Disaster healthPub Date : 2015-01-07eCollection Date: 2014-04-01DOI: 10.4161/21665044.2014.990306
Claudio Deola, Ronak B Patel
{"title":"Health outcomes of crisis driven urban displacement: A conceptual framework.","authors":"Claudio Deola, Ronak B Patel","doi":"10.4161/21665044.2014.990306","DOIUrl":"10.4161/21665044.2014.990306","url":null,"abstract":"<p><p>With urbanisation, cities are increasingly home to greater proportions of the world's population. As this transition has significant implications on human health, the epidemiology of diseases among relatively stable urban populations is growing. As humanitarian crises increasingly drive people to urban centers rather than traditional refugee camps, however, rapid and massive urban displacements will increase in frequency. This paper explores the idea that such urban displacements combine epidemiological features of forced migration, slum conditions and humanitarian disaster contexts. This paper highlights the lack of primary data and the consequent paucity of solid epidemiological literature in the aftermath of rapid massive urban displacements. A framework of health outcomes in urban displacement drawing from the above 3 phenomenon is presented and avenues for improved epidemiologic work described.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2015-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314915/pdf/kdsh-02-02-990306.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757333","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 : 2014-12-31eCollection Date: 2014-04-01DOI: 10.4161/21665044.2014.989131
Carolina Tannenbaum-Baruchi, Paula Feder-Bubis, Bruria Adini, Limor Aharonson-Daniel
{"title":"Emergency situations and deaf people in Israel: Communication obstacles and recommendations.","authors":"Carolina Tannenbaum-Baruchi, Paula Feder-Bubis, Bruria Adini, Limor Aharonson-Daniel","doi":"10.4161/21665044.2014.989131","DOIUrl":"https://doi.org/10.4161/21665044.2014.989131","url":null,"abstract":"<p><p>The absence of the ability to hear sounds in deaf people is an obstacle to optimal communication in a predominantly hearing world. Emergency situations harbor sufficient challenge for the hearing person and pose even greater barriers for the deaf and hard of hearing. During disasters and emergency situations, deaf people have great difficulty in obtaining and sharing information, increasing their dependence on others. This article focuses on the experience of deaf people during a period of security threat, when missiles from the Gaza strip were aimed at the civilian population in Southern Israel, in 2009. The aim of this article is to illustrate the complexities that deaf citizens experienced, and describe their coping mechanisms. A qualitative study including 15 heterogeneous-background Deaf participants interviewed by a researcher that belongs to the deaf community using a multiple-method facilitated questionnaire. Data was analyzed using grounded theory methodology principles. Main categories that arose from data analysis were communication problems during emergencies, the pager as a questionable warning device about emergencies (due to timing and content/context issues of its use), and the implications of the location of deaf people at time of emergency. Various channels for conveying information should be examined and created in order to maximize the heterogeneous deaf community's ability to receive vital information during an emergency. Professional sign language interpreters are necessary during emergencies, helping to reduce both dependence on informal sources (such as family members, including minors, friends, neighbors, by-standers) and risk. The development of new technologies may bear potential help for deaf persons during emergencies. Being a socio-linguistic minority, it is recommended to ensure these technologies will be accessible to the whole deaf community.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"106-111"},"PeriodicalIF":0.0,"publicationDate":"2014-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/21665044.2014.989131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757688","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 : 2014-10-31eCollection Date: 2014-04-01DOI: 10.4161/dish.28219
Alice E Welch, Indira Debchoudhury, Hannah T Jordan, Lysa J Petrsoric, Mark R Farfel, James E Cone
{"title":"Translating research into action: An evaluation of the World Trade Center Health Registry's Treatment Referral Program.","authors":"Alice E Welch, Indira Debchoudhury, Hannah T Jordan, Lysa J Petrsoric, Mark R Farfel, James E Cone","doi":"10.4161/dish.28219","DOIUrl":"https://doi.org/10.4161/dish.28219","url":null,"abstract":"<p><p>This manuscript describes the design, implementation and evaluation of the World Trade Center (WTC) Health Registry's Treatment Referral Program (TRP), created to respond to enrollees' self-reported 9/11-related physical and mental health needs and promote the use of WTC-specific health care. In 2009-2011, the TRP conducted personalized outreach, including an individualized educational mailing and telephone follow-up to 7,518 selected enrollees who resided in New York City, did not participate in rescue/recovery work, and reported symptoms of 9/11-related physical conditions or posttraumatic stress disorder (PTSD) on their most recently completed Registry survey. TRP staff spoke with enrollees to address barriers to care and schedule appointments at the WTC Environmental Health Center for those eligible. We assessed three nested outcomes: TRP participation (e.g., contact with TRP staff), scheduling appointments, and keeping scheduled appointments. A total of 1,232 (16.4%) eligible enrollees participated in the TRP; 32% of them scheduled a first-time appointment. We reached 84% of participants who scheduled appointments; 79.4% reported having kept the appointment. Scheduling an appointment, but not keeping it, was associated with self-reported unmet health care need, PTSD, and poor functioning (≥14 days of poor physical or mental health in the past 30 days) (<i>P</i> < 0.05). Neither scheduling nor keeping an appointment was associated with demographic characteristics. Successful outreach to disaster-exposed populations may require a sustained effort that employs a variety of methods in order to encourage and facilitate use of post-disaster services. Findings from this evaluation can inform outreach to the population exposed to 9/11 being conducted by other organizations.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"97-105"},"PeriodicalIF":0.0,"publicationDate":"2014-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/dish.28219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757687","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 : 2014-10-31eCollection Date: 2014-04-01DOI: 10.4161/21665044.2014.954500
James M Shultz, Natalia Muñoz García, Ángela Milena Gómez Ceballos, Luis Jorge Hernandez Florez, Ricardo Araya, Helen Verdeli, Zelde Espinel, Sandra Patricia Cipagauta Bolivar, Yuval Neria
{"title":"Outreach to internally displaced persons in Bogotá, Colombia: challenges and potential solutions.","authors":"James M Shultz, Natalia Muñoz García, Ángela Milena Gómez Ceballos, Luis Jorge Hernandez Florez, Ricardo Araya, Helen Verdeli, Zelde Espinel, Sandra Patricia Cipagauta Bolivar, Yuval Neria","doi":"10.4161/21665044.2014.954500","DOIUrl":"https://doi.org/10.4161/21665044.2014.954500","url":null,"abstract":"<p><p>Programs that provide services for internally displaced persons (IDPs) in Colombia, South America face challenges when attempting to engage and enroll the target population of forced migrants they intend to serve. Innovative multi-strategy outreach approaches must be used in order to effectively seek, recruit, provide services, monitor, and retain IDPs.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2014-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/21665044.2014.954500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757686","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 : 2014-10-31eCollection Date: 2014-04-01DOI: 10.4161/dish.24861
James M Shultz
{"title":"Perspectives on disaster public health and disaster behavioral health integration.","authors":"James M Shultz","doi":"10.4161/dish.24861","DOIUrl":"https://doi.org/10.4161/dish.24861","url":null,"abstract":"). Disasters affect populations, simultaneously creating public health and behavioral health challenges for the impacted communities.When disaster strikes, physical consequences–damage, destruction, disruption, displacement, death, debility, and dis-ability–are most often overt and observable. Disaster public health needs are starkly evident. Conversely, psychological con-sequences tend to be less visible and historically, overlooked.This oversight is being redressed in the post-9/11 era. In the past decade, disaster behavioral health has been “unpacked” and showcased, separate from disaster public health, in order to assure that the need for behavioral health and psychosocial support is recognized and prioritized. This has propelled advances in disas -ter behavioral health science, programs, planning, and policy. However, disaster behavioral health is administratively and struc -turally separate from disaster public health.The reality is that physical and psychological dimensions of disaster are not separate. Rather, they are intimately intertwined throughout all phases of the disaster cycle. The rising salience of disaster behavioral health is a good thing, but it is now time to unite and fully integrate disaster behavioral and public health. Such integration is actively championed by SAMHSA and The Office of the Assistant Secretary for Preparedness and Response (ASPR).","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2014-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/dish.24861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757329","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 : 2014-10-30eCollection Date: 2014-04-01DOI: 10.4161/2167549X.2014.960717
Gemma Schuch, Silvia Serrao-Neumann, Darryl Low Choy
{"title":"Managing health impacts of heat in South East Queensland, Australia.","authors":"Gemma Schuch, Silvia Serrao-Neumann, Darryl Low Choy","doi":"10.4161/2167549X.2014.960717","DOIUrl":"https://doi.org/10.4161/2167549X.2014.960717","url":null,"abstract":"<p><p>Heatwaves kill more people than any other natural hazard in Australia. Current literature on managing health risks of heatwaves highlights the importance of implementing urban planning measures, and engaging with vulnerable groups on a local level to better understand perceptions of risk and tailor health protection measures. This paper reviews arrangements to reduce heatwave health risks in South East Queensland in response to these themes. A literature search and document analysis, stakeholder interviews, and multi-stakeholder cross-sectoral workshops revealed that although heatwave management is not always considered by local government and disaster management stakeholders, many urban planning measures to minimize urban heat have been pursued. However, greater information from vulnerable groups is still needed to better inform heatwave management measures.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 2","pages":"82-91"},"PeriodicalIF":0.0,"publicationDate":"2014-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/2167549X.2014.960717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757332","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 : 2014-07-01DOI: 10.1080/21665044.2015.1014216
A. Messiah, J. Acuna, G. Castro, P. Rodríguez de la Vega, G. Vaiva, J. Shultz, Y. Neria, M. R. De La Rosa
{"title":"Mental health impact of the 2010 Haiti earthquake on the Miami Haitian population: A random-sample survey","authors":"A. Messiah, J. Acuna, G. Castro, P. Rodríguez de la Vega, G. Vaiva, J. Shultz, Y. Neria, M. R. De La Rosa","doi":"10.1080/21665044.2015.1014216","DOIUrl":"https://doi.org/10.1080/21665044.2015.1014216","url":null,"abstract":"This study examined the mental health consequences of the January 2010 Haiti earthquake on Haitians living in Miami-Dade County, Florida, 2–3 years following the event. A random-sample household survey was conducted from October 2011 through December 2012 in Miami-Dade County, Florida. Haitian participants (N = 421) were assessed for their earthquake exposure and its impact on family, friends, and household finances; and for symptoms of post-traumatic stress disorder (PTSD), anxiety, and major depression; using standardized screening measures and thresholds. Exposure was considered as “direct” if the interviewee was in Haiti during the earthquake. Exposure was classified as “indirect” if the interviewee was not in Haiti during the earthquake but (1) family members or close friends were victims of the earthquake, and/or (2) family members were hosted in the respondent's household, and/or (3) assets or jobs were lost because of the earthquake. Interviewees who did not qualify for either direct or indirect exposure were designated as “lower” exposure. Eight percent of respondents qualified for direct exposure, and 63% qualified for indirect exposure. Among those with direct exposure, 19% exceeded threshold for PTSD, 36% for anxiety, and 45% for depression. Corresponding percentages were 9%, 22% and 24% for respondents with indirect exposure, and 6%, 14%, and 10% for those with lower exposure. A majority of Miami Haitians were directly or indirectly exposed to the earthquake. Mental health distress among them remains considerable two to three years post-earthquake.","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 1","pages":"130 - 137"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21665044.2015.1014216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60334968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster healthPub Date : 2014-05-15eCollection Date: 2014-01-01DOI: 10.4161/dish.29249
James M Shultz, Yuval Neria
{"title":"In this issue of <i>Disaster Health</i>.","authors":"James M Shultz, Yuval Neria","doi":"10.4161/dish.29249","DOIUrl":"https://doi.org/10.4161/dish.29249","url":null,"abstract":"Context: Psychological first aid (PFA) has become a widely endorsed and broadly trained early psychological intervention for survivors of disasters. The popularity of PFA has yet to be matched by robust evidence for its effectiveness Authors’ abstract: Psychological first aid (PFA) has become the flagship early intervention for disaster survivors, with recent adaptations for disaster responders, in the post-9/11 era. PFA is broadly endorsed by expert consensus and integrated into guidelines for mental health and psychosocial support in disasters and extreme events. PFA frameworks are proliferating, with increasing numbers of models developed for delivery by a range of providers for use with an expanding array of target populations. Despite popularity and promotion, there remains a dearth of evidence for effectiveness and recent independent reviews of PFA have highlighted this important gap. This commentary juxtaposes the current propagation of PFA against the compelling need to produce evidence for effectiveness and suggests a series of actions to prioritize and expedite real-time, real-event field evaluation of PFA.","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2014-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/dish.29249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757326","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 : 2014-01-16eCollection Date: 2014-01-01DOI: 10.4161/dish.27805
Boris Budosan, Katherine P O'Hanlon, Sabah Aziz
{"title":"Improving access to community-based mental health care and psychosocial support within a disaster context: A case study from Haiti.","authors":"Boris Budosan, Katherine P O'Hanlon, Sabah Aziz","doi":"10.4161/dish.27805","DOIUrl":"10.4161/dish.27805","url":null,"abstract":"","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 1","pages":"25-34"},"PeriodicalIF":0.0,"publicationDate":"2014-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/2c/kdsh-02-01-10927805.PMC5314903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757331","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 : 2014-01-16eCollection Date: 2014-01-01DOI: 10.4161/dish.27885
James M Shultz, Ángela Milena Gómez Ceballos, Zelde Espinel, Sofia Rios Oliveros, Maria Fernanda Fonseca, Luis Jorge Hernandez Florez
{"title":"Internal displacement in Colombia: Fifteen distinguishing features.","authors":"James M Shultz, Ángela Milena Gómez Ceballos, Zelde Espinel, Sofia Rios Oliveros, Maria Fernanda Fonseca, Luis Jorge Hernandez Florez","doi":"10.4161/dish.27885","DOIUrl":"https://doi.org/10.4161/dish.27885","url":null,"abstract":"<p><p>This commentary aims to delineate the distinguishing features of conflict-induced internal displacement in the nation of Colombia, South America. Even as Colombia is currently implementing a spectrum of legal, social, economic, and health programs for \"victims of armed conflict,\" with particular focus on internally displaced persons (IDPs), the dynamics of forced migration on a mass scale within this country are little known beyond national borders. The authors of this commentary are embarking on a global mental health research program in Bogota, Colombia to define best practices for reaching the displaced population and implementing sustainable, evidence-based screening and intervention for common mental disorders. Presenting the defining characteristics of internal displacement in Colombia provides the context for our work and, more importantly, conveys the compelling and complex nature of this humanitarian crisis. We attempt to demonstrate Colombia's unique position within the global patterning of internal displacement.</p>","PeriodicalId":90817,"journal":{"name":"Disaster health","volume":"2 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"2014-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4161/dish.27885","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34757328","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}