Morbidity on Kauai before and after hurricane Iniki
Morbidity on Kauai before and after hurricane Iniki
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DOI：
10.1006/pmed.1997.0196
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发表时间：
1997-09-01
影响因子：
5.1
通讯作者：
Pon, E
中科院分区：
文献类型：
--
作者：
Hendrickson, LA;Vogt, RL;Pon, E
背景1992年9月11日，飓风巴基直接从考艾岛上空经过，达到三级/四级风暴标准。这项研究是第一次尝试测量在飓风影响区的整个人群中受伤和其他健康结果的增加。医疗图表数据是从考艾岛提供初级和紧急护理的所有设施中提取的。比较了在飓风袭击前一周和飓风袭击后一周内受伤、心血管疾病和哮喘的发病率。在科索沃危机后期间，共治疗了1 584名受伤者，而科索沃危机前期间治疗了231名受伤者（相对危险度= 6.86，95%置信区间5.98-7.87），开放性伤口占这些损伤的一半以上，哮喘和心血管疾病的医生就诊次数在后Brackki时期也显著增加（相对危险度分别为：2.81，95%可信区间1.93-4.09; 2.73，95%可信区间1.51-4.94）。在飓风卡萨基之后，受伤、哮喘和心血管疾病的发病率显著增加。虽然需要住院治疗的病人比例没有变化，但自然灾害后的额外伤害和疾病可能给资源有限的农村社区现有医疗设施造成负担。备灾计划需要包括增加现有医疗设施的服务和供应的方法。(C)北京：科学出版社.
Background. On September 11, 1992, Hurricane Iniki, a Class III/IV storm, passed directly over Kauai. This study is the first attempt to measure increases in injuries and other health outcomes among an entire population in the impact zone of a hurricane.Methods. Medical chart data were abstracted from all facilities providing primary and emergency care on Kauai. Incidence of injury, cardiovascular disease, and asthma for the a-week period following Hurricane Iniki were compared to those for the a-week period preceding Iniki.Results. A total of 1,584 injuries were treated in the post-Iniki period compared with 231 injuries treated in the pre-Iniki period (relative risk = 6.86, 95% confidence interval 5.98-7.87), Open wounds constituted over half of these injuries, Physician visits for asthma and cardiovascular disease were also significantly increased in the post-Iniki period (relative risks, respectively: 2.81, 95% confidence interval 1.93-4.09; 2.73, 95% confidence interval 1.51-4.94).Conclusions. Significant increases in the incidence of injuries, asthma, and cardiovascular disease occurred following Hurricane Iniki. Although no changes occurred in the proportion of patients needing hospitalization, additional injuries and illnesses after a natural disaster can burden existing medical facilities in a rural community with limited resources. Disaster preparedness plans need to include methods to increase services and supplies at existing medical facilities. (C) 1997 Academic Press.