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Provider-Guided Emergency Support for Persons Living With Type 1 Diabetes During Hurricanes Harvey, Irma, and Maria

Published online by Cambridge University Press:  09 March 2020

Karen Dimentstein
Affiliation:
Psychology Trainee, College of Psychology, Nova Southeastern University, Davie, Florida
Carlos Alberto Leyva Jordán
Affiliation:
Pediatric Endocrinologist Centro de Diabetes y Endocrinología Pediátrica de Puerto Rico, Bayamón, Puerto Rico
Stephen W. Ponder
Affiliation:
Division of Pediatric Endocrinology, Baylor Scott and White Healthcare, Temple, Texas
Della Lorraine Matheson
Affiliation:
Trial Coordinator, Type 1 Diabetes TrialNet, Director of Education, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida
Jay M. Sosenko
Affiliation:
Professor, Department of Medicine, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida
Zelde Espinel
Affiliation:
Sylvester Comprehensive Cancer Center, Assistant Professor, Department of Psychiatry and Behavioral Sciences, Co-Director, Center for Disaster & Extreme Event Preparedness (DEEP Center), University of Miami Miller School of Medicine, Miami, Florida
James M. Shultz*
Affiliation:
Director, Center for Disaster & Extreme Event Preparedness (DEEP Center), Department of Public Health Sciences (DPHS), University of Miami Miller School of Medicine, Miami, Florida
*
Correspondence and reprint requests to James M. Shultz, Director, Center for Disaster & Extreme Event Preparedness (DEEP Center), Department of Public Health Sciences (DPHS), University of Miami Miller School of Medicine, Miami, FL (e-mail: jshultz1@med.miami.edu).

Abstract

The 2017 Atlantic hurricane season was especially memorable for 3 major hurricanes—Harvey, Irma, and Maria—that devastated population centers across Texas, Florida, and Puerto Rico, respectively. Each storm had unique hazard properties that posed distinctive challenges for persons living with type 1 diabetes (T1D). Diabetes care specialists and educators took on leadership roles for coordinating care and establishing insulin supply lifelines for people with T1D living in the hardest-hit neighborhoods affected by these extreme storms. Strategies and resources were customized for each population. Diabetes specialists strategized to provide mutual support and shared insulins and supplies across sites.

Type
Report from the Field
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Shultz, JM, Galea, S. Mitigating the mental and physical health consequences of Hurricane Harvey. JAMA. 2017;318(15):14371438.10.1001/jama.2017.14618CrossRefGoogle ScholarPubMed
Shultz, JM, Galea, S. Preparing for the next Harvey, Irma, or Maria - addressing research gaps. N Engl J Med. 2017;377(19):18041806.10.1056/NEJMp1712854CrossRefGoogle ScholarPubMed
Shultz, JM, Shepherd, JM, Kelman, I, Rechkemmer, A, Galea, S. Mitigating tropical cyclone risks and health consequences: urgencies and innovations. Lancet Planet Health. 2018;2(3):e103e104.10.1016/S2542-5196(18)30021-4CrossRefGoogle ScholarPubMed
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. 2019;13(1):517.10.1017/dmp.2018.28CrossRefGoogle ScholarPubMed
Shultz, JM, Kossin, JP, Ettman, C, Kinney, PL, Galea, S. The 2017 perfect storm season, climate change, and environmental injustice. Lancet Planet Health. 2018;2(9):e370e371.10.1016/S2542-5196(18)30168-2CrossRefGoogle ScholarPubMed
Shultz, JM, Cela, T, Marcelin, LH, et al.The trauma signature of 2016 Hurricane Matthew and the psychosocial impact on Haiti. Disaster Health. 2016;3(4):121138.10.1080/21665044.2016.1263538CrossRefGoogle ScholarPubMed
Blake, ES, Zelinsky, DA. National Hurricane Center Tropical Cyclone Report: Hurricane Harvey (AL092017), 17 August - 1 September 2017. Miami, FL: National Hurricane Center, National Oceanographic and Atmospheric Administration, 9 May 2018. https://www.nhc.noaa.gov/data/tcr/AL092017_Harvey.pdf. (Accessed December 31, 2019).Google Scholar
Cangialosi, JP, Latto, AS, Berg, R. National Hurricane Center Tropical Cyclone Report: Hurricane Irma (AL112017), 30 August - 12 September 2017. Miami, FL: National Hurricane Center, National Oceanographic and Atmospheric Administration, 9 March 2018. https://www.nhc.noaa.gov/data/tcr/AL112017_Irma.pdf. (Accessed December 31, 2019).Google Scholar
Zakrison, TL, Valdés, DM, Shultz, JM. The medical, public health, and emergency response to the impact of 2017 Hurricane Irma in Cuba. Disaster Med Public Health Prep. 2019:18. doi: 10.1017/dmp.2019.71CrossRefGoogle ScholarPubMed
Pasch, RJ, Penny, AB, Berg, R. National Hurricane Center Tropical Cyclone Report: Hurricane Maria (AL152017), 16-30 September 2017. Miami, FL: National Hurricane Center, National Oceanographic and Atmospheric Administration, 10 April 2018. https://www.nhc.noaa.gov/data/tcr/AL152017_Maria.pdf. (Accessed December 31, 2019).Google Scholar
Ferré, IM, Negrón, S, Shultz, JM, et al.Hurricane Maria’s impact on Punta Santiago, Puerto Rico: community needs and mental health assessment six months postimpact. Disaster Med Public Health Prep. 2019;13(1):1823.10.1017/dmp.2018.103CrossRefGoogle ScholarPubMed
Scaramutti, C, Salas-Wright, CP, Vos, SR, et al.The mental health impact of Hurricane Maria on Puerto Ricans in Puerto Rico and Florida. Disaster Med Public Health Prep. 2019;13(1):2427.10.1017/dmp.2018.151CrossRefGoogle ScholarPubMed
Espinel, Z, Galea, S, Kossin, JP, et al.Climate-driven Atlantic hurricanes pose rising threats for psychopathology. Lancet Psychiatry. 2019;6(9):721723.10.1016/S2215-0366(19)30277-9CrossRefGoogle ScholarPubMed
Shultz, JM, Sands, DE, Kossin, JP, et al.Double environmental injustice: climate change, Hurricane Dorian, and the Bahamas. N Engl J Med. 2020;382(1):13.10.1056/NEJMp1912965CrossRefGoogle ScholarPubMed