Disaster healthPub Date : 2016-12-06eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263519
Andreas Rechkemmer, Ashley O'Connor, Abha Rai, Jessica L Decker Sparks, Pranietha Mudliar, James M Shultz
{"title":"A complex social-ecological disaster: Environmentally induced forced migration.","authors":"Andreas Rechkemmer, Ashley O'Connor, Abha Rai, Jessica L Decker Sparks, Pranietha Mudliar, James M Shultz","doi":"10.1080/21665044.2016.1263519","DOIUrl":"https://doi.org/10.1080/21665044.2016.1263519","url":null,"abstract":"<p><p>In the 21<sup>st</sup> century, global issues are increasingly characterized by inter-connectedness and complexity. Global environmental change, and climate change in particular, has become a powerful driver and catalyst of forced migration and internal displacement of people. Environmental migrants may far outnumber any other group of displaced people and refugees in the years to come. Deeper scientific integration, especially across the social sciences, is a prerequisite to tackle this issue.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2016-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1263519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34787977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-28eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263538
James M Shultz, Toni Cela, Louis Herns Marcelin, Maria Espinola, Ilva Heitmann, Claudia Sanchez, Arielle Jean Pierre, Cheryl YunnShee Foo, Kip Thompson, Philip Klotzbach, Zelde Espinel, Andreas Rechkemmer
{"title":"The trauma signature of 2016 Hurricane Matthew and the psychosocial impact on Haiti.","authors":"James M Shultz, Toni Cela, Louis Herns Marcelin, Maria Espinola, Ilva Heitmann, Claudia Sanchez, Arielle Jean Pierre, Cheryl YunnShee Foo, Kip Thompson, Philip Klotzbach, Zelde Espinel, Andreas Rechkemmer","doi":"10.1080/21665044.2016.1263538","DOIUrl":"https://doi.org/10.1080/21665044.2016.1263538","url":null,"abstract":"<p><p><b>Background</b>. Hurricane Matthew was the most powerful tropical cyclone of the 2016 Atlantic Basin season, bringing severe impacts to multiple nations including direct landfalls in Cuba, Haiti, Bahamas, and the United States. However, Haiti experienced the greatest loss of life and population disruption. <b>Methods</b>. An established trauma signature (TSIG) methodology was used to examine the psychological consequences of Hurricane Matthew in relation to the distinguishing features of this event. TSIG analyses described the exposures of Haitian citizens to the unique constellation of hazards associated with this tropical cyclone. A hazard profile, a matrix of psychological stressors, and a \"trauma signature\" summary for the affected population of Haiti - in terms of exposures to hazard, loss, and change - were created specifically for this natural ecological disaster. <b>Results</b>. Hazard characteristics of this event included: deluging rains that triggered mudslides along steep, deforested terrain; battering hurricane winds (Category 4 winds in the \"eye-wall\" at landfall) that dismantled the built environment and launched projectile debris; flooding \"storm surge\" that moved ashore and submerged villages on the Tiburon peninsula; and pummeling wave action that destroyed infrastructure along the coastline. Many coastal residents were left defenseless to face the ravages of the storm. Hurricane Matthew's slow forward progress as it remained over super-heated ocean waters added to the duration and degree of the devastation. Added to the havoc of the storm itself, the risks for infectious disease spread, particularly in relation to ongoing epidemics of cholera and Zika, were exacerbated. <b>Conclusions</b>. Hurricane Matthew was a ferocious tropical cyclone whose meteorological characteristics amplified the system's destructive force during the storm's encounter with Haiti, leading to significant mortality, injury, and psychological trauma.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"121-138"},"PeriodicalIF":0.0,"publicationDate":"2016-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1263538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34836804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-22eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263539
Louis Herns Marcelin, Toni Cela, James M Shultz
{"title":"Haiti and the politics of governance and community responses to Hurricane Matthew.","authors":"Louis Herns Marcelin, Toni Cela, James M Shultz","doi":"10.1080/21665044.2016.1263539","DOIUrl":"10.1080/21665044.2016.1263539","url":null,"abstract":"<p><p>This article examines disaster preparedness and community responses to Hurricane Matthew in semi-urban and rural towns and villages in Grande-Anse, Haiti. Based on an ethnographic study conducted in the department of Grande-Anse one week after the hurricane made landfall in Haiti, the article focuses on the perspectives of citizens, community-based associations and local authorities in the affected areas. Sixty-three (63) interviews and 8 community meetings (focus groups) were conducted in 11 impacted sites in 8 communes. Results suggest that preexisting conditions in impacted communities, rather than deliberate and coordinated disaster management strategies, shaped levels of preparedness for and response to the disaster. Affected populations relied primarily on family networks and local forms of solidarity to attend to basic needs such as shelter, health and food. The main argument presented is that Haiti, by virtue of its geographic location, lack of resources, institutional fragility and vulnerability, must systematically integrate community-based assets and capacities in its responses to and management of disasters. Further, it is critical for the government, Haitian institutions, and society to apply integrated risk reduction and management and disaster preparedness measures in all aspects of life, if the country is to survive the many disasters to come in a time of climate change. These measures should be embedded in recovery and reconstruction efforts after Hurricane Matthew.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"151-161"},"PeriodicalIF":0.0,"publicationDate":"2016-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351817/pdf/kdsh-03-04-1263539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34836805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-22eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263523
James M Shultz, Andreas Rechkemmer
{"title":"Toward an integrated understanding of disaster and risk ecology.","authors":"James M Shultz, Andreas Rechkemmer","doi":"10.1080/21665044.2016.1263523","DOIUrl":"https://doi.org/10.1080/21665044.2016.1263523","url":null,"abstract":"","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"89"},"PeriodicalIF":0.0,"publicationDate":"2016-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1263523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34787010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-22eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263086
Silvia Lucia Gaviria, Renato D Alarcón, Maria Espinola, Diana Restrepo, Juliana Lotero, Dedsy Y Berbesi, Gloria Maria Sierra, Roberto Chaskel, Zelde Espinel, James M Shultz
{"title":"Socio-demographic patterns of posttraumatic stress disorder in Medellin, Colombia and the context of lifetime trauma exposure.","authors":"Silvia Lucia Gaviria, Renato D Alarcón, Maria Espinola, Diana Restrepo, Juliana Lotero, Dedsy Y Berbesi, Gloria Maria Sierra, Roberto Chaskel, Zelde Espinel, James M Shultz","doi":"10.1080/21665044.2016.1263086","DOIUrl":"https://doi.org/10.1080/21665044.2016.1263086","url":null,"abstract":"<p><p>Colombia, South America is currently transitioning to post-conflict status following 6 decades of armed conflict. The population has experienced extensive exposures to potentially traumatic events throughout the lifespan. Sources of trauma exposure include the prolonged armed insurgency, narco-trafficking violence, urban gang violence, violent actions of criminal bands, intra-familial violence, gender-based violence, and sex trafficking. Exposure to potentially traumatic events is related to a variety of psychiatric outcomes, in particular, posttraumatic stress disorder. Given this context of lifetime trauma exposure, socio-demographic patterns of posttraumatic stress disorder were explored in a sample of residents of Medellin, Colombia, the nation's second largest city and a nexus for multiple types of trauma exposure.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"139-150"},"PeriodicalIF":0.0,"publicationDate":"2016-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1263086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34787978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-22eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1263141
Maria Espinola, James M Shultz, Zelde Espinel, Benjamin M Althouse, Janice L Cooper, Florence Baingana, Louis Herns Marcelin, Toni Cela, Sherry Towers, Laurie Mazurik, M Claire Greene, Alyssa Beck, Michelle Fredrickson, Andrew McLean, Andreas Rechkemmer
{"title":"Fear-related behaviors in situations of mass threat.","authors":"Maria Espinola, James M Shultz, Zelde Espinel, Benjamin M Althouse, Janice L Cooper, Florence Baingana, Louis Herns Marcelin, Toni Cela, Sherry Towers, Laurie Mazurik, M Claire Greene, Alyssa Beck, Michelle Fredrickson, Andrew McLean, Andreas Rechkemmer","doi":"10.1080/21665044.2016.1263141","DOIUrl":"https://doi.org/10.1080/21665044.2016.1263141","url":null,"abstract":"<p><p>This <i>Disaster Health</i> Briefing focuses on the work of an expanding team of researchers that is exploring the dynamics of fear-related behaviors in situations of mass threat. <i>Fear-related behaviors are individual or collective behaviors and actions initiated in response to fear reactions that are triggered by a perceived threat or actual exposure to a potentially traumatizing event. Importantly, fear-related behaviors modulate the future risk of harm</i>. Disaster case scenarios are presented to illustrate how fear-related behaviors operate when a potentially traumatic event threatens or endangers the physical and/or psychological health, wellbeing, and integrity of a population. Fear-related behaviors may exacerbate harm, leading to severe and sometimes deadly consequences as exemplified by the Ebola pandemic in West Africa. Alternatively, fear-related behaviors may be channeled in a constructive and life-saving manner to motivate protective behaviors that mitigate or prevent harm, depending upon the nature of the threat scenario that is confronting the population. The interaction between fear-related behaviors and a mass threat is related to the type, magnitude, and consequences of the population encounter with the threat or hazard. The expression of FRBs, ranging from risk exacerbation to risk reduction, is also influenced by such properties of the threat as predictability, familiarity, controllability, preventability, and intentionality.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"102-111"},"PeriodicalIF":0.0,"publicationDate":"2016-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1263141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34787976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-11-18eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1261598
M Isabela Troya, M Claire Greene, Clara Gesteira Santos, James M Shultz
{"title":"Conducting a desk review to inform the mental health and psychosocial support response to the 2016 Ecuador earthquake.","authors":"M Isabela Troya, M Claire Greene, Clara Gesteira Santos, James M Shultz","doi":"10.1080/21665044.2016.1261598","DOIUrl":"https://doi.org/10.1080/21665044.2016.1261598","url":null,"abstract":"<p><p>Following the 7.8 magnitude earthquake that struck Ecuador on 16 April 2016, multiple salient public health concerns were raised, including the need to provide mental health and psychosocial support for individual survivors and their communities. The World Health Organization and the United Nations High Commissioner for Refugees recommend conducting a desk review to summarize existing information, specific to the affected communities, that will support timely, culturally-attuned assessment and delivery of mental health and psychosocial support shortly after the onset of a disaster or humanitarian emergency. The desk review is one component of a comprehensive toolkit designed to inform and support humanitarian actors and their responders in the field. This commentary provides a case example of the development of a desk review that was used to inform personnel responding to the 2016 earthquake in Ecuador. The desk review process is described in addition to several innovations that were introduced to the process during this iteration. Strengths and limitations are discussed, as well as lessons learned and recommendations for future applications.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 4","pages":"90-101"},"PeriodicalIF":0.0,"publicationDate":"2016-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1261598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34787975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-08-25eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1228326
James M Shultz, Zelde Espinel, Maria Espinola, Andreas Rechkemmer
{"title":"Distinguishing epidemiological features of the 2013-2016 West Africa Ebola virus disease outbreak.","authors":"James M Shultz, Zelde Espinel, Maria Espinola, Andreas Rechkemmer","doi":"10.1080/21665044.2016.1228326","DOIUrl":"10.1080/21665044.2016.1228326","url":null,"abstract":"<p><p>The 2013-2016 West Africa Ebola virus disease epidemic was notable for its scope, scale, and complexity. This briefing presents a series of distinguishing epidemiological features that set this outbreak apart. Compared to one concurrent and 23 previous outbreaks of the disease over 40 years, this was the only occurrence of Ebola virus disease involving multiple nations and qualifying as a pandemic. Across multiple measures of magnitude, the 2013-2016 outbreak was accurately described using superlatives: largest and deadliest in terms of numbers of cases and fatalities; longest in duration; and most widely dispersed geographically, with outbreak-associated cases occurring in 10 nations. In contrast, the case-fatality rate was much lower for the 2013-2016 outbreak compared to the other 24 outbreaks. A population of particular interest for ongoing monitoring and public health surveillance is comprised of more than 17,000 \"survivors,\" Ebola patients who successfully recovered from their illness. The daunting challenges posed by this outbreak were met by an intensive international public health response. The near-exponential rate of increase of incident Ebola cases during mid-2014 was successfully slowed, reversed, and finally halted through the application of multiple disease containment and intervention strategies.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 3","pages":"78-88"},"PeriodicalIF":0.0,"publicationDate":"2016-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314891/pdf/kdsh-03-03-1228326.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-08-02eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1219575
H Katherine O'Neill, Andrew J McLean, Renetta Kalis, James M Shultz
{"title":"Disaster averted: Community resilience in the face of a catastrophic flood.","authors":"H Katherine O'Neill, Andrew J McLean, Renetta Kalis, James M Shultz","doi":"10.1080/21665044.2016.1219575","DOIUrl":"https://doi.org/10.1080/21665044.2016.1219575","url":null,"abstract":"<p><p>In the spring of 2009, the Fargo, North Dakota, metropolitan area had 5 days to lay millions of sandbags to avoid devastation from record flooding of the Red River of the North. The community was able to successfully mitigate the flooding and escape potentially catastrophic economic, physical, and mental health consequences. We hypothesized that Fargo flood protection efforts reflected the community resilience factors proposed by Norris, Stevens, Pfefferbaum, et al. (2008): citizen involvement in mitigation efforts, effective organizational linkages, ongoing psychosocial support, and strong civic leadership in the face of rapidly changing circumstances. This community case report utilizes an extensive review of available sources, including news reports, government documents, research articles, and personal communication. Results demonstrate that Fargo's response to the threat of catastrophic flooding was consistent with Norris et al.'s (2008) factors of community resilience. Furthermore, success in 2009 carried over into future flood prevention and response efforts, as well as a structured approach to building psychological resilience. This case study contributes to the literature on community resilience by describing a community's successful efforts to avert a potentially catastrophic disaster.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 3","pages":"67-77"},"PeriodicalIF":0.0,"publicationDate":"2016-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1219575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2016-06-09eCollection Date: 2016-01-01DOI: 10.1080/21665044.2016.1199151
Christiana D Atkins, Harvey J Burnett
{"title":"Specialized disaster behavioral health training: Its connection with response, practice, trauma health, and resilience.","authors":"Christiana D Atkins, Harvey J Burnett","doi":"10.1080/21665044.2016.1199151","DOIUrl":"https://doi.org/10.1080/21665044.2016.1199151","url":null,"abstract":"<p><p>This study examined the relationship between having training in key disaster behavioral health (DBH) interventions and trauma health (compassion fatigue, burnout and compassion satisfaction), resilience, the number of crisis responses participated in within the last year, and the frequency of assembling to practice crisis interventions skills. Data was collected from a convenience sample of disaster behavioral health responders (<i>N</i> = 139) attending a training conference in Michigan. Measures included the Professional Quality of Life Scale, the 14-item Resilience Scale, and a demographic questionnaire. Point biserial correlations revealed that having training in large and small group crisis interventions and individual and peer crisis interventions was significantly correlated with higher resilience and lower levels of burnout. Psychological First Aid was not significantly associated with any of the trauma health variables or with resilience. Compassion fatigue and compassion satisfaction were not significantly associated with DBH training. Chi-square tests for independence found no significant association between key DBH training strategies and the number of crisis responses participated in within the past year and the frequency of assembling to practice crisis interventions skills. These findings suggest that completing training in both, large and small group and individual and peer crisis intervention techniques may help to increase resiliency and reduce burnout among disaster behavioral health providers.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"3 2","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2016-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2016.1199151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}