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New York State Public Health System Response to Hurricane Sandy: An Analysis of Survey Feedback

Published online by Cambridge University Press:  05 May 2016

Asante Shipp Hilts ,
Stephanie Mack ,
Yunshu Li ,
Millicent Eidson ,
Trang Nguyen  and
Guthrie S. Birkhead
Asante Shipp Hilts*
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York
Stephanie Mack
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York
Yunshu Li
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York
Millicent Eidson
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, New York.
Trang Nguyen
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York
Guthrie S. Birkhead
Affiliation:
Office of Public Health, New York State Department of Health, Albany, New York Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, New York.
*
Correspondence and reprint requests to Asante Shipp Hilts, MPH, DrPH, 1006 Corning Tower, Empire State Plaza, Albany, NY 12237 (e-mail: Asante.shipphilts@health.ny.gov).
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Abstract

Objective

The objective was to provide a broad spectrum of New York State and local public health staff the opportunity to contribute anonymous feedback on their own and their agencies’ preparedness and response to Hurricane Sandy, perceived challenges, and recommendations for preparedness improvement.

Methods

In 2015, 2 years after Hurricane Sandy, public health staff who worked on Hurricane Sandy response were identified and were provided a link to the anonymous survey. Quantitative analyses were used for survey ratings and qualitative content analyses were used for open-ended questions.

Results

Surveys were completed by 129 local health department (LHD) staff in 3 counties heavily impacted by Sandy (Nassau, Suffolk, and Westchester) and 69 staff in the New York State Department of Health who supported the LHDs. Staff agreed that their Hurricane Sandy responsibilities were clearly defined and that they had access to adequate information to perform their jobs. Challenges were reported in the operational, communication, service interruptions, and staff categories, with LHD staff also reporting challenges with shelters.

Conclusions

New York local and state public health staff indicated that they were prepared for Hurricane Sandy. However, their feedback identified specific challenges and recommendations that can be addressed to implement improved preparedness and response strategies. (Disaster Med Public Health Preparedness. 2016;10:454–462)

Keywords

hurricanesurveyemergency preparednesspublic healthdisaster planningpublic health workforcelocal health departmentsstate health agenciesstaff perceptions
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Special Issue 3: Superstorm Sandy , June 2016 , pp. 454 - 462
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Lenaway, D, Halverson, P, Sotnikov, S, et al. Public health systems research: setting a national agenda. Am J Public Health. 2006;96(3):410-413. http://dx.doi.org/10.2105/AJPH.2004.046037.CrossRefGoogle ScholarPubMed
2. Greenberg, MR, Weiner, MD, Noland, R, et al. Public support for policies to reduce risk after Hurricane Sandy. Risk Anal. 2014;34(6):997-1012. http://dx.doi.org/10.1111/risa.12203.CrossRefGoogle ScholarPubMed
3. Adalja, AA, Watson, M, Bouri, N, et al. Absorbing citywide patient surge during Hurricane Sandy: a case study in accommodating multiple hospital evacuations. Ann Emerg Med. 2014;64(1):66-73. http://dx.doi.org/10.1016/j.annemergmed.2013.12.010.CrossRefGoogle Scholar
4. Powell, T, Hanfling, D, Gostin, LO. Emergency preparedness and public health: the lessons of Hurricane Sandy. JAMA. 2012;308(24):2569-2570.CrossRefGoogle Scholar
5. Malilay, J, Heumann, M, Perrotta, D, et al. The role of applied epidemiology methods in the disaster management cycle. Am J Public Health. 2014;104(11):2092-2102. http://dx.doi.org/10.2105/AJPH.2014.302010.CrossRefGoogle ScholarPubMed
6. Zolla-Pazner, S. Saving specimens after Sandy. N Engl J Med. 2013;368(21):e27. http://dx.doi.org/10.1056/NEJMp1303024.CrossRefGoogle ScholarPubMed
7. Redlener, I, Reilly, MJ. Lessons from Sandy—preparing health systems for future disasters. N Engl J Med. 2012;367(24):2269-2271. http://dx.doi.org/10.1056/NEJMp1213486.CrossRefGoogle ScholarPubMed
8. Jacobson, J. A long, for some too slow, health care recovery after Sandy. AJN Reports. 2013;113:19-21.Google Scholar
9. Subaiya, S, Moussavi, C, Velasquez, A, et al. A rapid needs assessment of the Rockaway Peninsula in New York City after Hurricane Sandy and the relationship of socioeconomic status to recovery. Am J Public Health. 2014;104(4):632-638. http://dx.doi.org/10.2105/AJPH.2013.301668.Google Scholar
10. Lane, K, Charles-Guzman, K, Wheeler, K, et al. Health effects of coastal storms and flooding in urban areas: a review and vulnerability assessment. J Environ Public Health. 2013;2013:1-13. http://dx.doi.org/10.1155/2013/913064.CrossRefGoogle Scholar
11. Casey-Lockyer, M, Heick, RJ, Mertzlufft, CE, et al. Deaths associated with Hurricane Sandy – October-November 2012. MMWR Morb Mortal Wkly Rep. 2013;62(20):393-397.Google Scholar
12. Currier, M, King, DS, Wofford, MR, et al. A Katrina experience: lessons learned. Am J Med. 2006;119(11):986-992. http://dx.doi.org/10.1016/j.amjmed.2006.08.021.CrossRefGoogle ScholarPubMed
13. Shipp Hilts, A, Mack, S, Eidson, M, et al. New York State public health system response to Hurricane Sandy: an analysis of emergency reports [published online ahead of print December 2, 1015]. Disaster Med Public Health Prep. http://dx.doi.org/10.1017/dmp.2015.142.Google Scholar
14. Shipp Hilts, A, Mack, S, Eidson, M, et al. New York State Public Health System Response to Hurricane Sandy: lessons from the field [published online ahead of print]. Disaster Med Public Health Prep. http://dx.doi.org/10.1017/dmp.2016.69.Google Scholar
15. Ye, J, Leep, C, Robin, N, et al. Perception of workforce skills needed among public health professionals in local health departments: staff versus top executives. J Public Health Manag Pract. 2015;21(suppl 6):S151-S158. http://dx.doi.org/10.1097/PHH.0000000000000299.CrossRefGoogle ScholarPubMed
16. New York State. ServNY—New York State’s Volunteer Program. https://apps.health.ny.gov/vms/appmanager/vms/public. Accessed April 14, 2016.Google Scholar
17. Corbin, J, Strauss, A. Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol. 1990;13(1):3-21. http://dx.doi.org/10.1007/BF00988593.Google Scholar
18. Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response. Public Health Preparedness Capabilities: National Standards for State and Local Planning. http://www.cdc.gov/phpr/capabilities/dslr_capabilities_july.pdf. Published March 2011. Accessed October 28, 2015.Google Scholar
19. Cutter, SL, Barnes, L, Berry, M, et al. A place-based model for understanding community resilience to natural disasters. Glob Environ Change. 2008;18(4):598-606. http://dx.doi.org/10.1016/j.gloenvcha.2008.07.013.Google Scholar
20. Savoia, E, Agboola, F, Biddinger, PD. Use of after action reports (AARs) to promote organizational and systems learning in emergency preparedness. Int J Environ Res Public Health. 2012;9(8):2949-2963. http://dx.doi.org/10.3390/ijerph9082949.CrossRefGoogle ScholarPubMed
21. Ablah, E, Konda, KS, Konda, K, et al. Emergency preparedness training and response among community health centers and local health departments: results from a multi-state survey. J Community Health. 2010;35(3):285-293. http://dx.doi.org/10.1007/s10900-010-9236-7.Google Scholar
22. Beck, AJ, Boulton, ML, Coronado, F. Enumeration of the governmental public health workforce, 2014. Am J Prev Med. 2014;47(5S3):S306-S313.Google Scholar
23. National Association of County and City Health Officials. Local health department job losses and programs cuts: findings from the 2013 profile study. http://www.naccho.org/topics/infrastructure/lhdbudget/upload/survey-findings-brief-8-13-13-3.pdf. Published July 2013. Accessed April 14, 2016.Google Scholar