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Disparities in disaster healthcare: A review of past disasters

Angela Pettit Cornelius, MD, MA, Douglas Mark Char, MD, Constance Doyle, MD, Samantha Noll, MD, Vivian Reyes, MD, Jennie Wang, DO, MPH, Sharon E. Mace, MD

Abstract


Objective: To review the literature on the effects seen after disaster on those with poor social determinants of health (SDOH) and individual social needs.

Design: The Disaster Preparedness and Response Committee of the American College of Emergency Physicians (ACEP) formed a work group to study healthcare disparities seen in disaster. This group was composed of six physicians on the committee, all of whom have extensive background in disaster medicine and the chair of the committee. A systematic literature review regarding past disasters and all the healthcare disparities seen was undertaken with the goal of organizing this information in one broad concise document looking at multiple disasters over history. The group reviewed multiple documents regarding SDOH and individual social needs for a complete understanding of these factors. Then, a topic list of healthcare disparities resulting from these factors was composed. This list was then filled out with subtopics falling under the header topics. Each member of the workgroup took one of these topics of healthcare disparity seen in disasters and completed a literature search. The databases reviewed include PubMed Central, Google Scholar, and Medline. The terms queried were disaster, healthcare disparities, disaster healthcare disparities, healthcare disparities associated with disasters, SDOH and disaster, special populations and disaster effects, and vulnerable populations and disaster effects. Each author chose articles they felt were most representative and demonstrative of the healthcare disparities seen in past disasters. These social determinant factors and individual social needs were then cross referenced in relation to past disasters for both their causes and the effect they had on various populations after disaster. This was presented to the ACEP board as a committee report.

Results: All the SDOH and individual social needs showed significant negative effects for the populations when combined with a disaster event. These SDOH cut across age, race, and gender affecting a wide swath of people. Previous disaster planning either did not plan or under planned for these marginalized populations during disaster events.

Conclusions: Disparities in healthcare are a pervasive problem that effects many different groups. Disasters magnify and more fully expose these healthcare disparities. We have explored the healthcare disparities with past disasters. These disparities, although common, can be mitigated. The recognition of these poor determinants of health can lead to better and more comprehensive disaster planning for future disasters. Subsequent research is needed to explore these healthcare disparities exacerbated by disasters and to find methods for their mitigation.


Keywords


disaster, healthcare disparities, disaster healthcare disparities

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References


Federal Emergency Management Agency (FEMA): Emergency management in the United States. Available at https://training.fema.gov/emiweb/downloads/is111_unitpercent204.pdf. Accessed July 15, 2021.

Ohio Emergency Management Agency (EMA): The four phases of emergency management. Available at https://ema.ohio.gov/Documents/COP/Thepercent20Fourpercent20Phasespercent20of percent20Emergency percent20Management.pdf. Accessed July 15, 2021.

US Department of Health and Human Services: US Department of Health and Human Services National Center for Health Statistics. 2019. Available at https://stacks.cdc.gov/view/cdc/100685Sciences. Accessed July 15, 2021.

National Academies of Sciences: The State of Health Disparities in the United States. Communities in Action: Pathways to Health Equity. US National Library of Medicine, 2017. Available at www.ncbi.nlm.nih.gov/books/NBK425844/. Accessed July 15, 2021.

Yedjou CG, Tchounwou PB, Payton M, et al.: Assessing the racial and ethnic disparities in breast cancer mortality in the United States. Int J Environ Res Public Health. 2017; 14(5): 486. DOI: 10.3390/ijerph14050486.

Cox K, Kim B: Race and income disparities in disaster preparedness in old age. J Gerontol Soc Work. 2018; 61(7): 719-734. DOI: 10.1080/01634372.2018.1489929.

YuanLi F, Zhai MW, Qi B, et al.: Social media based demographics analysis for understanding disaster response disparity. Construction research congress 2020: Computer Applications. 2020.

Raker EJ, Arcaya MC, Lowe SR, et al.: Mitigating health disparities after natural disasters: Lessons from the RISK project. Health Affairs J. 2020; 39: 2128-2135. DOI: 10.1377/hlthaff.2020.01161.

Collins TW, Jimenez AM, Grineski SE: Hispanic health disparities after a flood disaster: Results of a population-based survey of individuals experiencing home site damage in El paso (Texas, USA). J Immigrant Minority Health. 2013; 15(2): 415-426. DOI: 10.1007/s10903-012-9626-2.

Centers for Disease Control and Prevention: Maternal mortality. 2020. Available at www.cdc.gov/reproductivehealth/maternal-mortality/index.html. Accessed July 18, 2021.

World Health Organization: Maternal mortality. 2019. Available at www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed July 18, 2021.

Kaiser Family Foundation: Women’s coverage, access, and affordability: Key findings from the 2017 Kaiser Women’s Health Survey. 2018. Available at www.kff.org/womens-health-policy/issuebrief/womens-coverage-access-and-affordability-key-findings-fromthe-2017-kaiser-womens-health-survey/. Accessed July 18, 2021.

FierceHealthcare: Exploring gender bias in healthcare. Thomas Jefferson University Online, 2019. Available at www.fiercehealthcare.com/sponsored/exploring-gender-bias-healthcare. Accessed July 18, 2021.

Federal Emergency Management Agency: 2017 national household survey results: Preparedness in America. 2018. Available at https://community.fema.gov/story/fema-releases-2017-national-household-surveyfindings-on-individual-and-community-preparedness?lang=en_US. Accessed July 19, 2021.

Villarreal M, Meyer MA: Women’s experiences across disasters—A study of two towns in Texas. Disasters. 2020; 44: 285-306. DOI: 10.1111/disa.12375.

Neumayer E, Plümper T: The gendered nature of natural disasters: The impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Assoc Am Geogr. 2007; 97(3): 551-566. DOI: 10.1111/j.1467-8306.2007.00563.x.

Howe N: More women die in natural disasters-why? And what can be done? BRINK The Edge of Risk. Brink, April 25, 2019. Available at www.brinknews.com/gender-and-disasters/. Accessed July 19, 2021.

Anastario M, Shehab N, Lawry L: Increased gender-based violence among women internally displaced in Mississippi 2 years post-Hurricane Katrina. Disaster Med Public Health Prep. 2009; 3(1): 18-26. DOI: 10.1097/DMP.0b013e3181979c32.

Center for Disaster Philanthropy: Women and girls in disasters. Disasterphilanthropy.org. Available at http://disasterphilanthropy.org/issue-insight/women-and-girls-in-disasters/. Accessed July 19, 2021.

North CS, Oliver J, Pandya A: Examining a comprehensive model of disaster-related posttraumatic stress disorder in systematically studied survivors of 10 disasters. Am J Public Health. 2012; 102(10): E40-E48. DOI: 10.2105/AJPH.2012.300689.

North CS, Pfefferbaum B, Narayanan P, et al.: Comparison of post-disaster psychiatric disorders after terrorist bombings in Nairobi and Oklahoma city. Br J Psychiatry. 2005; 186(6): 487-493. DOI: 10.1192/bjp.186.6.487.

North CS, Pollio DE, Hong BA, et al.: The post-disaster prevalence of major depression relative to PTSD in survivors of the 9/11 attacks on the world trade center selected from affected workplaces. Compr Psychiatry. 2015; 60: 119-125. DOI: 10.1016/j.comppsych.2015.02.009.

North CS: Disaster mental health epidemiology: Methodological review and interpretation of research findings. Psychiatry. 2016; 79(2): 130-146. DOI: 10.1080/00332747.2016.1155926.

Ngo EB: When disasters and age collide: Reviewing vulnerability of the elderly. Nat Hazards Rev. 2001; 2(2): 80-89. DOI: 10.1061/(asce)1527-6988(2001)22(80).

Institute of Medicine (US) Food Forum: Providing Healthy and Safe Foods as We Age: Workshop Summary. Washington, DC: National Academies Press, 2010.

Bytheway B: The evacuation of older people: The case of Hurricane Katrina. Social Science Research Council. 2007. Available at http://items.ssrc.org/understanding-katrina/the-evacuation-of-older-people-the-case-of-hurricane-katrina/. Accessed July 20, 2021.

Parker L: What really happened at St. Rita’s? Global Action on Aging. 2005. Available at http://globalag.igc.org/armedconflict/countryreports/americas/happened.htm. Accessed July 20, 2021.

Associated Press: No charges in 2nd Katrina nursing home deaths. NBCUniversal News Group, NBCNews.com, September 12, 2007. Available at www.nbcnews.com/id/wbna20730837. Accessed July 20, 2021.

Centers for Disease Control: CDC’s disaster planning goal: Protect vulnerable older adults. n.d. Available at https://www.cdc.gov/aging/pdf/disaster_planning_goal.pdf. Accessed July 20, 2021.

Dosa D, Feng Z, Hyer K, et al.: Effects of Hurricane Katrina on nursing facility resident mortality, hospitalization, and functional decline. Disaster Med Public Health Prep. 2010; 4(Suppl. 1(01): S28-S32. DOI: 10.1001/dmp.2010.11.

Substance Abuse and Mental Health Services Administration: Technical Assistance Center Supplemental Research Bulletin Women and Disasters. SAMHSA. 2020. Available at https://www.samhsa.gov/sites/default/files/dtac/women-disasters-october-supplemental-research-bulletin.pdf. Accessed July 20, 2021.

Osofsky JD, Osofsky HJ, Harris WW: Katrina’s children: Social policy considerations for children in disasters. Social Policy Report. Hoboken, NJ: John Wiley & Sons. 2007; 21(1): 1-20. DOI: 02/j.2379-3988.2007.tb00050.x.

Harville E, Xiong X, Buekens P: Disasters and perinatal health: A systematic review. Obstet Gynecol Surv. 2010; 65(11): 713-728. DOI: 10.1097/OGX.0b013e31820eddbe.

Akré EL, Boekeloo BO, Dyer T, et al.: Disparities in health care access and utilization at the intersections of urbanicity and sexual identity in California. LGBT Health. 2021; 8(3): 231-239. DOI: 10.1089/lgbt.2020.0259.

Frank T: LGBTQ people are at higher risk in disasters. Scientific American, December 23, 2020. Available at www.scientificamerican.com/article/lgbtq-people-are-at-higher-risk-in-disasters/. Accessed July 21, 2021.

Office of Disease Prevention and Health Promotion: Lesbian, gay, bisexual, and transgender health | healthy people 2020. 2020. Available at www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health. Accessed July 21, 2021.

Center for Disaster Philanthropy: LGBTQ+ communities and disasters. Available at http://disasterphilanthropy.org/issue-insight/lgbtq-communities-and-disasters/. Accessed July 21, 2021.

Gorman-Murray A, McKinnon S, Dominey-Howes D: Queer domicide: LGBT displacement and home loss in natural disaster impact, response, and recovery. Home Cult. 2014; 11(2): 237-261.

McKinnon S, Gorman-Murray A, Dominey-Howes D: Disasters, queer narratives, and the news: How are LGBTI disaster experiences reported by the mainstream and LGBTI media? J Homosex. 2017; 64(1): 122-144. DOI: 10.1080/00918369.2016.1172901.

Mace SE, Doyle CJ, Askew K, et al.: Planning considerations for persons with access and functional needs in a disaster—Part 2: Evacuation and sheltering. Am J Disaster Med. 2018; 13(3): 195-206. DOI: 10.5055/ajdm.2018.0300.

Mace SE, Doyle CJ: Patients with access and functional needs in a disaster. Southern Med J. 2017; 110(8): 509-515. DOI: 10.14423/ smj.0000000000000679.

Cal OES: Office of emergency management. Cal OES internet home Cal OES home. Available at www.caloes.ca.gov/cal-oes-divisions/access-functional-needs. Accessed July 22, 2021.

Krug SE, Chung S, Fagbuyi DB, et al.: Ensuring the health of children in disasters. Pediatrics. 2015; 136(5): 1407-1417. DOI: 10.1542/peds.2015-3112.

American Red Cross: Inclusive preparedness resources. Available at www.redcross.org/get-help/how-to-prepare-for-emergencies/inclusive-preparedness-resources.html. Accessed July 22, 2021.

Fonseca VA, Smith H, Kuhadiya N, et al.: Impact of a natural disaster on diabetes: Exacerbation of disparities and long-term consequences. Diabetes Care. 2009; 32(9): 1632-1638. DOI: 10.2337/dc09-0670.

Barkemeyer BM: Practicing neonatology in a blackout: The university hospital NICU in the midst of Hurricane Katrina: Caring for children without power or water. Pediatrics. 2006; 117(Suppl. 4): S369-S374. DOI: 10.1542/peds.2006-0099f.

Malik-Soni N, Shaker A, Luck H, et al.: Tackling healthcare access barriers for individuals with autism from diagnosis to adulthood. Pediatr Res. 2022; 91: 1028-1035. DOI: 10.1038/s41390-021-01465-y.

Centers for Disease Control and Prevention: Autism and preparedness | BLOGS | CDC. 2017. Available at http://blogs.cdc.gov/publichealthmatters/2017/05/autism-and-preparedness/. Accessed July 23, 2021.

Autism speaks natural disaster resources: Available at www.autismspeaks.org/autism-speaks-natural-disaster-resources. Accessed July 23, 2021. Accessed July 23, 2021.

US Department of Health and Human Services: Disaster preparedness for Alzheimer’s caregivers. National Institute on Aging. Available at www.nia.nih.gov/health/disaster-preparedness-alzheimers-caregivers. Accessed July 23, 2021.

Brown LM, Dosa DM, Thomas K, et al.: The effects of evacuation on nursing home residents with dementia. Am J Alzheimers Dis Other Demen. 2012; 27(6): 406-412. DOI: 10.1177/1533317512454709.

Chakraborty J, Grineski SE, Collins TW: Hurricane Harvey and people with disabilities: Disproportionate exposure to flooding in Houston, Texas. Soc Sci Med. 2019; 226: 176-181.

Constance Doyle MD FACEP (DMAT Medical Officer): Personal communication, 2015.

Goldman ML, Spaeth-Rublee B, Pincus HA: The case for severe mental illness as a disparities category. Psychiatric Serv. 2018; 69(6): 726-728.

Nordstrom K, Berlin JS, Nash SS, et al.: Boarding of mentally ill patients in emergency departments: American Psychiatric Association resource document. West J Eemrg Med. 2019; 20(5): 690-695. DOI: 10.5811/westjem.2019.6.42422.

Substance Abuse and Mental Health Services Administration: 2017 NSDUH detailed tables: Cbhsq data. SAMHSA.gov. 2018. Available at www.samhsa.gov/data/report/2017-nsduh-detailed-tables. Accessed July 24, 2021.

National Institute of Mental Health (NIMH): Mental illness statistics. 2021. Available at https://www.nimh.nih.gov/health/statistics/mental-illness. Accessed July 24, 2021.

National Alliance on Mental Illness: Mental health by the numbers. 2021. Available at www.nami.org/mhstats. Accessed July 24, 2021.

Substance Abuse and Mental Health Services Administration: SAMHSA disaster technical assistance center supplemental research bulletin disasters and people with serious mental illness. 2019. Available at www.samhsa. Accessed July 24, 2021.

Eisenman D, Zhou Q, Ong M, et al.: Variations in disaster preparedness by mental health, perceived general health, and disability status. Disaster Med Public Health Prep. 2009; 3(1): 33-41. DOI: 10.1097/dmp.0b013e318193be89.

Smith DL, Notaro SJ: Is emergency preparedness a ‘disaster’ for people with disabilities in the US? Results from the 2006–2012 behavioral risk factor surveillance system (BRFSS). Disab Soc. 2015; 30(3): 401-418.

US Department of Health and Human Services: CMS EP Rule. ASPR tracie. 2015. Available at http://asprtracie.hhs.gov/cmsrule. Accessed July 24, 2021.

Person C, Fuller EJ: Disaster care for persons with psychiatric disabilities. J Disab Policy Stud. 2007; 17(4): 238-248. DOI: 10.1177/10442073070170040701.

National Council on Disability: The needs of people with disabilities with psychiatric disabilities during and after Hurricanes Katrina and Rita: Position paper and recommendations. NCD. gov. 2006. Available at http://ncd.gov/publications/2006/07142006. Accessed July 24, 2021.

Center for Mental Health Services: Responding to the Needs of People with Serious and Persistent Mental Illness in Times of Major Disaster. Washington, DC: US Department of Health and Human Services, National Mental Health Services Knowledge, 1996.

Barry E, Miller G: Nursing home became death trap. The Seattle Times. September 14, 2005. Available at www.seattletimes.com/nation-world/nation/nursing-home-became-death-trap/. Accessed July 24, 2021.

Frattaroli LM: The San Francisco public sector response to the Loma Prieta earthquake. Psychiatr Ann. 1991; 21(9): 547-549. DOI: 10.3928/0048-5713-19910901-11.

Doran KM, McCormack RP, Johns EL, et al.: Emergency department visits for homelessness or inadequate housing in New York city before and after Hurricane Sandy. J Urban Health. 2016; 93(2): 331-344. DOI: 10.1007/s11524-016-0035-z.

Franklin CL, Young D, Zimmerman M: Psychiatric patients’ vulnerability in the wake of the September 11th terrorist attacks. J Nerv Ment Dis. 2002; 190(12): 833-838. DOI: 10.1097/00005053-200212000-00005.

Catalano RA, Kessell ER, McConnell W, et al.: Psychiatric emergencies after the terrorist attacks of September 11, 2001. Psychiatric Serv. 2004; 55(2): 163-166. DOI: 10.1176/appi.ps.55.2.163.

Raker EJ, Lowe SR, Arcaya MC, et al.: Twelve years later: The long-term mental health consequences of Hurricane Katrina. Soc Sci Med. 2019; 242: 112610. DOI: 10.1016/j.socscimed.2019.112610.

Federal Emergency Management Agency: Lesson 3. Communicating in an emergency-FEMA. 2014. Available at https://training.fema.gov/emiweb/is/is242b/studentpercent20manual/sm_03.pdf. Accessed May 8, 2022.

Hansson S, Orru K, Siibak A, et al.: Communication-related vulnerability to disasters: A heuristic framework. Int J Disaster Risk Reduct. 2020; 51: 101931. DOI: 10.1016/j.ijdrr.2020.101931.

Amish Technology: Ohio’s Amish Country. 2022. Available at https://ohiosamishcountry.com/articles/amish-technology. Accessed May 9, 2022.

The at-risk populations eTool: Print section first steps. Available at https://www.orau.gov/sns/atrisktool/print_section_firststeps.html. Accessed May 9, 2022.

Peacock WG, Morrow BH, Gladwin H: Hurricane Andrew: Ethnicity, Gender, and the Sociology of Disasters. London: Routledge, Taylor & Francis Group, 2014.

Blanchard-Boehm RD: Understanding public response to increased risk from natural hazards: Application of the hazards risk communication framework. Int J Mass Emerg Disasters. 1998; 13(3): 247-278.

Smedley BD, Stith AY, Nelson AR, et al.: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press, 2003.

Aguirre BE: The lack of warnings before the Saragosa Tornado. Int J Mass Emerg Disasters. 1988; 6(1): 65-74.

Gender FA: Risk and disaster. Int Mass Emerg Disasters. 1996; 14(1): 33-56.

First JM, Ellis K, Held ML, et al.: Identifying risk and resilience factors impacting mental health among black and Latinx adults following nocturnal tornadoes in the US Southeast. Int J Environ Res Public Health. 2021; 18(16). DOI: 10.3390/ijerph1816:8609.

Phibbs S, Kenney C, Rivera-Munoz G, et al.: The inverse response law: Theory and relevance to the aftermath of disasters. Int J Environ Res Public Health. 2018; 15(5): 916.

Furler J: Social determinants of health and health inequalities: What role for general practice? Health Promot J Aust. 2006; 17(3): 264-265.

(a) Hart JT: The impact of disasters on populations with health and health care disparities. Disaster Med Public Health Prep. 2010; 4(7696): 30-38; (b) Davis JR, Wilson S, Brock-Martin A, et al.: Disaster Med Public Health Prep. 2010; 4(1): 30-38. DOI: 10.1017/s1935789300002391.

Braveman P, Gottlieb L: The social determinants of HEALTH: It’s time to consider the causes of the causes. Public Health Rep. 2014; 129(1_Suppl. 2): 19-31. DOI: 10.1177/00333549141291s206.

Schultz WM, Kelli HM, Lisko JC, et al.: Socioeconomic status and cardiovascular outcomes. Circulation. 2018; 137(20): 2166-2178. DOI: 10.1161/circulationaha.117.029652.

Mack D, Brantley KM, Bell KG: Mitigating the health effects of disasters for medically underserved populations: Electronic health records, telemedicine, research, screening, and surveillance. J Health Care Poor Underserved. 2007; 18(2): 432-442.

Rudner N: Disaster care and socioeconomic vulnerability in Puerto Rico. J Health Care Poor Underserved. 2019; 30(2): 495-501; Hurricane retrofit guide. Division of Emergency Management. Bureau of Recovery and Mitigation. (Guide developed by the Institute for Business & Home Safety and funded by the Florida Department of Community Affairs). Available at https://apps.floridadisaster.org/hrg/. Accessed July 15, 2021.

Fowkes V, Blossom HJ, Anderson HK, et al.: Emergency preparedness for health professionals in a statewide AHEC program: The first two years. Acad Med. 2007; 82(8): 781-787.

Santos-Burgoa C, Sandberg J, Suárez E, et al.: Differential and persistent risk of excess mortality from Hurricane Maria in Puerto Rico: A time-series analysis. Lancet Planet Health. 2018; 2(11): E478-E488.

Becquart N, Naumova E, Singh G, et al.: Cardiovascular disease hospitalizations in Louisiana parishes’ elderly before, during and after Hurricane Katrina. Int J Environ Res Public Health. 2018; 16(1): 74. DOI: 10.3390/ijerph16010074.

Joseph NT, Matthews KA, Myers HF: Conceptualizing health consequences of Hurricane Katrina from the perspective of socioeconomic status decline. Health Psychol. 2014; 33(2): 139-146. DOI: 10.1037/a0031661.

Arcaya MC, Raker EJ, Waters MC: The social consequences of disasters: Individual and community change. Annu Rev Sociol. 2020; 46: 671-691.

Morrow B: Identifying and mapping community vulnerability. Disasters. 1999; 23: 1-18.

Shultz JM, Russell J, Espinel Z: Epidemiology of tropical cyclones: The dynamics of disaster, disease, and development. Epidemiol Rev. 2005; 27: 21-35.

Bruille RJ, Pellow DN: Environmental justice: Human health and environmental inequalities. Annu Rev Public Health. 2006; 27: 103-124.

Pastor M, Bullard RD, Boyce JK, et al.: In the Wake of the Storm: Environment Disaster, and Race after Katrina. New York: Russel Sage Foundation, 2006.

Zoraster RM: Vulnerable populations: Hurricane Katrina as a case study. Prehosp Disaster Med. 2010; 25(1): 74-78.

Qiang Y: Disparities of population exposed to flood hazards in the United States. J Environ Manag. 2019; 232: 295-304.

Ueland J, Warf B: Racialized topographies: Altitude and race in Southern cities. Geogr Rev. 2006; 96(1): 50-78.

Masozera M, Bailey M, Kerchner C: Distribution of impacts of natural disasters across income groups: A case study of New Orleans. Ecol Econ. 2007; 63(2): 299-306.

Beltran A, Maddison D, Elliott R: Is flood risk capitalised into property values? Ecol Econ. 2018; 146: 668-685.

Winsemius HC, Jongman B, Veldkamp TIE, et al.: Disaster risk, climate change, and poverty: Assessing the global exposure of poor people to floods and droughts. Environment and Development Economics. Vol. 3, no. 3. London: Cambridge University Press, 2018: 328-348.

Bin O, Landry CE: Changes in implicit flood risk premiums: Empirical evidence from the housing market. J Environ Econ Manag. 2013; 65(3): 361-376.

Montgomery M, Chakraborty J: Assessing the environmental justice consequences of flood risk: A case study in Miami, Florida. Environ Res Lett. 2015; 10: 095010.

Maantay J, Maroko A: Mapping urban risk: Flood hazards, race, & environmental justice in New York. Appl Geogr. 2009; 29(1): 111-124.

Cutter SL, Boruff BJ, Shirley WL, et al.: Social vulnerability to environmental hazards. Soc Sci Quar. 2003; 84(2): 242-261. DOI: 10.1111/1540-6237.8402002.

Exploring America’s Food Deserts: The Annie E. Casey foundation. 2021. Available at https://www.aecf.org/blog/exploring-americas-food-deserts. Accessed May 16, 2022.

Dutko P, Ver Ploeg M, Farrigan T: Characteristics and influential factors of food deserts. 2012. Available at https://www.ers.usda.gov/webdocs/publications/45014/30940_err140.pdf. Accessed August 15, 2022.

Caporuscio J: What are food deserts, and how do they impact health? Medical News Today. June 22, 2020. Available at https://www.medicalnewstoday.com/articles/what-are-food-deserts. Accessed August 15, 2022.

Masterson M: Urban food system resilience and supply chain vulnerabilities. Risk Management and Decision Processes Center. 2020. Available at https://riskcenter.wharton.upenn.edu/lab-notes/urban-food-system-resilience/. Accessed August 15, 2022.

Lakhani N: This is a disaster: Texas faces dwindling food supplies amid arctic conditions. The Guardian. February 19, 2021. Available at https://www.theguardian.com/us-news/2021/feb/18/texas-foodbanks-crisis-storm-freezing-supplies. Accessed May 16, 2022.

Bhopal Working Group: The public health implications of the Bhopal disaster. Report to the program development board, American Public Health Association (APHA technical report). AJPH. 1987; 77(2): 230-236.

Chakraborty J: Proximity to extremely hazardous substances for people with disabilities: A case study in Houston, Texas. Disabil Health J. 2019; 12(1): 121-125.

Berland H, Hughes D: Is rural Kansas prepared? An assessment of resources related to the COVID-19 pandemic? KJM. 2021; 14: 95-102.

American Hospital Association (AHA): Rural report: Challenges facing rural communities and the roadmap to ensure local access to high-quality, affordable care. Available at https://www.aha.org/system/files/2019-02/rural-report-2019.pdf. Accessed July 15, 2021.

Sharma S, Cain J, Sakhuja A, et al.: Guidance for healthcare providers managing COVID-19 in rural and underserved areas. J Racial Ethnic Health Disparities. 2020; 7: 817-821. DOI: 10.1007/s40615-020-00820-9.

National Rural Health Association Policy Brief: Health care workforce distribution and shortage issues in rural America. Toldson IA, Ray K, Hatcher SS, et al.: Examining the long-term racial disparities in health and economic conditions among Hurricane Katrina survivors: Policy implications for Gulf Coast recovery. J Black Stud. 2011; 42(3): 360-378. DOI: 10.1177/0021934710372893.

O’Sullivan B: Framework for improving governance and quality of rural oncology outreach services. JCO Oncol Practice. 2020; 16: e630-e635.

Rural health Information Hub (RHI Hub): Rural healthcare workforce. Available at https://www.ruralhealthinfo.org/topics/health-care-workforce. Accessed July 15, 2021.

Henning-Smith C: The unique impact of COVID-19 on older adults in rural areas. J Aging Soc Policy. 2020; 32(4-5): 396-402.

The Chartis Group: Crises collide: The COVID-19 pandemic and the stability of the rural health safety net. Available at https://www.chartis.com/resources/files/Crises-Collide-Rural-Health-Safety-Net-Report-Feb-2021.pdf. Accessed July 15, 2021.

Brewer CA, Hutton A, Hammad KS, et al.: A feasibility study on disaster preparedness in regional and rural emergency departments in New South Wales: Nurses self-assessment of knowledge, skills and preparation for disaster management. Australas Emerg Care. 2020; 23: 29-36.

US Department of Justice: A guide to preparing for and responding to jail emergencies. 2009. Available at http://info.nicic.gov/nicrp/system/files/023494.pdf. Accessed July 20, 2021.

Nellis A: The color of justice: Racial and ethnic disparity in state prisons. The Sentencing Project. 2016. Available at www.sentencingproject.org/publications/color-of-justice-racial-and-ethnicdisparity-in-state-prisons/. Accessed July 20, 2021.

Wilper AP, Woolhandler S, Boyd JW, et al.: The health and health care of US prisoners: Results of a nationwide survey. Am J Public Health. 2009; 99(4): 666-672. DOI: 10.2105/AJPH.2008.144279.

SAMHSA: SAMHSA Disaster Technical Assistance Center supplemental research bulletin disasters and people with serious mental illness. 2019. Available at https://www.samhsa.gov/sites/default/files/disasters-people-with-serious-mental-illness.pdf. Accessed August 4, 2021.

SAMHSA: Disaster behavioral health planners resource portal. Available at http://www.samhsa.gov/dtac/disaster-planners. Accessed August 4, 2021.

Emergency Management: NCD.gov. 2014. Available at https://ncd.gov/policy/emergency-management. Accessed August 4, 2021.

FEMA: 30 ways FEMA supports emergency preparedness, response and recovery for people with disabilities. FEMA.gov. 2020. Available at https://www.fema.gov/blog/30-ways-fema-supportsemergency-preparedness-response-and-recovery-people-disabilities. Accessed August 4, 2021.

Planning for the whole community-FEMA: FEMA.gov. 2011. Available at https://www.fema.gov/pdf/about/odic/all_hands_0411.pdf. Accessed August 4, 2021.

Avoiding disasters for the “Special Needs Population”: HHS. gov. Available at https://www.hhs.gov/sites/default/files/ocr/civilrights/resources/specialtopics/emergencypre/eptrainingppt.pdf. Accessed August 4, 2021.

Centers for Disease Control and Prevention: Disability and health emergency preparedness. 2020. Available at http://www.cdc.gov/ncbddd/disabilityandhealth/emergencypreparedness.html. Accessed August 4, 2021.

S.3721-109th Congress (2005-2006): Post-Katrina Emergency Management: Congress.gov. 2006. Available at https://www.congress.gov/bill/109th-congress/senate-bill/3721. Accessed August 17, 2022.




DOI: https://doi.org/10.5055/ajdm.2022.0431

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