Bushong Lee C, Welch Phyllis
Department of Sociology and Criminal Justice, Florida A&M University, Tallahassee, FL, USA.
Florida Emergency Mortuary Operational Response Service (FEMORS), University of Florida, Gainesville, FL, USA.
J Public Health Policy. 2023 Dec;44(4):674-684. doi: 10.1057/s41271-023-00444-3. Epub 2023 Oct 9.
We highlight critical public healthcare inadequacies for older adult populations resulting in fatalities after Hurricane Ian. We summarize whether a fatality was a result of the storm directly, indirectly, or not at all. Massive destruction from Ian eliminated critical life-sustaining health care for the week following the hurricane. This disproportionately affected the older adult population, with most elder deaths attributed to a lack of some form of health care. To prevent further unnecessary deaths following a disaster event, we recommend that public health policy practitioners, medical practitioners, and state officials consider how to provide managed opt-in emergency care services, mobile elderly care until restoration of power and services, and revisions to community-based critical care provider building codes to include generators and fuel. We offer this viewpoint to generate discussion among public health and emergency planners.
我们强调了飓风伊恩过后老年人群体面临的关键公共医疗保健不足问题,这些不足导致了死亡。我们总结了死亡是直接由风暴造成、间接由风暴造成还是与风暴毫无关系。伊恩造成的大规模破坏使得飓风过后的一周内关键的维持生命的医疗保健服务中断。这对老年人群体产生了 disproportionately 的影响,大多数老年人的死亡归因于某种形式的医疗保健缺失。为防止灾难事件后出现更多不必要的死亡,我们建议公共卫生政策从业者、医生和州官员考虑如何提供有管理的选择加入式紧急护理服务、在恢复电力和服务之前提供移动老年护理,以及修订基于社区的重症护理提供者建筑规范以纳入发电机和燃料。我们提出这一观点以引发公共卫生和应急规划者之间的讨论。