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Challenges of service coordination for evacuees of Hurricane Maria through the National Disaster Medical System.
Vora, Neil M; Grober, Aaron; Goodwin, Bradley P; Davis, Michelle S; McGee, Chris; Luckhaupt, Sara E; Cockrill, Jennifer A; Ready, Selena; Bluemle, Laura Nichole; Brewer, Lauren; Brown, Angela; Brown, Cassidy; Clement, Julie; Downie, Diane L; Garner, Michael R; Lerner, Ruby; Mahool, Margaret; Mojica, Shirley A; Nolen, Leisha D; Pedersen, Melanie R; Chappell-Reed, Mary Jane; Richards, Edecia; Smith, Jonathan; Weekes, Kitichia C; Dickinson, Jeanette; Weir, Charles; Bowman, Thomas I; Eckes, Jeanne.
Affiliation
  • Vora NM; Centers for Disease Control and Prevention; New York City Department of Health and Mental Hygiene.
  • Grober A; Agency for Toxic Substances and Disease Registry.
  • Goodwin BP; Agency for Toxic Substances and Disease Registry.
  • Davis MS; US Virgin Islands Department of Health.
  • McGee C; LCSW-BCD, Federal Bureau of Prisons.
  • Luckhaupt SE; Centers for Disease Control and Prevention.
  • Cockrill JA; Office of the Assistant Secretary for Preparedness and Response.
  • Ready S; Food and Drug Administration.
  • Bluemle LN; Indian Health Service.
  • Brewer L; Centers for Disease Control and Prevention.
  • Brown A; Centers for Disease Control and Prevention.
  • Brown C; Federal Bureau of Prisons.
  • Clement J; Centers for Medicare and Medicaid Services.
  • Downie DL; Centers for Disease Control and Prevention.
  • Garner MR; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
  • Lerner R; Food and Drug Administration.
  • Mahool M; Immigration and Customs Enforcement.
  • Mojica SA; Department of Health and Human Services, Administration for Children and Families.
  • Nolen LD; Centers for Disease Control and Prevention.
  • Pedersen MR; Federal Bureau of Prisons.
  • Chappell-Reed MJ; Federal Bureau of Prisons.
  • Richards E; Department of Health and Human Services.
  • Smith J; Indian Health Service.
  • Weekes KC; Centers for Medicare and Medicaid Services.
  • Dickinson J; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
  • Weir C; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
  • Bowman TI; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
  • Eckes J; Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
J Emerg Manag ; 16(3): 203-206, 2018.
Article in En | MEDLINE | ID: mdl-30044493
ABSTRACT

OBJECTIVE:

To describe the challenges of service coordination through the National Disaster Medical System (NDMS) for Hurricane Maria evacuees, particularly those on dialysis.

DESIGN:

Public health report.

SETTING:

Georgia. REPORT On November 25, 2017, there were 208 patients evacuated to Georgia in response to Hurricane Maria receiving NDMS support. Most were evacuated from the US Virgin Islands (97 percent) and the remaining from Puerto Rico (3 percent); 73 percent of these patients were on dialysis, all from the US Virgin Islands. From the beginning of the evacuation response through November 25, 2017, there were 282 patients evacuated to Georgia via NDMS, with a median length of coverage through NDMS for those on and not on dialysis of 60 and 16 days, respectively.

CONCLUSION:

The limited capacity and capability of dialysis centers currently in the US Virgin Islands are delaying the return to home of many Hurricane Maria evacuees who are on dialysis.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Public Health / Disaster Planning / Cyclonic Storms Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Emerg Manag Year: 2018 Type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Public Health / Disaster Planning / Cyclonic Storms Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Emerg Manag Year: 2018 Type: Article