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Hurricane Maria’s Impact on Punta Santiago, Puerto Rico: Community Needs and Mental Health Assessment Six Months Postimpact

  • Isabella M. Ferré (a1), Stephanie Negrón (a1), James M. Shultz (a2), Seth J. Schwartz (a3), James P. Kossin (a4) and Hilda Pantin (a3)...

Abstract

Objectives

This pilot study aimed to assess the community needs and population health status for the low-income town of Punta Santiago, situated on the southeastern coast of Puerto Rico at the point where Hurricane Maria made landfall on September 20, 2017.

Methods

A cross-sectional, interviewer-administered survey was conducted 6 months after the storm with a representative random sample of 74 households. The survey characterized population demographics and resident needs in relation to storm damage and disruption. The survey also assessed prevalence and symptom severity of major depression, generalized anxiety, and posttraumatic stress disorder.

Results

Most of Punta Santiago was without electrical power and more than half of households sustained severe damage. Residents reported loss of jobs, decreased productivity, school closures, dependency on aid for basic necessities, increased risk for vector-borne diseases, unrelenting exposure to heat and humidity, and diminished health status. Two-thirds (66.2%) of the respondents had clinically significant symptom elevations for at least 1 of the 3 common mental disorders assessed: major depression, generalized anxiety, or posttraumatic stress disorder.

Conclusions

Pilot survey results, along with other studies conducted in Punta Santiago, can be used to provide guidance for interventions with this community as well as with other low-income, storm-affected areas. (Disaster Med Public Health Preparedness. 2019;13:18–23)

Copyright

Corresponding author

Correspondence and reprint requests to Isabella M. Ferré, University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL 33136 (e-mail: Isabella.m.ferre@gmail.com).

References

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1. Patch, RJ, Penny, AB, Berg, R. National Hurricane Center Tropical Cyclone Report: Hurricane Maria (AL152017), 16–30 September 2017. https://www.nhc.noaa.gov/data/tcr/AL152017_Maria.pdf. Published April 10, 2018. Accessed May 20, 2018.
2. Shultz, JM, Galea, S. Preparing for the next Harvey, Irma, or Maria—addressing research gaps. N Engl J Med. 2017;377(19):1804-1806. http://dx.doi.org/10.1056/NEJMp1712854.
3. Shultz, JM, Kossin, JP, Shepherd, JM, et al. Risks, health consequences, and response challenges for small-island-based populations: observations from the 2017 Atlantic hurricane season. Disaster Med Public Health Prep. 2018 Apr 6:1-13. doi: https://doi.org/10.1017/dmp.2018.28
4. US Census Bureau. 2010 Census. US Census Bureau; 2010.
5. US Census Bureau. 2012-2016 American Community Survey 5-Year Estimates. US Census Bureau; 2016.
6. Perreira, K, Peters, R, Lallemand, N, et al. Urban Institute Research Report. Puerto Rico Health Care Infrastructure Assessment Site Visit Report. https://www.urban.org/sites/default/files/publication/87011/2001050-puerto-rico-health-care-infratructure-assessment-site-visit-report_1.pdf. Published 2017. Accessed September 25, 2018.
7. Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-9. J Gen Intern Med. 2001;16(9):606-613. doi: 10.1046/j.1525-1497.2001.016009606
8. Spitzer, RL, Kroenke, K, Williams, JB, et al. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166(10):1092-1097. doi: 10.1001/archinte.166.10.1092
9. Weathers, F, Ford, J. Psychometric review of PTSD checklist. In Stamm BH, ed. Measurement of Stress, Trauma, and Adaptation. Lutherville, MD: Sidran Press, 1996:250-251.
10. Ajami, G, Rodriguez, V, Ferré, I, et al. Measuring fecal contamination of fresh water sources in Punta Santiago, PR. Puerto Rico’s Conditions 6 Months Post-Maria: Project LIFT—Creating Sustainable Community Change Symposium. Miami, FL: University of Miami; 2018 May.
11. Colgan, A, Ferré, I, Westbrook, D, et al. Indoor air quality in the aftermath of Puerto Rico. Puerto Rico’s Conditions 6 Months Post-Maria: Project LIFT – Creating Sustainable Community Change Symposium. Miami, FL: University of Miami; 2018 May.
12. Kossin, JP, Hall, T, Knutson, T, et al. Extreme storms. In: Wuebbles DJ, Fahey DW, Hibbard KA, et al. eds. Climate Science Special Report: Fourth National Climate Assessment, Volume I. Washington, DC: US Global Change Research Program; 2017:257-276. doi: 10.7930/J07S7KXX
13. Tracy, M, Norris, FH, Galea, S. Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event. Depress Anxiety. 2011;28(8):666-675. http://dx.doi.org/10.1002/da.20838
14. Goldman, E, Galea, S. Mental health consequences of disasters. Annu Rev Public Health. 2014;35:169-183.
15. Lajoie, AS, Sprang, G, McKinney, WP. Long-term effects of Hurricane Katrina on the psychological well-being of evacuees. Disasters. 2010;34(4):1031-1044. doi: 10.1111/j.1467-7717.2010.01181.x
16. Centers for Disease Control and Prevention. BRFSS Prevalence and Trends Data. https://www.cdc.gov/brfss/brfssprevalence/index.html. Accessed July 18, 2018.
17. Milken Institute School of Public Health. George Washington University. Project Report: Ascertainment of the Estimated Excess Mortality From Hurricane Maria in Puerto Rico. The George Washington University, 2018. https://publichealth.gwu.edu/sites/default/files/downloads/projects/PRstudy/Acertainment%20of%20the%20Estimated%20Excess%20Mortality%20from%20Hurricane%20Maria%20in%20Puerto%20Rico.pdf. Published 2018. Accessed September 25, 2018.

Keywords

Hurricane Maria’s Impact on Punta Santiago, Puerto Rico: Community Needs and Mental Health Assessment Six Months Postimpact

  • Isabella M. Ferré (a1), Stephanie Negrón (a1), James M. Shultz (a2), Seth J. Schwartz (a3), James P. Kossin (a4) and Hilda Pantin (a3)...

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