Jiang Lynn, Tedeschi Christopher, Subaiya Saleena
1Emergency Medicine Residency Program,New York Presbyterian Hospital, New York,New York.
2College of Physicians and Surgeons,Columbia University, New York,New York.
Disaster Med Public Health Prep. 2018 Apr;12(2):194-200. doi: 10.1017/dmp.2017.45. Epub 2017 Aug 14.
Few studies have described the challenges experienced by long-term care facilities (LTCFs) following Hurricane Sandy. This study examined LTCF preparedness and experiences during and after the storm.
A cross-sectional survey was conducted 2 years after Hurricane Sandy to assess LTCF demographics, preparation, and post-storm resources. Surveys were conducted at LTCFs located on the Rockaway Peninsula of New York City. All LTCFs located in a heavily affected area were approached.
Of 29 facilities, 1 had closed, 5 did not respond, 9 declined to participate, and 14 participated, yielding a response rate of 50% for open facilities. Twenty-one percent of the facilities had preparations specifically for hurricanes. More than 70% of the facilities had lost electricity, heat, and telephone service, and one-half had evacuated. Twenty-one percent of the facilities reported not receiving any assistance and over one-half reported that relief resources did not meet their needs.
Many LTCFs lacked plans specific to such a large-scale event. Since nearly all of the LTCFs in the region were affected, preexisting transportation and housing plans may have been inadequate. Future preparation could include hazard-specific planning and reliance on resources from a wider geographic area. Access to electricity emerged as a top priority. (Disaster Med Public Health Preparedness. 2018;12:194-200).
很少有研究描述长期护理机构(LTCF)在桑迪飓风过后所面临的挑战。本研究调查了长期护理机构在风暴期间及过后的准备情况和经历。
在桑迪飓风过后两年进行了一项横断面调查,以评估长期护理机构的人口统计学特征、准备情况和风暴后的资源。调查在纽约市洛克威半岛的长期护理机构进行。所有位于受灾严重地区的长期护理机构都被纳入调查范围。
在29家机构中,1家已关闭,5家未回应,9家拒绝参与,14家参与了调查,开放机构的回应率为50%。21%的机构有专门针对飓风的准备措施。超过70%的机构失去了电力、供暖和电话服务,一半的机构进行了疏散。21%的机构报告未获得任何援助,超过一半的机构表示救援资源无法满足其需求。
许多长期护理机构缺乏针对此类大规模事件的计划。由于该地区几乎所有的长期护理机构都受到了影响,原有的交通和住房计划可能并不充分。未来的准备工作可包括制定针对特定灾害的计划,并依赖更广泛地理区域的资源。电力供应成为首要优先事项。(《灾害医学与公共卫生防范》。2018年;12:194 - 200)