Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-26T05:51:41.851Z Has data issue: false hasContentIssue false

Challenges in Disaster Data Collection during Recent Disasters

Published online by Cambridge University Press:  03 August 2011

Melinda Morton*
Affiliation:
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland USA Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
J. Lee Levy
Affiliation:
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland USA Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
*
Correspondence: Melinda J. Morton MD, MPH, Captain, US Army Department of Emergency MedicineJohns Hopkins University School of Medicine, 600 N. Wolfe St.Baltimore, MD 21205 USA E-mail: melinda.morton@gmail.com

Abstract

Gathering essential health data to provide rapid and effective medical relief to populations devastated by the effects of a disaster-producing event involves challenges. These challenges include response to environmental hazards, security of personnel and resources, political and economic issues, cultural barriers, and difficulties in communication, particularly between aid agencies. These barriers often impede the timely collection of key health data such as morbidity and mortality, rapid health and sheltering needs assessments, key infrastructure assessments, and nutritional needs assessments. Examples of these challenges following three recent events: (1) the Indian Ocean tsunami; (2) Hurricane Katrina; and (3) the 2010 earthquake in Haiti are reviewed. Some of the innovative and cutting-edge approaches for surmounting many of these challenges include: (1) the establishment of geographical information systems (GIS) mapping disaster databases; (2) establishing internet surveillance networks and data repositories; (3) utilization of personal digital assistant-based platforms for data collection; (4) involving key community stakeholders in the data collection process; (5) use of pre-established, local, collaborative networks to coordinate disaster efforts; and (6) exploring potential civil-military collaborative efforts. The application of these and other innovative techniques shows promise for surmounting formidable challenges to disaster data collection.

Type
Comprehensive Review
Copyright
Copyright Morton © World Association for Disaster and Emergency Medicine 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Noji, EK: The public health consequences of disasters. Prehosp Disaster Med 2000;4:147157.Google Scholar
Noji, EK: Disaster epidemiology: Challenges for public health action. J Public Health Policy 1992;3:332340.Google Scholar
Anker, M: Epidemiological and statistical methods for rapid health assessment: Introduction. World Health Stat Q 1991;44:9497.Google Scholar
Smith, GS: Development of rapid epidemiological assessment methods to evaluate health status and delivery of health services. Int J Epidemiol 1989;18:S2S15Google Scholar
The SPHERE Project: Humanitarian Charter and Minimum Standards in Disaster Response. Available at http://www.sphereproject.org. Accessed 13 April 2010.CrossRefGoogle Scholar
United Nations Office of the Special Envoy for Tsunami Recovery Website. New York. Available at http://www.tsunamispecialenvoy.org/default.aspx. Accessed 13 April 2010.Google Scholar
Thieren, M: Health information systems in humanitarian response. Bull World Health Organ 2007;3:218224.CrossRefGoogle Scholar
Fernando, GA: Assessing mental health and psychosocial status in communities exposed to traumatic events: Sri Lanka as an example. Am J Orthopsychiatry 2008;2:229339.CrossRefGoogle Scholar
Brennan, RJ, Rimba, K: Rapid health assessment in Aceh Jaya District, Indonesia, following the December 26 Tsunami. Emerg Med Australas 2005;4:341350.Google Scholar
Meynard, JB, Nau, A, Halbert, E, Todesco, A: Health indicators in children from Meulaboh, Indonesia, following the tsunami of December 26, 2004. Mil Med 2008;9:900905.Google Scholar
Centers for Disase Control and Prevention (CDC): Assessment of health-related needs after tsunami and earthquake—three districts, Aceh Province, Indonesia, July-August 2005. MMWR 2006;4:9397.Google Scholar
Rohan, RP, Hettiarachchi, M, Vidanapathirana, M, Perera, S: Management of dead and missing: aftermath of tsunami in Galle. Leg Med (Tokyo) 2009;11 Suppl 1: S86S88.Google Scholar
Englande, AJ: Katrina and the Thai Tsunami – water quality and public health aspects mitigation and research needs. Int J Environ Res Public Health 2008;5:384393.CrossRefGoogle Scholar
Morgan, OW, Sribanditmongkol, P, Perera, C, Sulasmi, Y, Van Alphen, D, Sondorp, E: Mass fatality management following the South Asian tsunami disaster: Case studies in Thailand, Indonesia, and Sri Lanka. PloS Med 2006;6:e195.CrossRefGoogle Scholar
Ruwanpura, KN: Putting houses in place: rebuilding communities in post-tsunami Sri Lanka. Disasters 2009;3:436456.Google Scholar
Culbert, V: Civil society development versus the peace dividend: International aid in the Wanni. Disasters 2005;1:3857.CrossRefGoogle Scholar
Thoresen, S, Tonnessen, A, Lindgaard, CV, Andreassen, AL, Weisaeth, L: Stressful but rewarding: Norwegian personnel mobilized for the 2004 tsunami disaster. Disasters 2009;3:353368.CrossRefGoogle Scholar
Johnson, LJ, Travis, AR: Trimodal death and the injuries of survivors in Krabi Province, Thailand, post-tsunami. ANZ J Surg 2006;5:288289.CrossRefGoogle Scholar
Van Griensven, F, Chakkraband, ML, Thienkrua, W, et al: Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA 2006;5:537548.Google Scholar
Thienkrua, W, Cardozo, BL, Chakkraband, ML, et al: Symptoms of posttraumatic stress disorder and epression among children in tsunami-affected areas in southern Thailand. JAMA 2006;5:549559.CrossRefGoogle Scholar
Aitken, P, Leggat, P, Robertson, A, et al: Health and safety aspects of deployment of Australian disaster medical assistance team members: Results of a national survey. Travel Med Infect Dis 2009;5:284290.Google Scholar
Beven JL, II, Avila, LA, Blake, ES, et al: Annual summary: Atlantic hurricane season of 2005. Mon Wea Rev 2008;136:11311141.Google Scholar
Rosenbaum, S: US health policy in the aftermath of Hurricane Katrina: JAMA 2006;295:437440.Google Scholar
Brunkard, J, Namulanda, G, Ratard, R: Hurricane Katrina deaths, Louisiana, 2005. Disaster Med Public Health Prep 2008;2(4):215223.Google Scholar
Donkervoort, S, Dolan, SM, Beckwith, M, Northrup, TP, Sozer, A: Enhancing accurate data collection in mass fatality kinship identifications: Lessons learned from Hurricane Katrina. Forensic Sci Int Genet 2008;4:354362.CrossRefGoogle Scholar
Kanter, RK: Child mortality after Hurricane Katrina. Disaster Med Public Health Prep 2010;1:6265.Google Scholar
Rodriguez, SR, Tocco, JS, Mallonee, S, Smithee, L, Cathey, T, Bradley, K: Rapid needs assessment of Hurricane Katrina evacuees — Oklahoma, September 2005. Prehosp Disaster Med 2006;6:390395.Google Scholar
Mortensen, K, Wilson, RK, Ho, V: Physical and mental health status of Hurricane Katrina evacuees in Houston in 2005 and 2006. J Health Care Poor Underserved 2009;2:524538.Google Scholar
Brodie, M, Weltzien, E, Altman, D, et al: Experiences of Hurricane Katrina Evacuees in Houston shelters: implications for future planning. Am J Public Health 2006;8:14021408.CrossRefGoogle Scholar
Eisenman, DP, Cordasco, KM, Asch, S, Golden, JF, Glik, D: Disaster planning and risk communication with vulnerable communities: Lessons from Hurricane Katrina. Am J Public Health 2007;97 (Suppl 1):s109s115.Google Scholar
Millin, MG, Jenkins, JL, Kirsch, TD: A comparative analysis of two external health care disaster responses following Hurricane Katrina. Prehosp Emerg Care 2006;4:451456.Google Scholar
Associated Press: New Orleans confronts low literacy rate. Available at: http://www.msnbc.msn.com/id/26413788/ns/us_news-life/. Accessed 19 April 2011.Google Scholar
Steinberg, PE, Shields, R: What is a City?: Rethinking the Urban after Hurricane Katrina. Athens: University of Georgia Press, 2008, p35.Google Scholar
Flory, K, Kloos, B, Hankin, BL, Cheely, CA: Clinical research after catastrophic disasters: Lessons learned from Hurricane Katrina. Prof Psychol Res Pr 2008;1:107112.Google Scholar
Gautam, S, Menachem, J, Srivastav, SK, et al: Effect of Hurricane Katrina on the incidence of acute coronary syndrome at a primary angioplasty center in New Orleans. Disaster Med Public Health Prep 2009;3:144150.Google Scholar
Sastry, N, VanLandingham, M: One year later: mental illness prevalence and disparities among New Orleans residents displaced by Hurricane Katrina. Am J Public Health 2009;99 Suppl 3:s725s731.Google Scholar
Gheytanchi, A, Joseph, L, Gierlach, E, et al: The dirty dozen: Twelve failures of the Hurricane Katrina response and how psychology can help. Am Psychol 2007;2:118130.Google Scholar
Post, DE, Kasofsky, JM, Hunt, CN, Diaz, JH: A regional human services authority's rapid needs assessment of evacuees following natural disasters. Am J Disaster Med 2008;5:253264.Google Scholar
Kost, GJ, Tran, NK, Tuntideelert, M, et al: Katrina, the tsunami, and point-of-care testing: Optimizing rapid response diagnosis in disasters. Am J Clin Pathol 2006;4:513520.Google Scholar
CNN. Sniper fire halts hospital evacuation. Available at http://www.cnn.com/2005/WEATHER/09/01/katrina.hospital.sniper/index.html. Accessed 19 April 2010.Google Scholar
Klein, KR, Pepe, PE, Burkle, FM Jr, et al: Evolving need for alternative triage management in public health emergencies: A Hurricane Katrina case study. Disaster Med Public Health Prep 2008;2 (Suppl 1):s40s44.Google Scholar
BBC News. Haiti quake death toll rises to 230,000. February 11, 2010. Available at http://news.bbc.co.uk/2/hi/americas/8507531.stm. Accessed 21 April 2010.Google Scholar
Bilham, R: Lessons from the Haiti earthquake. Nature 2010 Feb;7283:878879.CrossRefGoogle Scholar
Booth, W: Haiti faces colossal and costly cleanup before it can rebuild. Available at http://www.washingtonpost.com/wp-dyn/content/article/2010/03/06/AR2010030602544.html?hpid=artslot. Accessed 21 April 2010.Google Scholar
UNICEF: Haiti emergency response update: March 17, 2010. Available at http://www.reliefweb.int/rw/RWFiles2010.nsf/FilesByRWDocUnidFilename/MDCS-83PC9M-full_report.pdf/$File/full_report.pdf. Accessed 21 April 2010.Google Scholar
Balsari, S, Lemery, J, Williams, TP, Nelson, BD: Protecting the children of Haiti. N Engl J Med 2010;9:e25.Google Scholar
United Nations Office for the Coordination of Humanitarian Affairs. Haiti earthquake situation report #30. Available at http://www.reliefweb.int/rw/RWFiles2010.nsf/FilesByRWDocUnidFilename/VVOS-83PQ24-full_report.pdf/$File/full_report.pdf. Accessed 21 April 2010.Google Scholar
Curran, M: Haiti—A view from the ship. N Engl J Med 2010;11:e41.CrossRefGoogle Scholar
Bayard, D: Haiti earthquake relief, Phase Two—Long term needs and local resources. N Engl J Med 2010 Apr 14. [Epub ahead of print.]CrossRefGoogle ScholarPubMed
Auerbach, PS, Norris, RL, Menon, ASet al: Civil-military collaboration in the initial medical response to the earthquake in Haiti. N Engl J Med 2010;10:e32.Google Scholar
Growth of aid and decline of humanitarism. Lancet 2010;9711:253.Google Scholar
Vanholder, R, Gibney, N, Luycks, VA, et al: Renal Disaster Relief Task Force in Haiti earthquake. Lancet 2010;9721:11621163.CrossRefGoogle Scholar
Haiti Earthquake Data Portal. Available at http://cegrp.cga.harvard.edu/haiti/. Accessed 21 April 2010.Google Scholar
Cookson, ST, Soetebier, K, Murray, EL, et al: Internet-based morbidity and mortality surveillance among Hurricane Katrina evacuees in Georgia. Prev Chronic Dis 2008;4:A133.Google Scholar
Natural disaster surveillance resources. Atlanta (GA): Centers for Disease Control and Prevention. Available at http://www.bt.cbc.gov/disasters/surveillance/resources.asp. Accessed 21 April 2010.Google Scholar
Mills, EJ, Robinson, J, Attaran, A, Clarke, M, Singh, S, Upshur, RE: Sharing evidence on humanitarian relief. BMJ 2005;7531:14851486.CrossRefGoogle Scholar
Murray, KO, Kilborn, C, DesVignes-Kendrick, M, et al: Emerging disease syndromic surveillance for Hurricane Katrina evacuees seeking shelter in Houston's Astrodome and Reliant Park Complex. Public Health Rep 2009;3:364371.Google Scholar
Doocy, S, Rofi, A, Moody, C, et al: Tsunami mortality in Aceh Province, Indonesia. Bull World Health Org 2007;4:273278.Google Scholar
Doocy, S, Robinson, C, Moodie, C, Burnham, G: Tsunami-related injury in Aceh Province, Indonesia. Glob Public Health 2009;2:205214.Google Scholar
Cavey, AM, Spector, JM, Ehrhardt, D, et al: Mississippi's infectious disease hotline: A surveillance and education model for future disasters. Prehosp Disaster Med 2009;1:1117.CrossRefGoogle Scholar
Kost, GJ, Hale, KN, Brock, TK, et al: Point-of-care testing for disasters: Needs assessment, strategic planning, and future design. Clin Lab Med 2009;3:583605.Google Scholar
Mattox, KL: Hurricanes Katrina and Rita: Role of individuals and collaborative networks in mobilizing/coordinating societal and professional resources for major disasters. Crit Care 2006;1:205.Google Scholar
Springgate, BF, Allen, C, Jones, C, et al: Rapid community participatory assessment of health care in post-storm New Orleans. Am J Prev Med 2009;6 Suppl 1:s237s243.Google Scholar
Kataoka, SH, Nadeem, E, Wong, M, et al: Improving disaster mental health care in schools: A community-partnered approach. Am J Prev Med 2009;6 Suppl 1:s225s229.Google Scholar