Disasters and PCPs
Is Failing to Prepare Preparing to Fail?
Disaster Effects
 Supply

shocks: diminished staff levels,
staff capacity, damaged buildings and
supplies
 Demand shocks...
PCP Opinions
 35-40%

of family physicians disagree or
aren’t sure they or medical community
could respond effectively to...
Definition
 Medical

perspective: A destructive event
that causes extraordinary disruption of
well-being (social, economi...
Types of disasters in the
literature
 Natural

Disasters—Hurricanes Floyd,
1999; Andrew; Hugo; floods in England
and Aust...
Social Consequences
 Flooding

from Hurricane Floyd: 14% lost
homes among PC population; 10%
households lost work at 3 mo...
Health Consequences
 Orthopedic/soft

tissue injuries, dermatitis and
diarrhea from water borne pathogens, asthma
(moldy ...
Health Consequences—Floyd
Flood
 26%

Loss of medical devices (oxygen
tanks, wheelchairs) & medicines; access to
dialysis...
High Risk Populations—
Disabled/Elderly
 Higher

rates of physical injury/illness
 Functional limitations (mobility,
com...
High Risk Populations—
Children
 Higher

rates of psychological problems
Other Vulnerable Populations
 Chronically

ill
 Previous psychiatric disorders
 Immigrants/refugees
 Lower socioeconom...
PCP Role
 Prevent,

treat, alleviate health and social
problems of disaster victims
 Ethical responsibility
PCP Role
 Knowledge

and Skills

– Risk factors for psychological disorders
– Psychological First Aid: turn off the tv!
–...
Upcoming SlideShare
Loading in …5
×

Disasters and Primary Care Providers

160 views
129 views

Published on

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
160
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Disasters and Primary Care Providers

  1. 1. Disasters and PCPs Is Failing to Prepare Preparing to Fail?
  2. 2. Disaster Effects  Supply shocks: diminished staff levels, staff capacity, damaged buildings and supplies  Demand shocks: increased injury, disease, distress
  3. 3. PCP Opinions  35-40% of family physicians disagree or aren’t sure they or medical community could respond effectively to a natural disaster (wild overest.)*chen  Redlener peds study  Heldring study
  4. 4. Definition  Medical perspective: A destructive event that causes extraordinary disruption of well-being (social, economic, physical, mental)
  5. 5. Types of disasters in the literature  Natural Disasters—Hurricanes Floyd, 1999; Andrew; Hugo; floods in England and Australia; Northridge earthquake; Hurricane Katrina  Terrorism—September 11th, Anthrax attacks, Aum Sharikyo  Epidemics—SARS
  6. 6. Social Consequences  Flooding from Hurricane Floyd: 14% lost homes among PC population; 10% households lost work at 3 months  Increased outpatient, ER, pharmacy use up to 1 year later  Norris—family conflicts, occupational/financial stress
  7. 7. Health Consequences  Orthopedic/soft tissue injuries, dermatitis and diarrhea from water borne pathogens, asthma (moldy homes), febrile illnesses, animal bites, exacerbations of chronic illnesses  Depression, PTSD, anxiety disorders, somatoform disorders, violence, suicide attempts, substance abuse, family conflicts  Children/adolescent behavior problems, stomach aches
  8. 8. Health Consequences—Floyd Flood  26% Loss of medical devices (oxygen tanks, wheelchairs) & medicines; access to dialysis  20%-25% new/worsened health problem in household
  9. 9. High Risk Populations— Disabled/Elderly  Higher rates of physical injury/illness  Functional limitations (mobility, communication, orientation)  Economically underprivileged (live in more vulnerable structures, unable to rapidly increase preparedness)  Socially isolated
  10. 10. High Risk Populations— Children  Higher rates of psychological problems
  11. 11. Other Vulnerable Populations  Chronically ill  Previous psychiatric disorders  Immigrants/refugees  Lower socioeconomic status
  12. 12. PCP Role  Prevent, treat, alleviate health and social problems of disaster victims  Ethical responsibility
  13. 13. PCP Role  Knowledge and Skills – Risk factors for psychological disorders – Psychological First Aid: turn off the tv! – PTSD, Bereavement  Resources – Office and staff plan – Family plan  Identify At-Risk Patients – Discuss disaster preparedness

×