Advertisement
Patient-Focused Disaster Preparedness| Volume 336, ISSUE 2, P124-127, August 2008

Download started.

Ok

Providing Healthcare to Evacuees in the Wake of a Natural Disaster: Opportunities to Improve Disaster Planning

      ABSTRACT

      Background

      The impending landfall of Hurricane Katrina on the Mississippi Gulf Coast resulted in large numbers of evacuees into the Jackson, Mississippi area. Many evacuees with chronic medical problems had been directed to the Mississippi Coliseum in the downtown area near the University of Mississippi Medical Center. As the storm passed through Jackson, serious damage occurred to the municipal infrastructure. In this article, we asked how that experience has affected health planning for the care of sheltered populations.

      Methods

      We reviewed the information accumulated in the course of operating a large medical clinic for evacuees at the Mississippi Coliseum. We also contacted representatives of disaster planning agencies and of healthcare planning organizations to determine changes that have occurred in strategic plans subsequent to Katrina.

      Results

      Using the resources of our academic health center, we were able to effectively deliver healthcare to sheltered evacuees. A model has been developed for future use from this experience. Much progress has been made toward preparation for care of the chronically-ill who may be displaced by future disasters.

      Conclusion

      Hospitals and clinics on major evacuation routes for natural disasters can expect the sudden necessity to provide care to evacuees. Unless plans to care for chronically-ill individuals are incorporated into hospital disaster plans, local healthcare facilities may be unprepared to provide care. Many evacuees will have limited resources to pay for services. Academic medical centers have unique resources and capabilities to lead in the care plans for these populations.

      KEY INDEXING TERMS

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of the Medical Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • National Weather Service Forecast Office
        A look at Hurricane Katrina. 2008 (Available at, Accessed March 21)
        • Mississippi Emergency Management Agency
        Mississippians urged to take precautions for Hurricane Katrina. 2005 (August 28, Available at)
        • Valcourt J.
        Katrina’s fatal blow. 2005: 9A (Clarion Ledger [serial online: Available at] September 1, Accessed March 21, 2008)
        • Lindsay A.
        Hurricane Katrina. 2005: 1B (Clarion Ledger [serial online: Available at] September 6, Accessed March 21, 2008)
        • Currier M.
        • King D.
        • Wofford M.
        • et al.
        A Katrina experience: lessons learned.
        Am J Med. 2006; 119: 986-992
        • American Red Cross
        Disaster Health Services ARC 30-3042. 1998: 16
      1. Mississippi Code of 1972 as amended, Emergency Management Assistance Compact of 2000. 2000 (Title 45, Chapter 18-3, Article 5. April 17)
      2. Mississippi Code of 1972 as amended, Emergency Management Powers of Governor. 2006 (Title 33, Chapter 15-11. March 20)