This study explores how we can improve the government’s research and technology for disasters and safety.

This study employs the Structural Equation Model (SEM) based on 268 experts’ perspectives.

R&D performance exerts a directly significant impact on R&D achievement with the coefficient of 0.429. Second, while professionality and environment of R&D do not show a direct effect on achievement, they exhibit an indirect effect on it with the coefficient of 1.124 and 0.354, respectively. Third, R&D professionality exerts a significant impact on the R&D environment (0.964), and R&D environment has a positive effect on R&D performance (0.827).

Governments and policymakers should develop disaster and safety policies by understanding direct and indirect effects and the relationship of factors related to R&D for improving R&D achievement.

Robust research has established that preexisting physical and mental health conditions increase risk for adverse psychiatric outcomes after disasters. However, it is unclear if increased risk is independent of disaster exposure, and most studies have relied on retrospective reports of pre-disaster functioning.

In a pre-post sample of high-risk Puerto Rican adults (N = 361) who experienced Hurricanes Irma and Maria, we assessed: 1) whether indicators of pre-disaster depression and physical health conditions were associated with posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms; and 2) whether the effects of pre-disaster depression and physical health conditions on PTSD and MDD symptoms were indirect via disaster exposure or had exacerbated the effects of disaster exposure on PTSD and MDD symptoms.

Pre-disaster depression and physical health problems were significantly associated with higher post-disaster MDD symptoms (B = 1.50, SE = 0.36, p < .001, and B = 0.21; SE = 0.09, P = 0.016), but not PTSD symptoms. Indirect effects of pre-disaster depression and physical health symptoms via disaster exposure were non-significant, and neither moderated the association of disaster exposure on PTSD and MDD symptoms.

Research is needed to understand other pathways through which pre-disaster health conditions predict post-disaster mental health.

Mothers, particularly those who are breastfeeding, as well as their babies are often overlooked populations during natural disasters. Still, the ever-growing frequency and severity of natural disasters in the United States (US) have increased the likelihood that a breastfeeding family will experience a natural disaster. In 2019, 83% of all newborns received breastmilk, and 84% of Americans lived in an area that recently experienced a natural disaster. This scoping review aimed to identify ways to support breastfeeding women, infants, and young children during a natural disaster.

A search was performed using Embase, Scopus, PubMed, and CINHAL databases to identify articles published in the English language from September 2005—September 2023 according to the Joanna Briggs Institute (JBI). Each article was chosen based on noted inclusion and exclusion criteria. Data were extracted per the pre-prepared protocol.

Ten articles were selected for the scoping review, examining key characteristics and recommendations. The authors of the included articles used varying approaches to present the information, and differing approaches to supporting breastfeeding during disasters were observed. Only 3 of the 10 articles were research studies, 3 were editorials, 2 were program descriptions or evaluations, 1 was an education article, and 1 was a report. All articles addressed women, pregnant or postpartum women, infants, and/or young children. All articles addressed hurricanes, and 1 article addressed 2 disasters: a winter storm and a hurricane.

Recommendations include the adoption of breastfeeding women, infants, and young children in disaster plans as a special population with unique needs, integration of breastfeeding support into disaster plans, and training disaster workers to support breastfeeding during disasters.