Environmental Public Health Impacts of Disasters Hurricane Katrina: Workshop Summary (2007) / Chapter Skim
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Even 100150 miles inland, there was significant damage from the hurricane that could be seen for weeks after the initial disaster. It was the first time in the careers of many disaster responders in the United States that medical assistance from outside the local region was required, noted Lynn Goldman of the Johns Hopkins University's Bloomberg School of Public Health.
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After Hurricanes Katrina and Rita, the New Orleans Health Department faced many challenges in monitoring and assessing the environmental exposures and rebuilding the public health infrastructure. The city's public health officials interpreted the exposure data for the general population and worked on protecting people's safety as they returned to their homes, said Kevin Stephens, director of Health, New Orleans Health Department.
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A wide range of environmental health issues surfaced in the aftermath of the hurricane, and even though public health concerns are important to all in government, they are not the only concern, noted Frumkin. NCEH/ATSDR had to confront a number of crosscutting social and organizational challenges in trying to address health, safety, and environmental problems following Hurricanes Katrina and Rita.
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On the basis of his experience in the region, Schwab highlighted some areas for further discussion: · Enhancing communication to assist in rapid health assessment, · Involving the public health community in articulating health issues, · Preparing assessors prior to an event and assisting them in adapting to changing situations, · Developing simple and meaningful target goals, · Developing effective strategies to provide targeted and timely results, and · Providing concise and accurate public health information and advice. Schwab noted that additional work is needed to ensure effective communica
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COMMUNITY INVOLVEMENT IN RESPONSE TO DISASTERS The research community has amassed an extensive research database on medical ethics for patients; however, these principles may not be transferable to community-based research. Dianne Quigley of Syracuse University asserted that researchers also need to look beyond the Belmont principles to more communal ethical frameworks, such as virtue and communitarian ethics, the ethics of care, and postmodern ethics, which deals with power issues, otherness, and cultural diversity.
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RESEARCH TO ADDRESS GAPS IN ENVIRONMENTAL HEALTH ASSESSMENTS DURING A DISASTER During a disaster, the first task is to respond to the immediate, emergent needs of the people in the affected area, the people in areas that are indirectly affected, and the people responding, said Gilbert Omenn of the School of Public Health at the University of Michigan. This will always be the first task, although we should also be prepared to address risks as they unfold.
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Second, the workshop began a scientific dialogue to understand the impacts of Hurricane Katrina on people's health. Third, it discussed how the public health community can use the dialogue in preparation for future events.
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