power, approximately 20,000 persons in shelters, and news reports of numerous fatalities (Robert Neurath, CDC, personal communication, 2013). To characterize deaths related to Sandy, CDC analyzed data on 117 hurricane-related deaths captured by American Red Cross (Red Cross) mortality tracking during October 28-November 30, 2012. This report describes the results of that analysis, which found drowning was the most common cause of death related to Sandy, and 45% of drowning deaths occurred in flooded homes in Evacuation Zone A. Drowning is a leading cause of hurricane death but is preventable with advance warning systems and evacuation plans. Emergency plans should ensure that persons receive and comprehend evacuation messages and have the necessary resources to comply with them.

  19. Health-related quality of life and health care use in cancer survivors compared with patients with chronic diseases.

    Science.gov (United States)

    Heins, Marianne J; Korevaar, Joke C; Hopman, Petra E P C; Donker, Gé A; Schellevis, François G; Rijken, Mieke P M

    2016-03-15

    The number of cancer survivors is steadily increasing and these patients often experience long-lasting health problems. To make care for cancer survivors sustainable for the future, it would be relevant to put the effects of cancer in this phase into perspective. Therefore, the authors compared health-related quality of life (HRQOL) and health care use among cancer survivors with that of patients with chronic diseases. Patients diagnosed at age >18 years with a cancer with a 5-year survival rate > 20% and no distant metastases at the time of diagnosis and patients aged >18 years with physician-diagnosed somatic chronic diseases without cancer were sent a questionnaire. HRQOL was measured with the RAND-36, a measure of HRQOL. Self-reported health care use was measured for general practitioner care, specialist care, rehabilitative care, physical therapy, ambulatory mental health care, and occupational health care. A total of 601 cancer survivors and 1052 patients with chronic diseases without cancer were included in the current study. Multimorbidity was observed in 63% of the cancer survivors and 61% of the patients with chronic diseases. The HRQOL of the cancer survivors was significantly better than that of patients with chronic diseases after adjustment for age and sex. For the mental functioning subscale, no significant differences were found between the 2 groups. Cancer survivors were found to be less likely to have visited a general practitioner or cardiologist compared with patients with chronic diseases. When considering physical HRQOL and health care use, cancer survivors appear to fare better than the average patient with chronic diseases. No difference in mental functioning was observed in the current study. © 2016 American Cancer Society.

  20. Advancing LGBT Health Care Policies and Clinical Care Within a Large Academic Health Care System: A Case Study.

    Science.gov (United States)

    Ruben, Mollie A; Shipherd, Jillian C; Topor, David; AhnAllen, Christopher G; Sloan, Colleen A; Walton, Heather M; Matza, Alexis R; Trezza, Glenn R

    2017-01-01

    Culturally competent health care is especially important among sexual and gender minority patients because poor cultural competence contributes to health disparities. There is a need to understand how to improve health care quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) veterans in particular, because they have unique physical and mental health needs as both LGBT individuals and veterans. The following article is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for veteran patients in the VA Boston Healthcare System. We apply Betancourt et al.'s (2003) cultural competence framework to outline the steps that VA Boston Healthcare System took to increase cultural competency at the organizational, structural, and clinical level. By sharing our experiences, we aim to provide a model and steps for other health care systems and programs, including other VA health care systems, large academic health care systems, community health care systems, and mental health care systems, interested in developing LGBT health initiatives.

  1. Environment-related health disorders. Experience and perspectives in the care of patients with environment-related health disorders; Umweltbezogene Gesundheitsstoerungen. Erfahrungen und Perspektiven umweltmedizinischer Patientenversorgung

    Energy Technology Data Exchange (ETDEWEB)

    Hornberg, C.; Malsch, A.K.F. [Bielefeld Univ. (Germany); Weissbach, W. [Universitaetsklinikum Aachen (Germany); Wiesmueller, G.A.

    2004-08-15

    Environmental medicine outpatient clinics, counseling centers, and practicing physicians have observed environment-related health disorders in patient groups of mixed age as well as for groups consisting only of adults or children. Practicing physicians suspected correlations between environmental factors and health disorders in 36-45% of cases, environmental medicine outpatient clinics and counseling centers in 4-34% for mixed-age groups, 0-24% for adults, and 9-13% for children. A comparison of these data is difficult due to differences in data acquisition, evaluation methods, and descriptive statistics used. Furthermore, data on children are insufficient. Patient-oriented environmental medicine faces a number of problems regarding determination of exposure, effects, and susceptibility, including a lack of scientifically verified cause-and-effect models as well as incorrect diagnoses, attributions, and conclusions. In view of the scope and intensity of environment-related health disorders, the topic cannot be ignored. A functioning program of environmental medicine counseling and patient care is needed for practicing physicians, universities and/or the public sector to deliver effective primary medical care in this field. As always, the building blocks of environmental medicine counseling are medical history, physical examination, differential diagnosis, human biomonitoring, and on-site inspection with environmental monitoring while also taking gender differences into account. Uniform basic documentation procedures and health science analyses will help to optimize patient care in environmental medicine. The value of a diagnostic algorithm in the care of patients with environment-related health disorders is beyond dispute. Last but not least, quality assurance and control are a sine qua non of patient-oriented environmental medicine. (orig.)

  2. Palliative care for cancer patients in a primary health care setting:Bereaved relatives' experience, a qualitative group interview study

    DEFF Research Database (Denmark)

    Neergaard, Mette Asbjørn; Olesen, Frede; Jensen, Anders Bonde

    2008-01-01

    care setting to explore barriers and facilitators for delivery of good palliative home care. Methods: Three focus group interviews with fourteen bereaved relatives in Aarhus County, Denmark. Results: Three main categories of experience were identified: 1) The health professionals' management, where...

  3. Costing in Radiology and Health Care: Rationale, Relativity, Rudiments, and Realities.

    Science.gov (United States)

    Rubin, Geoffrey D

    2017-02-01

    Costs direct decisions that influence the effectiveness of radiology in the care of patients on a daily basis. Yet many radiologists struggle to harness the power of cost measurement and cost management as a critical path toward establishing their value in patient care. When radiologists cannot articulate their value, they risk losing control over how imaging is delivered and supported. In the United States, recent payment trends directing value-based payments for bundles of care advance the imperative for radiology providers to articulate their value. This begins with the development of an understanding of the providers' own costs, as well as the complex interrelationships and imaging-associated costs of other participants across the imaging value chain. Controlling the costs of imaging necessitates understanding them at a procedural level and quantifying the costs of delivering specific imaging services. Effective product-level costing is dependent on a bottom-up approach, which is supported through recent innovations in time-dependent activity-based costing. Once the costs are understood, they can be managed. Within the high fixed cost and high overhead cost environment of health care provider organizations, stakeholders must understand the implications of misaligned top-down cost management approaches that can both paradoxically shift effort from low-cost workers to much costlier professionals and allocate overhead costs counterproductively. Radiology's engagement across a broad spectrum of care provides an excellent opportunity for radiology providers to take a leading role within the health care organizations to enhance value and margin through principled and effective cost management. Following a discussion of the rationale for measuring costs, this review contextualizes costs from the perspectives of a variety of stakeholders (relativity), discusses core concepts in how costs are classified (rudiments), presents common and improved methods for measuring

  4. From Leaders, For Leaders: Advice From the Lived Experience of Leaders in Community Health Sector Disaster Recovery After Hurricanes Irene and Sandy.

    Science.gov (United States)

    Craddock, Hillary A; Walsh, Lauren; Strauss-Riggs, Kandra; Schor, Kenneth

    2016-08-01

    Hurricanes Sandy and Irene damaged and destroyed homes, businesses, and infrastructure, and recovery after these storms took years. The goal of this article was to learn from the lived experience of local-level decision-makers actively involved in the long-term disaster recovery process after Hurricanes Irene and Sandy. Respondents provided professional recommendations, based on their experience, to assist other organizations in preparing for, responding to, and recovering from disasters. Semi-structured interviews were conducted with professionals actively involved in recovery from Hurricane Irene or Hurricane Sandy in 5 different communities. Transcripts were qualitatively analyzed. Respondents' advice fell into 5 main categories: planning and evaluation, education and training, fundraising and donations management, building relationships, and disaster behavioral health. The lived experience of those in disaster recovery can provide guidance for planning, education, and training both within and outside their communities in order to better respond to and recover from future disasters. These data help to facilitate a community of practice by compiling and sharing the lived experience of leaders who experienced large-scale disasters, and the outcomes of this analysis help to show what areas of planning require special attention in the phases of preparedness, response, and recovery. (Disaster Med Public Health Preparedness. 2016;10:623-630).

  5. [Health care networks].

    Science.gov (United States)

    Mendes, Eugênio Vilaça

    2010-08-01

    The demographic and epidemiologic transition resulting from aging and the increase of life expectation means an increment related to chronic conditions. The healthcare systems contemporary crisis is characterized by the organization of the focus on fragmented systems turned to the acute conditions care, in spite of the chronic conditions prevalence, and by the hierarchical structure without communication flow among the different health care levels. Brazil health care situation profile is now presenting a triple burden of diseases, due to the concomitant presence of infectious diseases, external causes and chronic diseases. The solution is to restore the consistence between the triple burden of diseases on the health situation and the current system of healthcare practice, with the implantation of health care networks. The conclusion is that there are evidences in the international literature on health care networks that these networks may improve the clinical quality, the sanitation results and the user's satisfaction and the reduction of healthcare systems costs.

  6. Access to health care in relation to socioeconomic status in the Amazonian area of Peru

    DEFF Research Database (Denmark)

    Kristiansson, Charlotte; Gotuzzo, Eduardo; Rodriguez, Hugo

    2009-01-01

    ABSTRACT: BACKGROUND: Access to affordable health care is limited in many low and middle income countries and health systems are often inequitable, providing less health services to the poor who need it most. The aim of this study was to investigate health seeking behavior and utilization of drug...... be indicated. Caregivers frequently paid for health services as well as antibiotics, even though all children in the study qualified for free health care and medicines. The implementation of the Seguro Integral de Salud health insurance must be improved.......ABSTRACT: BACKGROUND: Access to affordable health care is limited in many low and middle income countries and health systems are often inequitable, providing less health services to the poor who need it most. The aim of this study was to investigate health seeking behavior and utilization of drugs...... in Yurimaguas and 793 children of the same age in Moyobamba were included in the study. Caregivers were interviewed on health care seeking strategies (public/private sectors; formal/informal providers), and medication for their children in relation to reported symptoms and socio-economic status. Self...

  7. Participatory Research in Support of Quality Public Education in New Orleans

    Science.gov (United States)

    Johnson-Burel, Deirdre; Drame, Elizabeth; Frattura, Elise

    2014-01-01

    In 2007, two years after Hurricane Katrina, several education and child advocacy groups began discussing the depleted conditions of the New Orleans public school district. These groups came together to discuss how to create a sustainable education reform movement post Katrina. New Orleans-based community groups and outside university researchers…

  8. HURRICANE AND SEVERE STORM SENTINEL (HS3) HURRICANE IMAGING RADIOMETER (HIRAD) V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The Hurricane and Severe Storm Sentinel (HS3) Hurricane Imaging Radiometer (HIRAD) was collected by the Hurricane Imaging Radiometer (HIRAD), which was a multi-band...

  9. Evolution of a Nursing Model for Identifying Client Needs in a Disaster Shelter: A Case Study with the American Red Cross.

    Science.gov (United States)

    Springer, Janice; Casey-Lockyer, Mary

    2016-12-01

    From the time of Clara Barton, Red Cross nursing has had a key role in the care and support of persons affected by disasters in the United States. Hurricane Katrina and other events brought to light the need for a shelter model that was inclusive of the whole community, including persons with disabilities, at-risk and vulnerable populations, and children. From an intake process to a nursing model for assessment, an evidence-guided process informed a systematic approach for a registered nurse-led model of care. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Functional bowel disorders in primary care: factors associated with health-related quality of life and doctor consultation.

    Science.gov (United States)

    Lee, Victoria; Guthrie, Else; Robinson, Andrew; Kennedy, Anne; Tomenson, Barbara; Rogers, Anne; Thompson, David

    2008-02-01

    The role of psychological factors in irritable bowel syndrome (IBS) remains unclear, particularly in a primary care setting, where relatively little research on this common and costly condition has been carried out. The aim of this study was to investigate the relative contribution of physical and psychological factors to health-related quality of life and health-care utilization in patients with functional bowel disease (IBS-like symptoms) in primary care. We also wished to establish the relevance of formal diagnostic criteria to IBS in the primary care setting. This study used a cross-sectional design. Four hundred twenty patients with functional bowel disorders in primary care completed a series of measures, including bowel symptom status and severity, severity of psychological distress, personality, and quality of life. The number of visits to a general practitioner (GP) in the previous 12 months was recorded. The following variables were independently and highly significantly associated with health-related quality of life in patients with functional bowel disorders in primary care: total psychological symptom score, diarrhea severity, abdominal pain for >12 weeks, and abdominal distension. A similar pattern emerged between patients who met meet Rome II criteria for IBS and patients who did not meet Rome II criteria for IBS. Relatively few variables (either physical or psychological) had a major impact on the number of GP consultations, with the exception of frequency of bowel movements. This study confirms that psychological factors are significantly associated with health-related quality of life in patients with IBS in primary care. Physical symptom severity is also important. Relatively few symptom measures, either physical or psychological, have a major impact on doctor consultation rates in primary care.

  11. Hurricane preparedness among elderly residents in South Florida.

    Science.gov (United States)

    Kleier, Jo Ann; Krause, Deirdre; Ogilby, Terry

    2018-01-01

    The purpose of this study was to describe factors associated with hurricane preparation and to test a theoretical model of hurricane preparation decision process among a group of elderly residents living in a high-risk geographical area. This is a descriptive, correlational study. A convenience sample consisted of 188 English-speaking individuals who were aged 55 years or older. In addition to demographic information, two survey instruments were used. Theoretical constructs were operationalized through Moon's Hurricane Preparation Questionnaire. Hurricane preparedness was measured by self-reported responses to FEMA's inventory checklist, which addresses the recommended basic steps of preparation. The theoretical model of hurricane preparation decision process was supported. Main barriers to preparation are the need for cooperation from others and cost of preparation. Participants reported having taken many preparatory steps to shelter-in-place, but too few are prepared if their home were storm-damaged or they should have to evacuate. Findings are consistent with previous studies of samples drawn from similar populations. This report provides guidance as to how public health nurses can become involved with the population and develop interventions based on the constructs of the theoretical model. © 2017 Wiley Periodicals, Inc.

  12. Benefits of Medical Home Care Reaching Beyond Chronically Ill Teens: Exploring Parent Health-Related Quality of Life.

    Science.gov (United States)

    Chavez, Laura J; Grannis, Connor; Dolce, Millie; Chisolm, Deena J

    2018-03-15

    Caring for teens with special health care needs places physical and mental health burdens on parents, which can be exacerbated by the stresses of transitions to independence. Medical homes can improve teen transitions to greater self-management and reduce health care-related time and financial burdens for families. We examined the association between parent-reported teen medical home status and caregiver health-related quality of life (HRQOL). The study sample included parents or caregivers of teens with special health care needs aged 15 to 18 recruited from a pediatric Medicaid accountable care organization who participated in a survey (response rate, 40.5%). The primary outcome was parent HRQOL scores (0-100 points) measured using the Pediatric Quality of Life Inventory Family Impact Module. Medical home status was based on parent report of teen's health care meeting medical home criteria. Linear regression models were used to estimate HRQOL scores, adjusted for demographic characteristics, health literacy, and teen functional limitation. Among 488 parents, 27% reported their teen received care consistent with a medical home. Adjusted parent HRQOL scores were significantly higher among those whose teens had a medical home (74.40; 95% confidence interval, 71.31-77.48), relative to those whose teens did not (65.78; 95% confidence interval, 63.92-67.65). Medical home subscale analyses showed HRQOL scores had significant positive associations with family-centered care and coordinated care, but not other subscales. Teen medical home status was positively associated with caregiver HRQOL, suggesting that the medical home may benefit overall caregiver well-being. In particular, receiving care that was family centered and coordinated appeared to be the most beneficial. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  13. Interdisciplinary Environmental-health Science Throughout Disaster Lifecycles

    Science.gov (United States)

    Plumlee, G. S.; Morman, S. A.; Hoefen, T. M.

    2014-12-01

    Potential human health effects from exposures to hazardous disaster materials and environmental contamination are common concerns following disasters. Using several examples from US Geological Survey environmental disaster responses (e.g., 2001 World Trade Center, mine tailings spills, 2005 Hurricane Katrina, 2007-2013 wildfires, 2011 Gulf oil spill, 2012 Hurricane Sandy, 2013 Colorado floods) and disaster scenarios (2011 ARkStorm, 2013 SAFRR tsunami) this presentation will illustrate the role for collaborative earth, environmental, and health science throughout disaster lifecycles. Pre-disaster environmental baseline measurements are needed to help understand environmental influences on pre-disaster health baselines, and to constrain the magnitude of a disaster's impacts. During and following disasters, there is a need for interdisciplinary rapid-response and longer-term assessments that: sample and characterize the physical, chemical, and microbial makeup of complex materials generated by the disasters; fingerprint material sources; monitor, map, and model dispersal and evolution of disaster materials in the environment; help understand how the materials are modified by environmental processes; and, identify key characteristics and processes that influence the exposures and toxicity of disaster materials to humans and the living environment. This information helps emergency responders, public health experts, and cleanup managers: 1) identify short- and long-term exposures to disaster materials that may affect health; 2) prioritize areas for cleanup; and 3) develop appropriate disposal solutions or restoration uses for disaster materials. By integrating lessons learned from past disasters with geospatial information on vulnerable sources of natural or anthropogenic contaminants, the environmental health implications of looming disasters or disaster scenarios can be better anticipated, which helps enhance preparedness and resilience. Understanding economic costs of

  14. Reliability of a patient survey assessing cost-related changes in health care use among high deductible health plan enrollees

    Directory of Open Access Journals (Sweden)

    Galbraith Alison A

    2011-05-01

    Full Text Available Abstract Background Recent increases in patient cost-sharing for health care have lent increasing importance to monitoring cost-related changes in health care use. Despite the widespread use of survey questions to measure changes in health care use and related behaviors, scant data exists on the reliability of such questions. Methods We administered a cross-sectional survey to a stratified random sample of families in a New England health plan's high deductible health plan (HDHP with ≥ $500 in annualized out-of-pocket expenditures. Enrollees were asked about their knowledge of their plan, information seeking, behavior change associated with having a deductible, experience of delay in care due in part to cost, and hypothetical delay in care due in part to cost. Initial respondents were mailed a follow-up survey within two weeks of each family returning the original survey. We computed several agreement statistics to measure the test-retest reliability for select questions. We also conducted continuity adjusted chi-square, and McNemar tests in both the original and follow-up samples to measure the degree to which our results could be reproduced. Analyses were stratified by self-reported income. Results The test-retest reliability was moderate for the majority of questions (0.41 - 0.60 and the level of test-retest reliability did not differ substantially across each of the broader domains of questions. The observed proportions of respondents with delayed or foregone pediatric, adult, or any family care were similar when comparing the original and follow-up surveys. In the original survey, respondents in the lower-income group were more likely to delay or forego pediatric care, adult care, or any family care. All of the tests comparing income groups in the follow-up survey produced the same result as in the original survey. Conclusions In this population of HDHP beneficiaries, we found that survey questions concerning plan knowledge, information

  15. Department of Defense Doctrine Should Incorporate Sixty Years of Disaster Research in Order to Realistically Plan and Effectively Execute Disaster Response

    Science.gov (United States)

    2013-05-01

    community. During Hurricane Hugo more than 90% of all homes in St. Croix in the Virgin Islands were destroyed. The situation in St. Croix prevented...recent or present disaster studies that have occurred within the United States; Hurricane Katrina in New Orleans and Hurricane Hugo in St. Croix.17...particular targets as opposed to targets of opportunity.21 In the case of the Hurricane Hugo and the catastrophe that resulted in St Croix, there are

  16. Power Relations and Health Care Communication in Older Adulthood: Educating Recipients and Providers.

    Science.gov (United States)

    Eliassen, A Henry

    2016-12-01

    Unequal power relations lie just below the surface in much of today's discourse on health care communication with older adults. Focusing on pathologies or deficits tends to reinforce stereotypes of frailty and dependency, thus framing elders as a vulnerable group requiring special assistance. Implicit stereotyping frequently colors interactions of health care personnel with older clients and their families-interactions likely to affect elders' perceptions and health outcomes. Health care providers need to be attuned to the vast and growing diversity in today's older population, wherein many older adults are exemplars of what it takes to marshal resources and cope with multifaceted challenges. Thus, elders have the potential to teach medical personnel through narratives of resilience as well as tribulation. This potential can be fully realized, however, only in contexts where communication patterns characterized by paternalism, consumerism, and collaboration are mutually recognized and selectively challenged or implemented. Promising interventions to facilitate health care communication in older adulthood might well be directed toward (a) educating both recipients and providers to become more mindful of cues that evoke stereotypical thinking, (b) promoting an institutional culture that normalizes situationally appropriate assertive responses to stereotyping, and (c) formally ratifying older adults' life experience in the training of health care personnel. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. Disaster Doctor From 9/11 to Katrina

    Science.gov (United States)

    ... cytosine—DNA (deoxyribonucleic acid) is life's chemical instruction manual, governing how cells grow, divide, live and die. ... DNA traces that could specifically link victim to identity—had vanished in Katrina's wake. Gone, too, were ...

  18. Why Here and Why Now? Teacher Motivations for Unionizing in a New Orleans Charter School

    Science.gov (United States)

    Beabout, Brian R.; Gill, Ivan

    2015-01-01

    The rigidity of teachers unions has been given as a primary reason for their lack of representation among America's rapidly growing, although still relatively small, charter school sector. In the case of post-Hurricane Katrina New Orleans, the city rapidly converted from a union-backed teacher workforce to a largely nonunionized charter school…

  19. "Just-in-Time" Personal Preparedness: Downloads and Usage Patterns of the American Red Cross Hurricane Application During Hurricane Sandy.

    Science.gov (United States)

    Kirsch, Thomas D; Circh, Ryan; Bissell, Richard A; Goldfeder, Matthew

    2016-10-01

    Personal preparedness is a core activity but has been found to be frequently inadequate. Smart phone applications have many uses for the public, including preparedness. In 2012 the American Red Cross began releasing "disaster" apps for family preparedness and recovery. The Hurricane App was widely used during Hurricane Sandy in 2012. Patterns of download of the application were analyzed by using a download tracking tool by the American Red Cross and Google Analytics. Specific variables included date, time, and location of individual downloads; number of page visits and views; and average time spent on pages. As Hurricane Sandy approached in late October, daily downloads peaked at 152,258 on the day of landfall and by mid-November reached 697,585. Total page views began increasing on October 25 with over 4,000,000 page views during landfall compared to 3.7 million the first 3 weeks of October with a 43,980% increase in views of the "Right Before" page and a 76,275% increase in views of the "During" page. The Hurricane App offered a new type of "just-in-time" training that reached tens of thousands of families in areas affected by Hurricane Sandy. The app allowed these families to access real-time information before and after the storm to help them prepare and recover. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).

  20. Health-care professionals' knowledge, attitudes and behaviours relating to patient capacity to consent to treatment: an integrative review.

    Science.gov (United States)

    Lamont, Scott; Jeon, Yun-Hee; Chiarella, Mary

    2013-09-01

    This integrative review aims to provide a synthesis of research findings of health-care professionals' knowledge, attitudes and behaviours relating to patient capacity to consent to or refuse treatment within the general hospital setting. Search strategies included relevant health databases, hand searching of key journals, 'snowballing' and expert recommendations. The review identified various knowledge gaps and attitudinal dispositions of health-care professionals, which influence their behaviours and decision-making in relation to capacity to consent processes. The findings suggest that there is tension between legal, ethical and professional standards relating to the assessment of capacity and consent within health care. Legislation and policy guidance concerning capacity assessment processes are lacking, and this may contribute to inconsistencies in practice.

  1. Weathering the storm: challenges to nurses providing care to nursing home residents during hurricanes.

    Science.gov (United States)

    Hyer, Kathryn; Brown, Lisa M; Christensen, Janelle J; Thomas, Kali S

    2009-11-01

    This article documents the experience of 291 Florida nursing homes during the 2004 hurricane season. Using quantitative and qualitative methods, the authors described and compared the challenges nurses encountered when evacuating residents with their experiences assisting residents of facilities that sheltered in place. The primary concerns for evacuating facilities were accessing appropriate evacuation sites for residents and having ambulance transportation contracts honored. The main issue for facilities that sheltered in place was the length of time it took for power to be restored. Barriers to maintaining resident health during disasters for those who evacuated or sheltered in place are identified.

  2. Challenges in mental health care in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Consuelo Helena Aires de Freitas

    2011-06-01

    Full Text Available Objective: To discuss the practice of mental health care performed by healthcare professionals from the Family Health Strategy in Fortaleza-CE, Brazil. Methods: This is a critical and reflective study conducted in six Basic Health Units in Fortaleza-Ce. The study subjects were 12 health workers of the following professions: doctor, nurse, community health agents and technical and/or nursing assistant. Semi-structured interviews, systematic observationand questionnaire were used for data collection. The empirical analysis was based on an understanding of the discourses through critical hermeneutics. Results: It was evident that the mental health services are developed by some health workers in the ESF, such as, matrix support, relational technologies, home visits and community group therapy. However, there is still deficiency in training/coaching by most professionals in primary care, due to anenduring model of pathological or curative health care. Conclusion: Mental health care is still occasionally held by some workers in primary care. However, some progresses are already present as matrix support, relational technologies in health care, home visits andcommunity therapy.

  3. Introducing the Index of Care: A web-based application supporting archaeological research into health-related care.

    Science.gov (United States)

    Tilley, Lorna; Cameron, Tony

    2014-09-01

    The Index of Care is a web-based application designed to support the recently proposed four-stage 'bioarchaeology of care' methodology for identifying and interpreting health-related care provision in prehistory. The Index offers a framework for guiding researchers in 'thinking through' the steps of a bioarchaeology of care analysis; it continuously prompts consideration of biological and archaeological evidence relevant to care provision; it operationalises key concepts such as 'disability' and 'care'; and it encourages transparency in the reasoning underlying conclusions, facilitating review. This paper describes the aims, structure and content of the Index, and provides an example of its use. The Index of Care is freely available on-line; it is currently in active development, and feedback is sought to improve its utility and usability. This is the first time in bioarchaeology that an instrument for examining behaviour as complex as caregiving has been proposed. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Children's Attachment-Related Narratives Following US Gulf Coast Hurricanes: Linkages with Understanding and Teacher Stress

    Science.gov (United States)

    Page, Timothy; Buchanan, Teresa K.; Verbovaya, Olga

    2016-01-01

    The central focus of this study was the perceptions of emotional security among 64 elementary school-aged children exposed to the hurricanes that affected the US Gulf Coast in 2005. Specifically, we examined the representational qualities of attachment, exploration, and caregiving as assessed with a narrative story-stem task in relation to…

  5. Profiling health and health-related services for children with special health care needs with and without disabilities.

    Science.gov (United States)

    Houtrow, Amy J; Okumura, Megumi J; Hilton, Joan F; Rehm, Roberta S

    2011-01-01

    The aims of this study were to profile and compare the health and health services characteristics for children with special health care needs (CSHCN), with and without disabilities, and to determine factors associated with unmet need. Secondary data analysis of the 2005-2006 National Survey of Children with Special Health Care Needs was conducted. The sociodemographics, health, and health services of CSHCN with and without disabilities were compared. Multivariable logistic regression was employed to examine factors associated with unmet need for health services. Children from minority racial and ethnic groups and children living in or near poverty were over-represented among CSHCN with disabilities, compared with other CSHCN. Statistically higher percentages of CSHCN with disabilities had behavioral problems (39.6% vs 25.2%), anxiety/depressed mood (46.1% vs 24.0%), and trouble making/keeping friends (38.1% vs 15.6%) compared with other CSHCN. Thirty-two percent of CSHCN with disabilities received care in a medical home compared with 51% of other CSHCN. CSHCN with disabilities had higher rates of need and unmet need than other CSHCN for specialty care, therapy services, mental health services, home health, assistive devices, medical supplies, and durable medical equipment. The adjusted odds of unmet need for CSHCN with disabilities were 71% higher than for other CSHCN. CSHCN with disabilities had more severe health conditions and more health services need, but they less commonly received care within a medical home and had more unmet need. These health care inequities should be amenable to policy and health service delivery interventions to improve outcomes for CSHCN with disabilities. Copyright © 2011 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  6. Optimizing Health Care Environmental Hygiene.

    Science.gov (United States)

    Carling, Philip C

    2016-09-01

    This article presents a review and perspectives on aspects of optimizing health care environmental hygiene. The topics covered include the epidemiology of environmental surface contamination, a discussion of cleaning health care patient area surfaces, an overview of disinfecting health care surfaces, an overview of challenges in monitoring cleaning versus cleanliness, a description of an integrated approach to environmental hygiene and hand hygiene as interrelated disciplines, and an overview of the research opportunities and challenges related to health care environmental hygiene. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Health care employee perceptions of patient-centered care.

    Science.gov (United States)

    Balbale, Salva Najib; Turcios, Stephanie; LaVela, Sherri L

    2015-03-01

    Given the importance of health care employees in the delivery of patient-centered care, understanding their unique perspectives is essential for quality improvement. The purpose of this study was to use photovoice to evaluate perceptions and experiences around patient-centered care among U.S. Veterans Affairs (VA) health care employees. We asked participants to take photographs of salient features in their environment related to patient-centered care. We used the photographs to facilitate dialogue during follow-up interviews. Twelve VA health care employees across two VA sites participated in the project. Although most participants felt satisfied with their work environment and experiences at the VA, they identified several areas for improvement. These included a need for more employee health and wellness initiatives and a need for enhanced opportunities for training and professional growth. Application of photovoice enabled us to learn about employees' unique perspectives around patient-centered care while engaging them in an evaluation of care delivery. © The Author(s) 2014.

  8. Rebuilding for Sustainability: Case Studies in the Making (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Billman, L.

    2013-06-01

    NREL has made significant contributions to communities suffering from natural disasters since 2007 in terms of technical assistance regarding energy efficiency and renewable energy options. NREL's work has covered all aspects of energy, including energy opportunities in community planning, policy design, new program design, and specific project design and implementation for energy related to electricity generation, building energy use, and transportation. This presentation highlights work done in New Orleans following Hurricane Katrina; Greensburg, Kansas, following a devastating tornado; and New York and New Jersey following Hurricane Sandy.

  9. A comparative analysis of psychological trauma experienced by children and young adults in two scenarios: evacuation after a natural disaster vs forced migration to escape armed conflict.

    Science.gov (United States)

    Myles, P; Swenshon, S; Haase, K; Szeles, T; Jung, C; Jacobi, F; Rath, B

    2018-05-01

    Little is known about the psychological trauma experienced by children and young adults (CYAs) following displacement after natural disasters vs migration from conflict zones. In both instances, the decision to leave is usually cast by the family, and the life of CYAs is suddenly disrupted by external circumstances. An anonymous survey. The same survey instrument, provided by the National Child Traumatic Stress Network (NCTSN), was used to survey self-reported health needs among CYAs during the aftermath of Hurricane Katrina (Health Survey for Children and Adolescents After Katrina) in October 2005-February 2006 and again during the peak of refugee arrivals in Berlin between October 2015 and March 2016. A weighted index to measure cumulative exposure to traumatic stresses during migration was developed along with an unweighted psychological impact score based on the 22-item NCTS psychological impact questionnaire. Spearman's correlation coefficient (rho) was used to assess the correlation between age and the two psychological impact indices. The two-tailed t-test was used to investigate differences in trauma experienced and psychological impact by gender. Logistic regression was used to investigate differences in types of traumatic stress experienced and psychological impact among CYAs displaced because of Hurricane Katrina and those seeking asylum in Berlin. The Katrina cohort included a total of 1133 CYAs, the Berlin cohort, a total of 405 CYAs. The median age in the Katrina cohort was 6.73 years (standard deviation [SD] 5.67, range 0-24; 50.13% males) compared with 17.64 years (SD, range 0-24; 83% males) in the Berlin cohort. Comparative analyses were adjusted to age and gender and revealed significant differences between the two cohorts, both with regards to the amount of trauma experienced and the psychological impact. A statistically significant and moderate positive correlation was observed between trauma experienced and psychological impact of migration in

  10. Hurricane Gustav Poster

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hurricane Gustav poster. Multi-spectral image from NOAA-17 shows Hurricane Gustav having made landfall along the Louisiana coastline. Poster size is 36"x27"

  11. Latvian health care competitiveness in relation to its infrastructure and available resources

    Directory of Open Access Journals (Sweden)

    Kokarevica A.

    2018-01-01

    Full Text Available Resources are one of the essential indicators for the functioning of the health care system. Better health care provision is an essential prerequisite for the export of services. Traditionally a competitive health care system is linked to a number of factors (price, quality, reliability, products and services largely determined by the new technologies, innovations and implementation the new methods. The authors of this article analyzed and collected data from the European Commission Eurostat and OECD data. Current situation in health care in Latvia is characterized by populations’ restricted access to health care services, high out-of-pocket payments and poor health outcomes of the population. More than 10% of Latvian population can’t afford medical care. The ratio of public funding for healthcare in Latvia is among the lowest in EU countries. Latvia spends 5.3% (USD PPP 1217 of GDP on health, lower than the OCED country average of 8.9% (USD PPP 3453. Latvia is facing a dramatic gap between the availability of hospital beds and long term care beds and the lowest prevalence of general medical practitioners among all Baltic States 321.6 per 100 000. These mentioned factors may hinder the development of health care in Latvia and reduce the ability to participate in international health service market.

  12. Primary Caregivers Satisfaction and its Related Factors in Home Health Care Services

    Directory of Open Access Journals (Sweden)

    Shu-Ping Wei

    2011-06-01

    Conclusion: This study showed that the overall perceived performance is higher than expectation for home health care service provided. The primary caregiver who was older than 30 years, who had lower education level, and other than siblings showed higher satisfaction. The four items that need improving included “home health care nurses will provide detailed description of services,” “home health care nurses will provide knowledge of illness,” “home health care nurses can complete the promised tasks,” and “home health care nurses will actively inquire patient’s conditions and needs.”

  13. High Resolution Modeling of Hurricanes in a Climate Context

    Science.gov (United States)

    Knutson, T. R.

    2007-12-01

    Modeling of tropical cyclone activity in a climate context initially focused on simulation of relatively weak tropical storm-like disturbances as resolved by coarse grid (200 km) global models. As computing power has increased, multi-year simulations with global models of grid spacing 20-30 km have become feasible. Increased resolution also allowed for simulation storms of increasing intensity, and some global models generate storms of hurricane strength, depending on their resolution and other factors, although detailed hurricane structure is not simulated realistically. Results from some recent high resolution global model studies are reviewed. An alternative for hurricane simulation is regional downscaling. An early approach was to embed an operational (GFDL) hurricane prediction model within a global model solution, either for 5-day case studies of particular model storm cases, or for "idealized experiments" where an initial vortex is inserted into an idealized environments derived from global model statistics. Using this approach, hurricanes up to category five intensity can be simulated, owing to the model's relatively high resolution (9 km grid) and refined physics. Variants on this approach have been used to provide modeling support for theoretical predictions that greenhouse warming will increase the maximum intensities of hurricanes. These modeling studies also simulate increased hurricane rainfall rates in a warmer climate. The studies do not address hurricane frequency issues, and vertical shear is neglected in the idealized studies. A recent development is the use of regional model dynamical downscaling for extended (e.g., season-length) integrations of hurricane activity. In a study for the Atlantic basin, a non-hydrostatic model with grid spacing of 18km is run without convective parameterization, but with internal spectral nudging toward observed large-scale (basin wavenumbers 0-2) atmospheric conditions from reanalyses. Using this approach, our

  14. Defining the Role of Public Health in Disaster Recovery: An Evaluation of State Public Health Planning Efforts

    Science.gov (United States)

    2013-03-01

    Brahmbhatt , Jennifer L. Chan, Edbert B. Hsu,Hani Mowafi, Thomas D. Kirsch, Asma Quereshi P. Gregg Greenough, “Public Health Preparedness of Post-Katrina...L. Chan, Edbert B. Hsu,Hani Mowafi, Thomas D. Kirsch, Asma Quereshi P. Gregg Greenough. “Public Health Preparedness of Post- Katrina and Rita

  15. The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: The opening minds scale for Health Care Providers (OMS-HC

    Directory of Open Access Journals (Sweden)

    Kassam Aliya

    2012-06-01

    Full Text Available Abstract Background Research on the attitudes of health care providers towards people with mental illness has repeatedly shown that they may be stigmatizing. Many scales used to measure attitudes towards people with mental illness that exist today are not adequate because they do not have items that relate specifically to the role of the health care provider. Methods We developed and tested a new scale called the Opening Minds Scale for Health Care Providers (OMS-HC. After item-pool generation, stakeholder consultations and content validation, focus groups were held with 64 health care providers/trainees and six people with lived experience of mental illness to develop the scale. The OMS-HC was then tested with 787 health care providers/trainees across Canada to determine its psychometric properties. Results The initial testing OMS-HC scale showed good internal consistency, Cronbach’s alpha = 0.82 and satisfactory test-retest reliability, intraclass correlation = 0.66 (95% CI 0.54 to 0.75. The OMC-HC was only weakly correlated with social desirability, indicating that the social desirability bias was not likely to be a major determinant of OMS-HC scores. A factor analysis favoured a two-factor structure which accounted for 45% of the variance using 12 of the 20 items tested. Conclusions The OMS–HC provides a good starting point for further validation as well as a tool that could be used in the evaluation of programs aimed at reducing mental illness related stigma by health care providers. The OMS-HC incorporates various dimensions of stigma with a modest number of items that can be used with busy health care providers.

  16. The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: the Opening Minds Scale for Health Care Providers (OMS-HC).

    Science.gov (United States)

    Kassam, Aliya; Papish, Andriyka; Modgill, Geeta; Patten, Scott

    2012-06-13

    Research on the attitudes of health care providers towards people with mental illness has repeatedly shown that they may be stigmatizing. Many scales used to measure attitudes towards people with mental illness that exist today are not adequate because they do not have items that relate specifically to the role of the health care provider. We developed and tested a new scale called the Opening Minds Scale for Health Care Providers (OMS-HC). After item-pool generation, stakeholder consultations and content validation, focus groups were held with 64 health care providers/trainees and six people with lived experience of mental illness to develop the scale. The OMS-HC was then tested with 787 health care providers/trainees across Canada to determine its psychometric properties. The initial testing OMS-HC scale showed good internal consistency, Cronbach's alpha = 0.82 and satisfactory test-retest reliability, intraclass correlation = 0.66 (95% CI 0.54 to 0.75). The OMC-HC was only weakly correlated with social desirability, indicating that the social desirability bias was not likely to be a major determinant of OMS-HC scores. A factor analysis favoured a two-factor structure which accounted for 45% of the variance using 12 of the 20 items tested. The OMS-HC provides a good starting point for further validation as well as a tool that could be used in the evaluation of programs aimed at reducing mental illness related stigma by health care providers. The OMS-HC incorporates various dimensions of stigma with a modest number of items that can be used with busy health care providers.

  17. The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: The opening minds scale for Health Care Providers (OMS-HC)

    Science.gov (United States)

    2012-01-01

    Background Research on the attitudes of health care providers towards people with mental illness has repeatedly shown that they may be stigmatizing. Many scales used to measure attitudes towards people with mental illness that exist today are not adequate because they do not have items that relate specifically to the role of the health care provider. Methods We developed and tested a new scale called the Opening Minds Scale for Health Care Providers (OMS-HC). After item-pool generation, stakeholder consultations and content validation, focus groups were held with 64 health care providers/trainees and six people with lived experience of mental illness to develop the scale. The OMS-HC was then tested with 787 health care providers/trainees across Canada to determine its psychometric properties. Results The initial testing OMS-HC scale showed good internal consistency, Cronbach’s alpha = 0.82 and satisfactory test-retest reliability, intraclass correlation = 0.66 (95% CI 0.54 to 0.75). The OMC-HC was only weakly correlated with social desirability, indicating that the social desirability bias was not likely to be a major determinant of OMS-HC scores. A factor analysis favoured a two-factor structure which accounted for 45% of the variance using 12 of the 20 items tested. Conclusions The OMS–HC provides a good starting point for further validation as well as a tool that could be used in the evaluation of programs aimed at reducing mental illness related stigma by health care providers. The OMS-HC incorporates various dimensions of stigma with a modest number of items that can be used with busy health care providers. PMID:22694771

  18. Towards an empirical ethics in care: relations with technologies in health care.

    Science.gov (United States)

    Pols, Jeannette

    2015-02-01

    This paper describes the approach of empirical ethics, a form of ethics that integrates non-positivist ethnographic empirical research and philosophy. Empirical ethics as it is discussed here builds on the 'empirical turn' in epistemology. It radicalizes the relational approach that care ethics introduced to think about care between people by drawing in relations between people and technologies as things people relate to. Empirical ethics studies care practices by analysing their intra-normativity, or the ways of living together the actors within these practices strive for or bring about as good practices. Different from care ethics, what care is and if it is good is not defined beforehand. A care practice may be contested by comparing it to alternative practices with different notions of good care. By contrasting practices as different ways of living together that are normatively oriented, suggestions for the best possible care may be argued for. Whether these suggestions will actually be put to practice is, however, again a relational question; new actors need to re-localize suggestions, to make them work in new practices and fit them in with local intra-normativities with their particular routines, material infrastructures, know-how and strivings.

  19. An integrated program to train local health care providers to meet post-disaster mental health needs Programa integrado para entrenar a proveedores de servicios sanitarios locales a satisfacer las necesidades de salud mental después de un desastre

    OpenAIRE

    Stan Kutcher; Sonia Chehil; Thorne Roberts

    2005-01-01

    This paper describes a post-disaster mental health training program developed by the International Section of the Department of Psychiatry at Dalhousie University (Halifax, Canada) and delivered in Grenada after Hurricane Ivan struck the country in September 2004. This train-the-trainer program used an integrated community health model to help local health care providers develop the necessary skills for the identification and evidenced-based treatment of mental disorders occurring after a nat...

  20. Health care providers' comfort with and barriers to care of transgender youth.

    Science.gov (United States)

    Vance, Stanley R; Halpern-Felsher, Bonnie L; Rosenthal, Stephen M

    2015-02-01

    To explore providers' clinical experiences, comfort, and confidence with and barriers to providing care to transgender youth. An online survey was administered to members of the Society for Adolescent Health and Medicine and the Pediatric Endocrine Society with items querying about clinical exposure to transgender youth, familiarity with and adherence to existing clinical practice guidelines, perceived barriers to providing transgender-related care, and comfort and confidence with providing transgender-related care. The response rate was 21.9% (n = 475). Of the respondents, 66.5% had provided care to transgender youth, 62.4% felt comfortable with providing transgender medical therapy, and 47.1% felt confident in doing so. Principal barriers to provision of transgender-related care were lack of the following: training, exposure to transgender patients, available qualified mental health providers, and insurance reimbursement. This study suggests that more training in transgender-related care, available qualified mental health providers, and insurance reimbursement for transgender-related care are needed. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  1. Hurricane Ike Poster

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hurricane Ike poster. Multi-spectral image from NOAA-15 shows Hurricane Ike in the Gulf of Mexico heading toward Galveston Island, Texas. Poster size is 36"x27".

  2. Teacher Guidelines for Helping Students after a Hurricane

    Science.gov (United States)

    National Child Traumatic Stress Network, 2013

    2013-01-01

    Being in a hurricane can be very frightening, and the days, weeks, and months following the storm can be very stressful. Most families recover over time, especially with the support of relatives, friends, and their community. But different families may have different experiences during and after a hurricane, and how long it takes them to recover…

  3. Controversies in faith and health care.

    Science.gov (United States)

    Tomkins, Andrew; Duff, Jean; Fitzgibbon, Atallah; Karam, Azza; Mills, Edward J; Munnings, Keith; Smith, Sally; Seshadri, Shreelata Rao; Steinberg, Avraham; Vitillo, Robert; Yugi, Philemon

    2015-10-31

    Differences in religious faith-based viewpoints (controversies) on the sanctity of human life, acceptable behaviour, health-care technologies and health-care services contribute to the widespread variations in health care worldwide. Faith-linked controversies include family planning, child protection (especially child marriage, female genital mutilation, and immunisation), stigma and harm reduction, violence against women, sexual and reproductive health and HIV, gender, end-of-life issues, and faith activities including prayer. Buddhism, Christianity, Hinduism, Islam, Judaism, and traditional beliefs have similarities and differences in their viewpoints. Improved understanding by health-care providers of the heterogeneity of viewpoints, both within and between faiths, and their effect on health care is important for clinical medicine, public-health programmes, and health-care policy. Increased appreciation in faith leaders of the effect of their teachings on health care is also crucial. This Series paper outlines some faith-related controversies, describes how they influence health-care provision and uptake, and identifies opportunities for research and increased interaction between faith leaders and health-care providers to improve health care. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Attending unintended transformations of health care infrastructure

    Directory of Open Access Journals (Sweden)

    Helle Wentzer

    2007-11-01

    Full Text Available Introduction: Western health care is under pressure from growing demands on quality and efficiency. The development and implementation of information technology, IT is a key mean of health care authorities to improve on health care infrastructure. Theory and methods: Against a background of theories on human-computer interaction and IT-mediated communication, different empirical studies of IT implementation in health care are analyzed. The outcome is an analytical discernment between different relations of communication and levels of interaction with IT in health care infrastructure. These relations and levels are synthesized into a framework for identifying tensions and potential problems in the mediation of health care with the IT system. These problems are also known as unexpected adverse consequences, UACs, from IT implementation into clinical health care practices. Results: This paper develops a conceptual framework for addressing transformations of communication and workflow in health care as a result of implementing IT. Conclusion and discussion: The purpose of the conceptual framework is to support the attention to and continuous screening for errors and unintended consequences of IT implementation into health care practices and outcomes.

  5. Rural migration and health care

    DEFF Research Database (Denmark)

    Svendsen, Gunnar Lind Haase; Jensen, Marit Vatn

    This literature study focuses on possible links between access to health services and migration in rural areas. Why do people move to or from rural areas or why do they stay? What determines where people settle? And, in this context, do local health care services play an important or minor role......, or no role at all? First, the paper reports on key findings from rural migration studies, in order to shed light on two migration trends: urbanization and counter-urbanization. Then we take a closer look on settlement preferences in rural areas, including the impact of health care facilities. Finally, we end...... up with a more deepgoing review of the relatively small number of studies, which explicitly deal with settlement preferences related to access to health care....

  6. Mental health care roles of non-medical primary health and social care services.

    Science.gov (United States)

    Mitchell, Penny

    2009-02-01

    Changes in patterns of delivery of mental health care over several decades are putting pressure on primary health and social care services to increase their involvement. Mental health policy in countries like the UK, Australia and New Zealand recognises the need for these services to make a greater contribution and calls for increased intersectoral collaboration. In Australia, most investment to date has focused on the development and integration of specialist mental health services and primary medical care, and evaluation research suggests some progress. Substantial inadequacies remain, however, in the comprehensiveness and continuity of care received by people affected by mental health problems, particularly in relation to social and psychosocial interventions. Very little research has examined the nature of the roles that non-medical primary health and social care services actually or potentially play in mental health care. Lack of information about these roles could have inhibited development of service improvement initiatives targeting these services. The present paper reports the results of an exploratory study that examined the mental health care roles of 41 diverse non-medical primary health and social care services in the state of Victoria, Australia. Data were collected in 2004 using a purposive sampling strategy. A novel method of surveying providers was employed whereby respondents within each agency worked as a group to complete a structured survey that collected quantitative and qualitative data simultaneously. This paper reports results of quantitative analyses including a tentative principal components analysis that examined the structure of roles. Non-medical primary health and social care services are currently performing a wide variety of mental health care roles and they aspire to increase their involvement in this work. However, these providers do not favour approaches involving selective targeting of clients with mental disorders.

  7. Diaspora, disease, and health care.

    Science.gov (United States)

    Wick, Jeannette Y; Zanni, Guido R

    2007-03-01

    When groups of people relocate from their homelands to other nations, especially if the movement is involuntary, minority populations are created in the countries that receive them. The issues related to these diaspora and diasporic communities--any groups that have been dispersed outside their traditional homelands--are financial, social, historical, political, or religious. In health care, issues include heritable diseases, cultural barriers, patients' health care beliefs, and unique disease presentations. In long-term care, many residents and health care providers have relocated to the United States from other countries.

  8. Impacts of Extreme Events on Human Health. Chapter 4

    Science.gov (United States)

    Bell, Jesse E.; Herring, Stephanie C.; Jantarasami, Lesley; Adrianopoli, Carl; Benedict, Kaitlin; Conlon, Kathryn; Escobar, Vanessa; Hess, Jeremy; Luvall, Jeffrey; Garcia-Pando, Carlos Perez; hide

    2016-01-01

    Increased Exposure to Extreme Events Key Finding 1: Health impacts associated with climate-related changes in exposure to extreme events include death, injury, or illness; exacerbation of underlying medical conditions; and adverse effects on mental health[High Confidence]. Climate change will increase exposure risk in some regions of the United States due to projected increases in the frequency and/or intensity of drought, wildfires, and flooding related to extreme precipitation and hurricanes [Medium Confidence].Disruption of Essential Infrastructure Key Finding 2: Many types of extreme events related to climate change cause disruption of infrastructure, including power, water, transportation, and communication systems, that are essential to maintaining access to health care and emergency response services and safeguarding human health [High Confidence].Vulnerability to Coastal Flooding Key Finding 3: Coastal populations with greater vulnerability to health impacts from coastal flooding include persons with disabilities or other access and functional needs, certain populations of color, older adults, pregnant women and children, low-income populations, and some occupational groups [High Confidence].Climate change will increase exposure risk to coastal flooding due to increases in extreme precipitation and in hurricane intensity and rainfall rates, as well as sea level rise and the resulting increases in storm surge.

  9. Health Care Services

    Science.gov (United States)

    Misuse and Addiction Prevention Finance & Management Services Health Care Services Juvenile Justice , 2017 Warning - A phone number that was once used for the Denali KidCare program is now being used to ask people for their credit card number in order to win a prize. The phone number related to this

  10. Islamic Cultures: Health Care Beliefs and Practices.

    Science.gov (United States)

    Kemp, Charles

    1996-01-01

    Presents an overview of Islamic health care beliefs and practices, noting health-related social and spiritual issues, fundamental beliefs and themes in Islam, health care beliefs and practices common among Muslims, and health-affecting social roles among Muslims. Cultural, religious, and social barriers to health care and ways to reduce them are…

  11. Rural health care bypass behavior: how community and spatial characteristics affect primary health care selection.

    Science.gov (United States)

    Sanders, Scott R; Erickson, Lance D; Call, Vaughn R A; McKnight, Matthew L; Hedges, Dawson W

    2015-01-01

    (1) To assess the prevalence of rural primary care physician (PCP) bypass, a behavior in which residents travel farther than necessary to obtain health care, (2) To examine the role of community and non-health-care-related characteristics on bypass behavior, and (3) To analyze spatial bypass patterns to determine which rural communities are most affected by bypass. Data came from the Montana Health Matters survey, which gathered self-reported information from Montana residents on their health care utilization, satisfaction with health care services, and community and demographic characteristics. Logistic regression and spatial analysis were used to examine the probability and spatial patterns of bypass. Overall, 39% of respondents bypass local health care. Similar to previous studies, dissatisfaction with local health care was found to increase the likelihood of bypass. Dissatisfaction with local shopping also increases the likelihood of bypass, while the number of friends in a community, and commonality with community reduce the likelihood of bypass. Other significant factors associated with bypass include age, income, health, and living in a highly rural community or one with high commuting flows. Our results suggest that outshopping theory, in which patients bundle services and shopping for added convenience, extends to primary health care selection. This implies that rural health care selection is multifaceted, and that in addition to perceived satisfaction with local health care, the quality of local shopping and levels of community attachment also influence bypass behavior. © 2014 National Rural Health Association.

  12. Assessing the Effectiveness of the Cone of Probability as a Visual Means of Communicating Scientific Forecasts

    Science.gov (United States)

    Orlove, B. S.; Broad, K.; Meyer, R.

    2010-12-01

    We review the evolution, communication, and differing interpretations of the National Hurricane Center (NHC)'s "cone of uncertainty" hurricane forecast graphic, drawing on several related disciplines—cognitive psychology, visual anthropology, and risk communication theory. We examine the 2004 hurricane season, two specific hurricanes (Katrina 2005 and Ike 2008) and the 2010 hurricane season, still in progress. During the 2004 hurricane season, five named storms struck Florida. Our analysis of that season draws upon interviews with key government officials and media figures, archival research of Florida newspapers, analysis of public comments on the NHC cone of uncertainty graphic and a multiagency study of 2004 hurricane behavior. At that time, the hurricane forecast graphic was subject to misinterpretation by many members of the public. We identify several characteristics of this graphic that contributed to public misinterpretation. Residents overemphasized the specific track of the eye, failed to grasp the width of hurricanes, and generally did not recognize the timing of the passage of the hurricane. Little training was provided to emergency response managers in the interpretation of forecasts. In the following year, Katrina became a national scandal, further demonstrating the limitations of the cone as a means of leading to appropriate responses to forecasts. In the second half of the first decade of the 21st century, three major changes occurred in hurricane forecast communication: the forecasts themselves improved in terms of accuracy and lead time, the NHC made minor changes in the graphics and expanded the explanatory material that accompanies the graphics, and some efforts were made to reach out to emergency response planners and municipal officials to enhance their understanding of the forecasts and graphics. There were some improvements in the responses to Ike, though a number of deaths were due to inadequate evacuations, and property damage probably

  13. [Measurement and health economic evaluation of informal care].

    Science.gov (United States)

    Zrubka, Zsombor

    2017-09-01

    Informal care is non-financed care outside the realm of formal healthcare, which represents an increasing challenge for aging societies. Informal care has frequently been neglected in health economic analyses, while in recent years its coverage has increased considerably in the international scientific literature. This review summarizes the methodology of the health-economic assessment of informal care, including the objective and subjective metrics of caregiver burden, its financial and non-financial valuation and practical applications, with special emphasis on the introduction of care-related quality of life instruments (e.g. Care Related Quality of Life - CarerQoL instrument). Care-related quality of life is a different entity from health-related quality of life, the two cannot be combined, so their joint evaluation requires multi-criteria decision analysis methods. Therefore, it is important to determine the societal preferences of care-related quality of life versus health-related quality of life, and map the relationship of care-related quality of life with time. The local validation of tools measuring care-related quality of life, its more widespread practical application and the analysis of its effect on decision making are also important part of the future research agenda. Orv Hetil. 2017; 158(35): 1363-1372.

  14. Effects of a training program for home health care workers on the provision of preventive activities and on the health-related behavior of their clients: A quasi-experimental study.

    Science.gov (United States)

    Walters, Maaike E; Reijneveld, Sijmen A; van der Meulen, Anja; Dijkstra, Arie; de Winter, Andrea F

    2017-09-01

    Because home health care workers repeatedly visit the same older adults, they are in an excellent position to improve the health-related behavior of older adults, their clients, by providing preventive activities. The objective of this study was to determine the short- and medium term effects of an intervention to support workers in providing preventive activities for older adults. To do this, the number of activities undertaken by workers and the health-related behavior of their clients were assessed. A quasi-experimental study was performed with a pre-post design and inclusion of one control group. The study took place in a deprived, semi-rural area in The Netherlands (2011-2013). Data in three districts served by one home health care organization were gathered. The participants were home health care workers (registered nurses and nurse aides) and home health care clients aged 55 and over (community-dwelling, dependent older adults receiving home health care). 205 home health care workers participated in the study, 97 of them in the first effect measurement; and 83 of them in the second effect measurement. A total of 304 home health care clients participated, 214 of them in the first effect measurement; and 186 of them in the second effect measurement. Differences in change were determined in health-related behavior between groups of older adults as a result of training home health care workers in preventive activities RESULTS: In the control group of home health care professionals a significant increase was found regarding the provision of preventive activities for the domain 'weight' (partial eta squared: 0.05 and 0.08 at first and second effect measurements, respectively). We found preventive activities performed by home health care professionals to have no significant effects on older adult-reported health-related behavior, but observed in the intervention group a non-significant trend in improvement of physical activity of, respectively, 85 and 207min for

  15. The social relations of health care and household resource allocation in neoliberal Nicaragua

    Directory of Open Access Journals (Sweden)

    Tesler Laura E

    2010-05-01

    Full Text Available Abstract Background With the transition to neoliberalism, Nicaragua's once-critically acclaimed health care services have substantially diminished. Local level social formations have been under pressure to try to bridge gaps as the state's role in the provision of health care and other vital social services has decreased. This paper presents a case study of how global and national health policies reverberated in the social relations of an extended network of female kin in a rural community during late 2002 - 2003. Methods The qualitative methods used in this ethnographic study included semi-structured interviews completed during bi-weekly visits to 51 households, background interviews with 20 lay and professional health practitioners working in the public and private sectors, and participant-observation conducted in the region's government health centers. Interviews and observational field notes were manually coded and iteratively reviewed to identify and conceptually organize emergent themes. Three households of extended kin were selected from the larger sample to examine as a case study. Results The ongoing erosion of vital services formerly provided by the public sector generated considerable frustration and tension among households, networks of extended kin, and neighbors. As resource allocations for health care seeking and other needs were negotiated within and across households, longstanding ideals of reciprocal exchange persisted, but in conditions of poverty, expectations were often unfulfilled, exposing the tension between the need for social support, versus the increasingly oppositional positioning of social network members as sources of competition for limited resources. Conclusions In compliance with neoliberal structural adjustment policies mandated by multilateral and bilateral agencies, government-provided health care services have been severely restricted in Nicaragua. As the national safety net for health care has been eroded

  16. The social relations of health care and household resource allocation in neoliberal Nicaragua

    Science.gov (United States)

    2010-01-01

    Background With the transition to neoliberalism, Nicaragua's once-critically acclaimed health care services have substantially diminished. Local level social formations have been under pressure to try to bridge gaps as the state's role in the provision of health care and other vital social services has decreased. This paper presents a case study of how global and national health policies reverberated in the social relations of an extended network of female kin in a rural community during late 2002 - 2003. Methods The qualitative methods used in this ethnographic study included semi-structured interviews completed during bi-weekly visits to 51 households, background interviews with 20 lay and professional health practitioners working in the public and private sectors, and participant-observation conducted in the region's government health centers. Interviews and observational field notes were manually coded and iteratively reviewed to identify and conceptually organize emergent themes. Three households of extended kin were selected from the larger sample to examine as a case study. Results The ongoing erosion of vital services formerly provided by the public sector generated considerable frustration and tension among households, networks of extended kin, and neighbors. As resource allocations for health care seeking and other needs were negotiated within and across households, longstanding ideals of reciprocal exchange persisted, but in conditions of poverty, expectations were often unfulfilled, exposing the tension between the need for social support, versus the increasingly oppositional positioning of social network members as sources of competition for limited resources. Conclusions In compliance with neoliberal structural adjustment policies mandated by multilateral and bilateral agencies, government-provided health care services have been severely restricted in Nicaragua. As the national safety net for health care has been eroded, the viability of local level

  17. The social relations of health care and household resource allocation in neoliberal Nicaragua.

    Science.gov (United States)

    Tesler, Laura E

    2010-05-22

    With the transition to neoliberalism, Nicaragua's once-critically acclaimed health care services have substantially diminished. Local level social formations have been under pressure to try to bridge gaps as the state's role in the provision of health care and other vital social services has decreased. This paper presents a case study of how global and national health policies reverberated in the social relations of an extended network of female kin in a rural community during late 2002 - 2003. The qualitative methods used in this ethnographic study included semi-structured interviews completed during bi-weekly visits to 51 households, background interviews with 20 lay and professional health practitioners working in the public and private sectors, and participant-observation conducted in the region's government health centers. Interviews and observational field notes were manually coded and iteratively reviewed to identify and conceptually organize emergent themes. Three households of extended kin were selected from the larger sample to examine as a case study. The ongoing erosion of vital services formerly provided by the public sector generated considerable frustration and tension among households, networks of extended kin, and neighbors. As resource allocations for health care seeking and other needs were negotiated within and across households, longstanding ideals of reciprocal exchange persisted, but in conditions of poverty, expectations were often unfulfilled, exposing the tension between the need for social support, versus the increasingly oppositional positioning of social network members as sources of competition for limited resources. In compliance with neoliberal structural adjustment policies mandated by multilateral and bilateral agencies, government-provided health care services have been severely restricted in Nicaragua. As the national safety net for health care has been eroded, the viability of local level social formations and their ability to

  18. A Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health-care Professionals. A Call for Action.

    Science.gov (United States)

    Moss, Marc; Good, Vicki S; Gozal, David; Kleinpell, Ruth; Sessler, Curtis N

    2016-07-01

    Burnout syndrome (BOS) occurs in all types of health-care professionals and is especially common in individuals who care for critically ill patients. The development of BOS is related to an imbalance of personal characteristics of the employee and work-related issues or other organizational factors. BOS is associated with many deleterious consequences, including increased rates of job turnover, reduced patient satisfaction, and decreased quality of care. BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other health-care professionals who practice worldwide. Until recently, BOS and other psychological disorders in critical care health-care professionals remained relatively unrecognized. To raise awareness of BOS, the Critical Care Societies Collaborative (CCSC) developed this call to action. The present article reviews the diagnostic criteria, prevalence, causative factors, and consequences of BOS. It also discusses potential interventions that may be used to prevent and treat BOS. Finally, we urge multiple stakeholders to help mitigate the development of BOS in critical care health-care professionals and diminish the harmful consequences of BOS, both for critical care health-care professionals and for patients.

  19. Health-related quality of life in patients by COPD severity within primary care in Europe

    NARCIS (Netherlands)

    Jones, P. W.; Brusselle, G.; Dal Negro, R. W.; Ferrer, M.; Kardos, P.; Levy, M. L.; Perez, T.; Soler-Cataluna, J. J.; van der Molen, T.; Adamek, L.; Banik, N.

    Pan-European data on health-related quality of life (HRQL) in chronic obstructive pulmonary disease (COPD) are lacking. This cross-sectional epidemiological study evaluated health status in 1817 COPD patients from an 'all-comers' primary care population in seven European countries (87% stable

  20. Infections related to health care in nurses’ education

    Directory of Open Access Journals (Sweden)

    Suellen Karina de Oliveira Giroti

    2015-04-01

    Full Text Available Objective: to analyze the introduction of the theme infections associated to health care in nurses’ education. Methods: this is a qualitative study, with documentary analysis of 16 interdisciplinary modules of a nursing integrated curriculum from a State University in Paraná, conducted in 2013. Results: in the first year of the course there were no references to infections. From the second to the fourth years there were 44 entries that approached: hand washing, actions to prevent infections in newborns, children, adults, pregnant women and surgical patients in different health environments, biosecurity, Regulatory Standard n. 32, dental-medical-hospital supplies processing, among others. One highlighted strengths and flaws on the approach of this theme in many moments of an integrated curriculum. Conclusion: the infections associated to health care, given their relevance and complexity, should be introduced in a transversal and continuous way in nurse’s education, providing nursing students with a reflexive and critical learning.