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Public Health Needs Assessments of Tutuila Island, American Samoa, After the 2009 Tsunami

Published online by Cambridge University Press:  08 April 2013

Ekta Choudhary ,
Tai-Ho Chen ,
Colleen Martin ,
Sara Vagi ,
Joseph Roth Jr ,
Mark Keim ,
Rebecca Noe ,
Seiuli Elisapeta Ponausuia ,
Siitia Lemusu  and
Tesfaye Bayleyegn
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Abstract

Objective: An 8.3 magnitude earthquake followed by tsunami waves devastated American Samoa on September 29, 2009, resulting in widespread loss of property and public services. An initial and a follow-up Community Needs Assessment for Public Health Emergency Response (CASPER) objectively quantified disaster-affected population needs.

Methods: Using a 2-stage cluster sampling method of CASPER, a household questionnaire eliciting information about medical and basic needs, illnesses, and injuries was administered. To assess response efforts, percent changes in basic and medical needs, illnesses, and injuries between the initial and follow-up CASPER were calculated.

Results: During the initial CASPER (N = 212 households), 47.6% and 51.6% of households reported needing a tarpaulin and having no electricity, respectively. The self-reported greatest needs were water (27.8%) and financial help with cleanup (25.5%). The follow-up CASPER (N = 207 households) identified increased vector problems compared to pre-tsunami, and food (26%) was identified as the self-reported greatest need. As compared to the initial CASPER, the follow-up CASPER observed decreases in electricity (−78.3%), drinking water (−44.4%), and clothing (−26.6%).

Conclusion: This study highlights the use of CASPER during the response and recovery phases following a disaster. The initial CASPER identified basic needs immediately after the earthquake, whereas the follow-up CASPER assessed effectiveness of relief efforts and identified ongoing community needs.

(Disaster Med Public Health Preparedness. 2012;6:209–216)

Keywords

community assessmentdisastertsunami responsepublic health assessmentrapid needs assessment
Type
From the Field
Information
Disaster Medicine and Public Health Preparedness , Volume 6 , Issue 3 , October 2012 , pp. 209 - 216
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

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References

REFERENCES

1.Boyarsky, IShneiderman, A.Natural and hybrid disasters. causes, effects and management. Top Emerg Med. 2002;24 (3):1–25.Google Scholar
2.Kiem, M.Cyclones, tsunamis, and human health: the key role of preparedness. Oceanography (Wash DC). 2006;19 (2):40–49.Google Scholar
3.Doocy, SRobinson, CMoodie, CBurnham, G.Tsunami-related injury in Aceh Province, Indonesia. Glob Public Health. 2009;4 (2):205–214.CrossRefGoogle ScholarPubMed
4.US Geological Survey (USGS). Magnitude 8.1 - Samoa Islands Region.2009. http://earthquake.usgs.gov/earthquakes/eqinthenews/2009/us2009mdbi/. Accessed February 7, 2011.Google Scholar
5.US Census Bureau. 2000 Census of Population and Housing, Social, Economic, and Housing Characteristics, PHC-4-AS, American Samoa.Washington, DC: US Census Bureau; 2003.Google Scholar
6.Ritchie, K.Villages wiped out by killer tsunami.2009. http://www.abc.net.au/news/2009-09-30/villages-wiped-out-by-killer-tsunami/1084422. Accessed June 22, 2012.Google Scholar
7.Department of Health and Human Services (DHHS), Centers for Disease Control and Prevention (CDC). Community Assessment for Public Health Emergency Response (CASPER).Atlanta, GA: Toolkit; 2009.Google Scholar
8.Henderson, RHSundaresan, T.Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bull World Health Organ. 1982;60 (2):253–260.Google ScholarPubMed
9.Bayleyegn, TWolkin, AOberst, K, et alRapid assessment of the needs and health status in Santa Rosa and Escambia counties, Florida, after Hurricane Ivan, September 2004. Disaster Manag Response. 2006;4 (1):12–18.Google Scholar
10.Zane, DFBayleyegn, TMHaywood, TL, et alCommunity assessment for public health emergency response following Hurricane Ike—Texas, 25-30 September 2008. Prehosp Disaster Med. 2010;25 (6):503–510.Google Scholar
11.Malilay, JFlanders, WDBrogan, D.A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organ. 1996;74 (4):399–405.Google ScholarPubMed
12.National Oceanic and Atmospheric Administration (NOAA). Center for Tsunami Research.Tsunami Event - September 29, 2009 American Samoa. 2009. http://nctr.pmel.noaa.gov/samoa20090929-local.html. Accessed October 14, 2009.Google Scholar
13.Centers for Disease Control (CDC). Rapid health needs assessment following Hurricane Andrew—Florida and Louisiana, 1992. MMWR Morb Mortal Wkly Rep. 1992;41 (37):685–688.Google Scholar
14.Centers for Disease Control and Prevention (CDC). Surveillance for injuries and illnesses and rapid health-needs assessment following Hurricanes Marilyn and Opal, September-October 1995. MMWR Morb Mortal Wkly Rep. 1996;45 (4):81–85.Google Scholar
15.Centers for Disease Control and Prevention (CDC). Community needs assessment and morbidity surveillance following an ice storm—Maine, January 1998. MMWR Morb Mortal Wkly Rep. 1998;47 (17):351–354.Google Scholar
16.Malilay, J.Public health assessments in disaster settings: recommendations for a multidisciplinary approach. Prehosp Disaster Med. 2000;15 (4):167–172.Google Scholar
17.Noji, EK.Public health issues in disasters. Crit Care Med. 2005;33 1 (suppl)S29–S33.Google Scholar
18.Victoriano, AFSmythe, LDGloriani-Barzaga, N, et alLeptospirosis in the Asia Pacific region. BMC Infect Dis. 2009;9 (1):147.Google Scholar
19.Centers for Disease Control and Prevention (CDC). Morbidity and mortality associated with Hurricane Floyd—North Carolina, September-October 1999. MMWR Morb Mortal Wkly Rep. 2000;49 (17):369–372.Google Scholar
20.Federal Emergency Management Agency (FEMA). American Samoa Disaster History.2010. http://www.fema.gov/news/disasters_state.fema?id=60. Accessed November 2, 2011.Google Scholar
21.Dunbar, PWeaver, CUS.States and territories national tsunami hazard assessment: historical record and sources for waves.Boulder, CO: National Oceanic and Atmospheric Administration and US Geological Survey; 2008:1-59.Google Scholar