Ngatuvai Micah, Blaylock Tanner C, Ngatuvai Rachel, Saipale Landon, Schwartz Gary
College of Allopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA.
Orthopedics, William Beaumont Army Medical Center, El Paso, USA.
Cureus. 2024 Jul 6;16(7):e63973. doi: 10.7759/cureus.63973. eCollection 2024 Jul.
Hurricanes, as one of the most devastating natural disasters, significantly impact the public's health, causing both physical injuries and long-lasting mental health issues. Although substantial research has focused on hurricane-related injuries, this study aims to synthesize findings from recent literature, specifically evaluating the 10 most recent hurricanes, to identify research gaps and inform future studies. This scoping review, conducted in accordance with PRISMA-Scr guidelines, assessed studies from PubMed, CINAHL, Cochrane databases, and Medline as of February 2024. Eligibility criteria focused on studies examining physical and mental health impacts, COVID-19 effects, and emergency medical services (EMS) interventions related to Hurricanes Ian, Nicholas, Ida, Zeta, Delta, Sally, Laura, Isaias, Hanna, and Dorian. Twenty articles met the inclusion criteria. The studies were categorized into four themes: physical injuries and fatalities, mental health impacts, hurricane-COVID-19 interplay, and EMS interventions. Findings revealed varied mechanisms of injuries and deaths, significant mental health challenges, compounded crises due to COVID-19, and diverse EMS strategies, including AI utilization and strategic planning for medical care delivery. Addressing the social determinants of health and evaluating hurricane readiness initiatives were two gaps in the literature identified. Future research should focus on the mental health impacts and concurrent crisis challenges to develop comprehensive disaster management practices that enhance community resilience against future hurricanes and public health crises.
飓风作为最具破坏性的自然灾害之一，对公众健康产生重大影响，会造成身体伤害和长期的心理健康问题。尽管大量研究聚焦于与飓风相关的伤害，但本研究旨在综合近期文献的研究结果，特别是评估最近的10次飓风，以找出研究空白并为未来研究提供参考。这项范围综述按照PRISMA-Scr指南进行，评估了截至2024年2月来自PubMed、CINAHL、Cochrane数据库和Medline的研究。纳入标准侧重于考察与伊恩、尼古拉斯、艾达、泽塔、德尔塔、莎莉、劳拉、伊赛亚斯、汉娜和多里安飓风相关的身心健康影响、新冠疫情的影响以及紧急医疗服务（EMS）干预措施的研究。20篇文章符合纳入标准。这些研究被分为四个主题：身体伤害和死亡、心理健康影响、飓风与新冠疫情的相互作用以及EMS干预措施。研究结果揭示了伤害和死亡的多种机制、重大的心理健康挑战、因新冠疫情而加剧的危机，以及包括人工智能应用和医疗服务提供战略规划在内的多样EMS策略。解决健康的社会决定因素以及评估飓风防范举措是文献中确定的两个空白。未来的研究应关注心理健康影响和并发危机挑战，以制定全面的灾害管理实践，增强社区抵御未来飓风和公共卫生危机的复原力。
