Evaluating Disaster Damages and Operational Status of Health-Care Facilities During the Emergency Response Phase of Hurricane Maria in Puerto Rico

On September 20, 2017, Hurricane Maria made landfall on Puerto Rico as a category 4 storm, resulting in serious widespread impact across the island, including communication and power outages, water systems impairment, and damage to life-saving infrastructure. In collaboration with the Puerto Rico De...

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Bibliographic Details
Published in:Disaster medicine and public health preparedness Vol. 14; no. 1; pp. 80 - 88
Main Authors: Irvin-Barnwell, E.A., Cruz, M., Maniglier-Poulet, C., Cabrera, J., Rivera Diaz, J., De La Cruz Perez, R., Forrester, C., Shumate, A., Mutter, J., Graziano, L., Rivera Gonzalez, L., Malilay, J., Raheem, M.
Format: Journal Article
Language:English
Published: United States Cambridge University Press 01.02.2020
Subjects:
Collaboration
Cyclonic Storms - statistics & numerical data
Data collection
Disasters
Electric power
Emergency preparedness
Environmental health
Floods
Health care
Health Facilities - standards
Health Facilities - statistics & numerical data
Health surveillance
Hospitals
Humans
Hurricanes
Infrastructure
Lifesaving
Management Audit - methods
Management Audit - statistics & numerical data
Mobile Applications - statistics & numerical data
Pilot Projects
Prohibitins
Public health
Puerto Rico
Rain
Storm damage
Teams
Puerto Rico
United States > US
natural disasters
disasters
hurricane
ISSN:1935-7893, 1938-744X, 1938-744X
Online Access:Get full text
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Summary:On September 20, 2017, Hurricane Maria made landfall on Puerto Rico as a category 4 storm, resulting in serious widespread impact across the island, including communication and power outages, water systems impairment, and damage to life-saving infrastructure. In collaboration with the Puerto Rico Department of Health, the Public Health Branch (PHB), operating under the Department of Health and Human Services Incident Response Coordination Team, was tasked with completing assessments of health-care facilities in Puerto Rico to determine infrastructure capabilities and post-hurricane capacity. Additionally, in response to significant data entry and presentation needs, the PHB leadership worked with the Puerto Rico Planning Board to develop and test a new app-based infrastructure capacity assessment tool. Assessments of hospitals were initiated September 28, 2017, and completed November 10, 2017 ( n = 64 hospitals, 97%). Assessments of health-care centers were initiated on October 7, 2017, with 186 health-care centers (87%) assessed through November 18, 2017. All hospitals had working communications; however, 9% ( n = 17) of health-care centers reported no communication capabilities. For the health-care centers, 114 (61%) reported they were operational but had sustainment needs. In conclusion, health-care facility assessments indicated structural damage issues and operational capacity decreases, while health-care centers reported loss of communication capabilities post-Hurricane Maria.
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ISSN:1935-7893
1938-744X
1938-744X
DOI:10.1017/dmp.2019.85