AADM President Discusses Health Impacts of Hurricanes, Floods and Other Natural Disasters

AADM President Discusses Health Impacts of Hurricanes, Floods and Other Natural DisastersDamages from the recent onslaught of natural disasters, including hurricanes Harvey, Irma, and Maria, have reached about $300 billion. That estimate, however, does not address the cost of human suffering. As healthcare professionals can attest, the negative health impacts of natural disasters can be consequential, even affecting some victims long term.

Dr. Arthur Cooper, President of the American Academy of Disaster Medicine (AADM) and Chair of the American Board of Physician Specialties® (ABPS), says that in the immediate aftermath of a hurricane or other natural disaster, among individuals suffering negative health effects, acute physical trauma tends to predominate, with the very young, the very old, the disabled, and the homeless being especially vulnerable. During the disaster’s early recovery phase, visits to hospital emergency departments that remain intact actually decrease in the first week, and increase in the second week, he says. The most common type of ailments during this phase, in addition to minor injuries such as lacerations and contusions, includes upper and lower respiratory infections and gastrointestinal issues. During the first two weeks of the recovery phase, patients who are on medications are also vulnerable, as they tend to run out of meds and must seek medical care for this reason alone.

Disaster survivors with preexisting conditions can be in significant trouble if hospitals and medical centers are not open, Dr. Cooper says. For instance, in the flooding associated with a storm surge, the debris and waste that collect can be a rich breeding ground for water borne and vector borne diseases, which can lead to acute exacerbation of illnesses such as asthma. This partly explains why respiratory diseases are so common after a natural disaster. It’s also what makes the water unsafe to drink, leading to a prevalence of gastrointestinal issues.

Dr. Cooper says that in shelters, where people live close together in confined spaces, transmission of respiratory diseases is also a common occurrence. Clusters of disease such as dengue fever and malaria have been reported in crowded storm shelters. As for people who choose not to evacuate and instead stay in their homes, while drowning is a major concern, deaths are generally more associated with illnesses that result from a lack of medical care and injuries related to cleanup.

Months, even years after a disaster, psychological problems can persist, Dr. Cooper warns. He points to a study that showed that as much as 80 percent of survivors reported experiencing behavioral health issues one year after the event. Two years after, the number was as high as 50 percent.

What recommendation does Dr. Cooper have for clinicians who live in areas prone to natural disasters? “Disaster medicine absolutely has to be every physician’s specialty,” he says. In terms of physician readiness, education is the most powerful tool, and he strongly encourages physicians to avail themselves of any program that can help them prepare.

The ABPS is the only multi-specialty certification body offering certification and recertification in disaster medicine. Through the American Board of Disaster Medicine (ABODM), physicians can demonstrate that they are qualified to help federal, state, and local authorities contribute to relief and recovery from a disaster. Board certification with the ABODM also means that certified physicians are experts at disaster planning and response. For more information about the ABODM and details about eligibility requirements for certification in disaster medicine, contact the ABPS today.

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On October 18, 2007, President George W. Bush released Homeland Security Presidential Directive 21 (HSPD-21), calling on our nation, among other initiatives, to “collectively support and facilitate the establishment of a discipline of disaster health”. It is a great testament to the wisdom and foresight of the American Board of Physician Specialties that it immediately set to work and created, within the short span of only one year, an educational blueprint and set of certification examinations, both written and oral, for a new subspecialty of disaster medicine—and it is why I chose to be part this vital initiative and this wonderful organization. This is but one of the many innovative programs initiated by the American Board of Physician Specialties over the years, and why I am proud to support its work on behalf of our nation’s public health.

Art Cooper, MD
Disaster Medicine
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Integrative Medicine
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Internal Medicine
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Emergency Medicine
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Administrative Medicine
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