Crisis Decision-Making During Hurricane Sandy: An Analysis of Established and Emergent Disaster Response Behaviors in the New York Metro Area Objective This collective case study examined how and why specific organizational decision-making processes transpired at 2 large suburban county health departments in lower New York State during their response to Hurricane Sandy in 2012. The study also examined the relationships that the agencies developed with other emerging and established organizations within their respective health systems. … Continue reading “Crisis Decision-Making During Hurricane Sandy: An Analysis of Established and Emergent Disaster Response Behaviors in the New York Metro Area” Learn More
The Hurricane Sandy Person Report: Disaster Exposure, Health Impacts, Economic Burden, and Social Well-Being The impact a disaster has on the health of a population can be described as having a “dose-response” relationship: the larger the “dose” of the disaster, the greater the health impact or “response” among those individuals and communities exposed. This PERSON Briefing Report describes the impact of Hurricane Sandy (the dose) on the health and … Continue reading “The Hurricane Sandy Person Report: Disaster Exposure, Health Impacts, Economic Burden, and Social Well-Being” Learn More
The Hurricane Sandy Place Report: Evacuation Decisions, Housing Issues and Sense of Community Hurricane Sandy was one of the largest storms on record, sweeping through the eastern seaboard of the United States with a massive diameter twice the size of Hurricane Katrina. Although wind speeds did not match those of Katrina, the combination of high tide at landfall and the lunar phase resulted in exceptionally high storm surges. … Continue reading “The Hurricane Sandy Place Report: Evacuation Decisions, Housing Issues and Sense of Community” Learn More
The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community’s predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in … Continue reading “The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research” Learn More
School Interventions After the Joplin Tornado Background/Objective To qualitatively describe interventions by schools to meet children’s needs after the May 2011 Joplin, Missouri tornado. METHODS: Qualitative exploratory study conducted six months after the tornado. Key informant interviews with school staff (teachers, psychologists, guidance counselor, nurse, principal), public health official, and physicians. Report After the tornado, school staff immediately worked to contact … Continue reading “School Interventions After the Joplin Tornado” Learn More
Hurricane Sandy: Lessons Learned, Again Hurricane Sandy was a sobering reminder to those of us who call New York home that it is a port city and subject to the whims of wind and water. The storm itself was massive: climatologically, a thousand miles wide at its peak; economically, an estimated excess of $50 billion in damages. In the New … Continue reading “Hurricane Sandy: Lessons Learned, Again” Learn More
At the Crossroads of Long-Term Recovery: Joplin, Missouri Six Months after the May 22, 2011 Tornado In December 2011, researchers from Columbia University’s National Center for Disaster Preparedness (NCDP) interviewed key officials and community leaders in Joplin, Missouri in order to document the major themes of the recovery effort approximately six months after the May 22 tornado. Researchers interviewed individuals in Joplin, Missouri to document recovery efforts six months after the … Continue reading “At the Crossroads of Long-Term Recovery: Joplin, Missouri Six Months after the May 22, 2011 Tornado” Learn More
Children’s Health after the Oil Spill: A Four-State Study Findings from the Gulf Coast Population Impact (GCPI) Project In 2012, with funding from the Baton Rouge Area Foundation, the National Center for Disaster Preparedness (NCDP) at Columbia University, in partnership with the Children’s Health Fund, launched a four-state study in order (1) to identify communities of children in the coastal areas of Louisiana, Mississippi, Alabama and Florida who were adversely impacted by the … Continue reading “Children’s Health after the Oil Spill: A Four-State Study Findings from the Gulf Coast Population Impact (GCPI) Project” Learn More
Assessing the Reliability and Validity of the Evacuation Support Decision Tool This study examines the reliability and validity of the Evacuation Decision Support Tool (EDST). The EDST is designed to provide healthcare facilities, emergency managers, and other agencies with a systematic process with which to evaluate and guide “evacuation” versus “shelter in place” decision making for a variety of “all hazards” situations. The EDST is comprised … Continue reading “Assessing the Reliability and Validity of the Evacuation Support Decision Tool” Learn More
Disaster Recovery: Guidance for Donors This guidance paper goes above and beyond what donors can learn–or already have learned–from a handful of excellent guides developed by the philanthropic community since Hurricane Katrina. Much of this literature on “disaster philanthropy” has been directed at the most effective ways for donors and their agents to deliver assistance during unfolding crises and the … Continue reading “Disaster Recovery: Guidance for Donors” Learn More
Measuring the Impact of Hurricane Katrina on Access to a Personal Healthcare Provider: The Use of the National Survey of Children's Health for an External Comparison Group This paper examined the effect of Hurricane Katrina on children’s access to personal healthcare providers and evaluated the use of propensity score methods to compare a nationally representative sample of children, as a proxy for an unexposed group, with a smaller exposed sample. 2007 data from the Gulf Coast Child and Family Health (G-CAFH) Study, … Continue reading “Measuring the Impact of Hurricane Katrina on Access to a Personal Healthcare Provider: The Use of the National Survey of Children’s Health for an External Comparison Group” Learn More
Rural and suburban population surge following detonation of an improvised nuclear device: A new model to estimate impact Background: The objective of the study was to model urban evacuation into surrounding communities after the detonation of an improvised nuclear device (IND) to assist rural and suburban planners in understanding and effectively planning to address the effects of population surges. Methods: Researchers developed parameters for how far evacuees would travel to escape disasters and … Continue reading “Rural and suburban population surge following detonation of an improvised nuclear device: A new model to estimate impact” Learn More
Planning for Long‐Term Recovery Before Disaster Strikes: Case Studies of 4 US Cities: A Final Project Report Among the four phases along the hazard continuum — preparedness, response, recovery, and mitigation — the sub‐field of long‐term recovery has long been an outlier, an “orphan” when it comes to concerted policy attention and pre‐disaster planning. It’s not that community residents or municipal and state government officials are unaware of the potential long‐term residual … Continue reading “Planning for Long‐Term Recovery Before Disaster Strikes: Case Studies of 4 US Cities: A Final Project Report” Learn More
Domestic preparedness cuts in the current federal budget threaten infrastructure gains and public health preparedness Recent cuts in the federal budget have serious implications for the country’s preparedness and response standing. In mid-May, federal agencies released their final FY11 budgets. Much of the country’s funding for homeland security and public health preparedness resides in the Department of Health and Human Services (DHHS) and Department of Homeland Security (DHS) budgets. Preparedness … Continue reading “Domestic preparedness cuts in the current federal budget threaten infrastructure gains and public health preparedness” Learn More
Children as Bellwethers of Recovery: Dysfunctional Systems and the Effects of Parents, Households, and Neighborhoods on Serious Emotional Disturbance in Children After Hurricane Katrina Background: Over 160 000 children were displaced from their homes after Hurricane Katrina. Tens of thousands of these children experienced the ongoing chaos and uncertainty of displacement and transiency, as well as significant social disruptions in their lives. The objectives of this study were to estimate the long-term mental health effects of such exposure among … Continue reading “Children as Bellwethers of Recovery: Dysfunctional Systems and the Effects of Parents, Households, and Neighborhoods on Serious Emotional Disturbance in Children After Hurricane Katrina” Learn More
Recovery Research, Katrina's Fifth Anniversary, and Lessons Relearned What may be called “disaster science” is a broad field that begins with understanding hazards, risks, and population vulnerabilities and moves on to establishing best-practice models of response, mitigation, and recovery. Gaps abound in our collective knowledge in all of these areas, and it is fair to suggest that we have only begun to scratch … Continue reading “Recovery Research, Katrina’s Fifth Anniversary, and Lessons Relearned” Learn More
Measuring Individual Disaster Recovery: A Socioecological Framework Background: Disaster recovery is a complex phenomenon. Too often, recovery is measured in singular fashion, such as quantifying rebuilt infrastructure or lifelines, without taking in to account the affected population’s individual and community recovery. A comprehensive framework is needed that encompasses a much broader and far-reaching construct with multiple underlying dimensions and numerous causal pathways; … Continue reading “Measuring Individual Disaster Recovery: A Socioecological Framework” Learn More
Impact on Children and Families of the Deepwater Horizon Oil Spill: Preliminary Findings of the Coastal Population Impact Study Although the ruptured Deepwater Horizon oil well was capped on July 15, 2010, an estimated 3 to 5 million barrels of oil spilled in to the Gulf of Mexico over a three-month period. Several surveys prior to the capping of the well documented the concerns and immediate effects of the oil spill on coastal residents. … Continue reading “Impact on Children and Families of the Deepwater Horizon Oil Spill: Preliminary Findings of the Coastal Population Impact Study” Learn More
Emergency Response and Public Health in Hurricane Katrina: What Does it Mean to Be a Public Health Emergency Responder? Since 9/11, federal funds directed toward public health departments for training in disaster preparedness have dramatically increased, resulting in changing expectations of public health workers’ roles in emergency response. This article explores the public health emergency responder role through data collected as part of an oral history conducted with the 3 health departments that responded … Continue reading “Emergency Response and Public Health in Hurricane Katrina: What Does it Mean to Be a Public Health Emergency Responder?” Learn More
Broadcasting Flu Messages – Citywide Transmission and Community Reception: An Evaluation of Ready New York’s pandemic influenza outreach campaign Public health risk communication is a central feature of New York City’s pandemic flu preparedness plan. Particularly in the early stages of a pandemic, before effective therapeutic measures are available, non-pharmaceutical interventions such as social distancing, personal protective hygiene, and voluntary isolation are critical strategies for suppressing the spread of a novel viral strain. New … Continue reading “Broadcasting Flu Messages – Citywide Transmission and Community Reception: An Evaluation of Ready New York’s pandemic influenza outreach campaign” Learn More
Second Wind: The Impact of Hurricane Gustav on Children and Families Who Survived Katrina The category 2 Hurricane Gustav made landfall on the Louisiana Coast on Sept. 1, 2008, nearly three years to the day after Hurricane Katrina, resulting in an evacuation of approximately 2 million people and considerable property damage. Although it did not match the intensity or consequence of Hurricane Katrina, the experience of anticipating and responding … Continue reading “Second Wind: The Impact of Hurricane Gustav on Children and Families Who Survived Katrina” Learn More
Analyzing Postdisaster Surveillance Data: The Effect of the Statistical Method Data from existing administrative databases and ongoing surveys or surveillance methods may prove indispensable after mass traumas as a way of providing information that may be useful to emergency planners and practitioners. The analytic approach, however, may affect exposure prevalence estimates and measures of association. We compare Bayesian hierarchical modeling methods to standard survey analytic … Continue reading “Analyzing Postdisaster Surveillance Data: The Effect of the Statistical Method” Learn More
Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study Background: 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. Methods: A representative sample of 1077 displaced or … Continue reading “Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study” Learn More
Lessons from Katrina – What Went Wrong, What Was Learned, Who’s Most Vulnerable If humans did not occupy the planet, disasters would never occur. Massive climatic events, earthquakes, volcanic eruptions, and tsunamis would be regular occurrences, of course, and the earth would look like a dynamic cauldron of natural activity, changing the look and the balance of nature and natural events continuously and randomly. What morphs these natural … Continue reading “Lessons from Katrina – What Went Wrong, What Was Learned, Who’s Most Vulnerable” Learn More
The 2008 American Preparedness Project: Why Parents May Not Heed Evacuation Orders and What Emergency Planners, Families and Schools Need to Know Since 2002, the National Center for Disaster Preparedness (NCDP) at Columbia University’s Mailman School of Public Health, and The Children’s Health Fund (CHF), have conducted annual surveys of public attitudes and personal preparedness in the aftermath of the terror attacks of September 11, 2001. Produced in collaboration with the Marist College Institute for Public Opinion … Continue reading “The 2008 American Preparedness Project: Why Parents May Not Heed Evacuation Orders and What Emergency Planners, Families and Schools Need to Know” Learn More
The New York City Principals Pandemic Flu Survey: Are Schools Prepared? It will be only a matter of time before another influenza pandemic occurs. Pandemic flu refers to a novel human influenza virus that causes a global outbreak, or pandemic. Researchers cannot accurately predict the timing, severity, or source of the next pandemic, but are certain it would present a myriad of issues for the public … Continue reading “The New York City Principals Pandemic Flu Survey: Are Schools Prepared?” Learn More
Public Health Disaster Research: Surveying the Field, Defining its Future Disaster medicine and public health preparedness are commonly perceived as subfields of the larger fields of medicine and public health rather than being recognized as an emerging academic field embracing all of the disciplines that contribute to effective disaster response. As such, they serve as appropriate subjects for multidisciplinary work in the social sciences, whether … Continue reading “Public Health Disaster Research: Surveying the Field, Defining its Future” Learn More
Comparison of Urban Transit Planning Responses to Pandemic Influenza Pandemic influenza and other large scale communicable disease outbreaks pose a unique public safety concern in respect to transit and emergency planning. While local transit agencies, supported by federal funds, have identified disaster planning and response as critical to maintaining continuity of service and quality of life, most plans contend solely with event-based scenarios such … Continue reading “Comparison of Urban Transit Planning Responses to Pandemic Influenza” Learn More
Children and Megadisasters: Lessons Learned in the New Millennium Hurricane Katrina is America’s most recent encounter with a megadisaster. But what made it a megadisaster instead of just another category 3 hurricane of the type that seasonally exists in the Gulf of Mexico? Katrina was not the largest or strongest hurricane to strike the United States mainland in the recent past, but its effects … Continue reading “Children and Megadisasters: Lessons Learned in the New Millennium” Learn More
Mississippi Child and Family Health Study — Toplines During the period of August 6 through August 26, 2006, the Columbia-led Mississippi Child & Family Health Study conducted an assessment among Mississippi residents displaced or heavily impacted by Hurricane Katrina. The purpose of the study was to gather information that could inform local, state, and federal policymakers about the health and social service needs … Continue reading “Mississippi Child and Family Health Study — Toplines” Learn More
Unanticipated Consequences of a Pandemic Flu in New York City: A Neighborhood Focus Group Study There is fairly consistent evidence that ethnic and minority communities have historically been more vulnerable to disasters, less trusting of public authority, and often so socially marginalized that it placed them in harm’s way. In an effort to explore some of these issues we conducted a series of community-based focus groups among selected ethnic communities … Continue reading “Unanticipated Consequences of a Pandemic Flu in New York City: A Neighborhood Focus Group Study” Learn More
The Legacy of Katrina's Children: Estimating the Numbers of Hurricane-Related At-Risk Children in the Gulf Coast States of Louisiana and Mississippi The 2005 hurricane season, which included hurricanes Katrina, Rita and Wilma, exacted a monumental toll on the people and infrastructure of the Gulf Coast region in the southern United States. Disaster-related losses were estimated to have exceeded $110 billion. Much has been written about the short-term effects on the local housing stock, economy, and populations. … Continue reading “The Legacy of Katrina’s Children: Estimating the Numbers of Hurricane-Related At-Risk Children in the Gulf Coast States of Louisiana and Mississippi” Learn More
The American Preparedness Project: Where the US Public Stands in 2007 on Terrorism, Security, and Disaster Preparedness Since 2002, the National Center for Disaster Preparedness (NCDP) at Columbia University’s Mailman School of Public Health and The Children’s Health Fund (CHF), have conducted annual surveys of public attitudes and personal preparedness in the aftermath of the terror attacks of September 11, 2001. Produced in collaboration with the Marist College Institute for Public Opinion … Continue reading “The American Preparedness Project: Where the US Public Stands in 2007 on Terrorism, Security, and Disaster Preparedness” Learn More
The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina: Executive Summary Six months after Hurricane Katrina hit the Gulf Coast, a Columbia-led research team conducted a random household survey of people who had been displaced by the disaster in Louisiana. Mental health disability and psychological strain were rampant, people’s lives were chaotic, and their futures were uncertain. The children who had been displaced were often socially … Continue reading “The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina: Executive Summary” Learn More
The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina Six months after Hurricane Katrina hit the Gulf Coast, a Columbia-led research team conducted a random household survey of people who had been displaced by the disaster in Louisiana. Mental health disability and psychological strain were rampant, people’s lives were chaotic, and their futures were uncertain. The children who had been displaced were often socially … Continue reading “The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina” Learn More
On the Edge: Children and Families Displaced by Hurricanes Katrina andRita Face a Looming Medical and Mental Health Crisis: Executive Summary The individuals and families who were displaced by Hurricanes Katrina and Rita and who have ended up in FEMA-subsidized community housing in Louisiana are facing a second crisis, one in which untreated and undertreated chronic medical problems and incipient mental health issues will overwhelm patients and providers. Among the displaced, children may be particularly vulnerable. … Continue reading “On the Edge: Children and Families Displaced by Hurricanes Katrina andRita Face a Looming Medical and Mental Health Crisis: Executive Summary” Learn More
Unanticipated Consequences of Pandemic Flu: Transportation Related Issues: A Preliminary Literature Review Broadly speaking, plans for the containment and treatment of pandemic flu lead to a set of circumscribed outcomes, which include process outcomes (e.g., numbers of individuals vaccinated, numbers of health care workers vaccinated, numbers of intensive care beds opened up) as well as health outcomes (e.g., flu-related morbidity and mortality, transmission rates, and attack rates). … Continue reading “Unanticipated Consequences of Pandemic Flu: Transportation Related Issues: A Preliminary Literature Review” Learn More
On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis The individuals and families who were displaced by Hurricanes Katrina and Rita and who have ended up in FEMA-subsidized community housing in Louisiana are facing a second crisis, one in which untreated and undertreated chronic medical problems and incipient mental health issues will overwhelm patients and providers. Among the displaced, children may be particularly vulnerable. … Continue reading “On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis” Learn More
