11/16/2012

Emergency Preparedness and Public Health. The Lessons of Hurricane Sandy. (JAMA, extract, edited)

[Source: The Journal of the American Medical Association, full free text: (LINK). Extract, edited.]

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Emergency Preparedness and Public Health: The Lessons of Hurricane Sandy

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Tia Powell, MD; Dan Hanfling, MD; Lawrence O. Gostin, JD

Author Affiliations: Montefiore Einstein Center for Bioethics, Albert Einstein College of Medicine, Bronx, New York (Dr Powell); Inova Health System, Falls Church, Virginia (Dr Hanfling); and Department of Emergency Medicine, George Washington University (Dr Hanfling) and O’Neill Institute for National and Global Health Law, Georgetown University (Mr Gostin), Washington, DC.

JAMA. 2012;():1-2. doi:10.1001/jama.2012.108940.

Published online November 16, 2012

 

Before dawn on Tuesday morning, October 30, in the midst of flooding and damaging winds from Hurricane Sandy, New York University's (NYU’s) most fragile patients, premature infants, were carried down 9 flights of stairs in the dark and transported to hospitals on dry ground.1 Although the infants arrived safely, the mid-storm evacuation of these critically ill patients was concerning. A safer daylight transfer before flooding overwhelmed southern Manhattan would have been preferable. The Veterans Affairs (VA) New York Harbor hospital evacuated patients before the storm.2 Bellevue, New York's flagship public hospital, evacuated patients in the immediate aftermath of the storm when the backup power supply failed.3 - 4 These neighboring hospitals each made different decisions about when to evacuate. Across the New York City metro region, many hospitals, nursing homes, and assisted living facilities were evacuated, most of them after the storm hit, making this the central public health challenge of this calamitous event. It is a familiar story—a superstorm comes ashore, infrastructure is overwhelmed, and health care facilities evacuate patients, with major delays in returning to normal functioning. Afterwards, policy makers evaluate lessons learned for the next disaster, but similar missteps are often repeated. Why did some health care facilities with the same risk level evacuate while others did not? Although the 2 storms were different in many ways, it is instructive to compare Hurricane Katrina with the still-unfolding events of Sandy.

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