MMWR Morb Mortal Wkly Rep. 2018 Aug 3;67(30):829-832. doi: 10.15585/mmwr.mm6730a5.
Three powerful and devastating hurricanes from the 2017 Atlantic hurricane season (Harvey [August 17-September 1], Irma [August 30-September 13], and Maria [September 16-October 2]) resulted in the deaths of hundreds of persons. Disaster-related mortality surveillance is critical to an emergency response because it provides government and public health officials with information about the scope of the disaster and topics for prevention messaging. CDC's Emergency Operations Center collaborated with state health departments in Florida, Georgia, and North Carolina to collect and analyze Hurricane Irma-related mortality data to understand the main circumstances of death. The most common circumstance-of-death categories were exacerbation of existing medical conditions and power outage. Further analysis revealed two unique subcategories of heat-related and oxygen-dependent deaths in which power outage contributed to exacerbation of an existing medical condition. Understanding the need for subcategorization of disaster-related circumstances of death and the possibility of overlapping categories can help public health practitioners derive more effective public health interventions to prevent deaths in future disasters.
2017 年大西洋飓风季的三场强大且极具破坏力的飓风（哈维[8 月 17 日至 9 月 1 日]、艾尔玛[8 月 30 日至 9 月 13 日]和玛丽亚[9 月 16 日至 10 月 2 日]）导致数百人死亡。灾害相关死亡率监测对于应急响应至关重要，因为它为政府和公共卫生官员提供了有关灾害范围和预防信息主题的信息。美国疾病控制与预防中心的应急行动中心与佛罗里达州、佐治亚州和北卡罗来纳州的州卫生部门合作，收集和分析与飓风艾尔玛相关的死亡数据，以了解主要的死亡情况。最常见的死亡情况类别是现有医疗条件的恶化和停电。进一步的分析显示，与热相关和依赖氧气的死亡有两个独特的亚类，其中停电导致现有医疗条件恶化。了解对灾害相关死亡情况进行细分的必要性以及可能存在重叠类别的可能性，有助于公共卫生从业者制定更有效的公共卫生干预措施，以防止未来灾害中的死亡。
