Instituto Nacional de Higiene, Epidemiología y Microbiología, Infanta No 1158 e/ Llinás y Clavel, Código Postal 10300, La Habana, Cuba.
Instituto Nacional de Higiene, Epidemiología y Microbiología, Infanta No 1158 e/ Llinás y Clavel, Código Postal 10300, La Habana, Cuba.
Public Health. 2021 Feb;191:55-58. doi: 10.1016/j.puhe.2020.11.022. Epub 2021 Jan 27.
The objective of this study is to understand how Cuba responds to extreme weather events, which can help identify and disseminate good public health practice.
The study design of this study is an observational study using routinely collected mortality data.
National daily mortality counts after severe hurricanes arrived on the Cuba landmass since 1990 were compared with baseline values. Incidence rate ratios of mortality during the hurricane and for the four weeks afterwards were calculated for four eligible hurricanes: Georges (1998), Dennis (2005), Ike (2008) and Irma (2017).
Mortality rates decreased over time (P < 0.001 for interaction), and no excess mortality counts were observed after Hurricane Irma in 2017.
Mortality rates for severe hurricanes that have made landfall in Cuba have decreased over three decades, despite the most recent hurricane (Irma) being one of the strongest observed in recent decades. This suggests that the Cuban public health preparations and responses to recent severe hurricanes are probably contributing to this mitigation in national mortality rates during these periods.
本研究旨在了解古巴应对极端天气事件的情况，这有助于识别和传播良好的公共卫生实践。
本研究的研究设计是一项观察性研究，使用常规收集的死亡率数据。
自 1990 年以来，在古巴大陆登陆的严重飓风过后，对全国每日死亡人数进行了比较，并与基线值进行了比较。对 4 场符合条件的飓风（1998 年的乔治飓风、2005 年的丹尼斯飓风、2008 年的艾克飓风和 2017 年的艾尔玛飓风）计算了飓风期间和之后四周的死亡率发病率比。
死亡率随时间呈下降趋势（交互作用 P < 0.001），2017 年艾尔玛飓风过后未观察到超额死亡人数。
在过去三十年中，登陆古巴的严重飓风的死亡率有所下降，尽管最近的飓风（艾尔玛飓风）是近几十年来观测到的最强飓风之一。这表明，古巴在公共卫生准备和应对最近的严重飓风方面的努力可能有助于在这些时期降低国家死亡率。
