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Emergency Health Surveillance After Severe Flooding in Louisiana, 1995

Published online by Cambridge University Press:  28 June 2012

Cynthia L. Ogden*
Affiliation:
National Center for Health Statistics, Centers for Disease Control and Prevention
Lynn I. Gibbs-Scharf
Affiliation:
Office of Public Health, Louisiana Department of Health and Hospitals, during this investigation
Melvin A. Kohn
Affiliation:
Office of Public Health, Louisiana Department of Health and Hospitals, during this investigation
Josephine Malilay
Affiliation:
National Center for Environmental Health, Centers for Disease Control and Prevention
*
Division of Health Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, 6525 Belcrest Road, Room 900, Hyattsville, MD 20782

Abstract

Introduction:

In disaster situations, timely surveillance systems that provide illness, injury, and mortality information to public health officials and hospitals are essential for planning and evaluating interventions.

Objectives:

To describe flood surveillance methodology, the impact of the event on hospitals, and the number of daily patient visits due to selected illnesses and injuries before, during, and after severe flooding in southeastern Louisiana in May 1995.

Methods:

Survey of disaster-area hospitals regarding flood impact. Emergency department surveillance of injuries and illnesses for the week before, the two days during, and the week after the flood.

Results:

There occurred an increase in the number of persons who drowned or were injured that presented to the moderately affected hospitals during the storm, but there was no increase in visits for gastroenteritis to any group of hospitals. Services were disrupted in more than half of hospitals. The severely affected hospitals had the least variation in the average number of daily visits. None of the drownings were reported by those hospitals that reported severe service disruption.

Conclusions:

Data should be collected from all hospitals in or near disaster areas, even if they were not directly affected by the disaster. Public education about the danger of drowning during flash flooding must be improved. The Louisiana experience emphasizes the need for a disaster-preparedness plan for rapid surveillance of illnesses and injuries.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2001

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Footnotes

†Officers in the Epidemic Intelligence Service of the Centers for Disease Control and Prevention during this investigation.

References

1. Malilay, J: Floods. In: Noji, EK, ed. The Public Health Consequence of Disasters. New York: Oxford University Press, 1997: pp 287301.Google Scholar
2. Legome, E, Robins, A, Rund, DA: Injuries associated with floods: The need for an international reporting scheme. Disasters 1995;19:5054.CrossRefGoogle ScholarPubMed
3. Dietz, VJ, Rigau-Perez, JG, Sanderson, L, Diaz, L, Gunn, RA: Health assessment of the 1985 flood disaster in Puerto Rico. Disasters 1990;14:164170.CrossRefGoogle Scholar
4. Lee, LE, Fonseca, V, Brett, KM et al. : Active morbidity surveillance after Hurricane Andrew—Florida, 1992. JAMA 1993;270:591594.CrossRefGoogle ScholarPubMed
5. Geehr, EC, Salluzzo, R, Bosco, S, Braaten, J, Wahl, T, Wallenkampf, V: Emergency health impact of a severe storm. Am J Emerg Med 1989;7: 598604.CrossRefGoogle ScholarPubMed
6. Wetterhall, SF, Noji, EK: Surveillance and epidemiology. In: Noji, EK (ed), The Public Health Consequences of Disasters. New York: Oxford University Press, 1997: pp 3764.Google Scholar
7. Wasley, A: Epidemiology in the disaster setting. Current Issues in Public Health 1995;1:131135.Google Scholar
8. Centers for Disease Control and Prevention: Rapid assessment of vector-borne diseases during the Midwest flood—United States, 1993. MMWR 1994;43:481483.Google Scholar
9. Centers for Disease Control and Prevention: Flood-related mortality—Georgia, July 4-14,1994. MMWR 1994;43:526530.Google Scholar
10. Centers for Disease Control and Prevention: Injuries and illnesses related to Hurricane Andrew—Louisiana, 1992. MMWR 1993;42:242251.Google Scholar
11. Centers for Disease Control and Prevention: Public health consequences of a flood disaster—Iowa, 1993. MMWR 1993;42:653656.Google Scholar
12. Centers for Disease Control and Prevention: Flood-related mortality—Missouri, 1993. MMWR 1993;42:941943.Google Scholar
13. Centers for Disease Control and Prevention: Rapid health needs assessment following Hurricane Andrew—Florida and Louisiana, 1992. MMWR 1992;41:685688.Google Scholar
14. Malilay, J, Real, MG, Vanegas, AR, Noji, E, Sinks, T: Public health surveillance after a volcanic eruption: Lessons from Cerro Negro, Nicaragua, 1992. Bull Pan Am Health Org 1996;30:218226.Google ScholarPubMed
15. Louisiana Office of Public Health: The health effects of the flood. Louisiana Morbidity Report 1995;6(3):12.Google Scholar
16. Dean, AG, Dean, JA, Coulombier, D et al. : Epi Info, Version 6: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers. Atlanta, GA: Centers for Disease Control and Prevention, 1994.Google Scholar
17. SAS Institute Inc. SAS/STAT User's Guide, Version 6,. 4th ed. Cary, NC: SAS Institute Inc., 1989.Google Scholar
18. Lotus Development Corporation. Lotus 1-2-3 User's Guide. Release 4. Cambridge, MA: Lotus Development Corporation, 1993.Google Scholar
19. Duclos, P, Vidonne, O, Beuf, P, Perray, P, Stoebner, A: Flash flood disaster—Nîmes, France, 1988. Euro J Epidemiol 1991;7:365371.CrossRefGoogle ScholarPubMed
20. Staes, C, Orengo, JC, Malilay, J, Rullan, J, Noji, E: Deaths due to flash floods in Puerto Rico, January 1992: Implications for prevention. Int J Epidemiol 1994;23:968975.CrossRefGoogle ScholarPubMed
21. Brewer, RD, Morris, PD, Cole, TB: Hurricane-related emergency department visits in an inland area: An analysis of the public health impact of Hurricane Hugo in North Carolina. Ann Emerg Med 1994;23:731736.CrossRefGoogle Scholar
22. Quinn, B, Baker, R, Pratt, J. Hurricane Andrew and a pediatric emergency department. Ann Emerg Med 1994;23:737741.CrossRefGoogle Scholar
23. Louisiana State University: Louisiana Monthly Climate Review 1995. 15(5).Google Scholar
24. American Hospital Association: AHA Guide 1994. Chicago: American Hospital Association.Google Scholar