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Results of Rapid Needs Assessments in Rural and Urban Iowa Following Large-scale Flooding Events in 2008

Part of: Floods collection

Published online by Cambridge University Press:  08 April 2013

Patricia Quinlisk ,
Mary J. Jones ,
Nathan A. Bostick ,
Lauren E. Walsh ,
Rebecca Curtiss ,
Robert Walker ,
Steve Mercer  and
Italo Subbarao
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Abstract

Background: On June 8 and 9, 2008, more than 4 inches of rain fell in the Iowa-Cedars River Basin causing widespread flooding along the Cedar River in Benton, Linn, Johnson, and Cedar Counties. As a result of the flooding, there were 18 deaths, 106 injuries, and over 38 000 people displaced from their homes; this made it necessary for the Iowa Department of Health to conduct a rapid needs assessment to quantify the scope and effect of the floods on human health.

Methods: In response, the Iowa Department of Public Health mobilized interview teams to conduct rapid needs assessments using Geographic Information Systems (GIS)-based cluster sampling techniques. The information gathered was subsequently employed to estimate the public health impact and significant human needs that resulted from the flooding.

Results: While these assessments did not reveal significant levels of acute injuries resulting from the flood, they did show that many households had been temporarily displaced and that future health risks may emerge as the result of inadequate access to prescription medications or the presence of environmental health hazards.

Conclusions: This exercise highlights the need for improved risk communication measures and ongoing surveillance and relief measures. It also demonstrates the utility of rapid needs assessment survey tools and suggests that increasing use of such surveys can have significant public health benefits.

(Disaster Med Public Health Preparedness. 2011;5:287–292)

Keywords

public healthrapid needs assessmentgeographic information systemsGISflooddisaster responsefloodsIowadisaster responsepublic healthneeds assessmentevacuationgeographic information systemvulnerable populations
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 5 , Issue 4 , December 2011 , pp. 287 - 292
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2011

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References

REFERENCES

1.Larson, LWThe great USA flood of 1993.In: National Weather Service Natural Disaster Survey Report. Kansas City, MO: National Weather Service; 1993.Google Scholar
2.Rebuild Iowa Office. Facts and Figures.Available at: http://rio.iowa.gov/resources/facts.html. Accessed February 13, 2009.Google Scholar
3.French, JD, Hold, JWFloods.New York, NY: Oxford Press; 1997.Google Scholar
4.Landesman, LYPublic Health Management of Disasters.Washington, DC: American Public Health Association; 2001.Google Scholar
5.Ligon, BL.Infectious diseases that pose specific challenges after natural disasters: a review. Semin Pediatr Infect Dis. 2006;17 (1):36–45.Google Scholar
6.Southeast Asia Regional Office/World Health Organization. Health aspects of disaster preparedness and response--panel session 1: water-related hazards. Prehosp Disaster Med. 2006;21 (5):s79–s81.CrossRefGoogle Scholar
7.Burkle, FM Jr, Hsu, EB, Loehr, M.Definition and functions of health unified command and emergency operations centers for large-scale bioevent disasters within the existing ICS. Disaster Med and Public Health Prep. 2007;1 (2):135–141.CrossRefGoogle ScholarPubMed
8.Lillibridge, SR, Noji, EK, Burkle, FM JrDisaster assessment: the emergency health evaluation of a population affected by a disaster. Ann Emerg Med. 1993;22 (11):1715–1720.CrossRefGoogle ScholarPubMed
9.Guha-Sapir, D.Rapid assessment of health needs in mass emergencies: review of current concepts and methods. World Health Stat Q. 1991;44 (3):171–181.Google Scholar
10.Vlassoff, C, Tanner, M.The relevance of rapid assessment to health research and interventions. Health Policy Plan. 2002;7 (1):1–9.Google Scholar
11.Smith, GS.Development of rapid epidemiologic assessment methods to evaluate health status and delivery of health services. Int J Epidemiol. 1989;18 4(Suppl 2)S2–S15.CrossRefGoogle ScholarPubMed
12.Bradt, DA, Drummond, CM.Rapid epidemiological assessment of health status in displaced populations--an evolution toward standardized minimum, essential data sets. Prehosp Disaster Med. 2002;17 (4):178–185.CrossRefGoogle ScholarPubMed
13.Zerger, A, Smith, DI.Impediments to using GIS for real-time disaster decision support. Comput Environ Urban Syst. 2003;27 (2):123–141.Google Scholar
14.Waring, S, Zakos-Feliberti, A, Wood, R, Stone, M, Padgett, P, Arafat, R.The utility of geographic information systems (GIS) in rapid epidemiological assessments following weather-related disasters: methodological issues based on the Tropical Storm Allison Experience. Int J Hyg Environ Health. 2005;208 (1-2):109–116.CrossRefGoogle ScholarPubMed
15.Johnson, RGIS Technology for Disasters and Emergency Management.Redlands, CA: Environmental Systems Research Institute, Inc; 2000.Google Scholar
16.Weiss, WM, Boldto, P, Snakar, AVRapid Assessment Procedures (RAP): Addressing the Perceived Needs of Refugees and Internally Displaced Persons Through Participatory Learning and Action.2nd ed. Available at: http://www.jhsph.edu/bin/k/u/rap2_section1.pdf. Accessed August 12, 2008.Google Scholar
17.Malilay, J, Flanders, WD, Brogan, D.A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organ. 1996;74 (4):399–405.Google ScholarPubMed
18.Reports of the Board of Trustees, American Medical Association (AMA). Report 15. Personal medication supply in times of disaster.In:Proceedings of the 2008 Annual Meeting of the AMA-HOD. Chicago: AMA; 2008, pp 131-135. Available at http://www.ama-assn.org/resources/doc/hod/a08botreports.pdf. Accessed December 6, 2011.Google Scholar
19.Brodie, M, Weltzien, E, Altman, D, Blendon, RJ, Benson, JM.Experiences of hurricane Katrina evacuees in Houston shelters: implications for future planning. Am J Public Health. 2006;96 (8):1402–1408.Google Scholar
20.Jhung, MA, Shehab, N, Rohr-Allegrini, C.Chronic disease and disasters medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33 (3):207–210.Google Scholar
21.Domres, B, Koch, M, Manger, A, Becker, HD.Ethics and triage. Prehosp Disaster Med. 2001;16 (1):53–57.Google Scholar
22.Calman, KC.Communication of risk: choice, consent, and trust. Lancet. 2002;360 (9327):166–168.Google Scholar
23.Bostick, NA, Subbarao, I, Burkle, FM Jr, Hsu, EB, Armstrong, JH, James, JJ.Disaster triage systems for large-scale catastrophic events. Disaster Med Public Health Prep. 2008;2 S1(Suppl 1)S35–S39.CrossRefGoogle ScholarPubMed
24.Norris, FH, Stevens, SP, Pfefferbaum, B, Wyche, KF, Pfefferbaum, RL.Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. Am J Community Psychol. 2008;41 (1-2):127–150.CrossRefGoogle ScholarPubMed
25.Stimpson, JP, Wilson, FA, Jeffries, SK.Seeking help for disaster services after a flood. Disaster Med Public Health Prep. 2008;2 (3):139–141.Google Scholar
26.Subbarao, I, Bostick, NA, James, JJ.Applying yesterday's lessons to today's crisis: improving the utilization of recovery services following catastrophic flooding. Disaster Med Public Health Prep. 2008;2 (3):132–133.CrossRefGoogle ScholarPubMed
27.Bradt, DA, Drummond, CM.Rapid epidemiological assessment of health status in displaced populations--an evolution toward standardized minimum, essential data sets. Prehosp Disaster Med. 2003;18 (1):178–185.Google Scholar