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...

Celý popis

Uložené v:

Podrobná bibliografia
Vydané v:	Disaster medicine and public health preparedness Ročník 14; číslo 1; s. 80 - 88
Hlavní autori:	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.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Cambridge University Press 01.02.2020
Predmet:	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
On-line prístup:	Získať plný text
Tagy:	Pridať tag Žiadne tagy, Buďte prvý, kto otaguje tento záznam!

Abstract	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.
AbstractList	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.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. © 2019 Society for Disaster Medicine and Public Health, Inc.2019Society for Disaster Medicine and Public Health, Inc.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. 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. 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.
Author	Mutter, J. Maniglier-Poulet, C. Rivera Diaz, J. Rivera Gonzalez, L. Cruz, M. Cabrera, J. Irvin-Barnwell, E.A. Shumate, A. De La Cruz Perez, R. Malilay, J. Raheem, M. Graziano, L. Forrester, C.
AuthorAffiliation	5 Office of the Assistant for Preparedness and Response, New York, NY 4 National Institute of Occupational Safety and Health, Washington, DC 1 Agency for Toxic Substances and Disease Registry/National Center for Environmental Health, Atlanta, GA 2 Puerto Rico Department of Health, San Juan, Puerto Rico 3 Puerto Rico Planning Board, San Juan, Puerto Rico
AuthorAffiliation_xml	– name: 2 Puerto Rico Department of Health, San Juan, Puerto Rico – name: 1 Agency for Toxic Substances and Disease Registry/National Center for Environmental Health, Atlanta, GA – name: 3 Puerto Rico Planning Board, San Juan, Puerto Rico – name: 4 National Institute of Occupational Safety and Health, Washington, DC – name: 5 Office of the Assistant for Preparedness and Response, New York, NY
Author_xml	– sequence: 1 givenname: E.A. surname: Irvin-Barnwell fullname: Irvin-Barnwell, E.A. – sequence: 2 givenname: M. surname: Cruz fullname: Cruz, M. – sequence: 3 givenname: C. surname: Maniglier-Poulet fullname: Maniglier-Poulet, C. – sequence: 4 givenname: J. surname: Cabrera fullname: Cabrera, J. – sequence: 5 givenname: J. surname: Rivera Diaz fullname: Rivera Diaz, J. – sequence: 6 givenname: R. surname: De La Cruz Perez fullname: De La Cruz Perez, R. – sequence: 7 givenname: C. surname: Forrester fullname: Forrester, C. – sequence: 8 givenname: A. surname: Shumate fullname: Shumate, A. – sequence: 9 givenname: J. surname: Mutter fullname: Mutter, J. – sequence: 10 givenname: L. surname: Graziano fullname: Graziano, L. – sequence: 11 givenname: L. surname: Rivera Gonzalez fullname: Rivera Gonzalez, L. – sequence: 12 givenname: J. surname: Malilay fullname: Malilay, J. – sequence: 13 givenname: M. surname: Raheem fullname: Raheem, M.
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/31658925$$D View this record in MEDLINE/PubMed
BookMark	eNptkk9r3DAQxU1Jaf60p96LoJdC8VayLVu6FMruJimkJKQt9CZm5fGugi05khzI1-gnjpykoQ29SIL5vceM5h1me9ZZzLK3jC4YZc2ndhgXBWVyIfiL7IDJUuRNVf3au3_zvBGy3M8OQ7iilNcNl6-y_ZLVXMiCH2S_1zfQTxCN3ZKVCRAierKCAbYYCNiWnI_oU9lZ6Mn3CHEKxHXkFKGPu3wJHskxaNObaJJgNfnZKO6QrAf0W7T6llxiGJ0NSC52kM5ZPXlvNFgk38AbIMaSiwl9dOTSaPc6e9lBH_DN432U_Txe_1ie5mfnJ1-XX85yXVEZc7YpRAOSUymA14XkDXYtE4KVUtSiLDvdlkXLAOqmrbDQULB6Q2vY1IJD4sqj7POD7zhtBmw12uihV6M3A_hb5cCofyvW7NTW3aiG1lXFWDL48Gjg3fWEIarBBI19nyZzU1BFyWghE0sT-v4ZeuUmn_50ppoEsILPhu_-7uiplT_rSsDHB0B7F4LH7glhVM1hUCkMag6DEjPNntHaxPtdpnFM_1_NHc1ZuO0
CitedBy_id	crossref_primary_10_1186_s12889_025_22772_7 crossref_primary_10_3390_ijerph17134839 crossref_primary_10_1136_bmjopen_2022_065521 crossref_primary_10_1371_journal_pone_0240013 crossref_primary_10_1016_j_ccc_2024_03_006 crossref_primary_10_1109_ACCESS_2025_3527554 crossref_primary_10_1016_j_ijdrr_2025_105340 crossref_primary_10_1007_s00264_022_05409_x crossref_primary_10_1038_s41558_024_01994_4 crossref_primary_10_1186_s12889_024_19877_w crossref_primary_10_1186_s12889_024_19523_5
Cites_doi	10.1371/journal.pone.0161542 10.1017/S1049023X00003149 10.1017/dmp.2017.82 10.1001/dmphp.4.2.122 10.1017/S1049023X00025279 10.1017/S1049023X15000084 10.1017/S1049023X13000150 10.2105/AJPH.2014.302010 10.1177/000313480907501106 10.1017/dmp.2014.21 10.1097/PHH.0000000000000445 10.1097/01.CCM.0000114995.14120.6D 10.1017/S1049023X00025255
ContentType	Journal Article
Copyright	Copyright Cambridge University Press Feb 2020
Copyright_xml	– notice: Copyright Cambridge University Press Feb 2020
DBID	AAYXX CITATION CGR CUY CVF ECM EIF NPM 8C1 ABUWG AEUYN AFKRA BENPR CCPQU FYUFA GHDGH PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI 7X8 5PM
DOI	10.1017/dmp.2019.85
DatabaseName	CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Public Health Database ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland ProQuest Central ProQuest One Community College Health Research Premium Collection Health Research Premium Collection (Alumni) Proquest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition MEDLINE - Academic PubMed Central (Full Participant titles)
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest Public Health ProQuest One Academic Middle East (New) ProQuest One Academic Eastern Edition ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Health Research Premium Collection (Alumni) ProQuest Central ProQuest One Sustainability Health Research Premium Collection ProQuest One Academic UKI Edition Health & Medical Research Collection ProQuest Central (New) ProQuest One Academic ProQuest One Academic (New) MEDLINE - Academic
DatabaseTitleList	MEDLINE - Academic ProQuest Public Health CrossRef MEDLINE
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Social Welfare & Social Work Public Health
EISSN	1938-744X
EndPage	88
ExternalDocumentID	PMC7064411 31658925 10_1017_dmp_2019_85
Genre	Journal Article
GeographicLocations	Puerto Rico United States--US
GeographicLocations_xml	– name: Puerto Rico – name: United States--US
GrantInformation_xml	– fundername: Intramural CDC HHS grantid: CC999999
GroupedDBID	--- 09C 09E 0R~ 18M 53G 5GY 5VS 6PF 8C1 AAAZR AABES AABWE AACJH AAGFV AAKAS AAKTX AARAB AASVR AAUKB AAWTL AAYXX ABBXD ABGDZ ABJNI ABKKG ABQTM ABROB ABUWG ABVZP ABWCF ABXHF ABZCX ACBMC ACDLN ACGFS ACHQT ACIMK ACUIJ ACYZP ACZBM ACZUX ADAZD ADBBV ADBIZ ADDNB ADFEC ADKIL ADOVH ADVJH ADZCM AEBAK AEHGV AEMTJ AENEX AENGE AEPLO AEUYN AEYHU AFFHD AFFUJ AFKQG AFKRA AFLOS AFLVW AFTRI AFZFC AGABE AGJUD AHLTW AHQXX AHRGI AIGNW AIHIV AIOIP AISIE AIZYK AJCYY AJPFC AJQAS AKMAY ALMA_UNASSIGNED_HOLDINGS ANPSP AQJOH ATUCA AUXHV AZGZS BBLKV BENPR BLZWO BMAJL BPHCQ BRIRG CBIIA CCPQU CCQAD CFAFE CHEAL CITATION CJCSC CS3 DOHLZ EBS EJD EMOBN EX3 F5P FYUFA HG- HZ~ I.6 IH6 IOEEP IS6 I~P JHPGK JQKCU JVRFK KCGVB KD2 KFECR NIKVX NTWIH O9- OVD PHGZM PHGZT PJZUB PPXIY PQQKQ PROAC RCA ROL S6- S6U SAAAG SY4 T9M TEORI UKHRP UT1 W3M WFFJZ WOQ WOW ZYDXJ ALIPV CGR CUY CVF ECM EIF NPM PKEHL PQEST PQUKI 7X8 PUEGO 5PM
ID	FETCH-LOGICAL-c409t-1b287a95098a562957efd18813986833fcd32d1aa67d4e2ca216b06ab685a1883
IEDL.DBID	8C1
ISICitedReferencesCount	14
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000524927400015&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1935-7893 1938-744X
IngestDate	Tue Nov 04 01:56:26 EST 2025 Fri Sep 05 10:05:25 EDT 2025 Sat Jul 26 00:12:06 EDT 2025 Mon Jul 21 05:43:03 EDT 2025 Sat Nov 29 06:26:42 EST 2025 Tue Nov 18 22:31:07 EST 2025
IsDoiOpenAccess	false
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Issue	1
Keywords	natural disasters disasters hurricane
Language	English
License	https://www.cambridge.org/core/terms
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c409t-1b287a95098a562957efd18813986833fcd32d1aa67d4e2ca216b06ab685a1883
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
OpenAccessLink	https://www.ncbi.nlm.nih.gov/pmc/articles/7064411
PMID	31658925
PQID	2374031251
PQPubID	3962590
PageCount	9
ParticipantIDs	pubmedcentral_primary_oai_pubmedcentral_nih_gov_7064411 proquest_miscellaneous_2310296440 proquest_journals_2374031251 pubmed_primary_31658925 crossref_primary_10_1017_dmp_2019_85 crossref_citationtrail_10_1017_dmp_2019_85
PublicationCentury	2000
PublicationDate	2020-02-00 20200201
PublicationDateYYYYMMDD	2020-02-01
PublicationDate_xml	– month: 02 year: 2020 text: 2020-02-00
PublicationDecade	2020
PublicationPlace	United States
PublicationPlace_xml	– name: United States – name: Philadelphia
PublicationTitle	Disaster medicine and public health preparedness
PublicationTitleAlternate	Disaster Med Public Health Prep
PublicationYear	2020
Publisher	Cambridge University Press
Publisher_xml	– name: Cambridge University Press
References	S1935789319000855_ref10 S1935789319000855_ref21 S1935789319000855_ref20 S1935789319000855_ref12 S1935789319000855_ref23 S1935789319000855_ref22 S1935789319000855_ref11 S1935789319000855_ref14 (S1935789319000855_ref5) 2012 S1935789319000855_ref13 S1935789319000855_ref9 (S1935789319000855_ref16) 2009; 58 Norcross (S1935789319000855_ref7) 1993; 59 S1935789319000855_ref4 S1935789319000855_ref6 S1935789319000855_ref1 S1935789319000855_ref15 S1935789319000855_ref2 S1935789319000855_ref18 Tran (S1935789319000855_ref8) 2009; 75 S1935789319000855_ref17 S1935789319000855_ref3 S1935789319000855_ref19
References_xml	– volume: 59 start-page: 28 year: 1993 ident: S1935789319000855_ref7 article-title: Impact of a major hurricane on surgical services in a university Hospital publication-title: Am Surg – ident: S1935789319000855_ref18 doi: 10.1371/journal.pone.0161542 – volume: 58 start-page: 1066 year: 2009 ident: S1935789319000855_ref16 article-title: Hurricane Ike rapid needs assessment - Houston, Texas, September 2008 publication-title: MMWR Morb Mortal Wkly Rep. – ident: S1935789319000855_ref23 doi: 10.1017/S1049023X00003149 – ident: S1935789319000855_ref11 – ident: S1935789319000855_ref2 doi: 10.1017/dmp.2017.82 – ident: S1935789319000855_ref12 – ident: S1935789319000855_ref10 – ident: S1935789319000855_ref13 – volume-title: Emergency Management in Health Care: An All-Hazards Approach year: 2012 ident: S1935789319000855_ref5 – ident: S1935789319000855_ref4 doi: 10.1001/dmphp.4.2.122 – ident: S1935789319000855_ref14 doi: 10.1017/S1049023X00025279 – ident: S1935789319000855_ref3 doi: 10.1017/S1049023X15000084 – ident: S1935789319000855_ref20 – ident: S1935789319000855_ref9 doi: 10.1017/S1049023X13000150 – ident: S1935789319000855_ref22 – ident: S1935789319000855_ref15 doi: 10.2105/AJPH.2014.302010 – ident: S1935789319000855_ref21 – volume: 75 start-page: 1059 year: 2009 ident: S1935789319000855_ref8 article-title: HAZUS modeling for hurricane effect on a health care campus: implications for health care planning publication-title: Am Surg doi: 10.1177/000313480907501106 – ident: S1935789319000855_ref19 doi: 10.1017/dmp.2014.21 – ident: S1935789319000855_ref17 doi: 10.1097/PHH.0000000000000445 – ident: S1935789319000855_ref6 doi: 10.1097/01.CCM.0000114995.14120.6D – ident: S1935789319000855_ref1 doi: 10.1017/S1049023X00025255
SSID	ssj0056759
Score	2.2607093
Snippet	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... © 2019 Society for Disaster Medicine and Public Health, Inc.2019Society for Disaster Medicine and Public Health, Inc.On September 20, 2017, Hurricane Maria... 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...
SourceID	pubmedcentral proquest pubmed crossref
SourceType	Open Access Repository Aggregation Database Index Database Enrichment Source
StartPage	80
SubjectTerms	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
Title	Evaluating Disaster Damages and Operational Status of Health-Care Facilities During the Emergency Response Phase of Hurricane Maria in Puerto Rico
URI	https://www.ncbi.nlm.nih.gov/pubmed/31658925 https://www.proquest.com/docview/2374031251 https://www.proquest.com/docview/2310296440 https://pubmed.ncbi.nlm.nih.gov/PMC7064411
Volume	14
WOSCitedRecordID	wos000524927400015&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1938-744X dateEnd: 20241206 omitProxy: false ssIdentifier: ssj0056759 issn: 1935-7893 databaseCode: BENPR dateStart: 20070701 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1938-744X dateEnd: 20241206 omitProxy: false ssIdentifier: ssj0056759 issn: 1935-7893 databaseCode: 8C1 dateStart: 20070701 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lj9MwEB6xuxyQEI_lVSjVIK04IFkkzss5Idi24kKpKhC9RY7tsBW7SUlafgi_mHHiBAqIC9dk4kTxZ88343kAnEmh85TUIjNK5iwUuWRSxooZP9CFNiqNTNg2m0gWC7Fep0vncGtcWGW_J7Ybta6U9ZG_5EESEgBJHb_afmW2a5Q9XXUtNI7gxOdeaBemOB9CPCIiw2l3qhyxhBSzy8-zJaP1lS1W6RNQokON9AfN_D1a8hf1M7_9vx9-B2454omvO6TchWumPIWbndcOu2SkUxh32br4yVwWsjb4HPsLVf3lHnyfudrg5WecbhppiyzgVF7RntSgLDW-35raeRfR0th9g1XhRmc21QnnUtloXLLPcdpmSCIxUJz1SaC46mJ2DS4vSL-2T7dOSlkafEd2vcRNicu9qXcVrgjF9-HjfPbh_C1zTR2YIlNyx_ycbDSZEk8RkrhXGiWm0L4QxERFLIKgUDrg2ifAJDo0XEnux7kXyzwWkSS54AEcl1VpHgHmyvYNoZFMSEam4Dk3muvIV8JI7sVmBC_6ic2Uq3huG29cZl1oW5IRCjKLgkxEIzgbhLddoY-_i437Wc7cam-yn1M8gmfDbVqn9vCF_k-1tzJE5VJin94IHnaAGt4T-MQDU06DJwdQGwRsDfDDO-Xmoq0FnniW0PqP__1ZT-AGt36CNtp8DMe7em-ewnX1bbdp6gkcJWsxaZfOBE7ezBbL1Q9YbSVF
linkProvider	ProQuest
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwEB6VgkQlxKNQWFhgkAoHpIiN83IOCKHurlq1XVZVEb0Fx3boijZZkl0Qf4Mfwm9kHCeBBcStB67JxImczzOfx_MA2BZcpTGZRUdLkTo-T4UjRCgd7XoqU1rGgfbrZhPRZMJPTuLpGnxvc2FMWGWrE2tFrQppfOQvmBf5BEAyx6_mnxzTNcqcrrYtNCws9vXXL7Rlq17uDen_PmVsPDre2XWargKOpL3MwnFT2iSImAwlF2T84yDSmXI5JyrEQ-55mVQeUy59caR8zaRgbpgOQpGGPBAk59G4l-CyqWRnNnt8pwspCYh8x_YUO3AiIgJNPqApUa3OTXFMl4AZrFrAP2jt79GZv5i78Y3_baJuwvWGWONruxJuwZrON-Ga9UqiTbbahL7NRsZ3-iwTpcZn2F4oyo-34duoqX2ef8DhrBKmiAQOxTnp3ApFrvDNXJeN9xQNTV9WWGTN6I5J5cKxkCbaeEYPDOsMUCSGjaM2yRWPbEyyxukp8Yf66doJK3KNh4K0Ac5ynC51uSjwiFbpHXh7IbO2Bet5ket7gKk0fVFoJO3TJpqzlGnFVOBKrgUbhLoHz1sgJbKp6G4ai5wlNnQvSgh1iUFdwoMebHfCc1vI5O9i_RZVSaPNquQnpHrwpLtNesgcLtH8FEsjQ1Q1JnY96MFdC-DuPZ5LPDdmNHi0Au1OwNQ4X72Tz07rWufRwBB29_6_P-sxXN09PjxIDvYm-w9ggxmfSB1Z34f1RbnUD-GK_LyYVeWjesEivL9o4P8A8PZ9Ug
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwEB6VghAS4lFeCwsMUuFQyerGeTkHhFCzK6rCsqpA9BYc26ERbbIkuyD-Bj-HX8c4j4UFxK0HrsnEiZzPM5_H8wDYlkKnEZlFZpRMmSdSyaQMFDOOqzNtVOQbr2k2EU6n4ugomm3A9z4XxoZV9jqxUdS6VNZHvsvd0CMAkjnezbqwiFk8eTb_xGwHKXvS2rfTaCFyYL5-oe1b_XQ_pn_9mPPJ-M3eC9Z1GGCK9jUL5qS0YZARGU0hiQhEfmgy7QhBtEgEwnUzpV2uHfr6UHuGK8mdIB0FMg2EL0nOpXHPwfnQJTtvs9T3VuElPhHxqD3R9llIpKDLDbTlqvWpLZTpEEj9dWv4B8X9PVLzF9M3ufo_T9o1uNIRbnzerpDrsGGKLbjceiuxTcLagmGbpYzvzEkmK4NPsL9QVh9vwLdxVxO9-IBxXktbXAJjeUq6uEZZaHw9N1XnVUVL35c1llk3OrMpXjiRykYh5_RA3GSGIjFvHPfJr3jYxiobnB0Tr2iebpyzsjD4SpKWwLzA2dJUixIPafXehLdnMmu3YLMoC3MHMFW2XwqNZDzaXAuecqO59h0ljOSjwAxgpwdVorpK77bhyEnShvSFCSEwsQhMhD-A7ZXwvC1w8nexYY-wpNNydfITXgN4tLpN-skeOtH8lEsrQxQ2ItY9GsDtFsyr97gO8d-I0-DhGsxXArb2-fqdIj9uaqCHI0vknbv__qyHcJHwnrzcnx7cg0vcukqagPshbC6qpbkPF9TnRV5XD5q1i_D-rHH_A3YOhhg
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Evaluating+Disaster+Damages+and+Operational+Status+of+Health-Care+Facilities+During+the+Emergency+Response+Phase+of+Hurricane+Maria+in+Puerto+Rico&rft.jtitle=Disaster+medicine+and+public+health+preparedness&rft.au=Irvin-Barnwell%2C+E+A&rft.au=Cruz%2C+M&rft.au=Maniglier-Poulet%2C+C&rft.au=Cabrera%2C+J&rft.date=2020-02-01&rft.issn=1938-744X&rft.eissn=1938-744X&rft.volume=14&rft.issue=1&rft.spage=80&rft_id=info:doi/10.1017%2Fdmp.2019.85&rft.externalDBID=NO_FULL_TEXT
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1935-7893&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1935-7893&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1935-7893&client=summon