Noe Rebecca S, Schnall Amy H, Wolkin Amy F, Podgornik Michelle N, Wood April D, Spears Jeanne, Stanley Sharon A R
Division of Environmental Hazards andHealth Effects,Centers for Disease Control and Prevention, 4770 Buford Hwy., Chamblee, GA 30341, USA.
South Med J. 2013 Jan;106(1):102-8. doi: 10.1097/SMJ.0b013e31827c9e1f.
To describe the injuries and illnesses treated by the American Red Cross (Red Cross) during Hurricanes Gustav and Ike disaster relief operations reported on a new Aggregate Morbidity Report Form.
From August 28 to October 18, 2008, 119 Red Cross field service locations in Louisiana, Mississippi, Tennessee, and Texas addressed the healthcare needs of people affected by the hurricanes. From these locations, individual client visit data were retrospectively collated per site onto new 24-hour Aggregate Morbidity Report Forms.
A total of 3863 clients were treated. Of the clients, 48% were girls and women and 44% were boys and men; 61% were 19 to 64 years old. Ninety-eight percent of the visits occurred in shelters. The reasons for half of the visits were acute illness and symptoms (eg, pain) and 16% were for routine follow-up care. The majority (65%) of the 2516 visits required treatment at a field location, although 34%, or 1296 visits, required a referral, including 543 healthcare facility transfers.
During the hurricanes, a substantial number of displaced evacuees sought care for acute and routine healthcare needs. The capacity of the Red Cross to address the immediate and ongoing health needs of sheltered clients for an extended period of time is a critical resource for local public health agencies, which are often overwhelmed during a disaster. This article highlights the important role that this humanitarian organization fills, to decrease surge to local healthcare systems and to monitor health effects following a disaster. The Aggregate Morbidity Report Form has the potential to assist greatly in this role, and thus its utility for real-time reporting should be evaluated further.
描述美国红十字会在古斯塔夫飓风和艾克飓风救灾行动期间，依据一份新的综合发病率报告表所治疗的伤病情况。
2008年8月28日至10月18日，红十字会在路易斯安那州、密西西比州、田纳西州和得克萨斯州的119个现场服务点，满足了受飓风影响民众的医疗需求。从这些服务点，每个站点的个体客户就诊数据被回顾性整理到新的24小时综合发病率报告表上。
共治疗了3863名客户。其中，48%为女孩和女性，44%为男孩和男性；61%年龄在19至64岁之间。98%的就诊发生在避难所。一半就诊的原因是急性疾病和症状（如疼痛），16%是为了常规随访护理。在2516次就诊中，大多数（65%）需要在现场进行治疗，不过34%（即1296次就诊）需要转诊，其中包括543次转至医疗机构。
在飓风期间，大量流离失所的撤离人员因急性和常规医疗需求而寻求治疗。红十字会在较长时间内满足避难所客户即时和持续健康需求的能力，对于当地公共卫生机构而言是一项关键资源，因为这些机构在灾难期间往往不堪重负。本文强调了这个人道主义组织所发挥的重要作用，即减轻当地医疗系统的压力并监测灾难后的健康影响。综合发病率报告表有潜力极大地助力这一角色，因此应进一步评估其在实时报告方面的效用。
