Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-23T04:42:54.350Z Has data issue: false hasContentIssue false

The Medical, Public Health, and Emergency Response to the Impact of 2017 Hurricane Irma in Cuba

Published online by Cambridge University Press:  30 July 2019

Tanya L. Zakrison
Affiliation:
Associate Professor of Surgery, Trauma and Acute Care, University of Chicago Medicine, Chicago, Illinois
Davel Milian Valdés
Affiliation:
1st Grade Specialist – General Integral Medicine & General Surgery, Faculty Assistant, General Calixto Garcia University Hospital, University of Medical Sciences, La Habana, Cuba
James M. Shultz
Affiliation:
Director, Center for Disaster & Extreme Event Preparedness (DEEP Center), Department of Public Health Sciences (DPHS), University of Miami Miller School of Medicine, Miami, Florida

Abstract

In 2017, Cuba was pummeled by Hurricane Irma, one of the strongest and most devastating Atlantic basin hurricanes in history. Twelve of Cuba’s 15 provinces and 90 percent of the population were affected, and there was island-wide loss of electrical power. Despite the significant damage, ongoing economic hardships, and the political realities that required Cuba to handle the situation without response support from other nations, Cuba’s recovery was swift and effective. Cuba’s disaster self-sufficiency and timely response to Hurricane Irma was grounded on 5 decades of disaster planning coupled with ongoing evolution of disaster risk reduction and management strategies. While the central command center, with local dispatch response teams, and mandated citizen engagement are features unique to Cuba’s political structure, in this study, we highlight 5 defining attributes of Cuba’s hurricane response that can constructively inform the actions of other island and coastal nations vulnerable to Atlantic tropical cyclones. These attributes are: (1) actively learning and incorporating lessons from past disaster events, (2) integrating healthcare and public health professionals on the frontlines of disaster response, (3) proactively engaging the public in disaster preparedness, (4) incorporating technology into disaster risk reduction, and (5) infusing science into risk planning. In terms of hurricane response, as a geopolitically isolated nation, Cuba has experienced particular urgency when it comes to protecting the population and creating resilient infrastructure that can be rapidly reactivated after the onslaught of storms of ever-increasing intensity. This includes planning for worsening future disaster scenarios based on a clear-eyed appreciation of the realities of climate change.

Type
Policy Analysis
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Shultz, JM, Kossin, JP, Shepherd, JM, et al.Risks, health consequences, and response challenges for small-island-based populations: observations from the 2017 Atlantic hurricane season. Disaster Med Public Health Prep. 2019;13:517. doi: https://doi.org/10.1017/dmp.2018.28CrossRefGoogle ScholarPubMed
Capucci, M. September is the most energetic month for hurricanes ever recorded in the Atlantic. https://www.washingtonpost.com/news/capital-weather-gang/wp/2017/09/26/september-is-the-most-energetic-month-for-hurricanes-ever-recorded-in-the-atlantic/?utm_term=.9d47b1d6492b. Published September 27, 2017. Accessed July 17, 2018.Google Scholar
Cangialosi, ES, Latto, AS, Berg, R.National Hurricane Center Tropical Cyclone Report: Hurricane Irma (AL112017), 30 August – 12 September 2017. Miami, FL: National Hurricane Center, National Oceanographic and Atmospheric Administration, 9 March 2018. https://www.nhc.noaa.gov/data/tcr/AL112017_Irma.pdf. Accessed July 17, 2018.Google Scholar
Agencia, EFE. Huracanes en el Atlántico: Raúl Castro cifra los daños del huracán Irma a Cuba en 13.185 millones de dólares. Agencia EFE, Havana, Cuba, Edición España. December 22, 2017. https://www.efe.com/efe/espana/sociedad/raul-castro-cifra-los-danos-del-huracan-irma-a-cuba-en-13-185-millones-de-dolares/10004-3474450. Accessed July 17, 2018.Google Scholar
United Nations/Cuba. Cuba: Huracán Irma. Informe a tres meses. December 15, 2017. http://onu.org.cu/files/files/Informe_tres_meses_Irma.pdf. Accessed July 17, 2018.Google Scholar
MEDICC. Hurricane recovery update: aftermath of Hurricane Irma in Cuba. http://medicc.org/ns/irmarecoveryupdates/. Accessed July 17, 2018.Google Scholar
Milken Institute School of Public Health. Project Report: Ascertainment of the Estimated Excess Mortality From Hurricane Maria in Puerto Rico. Washington, DC: George Washington University; 2018. https://publichealth.gwu.edu/sites/default/files/downloads/projects/PRstudy/Acertainment%20of%20the%20Estimated%20Excess%20Mortality%20from%20Hurricane%20Maria%20in%20Puerto%20Rico.pdf. Accessed October 23, 2018.Google Scholar
Shultz, JM, Kossin, JP, Galea, S.The need to integrate climate science into public health preparedness for hurricanes and tropical cyclones. JAMA. 2018;320(16):16371638.10.1001/jama.2018.16006CrossRefGoogle ScholarPubMed
Fariñas Acosta, L. La salud a buen resguardo de Irma. Granma.cu. September 9, 2017. http://www.granma.cu/cuba/2017-09-09/la-salud-a-buen-resguardo-de-irma-09-09-2017-21-09-57. Accessed July 17, 2018.Google Scholar
Green Left Weekly. IMF refuses Barbuda debt relief after hurricane devastation, Cuba dispatches medical staff across Caribbean. September 11, 2017. https://www.greenleft.org.au/content/imf-refuses-barbuda-debt-relief-after-hurricane-devastation-cuba-dispatches-medical-staff. Accessed July 17, 2018.Google Scholar
Debate, Cuba. Cuba ofrece ayuda a Puerto Rico tras azote del huracán María. September 25, 2017. http://www.cubadebate.cu/noticias/2017/09/25/cuba-ofrece-ayuda-solidaria-a-puerto-rico-tras-azote-del-huracan-maria/#.W03XAmaZOfe. Accessed July 17, 2018.Google Scholar
Lovins, AB. Efficiency and micropower for reliable and resilient electricity service: an intriguing case-study from Cuba. Rocky Mountain Institute. January 31, 2010. https://rmi.org/insight/efficiency-and-micropower-for-reliable-and-resilient-electricity-service-an-intriguing-case-study-from-cuba/. Accessed July 17, 2018.Google Scholar
Latina, Prensa. Divulgan en Cuba informe preliminar de daños por huracán Irma. September 29, 2017. http://cubasi.cu/cubasi-noticias-cuba-mundo-ultima-hora/item/68532-divulgan-en-cuba-informe-preliminar-de-danos-por-huracan-irma). Accessed July 17, 2018.Google Scholar
Agencia Cubans de Noticias (ACN). Esfuerzos en la “Guiteras” para reingresarla al sistema eléctrico. September 11, 2017. http://www.acn.cu/huracan-irma/28556-esfuerzos-en-la-guiteras-para-reingresarla-al-sistema-electrico-fotos. Accessed July 17, 2018.Google Scholar
Periodico26. Electricity grid reaches 99.9% of Cubans after Hurricane Irma. September 29, 2017. http://www.periodico26.cu/index.php/en/cuba-news/item/5697-electricity-grid-reaches-99-9-percent-of-cubans-after-hurricane-irma. Accessed July 17, 2018.Google Scholar
Arrastia Avila, MA. Distributed generation in Cuba — part of a transition towards a new energy paradigm. Decentralized-energy.com. January 11, 2008. https://www.decentralized-energy.com/articles/print/volume-9/issue-6/features/distributed-generation-in-cuba-mdash-part-of-a-transition-towards-a-new-energy-paradigm.html. Accessed July 17, 2018.Google Scholar
El Nuevo Dia. Raúl Castro ordena dar prioridad al sistema eléctrico: Es la primera declaración pública del presidente Cubano. September 10, 2017. https://www.elnuevodia.com/noticias/locales/nota/raulcastroordenadarprioridadalsistemaelectrico-2356420/. Accessed July 17, 2018.Google Scholar
Rebelde, Radio. Huracán Irma afectó en Cuba más de 2 mil 186 escuelas. September 15, 2017. http://www.radiorebelde.cu/noticia/huracan-irma-afecto-cuba-dos-mil-186-escuelas-20170915/. Accessed October 23, 2018.Google Scholar
News, Sputnik. Retorno a las escuelas cubanas confirma la recuperación tras el paso del huracán Irma. September 12, 2017. https://mundo.sputniknews.com/amp/americalatina/201709121072296171-seguridad-ameica-latina-la-habana-naturaleza-irma/. Accessed October 23, 2018.Google Scholar
Holguin, Radio. Reinició curso escolar en Holguín tras paso de huracán Irma. September 12, 2017. http://www.radioholguin.icrt.cu/item/1401-reinicio-curso-escolar-en-holguin-tras-paso-de-huracan-irma. Accessed October 23, 2018.Google Scholar
Agencia Cubans de Noticias (ACN). Otorga banco cubano créditos a damnificados por huracán Irma. September 28, 2017. http://www.acn.cu/cuba/28966-otorga-banco-cubano-creditos-a-damnificados-por-huracan-irma. Accessed July 17, 2018.Google Scholar
HurricaneScience.org. Hurricanes: science and society: 1963 Hurricane Flora. http://www.hurricanescience.org/history/storms/1960s/flora/. Accessed July 17, 2018.Google Scholar
Friedman-Rudovsky. Hurricane tips from Cuba. New York Times. 29 July 2013. https://www.nytimes.com/2013/07/30/science/hurricane-tips-from-cuba.html. Accessed July 17, 2018.Google Scholar
Bank, World. Culture of disaster preparedness: Cuba and India. http://siteresources.worldbank.org/CMUDLP/Resources/Day3-5-HariKrishna.pdfGoogle Scholar
Ingelbrecht, M. Cuba Paradigma en la reduccion de riesgo de desastres. OXFAM Solidarity. Prevention Web. https://www.preventionweb.net/files/2558_CubaParadigmaenlareduccionderiesgodedesastres.pdf. Accessed July 17, 2018.Google Scholar
Revolución Energética en Cuba. https://www.ecured.cu/Revolución_Energética_en_Cuba. Accessed July 17, 2018.Google Scholar
UNDP. A Cuban model for a resilient Caribbean. February 15, 2015. http://www.undp.org/content/undp/en/home/presscenter/articles/2015/02/25/a-cuban-model-for-a-resilient-caribbean.html. Accessed October 23, 2018.Google Scholar
Ecured. Tarea vida. https://www.ecured.cu/Tarea_Vida. Accessed July 17, 2018.Google Scholar
Shultz, JM, Kossin, JP, Ettman, C, Kinney, PL, Galea, S.The 2017 perfect storm season, climate change, and environmental injustice. Lancet Planetary Health. 2018;2(9):e370e371.10.1016/S2542-5196(18)30168-2CrossRefGoogle ScholarPubMed