Kim Soyeon, Kulkarni Prathit A, Rajan Mangala, Thomas Pauline, Tsai Stella, Tan Christina, Davidow Amy
Soyeon Kim and Amy Davidow are with the Department of Biostatistics, Rutgers School of Public Health, Newark, NJ. At the time of study, Prathit A. Kulkarni was with the Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Mangala Rajan is with Rutgers School of Public Health. Pauline Thomas is with Rutgers New Jersey Medical School, Newark. Stella Tsai and Christina Tan are with the Division of Epidemiology, Environmental and Occupational Health, New Jersey Department of Health.
Am J Public Health. 2017 Aug;107(8):1304-1307. doi: 10.2105/AJPH.2017.303826. Epub 2017 Jun 22.
To describe changes in mortality after Hurricane Sandy made landfall in New Jersey on October 29, 2012.
We used electronic death records to describe changes in all-cause and cause-specific mortality overall, in persons aged 76 years or older, and by 3 Sandy impact levels for the month and quarter following Hurricane Sandy compared with the same periods in earlier years adjusted for trends.
All-cause mortality increased 6% (95% confidence interval [CI] = 2%, 11%) for the month, 5%, 8%, and 12% by increasing Sandy impact level; and 7% (95% CI = 5%, 10%) for the quarter, 5%, 8%, and 15% by increasing Sandy impact level. In elderly persons, all-cause mortality rates increased 10% (95% CI = 5%, 15%) and 13% (95% CI = 10%, 16%) in the month and quarter, respectively. Deaths that were cardiovascular disease-related increased by 6% in both periods, noninfectious respiratory disease-related by 24% in the quarter, infection-related by 20% in the quarter, and unintentional injury-related by 23% in the month.
Mortality increased, heterogeneous by cause, for both periods after Hurricane Sandy, particularly in communities more severely affected and in the elderly, who may benefit from supportive services.
描述2012年10月29日飓风桑迪登陆新泽西州后死亡率的变化情况。
我们使用电子死亡记录来描述总体全因死亡率和特定病因死亡率的变化，包括76岁及以上人群的情况，并按飓风桑迪影响程度的三个等级，对飓风桑迪过后当月和当季的死亡率与往年同期经趋势调整后的死亡率进行比较。
当月全因死亡率上升了6%（95%置信区间[CI]=2%，11%），随着桑迪影响程度的增加，分别上升了5%、8%和12%；当季全因死亡率上升了7%（95%CI=5%，10%），随着桑迪影响程度的增加，分别上升了5%、8%和15%。在老年人中，当月和当季的全因死亡率分别上升了10%（95%CI=5%，15%）和13%（95%CI=10%，16%）。两个时期中心血管疾病相关死亡人数均增加了6%，当季非传染性呼吸道疾病相关死亡人数增加了24%，当季感染相关死亡人数增加了20%，当月意外伤害相关死亡人数增加了23%。
飓风桑迪过后的两个时期死亡率均有所上升，不同病因的死亡率变化各异，在受影响更严重的社区以及老年人中尤为明显，他们可能会受益于支持性服务。
