Evaluation of Long-term Community Recovery from Hurricane Andrew: Sources of Assistance Received by Population Sub-groups

Two three-stage cluster surveys were conducted in South Dade County, Florida, 14 months apart, to assess recovery following Hurricane Andrew. Response rates were 75 per cent and 84 per cent. Sources of assistance used in recovery from Hurricane Andrew differed according to race, per capita income, ethnicity, and education. Reports of improved living situation post-hurricane were not associated with receiving relief assistance, but reports of a worse situation were associated with loss of income, being exploited, or job loss. The number of households reporting problems with crime and community violence doubled between the two surveys. Disaster relief efforts had less impact on subjective long-term recovery than did job or income loss or housing repair difficulties. Existing sources of assistance were used more often than specific post-hurricane relief resources. The demographic make-up of a community may determine which are the most effective means to inform them after a disaster and what sources of assistance may be useful.     

Business closure and relocation: a comparative analysis of the Loma Prieta earthquake and Hurricane Andrew

The occurrence of a number of large‐scale disasters or catastrophes in recent years, including the Indian Ocean tsunami (2004), the Kashmir earthquake (2005), Hurricane Katrina (2005) and Hurricane Ike (2008), have raised our awareness regarding the devastating effects of disasters on human populations and the importance of developing mitigation and preparedness strategies to limit the consequences of such events. However, there is still a dearth of social science research focusing on the socio‐economic impact of disasters on businesses in the United States. This paper contributes to this research literature by focusing on the impact of disasters on business closure and relocation through the use of multivariate logistic regression models, specifically focusing on the Loma Prieta earthquake (1989) and Hurricane Andrew (1992). Using a multivariate model, we examine how physical damage to the infrastructure, lifeline disruption and business characteristics, among others, impact business closure and relocation following major disasters.     

The post‐disaster negative health legacy: pregnancy outcomes in Louisiana after Hurricane Andrew

Disasters and displacement increasingly affect and challenge urban settings. How do pregnant women fare in the aftermath of a major disaster? This paper investigates the effect of pregnancies in disaster situations. The study tests a hypothesis that pregnant women residing in hurricane‐prone areas suffer higher health risks. The setting is Louisiana in the Gulf Coast, United States, a state that continually experiences hurricane impacts. The time period for the analysis is three years following the landfall of Hurricane Andrew in 1992. We analysed low birth weight and preterm deliveries before and after landfall, as a whole and by race. Findings support an association between hazards and health of a community and indicate that pregnant women in the affected area, irrespective of race, are more likely to experience preterm deliveries compared to pre‐event births. Results suggest there is a negative health legacy impact in Louisiana as a result of hurricane landfall.     

The impact of Hurricane Rita on an academic institution: lessons learned

This paper examines the impact of Hurricane Rita on one of the many universities along the Gulf Coast of the United States: Lamar University in Beaumont, Texas. Hurricane Rita, which made landfall between Sabine Pass, Texas, and Johnson's Bayou, Louisiana, on 24 September 2005, is the fourth strongest Atlantic Ocean hurricane on record and the most intense tropical cyclone ever observed in the Gulf of Mexico. This paper assesses the tasks that confronted the administration, faculty, and students of Lamar University in the days and weeks after the event. It concludes that the one factor that will influence more than any other the degree of success after any disaster is whether all levels of the administrative command institutionalise, endorse, promote, and encourage the adopted recovery plan. The research seeks to share valuable insights on the vulnerabilities that academic institutions face during natural disasters and to highlight some of the many lessons learned.     

Health Effects of the 1991 Bangladesh Cyclone: Report of a UNICEF Evaluation Team

To assess the impact on health of the cyclone and tidal wave that struck the southern coast of Bangladesh on the evening of 29 April 1991, a team of health professionals visited cyclone affected areas from 4–27 June, 1991. Team members met with health workers and officials of the Government of Bangladesh and with staff pom nongovernmental organizations, and conducted field surveys in two severely affected areas.
Mortality among the 135 households surveyed (pre-cyclone population 1,123) was 14 per cent. At highest risk of deaths were children of less than 10 years (26 per cent mortality) and women of more than 40 (31 per cent mortality). Almost all deaths occurred as a result of drowning from the tidal wave that accompanied the cyclone. Although 95 per cent of the population surveyed had received warning of the cyclone four or more hours before it struck, the 300 existing cyclone shelters had capacity for only 450,000 of the 5,000,000 people affected by the cyclone. Deaths following the cyclone were few. Diarrhea caused by Vibrio cholerae and Shigella dysenteria type 1, both of which are endemic in Bangladesh, occurred in the post-cyclone period. Reports by the national Diarrhea Surveillance System of large increases in diarrheal incidence following the cyclone were difficult to assess because of inconsistencies in pre-and post-cyclone reporting methods. No increase in other infectious diseases was identified.
Although water availability had been a major concern following the cyclone, the tubewell system was functioning well in the area that was surveyed. Distribution of relief assistance by the Government of Bangladesh and by non-governmental organizations was good, with 95 per cent of families surveyed receiving food aid within five days of the cyclone.
The major health effect of this cyclone was acute deaths due to drowning. Preventing deaths during future cyclones will require increasing accessible shelter.     

Report: Combustion Byproducts and Their Health Effects: Summary of the 10th International Congress

The 10th International Congress on Combustion Byproducts and their Health Effects was held in Ischia, Italy, from June 17-20, 2007. It is sponsored by the US NIEHS, NSF, Coalition for Responsible Waste Incineration (CRWI), and Electric Power Research Institute (EPRI). The congress focused on: the origin, characterization, and health impacts of combustion-generated fine and ultrafine particles; emissions of mercury and dioxins, and the development/application of novel analytical/diagnostic tools. The consensus of the discussion was that particle-associated organics, metals, and persistent free radicals (PFRs) produced by combustion sources are the likely source of the observed health impacts of airborne PM rather than simple physical irritation of the particles. Ultrafine particle-induced oxidative stress is a likely progenitor of the observed health impacts, but important biological and chemical details and possible catalytic cycles remain unresolved. Other key conclusions were: (1) In urban settings, 70% of airborne fine particles are a result of combustion emissions and 50% are due to primary emissions from combustion sources, (2) In addition to soot, combustion produces one, possibly two, classes of nanoparticles with mean diameters of?~10?nm and?~1?nm. (3) The most common metrics used to describe particle toxicity, viz. surface area, sulfate concentration, total carbon, and organic carbon, cannot fully explain observed health impacts, (4) Metals contained in combustion-generated ultrafine and fine particles mediate formation of toxic air pollutants such as PCDD/F and PFRs. (5) The combination of metal-containing nanoparticles, organic carbon compounds, and PFRs can lead to a cycle generating oxidative stress in exposed organisms.     

Return delays and evacuation order compliance: the case of Hurricane Georges and the Florida Keys

Abstract

Using interview data, we examine the effects of the heavily publicized delays in reentering the Florida Keys after Hurricane Georges on future evacuation intent. Of particular interest is the finding that the delays will have less influence on the future evacuation decisions of those who experienced them than on those who learned of them from secondary sources. Fear of return delays is only one factor in evacuation decision-making, albeit an understudied one. For this sample of evacuees, perceived risk is the most salient factor, and this risk assessment is not sufficiently diminished by the inconveniences, such as delays, associated with evacuation. For non-evacuees, however, the delay factor appeared to only increase their reluctance to evacuate the next time, despite their level of perceived risk.     

Revisiting Sphere: new standards of service delivery for new trends in protracted displacement

The proportion of people living in protracted displacement, as well as the duration of this displacement, is increasing. International humanitarian standards for services provided in protracted displacement are based on the Sphere Standards, which were formulated using evidence and experience from acute phase emergencies. However, the majority of protracted emergencies are in the post‐emergency phase. This paper discusses trends in displacement, outlines reasons why using the Sphere Standards as minimum standards of service provision in protracted displacement does not adequately meet the needs of these populations, and analyses areas where greater standards of service provision are necessary. An expansion of the evidence base regarding determinants of morbidity and mortality in protracted emergencies is needed. This, followed by a joint approach to designing new, effective standards focused on proactive policies, will allow the humanitarian community more appropriately to serve and enable the millions of people currently living in protracted displacement.     

Hurricane storm surge in Volusia County,Florida: evidence of a tipping point for infrastructure damage

Storm surge often is the most destructive consequence of hurricanes and tropical storms, causing significant economic damage and loss of life. Many coastal communities that are located in high‐risk areas vis‐à‐vis hurricanes and tropical storms are prepared for moderate (between six and eight feet) storm surges. Such preparation, though, is not commensurate with more severe, but less frequent, storm surges (greater than eight feet). These gaps in preparedness have serious implications for community resilience. This paper explores elements of the vulnerability and resilience of coastal communities during major storm surge events, drawing on Volusia County, Florida, United States, as a case study. It simulates the impacts of five hurricanes (Categories I–V) and their associated storm surges on local infrastructure systems, populations, and access to resources. The results suggest that Volusia County is subject to a ‘tipping point’ , where surge damage from Category IV storms is significantly greater than that from Category III and lower hurricanes.     

The Health Effects of Earthquakes in the Mid-1990s

This paper gives an overview of the global pattern of casualties in earthquakes which occurred during the 30-month period from 1 September 1993 to 29 February 1996. It also describes some of the behavioural and logistical regularities associated with mortality and morbidity in these events. Of 83 earthquakes studied, there were casualties in 49. Lethal earthquakes occurred in rapid succession in Indonesia, China, Colombia and Iran. In the events studied, a disproportionate number of deaths and injuries occurred during the first six hours of the day and in earthquakes with magnitudes between 6.5 and 7.4. Ratios of death to injury varied markedly (though with some averages close to 1:3), as did the nature and causes of mortality and morbidity and the proportion of serious to slight injuries. As expected on the basis of previous knowledge, few problems were caused by post-earthquake illness and disease. Also, as expected, building collapse was the principal source of casualties: tsunamis, landslides, debris flows and bridge collapses were the main secondary causes. In addition, new findings are presented on the temporal sequence of casualty estimates after seismic disaster. In synthesis, though mortality in earthquakes may have been low in relation to long-term averages, the interval of time studied was probably typical of other periods in which seismic catastrophes were relatively limited in scope.     

金银玉饰与健康

全银玉饰是美化生活的高贵金属制品,它不单是富贵的象征,也是对美感与健康的追求。如今,这些晶莹闪烁的首饰品,正以其独特风姿点缀着人们的生活。金银玉饰历史悠久,早在刀耕火种年代,人类就懂得装饰了。当时首     

Returning to normalcy in the short term: a preliminary examination of recovery from Hurricane Harvey among individuals with home damage

This study focuses on coastal counties in Texas, United States, affected by Hurricane Harvey in 2017 to gauge the influence of individual and contextual characteristics on people's ability to return to normalcy in the short term. Data from a survey conducted by the Kaiser Family Foundation and the Episcopal Health Foundation between October and November 2017 were utilised in the analysis. The paper observes, based on the results of an ordered logistic regression, and contrary to previous work, that age, gender, levels of poverty, and social capital are not significant predictors of a return to normalcy. However, indicators such as whether a person evacuated, if he/she identified as Hispanic/Latino, the extent of damage sustained to one's home, and if one's automobile was damaged or destroyed are shown to affect recovery. A discussion of the potential reasons for these findings is provided as a means of informing future research on disaster recovery.     

Citizen participation in disaster recovery projects and programmes in rural communities: a comparison of the Haiti earthquake and Hurricane Katrina

This study investigates predictors of local participation in recovery projects and programmes following Hurricane Katrina in the United States in 2005 and the earthquake in Haiti in 2010. Using two sets of survey data, it examines whether disaster impacts and social capital (social trust and civic engagement) are associated with disaster recovery participation and compares predictors of such engagement in the two locations. Multivariate logistic regression results reveal that physical injuries, limited community mobility, and government trust increase recovery participation in Haiti (n=278), whereas emotional distress and homeownership decrease it. On the Gulf Coast of the US (n=259), physical injuries and higher civic engagement augment recovery participation, while homeownership and age reduce it. The confounding factors of national contexts and post‐disaster time frames might explain the differences in the results. The discussion addresses the relation between country‐specific vulnerability and recovery participation and suggests implications for policy and practice to improve local citizens’ capabilities to participate in sustainable recovery processes.     

Quantitative assessment of post‐disaster housing recovery: a case study of Punta Gorda,Florida, after Hurricane Charley

Quantitative assessment of post‐disaster housing recovery is critical to enhancing understanding of the process and improving the decisions that shape it. Nevertheless, few comprehensive empirical evaluations of post‐disaster housing recovery have been conducted, and no standard measurement methods exist. This paper presents a quantitative assessment of housing recovery in Punta Gorda, Florida, United States, following Hurricane Charley of August 2004, including an overview of the phases of housing recovery, progression of recovery over time, alternative trajectories of recovery, differential recovery, incorporation of mitigation, and effect on property sales. The assessment is grounded in a conceptual framework that considers the recovery of both people and place, and that emphasises recovery as a process, not as an endpoint. Several data sources are integrated into the assessment—including building permits, remotely sensed imagery, and property appraiser data—and their strengths and limitations are discussed with a view to developing a standardised method for measuring and monitoring housing recovery.     

2006年世界卫生日主题通力合作增进健康

自1950年开始,联合国将每年的4月7 日定为“世界卫生日”,并为每年的卫生日选择一个相关的主题,旨在提高全世界对某一个卫生领域的认识,推广和普及有关健康知识,提高人们的健康水平。今年“世界卫生日”的主题是:通力合作,增进健康。旨在宣传目前世界范围内医务人员短缺问题并寻求解决之道。据世界卫生组织估计,目前全世界共有5900万医务工作人员,尚存在400万     

Health effects of relocation following disaster: a systematic review of the literature

This paper reviews the literature on the effects of post-disaster relocation on physical and mental heath, and develops a conceptual framework to guide future research. Forty articles were selected for full-text review and incorporation into the conceptual framework. Twenty-four articles were reviewed for results and methodology. These overwhelmingly tracked mental health outcomes. Only four (16 per cent) focused on physical health. Eight of ten showed an association between relocation and psychological morbidity. Certain outcomes (such as mortality, injury and cardiovascular disease risk factors) revealed inconsistent results, but these were rarely studied. Despite the frequency of post-disaster relocation and evidence of its effect on psychological morbidity, there is a relative paucity of studies; the few examples in the literature reveal weak study designs, inconsistent results, and inattention to physical health impacts and the challenges facing vulnerable populations. Further research guided by theory is needed to inform emergency preparedness and recovery policy.     

The Pyrenees earthquake of 1660: Effects in France

Until 1975 or so, scientists' knowledge of the major earthquake of 1660 in the Pyrenees (in Bigorre) was largely restricted to the meagre information repeated in the classical catalogues. Useful material published in local learned journals was mostly unknown, and has only been unearthed and interpreted since 1976, when two year's work of analysis was started for the "Projet Sismo-tectonique" in France. During and since that project, further routine work necessary for the revision of the historical seismicity of France, has brought to light a new wealth of information from archive sources. This new knowledge, at least from the French side, is used as the basis for a brief macroseismic review of the event north of the Pyrenees, putting forward proposals for the isoseismal lines. Emphasis is placed on the number and quality of the sources, some of which are quoted for evidence of major rockfalls in the meizoseismal region and the wide extent of the felt area, as far north as Salnt-Maixent in Poitou.     

Health and social impacts of a flood disaster: responding to needs and implications for practice

Carlisle in northwest England suffered its worse floods for more than 180 years in 2005. A study, reported here, was undertaken to assess the health and social impacts of these floods via in‐depth, taped individual and focus‐group interviews with people whose homes had been flooded and with agency workers who helped them. Respondents spoke of physical health ailments, psychological stress, water health‐and‐safety issues related to the floods, and disputes with insurance and construction companies, which they felt had caused and exacerbated psychological health problems. Support workers also suffered from psychological stress. Furthermore, it was found that people had low expectations of a flood and were not prepared. The findings are presented in five sections covering flood risk awareness, water contamination issues, physical health, mental health, and impact on frontline support workers. The discussion focuses on the implications of the findings for policy and practice vis‐à‐vis psychological health provision, contamination issues, training and support for frontline support workers, matters relating to restoration, and preparation for flooding.