Impact of Hurricanes Irma and Maria on Puerto Rico Maternal and Child Health Research Programs
Impact of Hurricanes Irma and Maria on Puerto Rico Maternal and Child Health Research Programs
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DOI：
10.1007/s10995-019-02824-2
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发表时间：
2020-01-01
影响因子：
2.3
通讯作者：
Cordero, Jose F.
中科院分区：
文献类型：
--
作者：
Welton, Michael;Velez Vega, Carmen M.;Cordero, Jose F.
2017年9月，波多黎各遭受两次大飓风袭击，造成巨大破坏，失去了90%以上的电网，无线通信和饮用水，并摧毁了许多房屋。我们的研究项目：波多黎各探索污染威胁试验场（Puerto Rico Testsite for Exploring Contamination Threats）、波多黎各儿童早期暴露和发育研究中心（Center for Research on Early Childhood Exposure and Development in Puerto Rico，CRECE）、婴儿和妊娠期寨卡病毒（Zika in Infants and Pregnancy，ZIP）和环境对儿童健康结果的影响（Environmental Influences on Child Health Outcomes，ECHO）是正在进行的观察性队列研究，这些研究一直在调查波多黎各母亲和婴儿围产期健康结果的环境风险因素。我们的项目暂停了大约两周的操作，开始恢复过程，并成为援助的来源，保留了95%的研究参与者在所有研究计划。我们加入了各种团体，以确保团队成员，研究参与者，社区健康中心合作伙伴和周围社区成员的安全和福利。我们从这些飓风的影响和复苏的困难中吸取了重要的教训。飓风后的主要挑战是获得护理和营养、产妇压力和环境破坏。我们认识到需要将灾难准备纳入我们的项目操作程序和未来应用程序，并认识到这些事件将再次发生。我们将通过借鉴这两次风暴的经验，增强我们的工作人员、孕产妇和儿童健康合作伙伴以及参与者的复原力。
Puerto Rico was hit by two major hurricanes in September 2017 causing great devastation, losing over 90% of the power grid, wireless communication and access to potable water, and destroying many homes. Our research programs: Puerto Rico Testsite for Exploring Contamination Threats (PROTECT), Center for Research on Early Childhood Exposure and Development in Puerto Rico (CRECE), Zika in Infants and Pregnancy (ZIP), and Environmental Influences on Child Health Outcomes (ECHO) are ongoing observational cohort studies that have been investigating environmental risk factors for perinatal health outcomes among Puerto Rican mothers and infants. Our projects paused operations for about two weeks, to begin recovery process and become a source of assistance, retaining 95% of study participants across all research programs. We joined with various groups to ensure the safety and welfare of team members, study participants, community health center partners, and members of the surrounding communities. We learned important lessons about the impact of these hurricanes and the difficulties of the recovery. Major challenges post-hurricanes were access to care and nutrition, maternal stress, and environmental damage. We understood the need to integrate disaster preparedness into our programs' operating procedures and future applications, recognizing that these events will recur. We will grow resilience among our staff, maternal and child health partners, and participants by building on the experience of these two storms.