Skip to main content Accessibility help
×
Home
Hostname: page-component-79b67bcb76-wlt4x Total loading time: 0.228 Render date: 2021-05-13T04:35:45.594Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": false, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true }

Addressing Community Needs During the Hurricane Response and Recovery Efforts Through Community Assessments for Public Health Emergency Response (CASPER)—United States Virgin Islands, 2017-2018

Published online by Cambridge University Press:  05 March 2019

Amy Helene Schnall
Affiliation:
National Center for Environmental Health, US Centers for Disease Control and Prevention (Ms Schnall)
Joseph (Jay) Roth
Affiliation:
Office of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, assigned to US Virgin Islands Department of Health (Mr Roth);
Brett Ellis
Affiliation:
US Virgin Islands Department of Health (Dr Bret Ellis, Ms Seger, Dr Davis, and Dr Esther Ellis)
Krystal Seger
Affiliation:
US Virgin Islands Department of Health (Dr Bret Ellis, Ms Seger, Dr Davis, and Dr Esther Ellis)
Michelle Davis
Affiliation:
US Virgin Islands Department of Health (Dr Bret Ellis, Ms Seger, Dr Davis, and Dr Esther Ellis)
Esther M. Ellis
Affiliation:
US Virgin Islands Department of Health (Dr Bret Ellis, Ms Seger, Dr Davis, and Dr Esther Ellis)
Corresponding
E-mail address:

Abstract

Objectives

Two category 5 storms hit the US Virgin Islands (USVI) within 13 days of each other in September 2017. This caused an almost complete loss of power and devastated critical infrastructure such as the hospitals and airports

Methods

The USVI Department of Health conducted 2 response Community Assessments for Public Health Emergency Response (CASPERs) in November 2017 and a recovery CASPER in February 2018. CASPER is a 2-stage cluster sampling method designed to provide household-based information about a community’s needs in a timely, inexpensive, and representative manner.

Results

Almost 70% of homes were damaged or destroyed, 81.2% of homes still needed repair, and 10.4% of respondents felt their home was unsafe to live in approximately 5 months after the storms. Eighteen percent of individual respondents indicated that their mental health was “not good” for 14 or more days in the past month, a significant increase from 2016.

Conclusion

The CASPERs helped characterize the status and needs of residents after the devastating hurricanes and illustrate the evolving needs of the community and the progression of the recovery process. CASPER findings were shared with response and recovery partners to promote data-driven recovery efforts, improve the efficiency of the current response and recovery efforts, and strengthen emergency preparedness in USVI. (Disaster Med Public Health Preparedness. 2019;13:53-62)

Type
Original Research
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below.

References

1. Erdman, J. 2017 Atlantic hurricane season among top 10 most active in history. The Weather Channel: Hurricane News. https://weather.com/storms/hurricane/news/2017-atlantic-hurricane-season-one-of-busiest-september. Published October 2, 2017. Accessed November 21, 2017.Google Scholar
2. Disasters. US Federal Emergency Management Agency website. https://www.fema.gov/disasters Accessed November 21, 2017.Google Scholar
3. Dwyer, C. The Virgin Islands, after Irma: ‘it was like stepping onto another planet’. NPR: Breaking News. http://www.npr.org/sections/thetwo-way/2017/09/14/550940009/the-virgin-islands-after-irma-it-was-like-stepping-onto-another-planet. Published September 14, 2017. Accessed November 21, 2017.Google Scholar
4. Coordinated federal support continues for U.S. Virgin Islands and Puerto Rico following hurricanes Irma and Maria. US Federal Emergency Management Agency website. https://www.fema.gov/news-release/2017/10/11/coordinated-federal-support-continues-us-virgin-islands-and-puerto-rico. October 11, 2017. Accessed November 21, 2017Google Scholar
5. US Federal Emergency Management Agency. Daily Operations Briefing. http://www.disastercenter.com/FEMA+Daily+Ops+Briefing+10-02-2017.pdf. Published October 2, 2017. Accessed November 21, 2017Google Scholar
6. Malilay, J, Flanders, WD, Brogan, D. A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organ. 1996;74(4):399-405.Google ScholarPubMed
7. US Centers for Disease Control and Prevention. Community Assessment for Public Health Emergency Response (CASPER) Toolkit: Third Edition. Atlanta:2019Google Scholar
8. Arroll, B, Goodyear-Smith, F, Crengle, S, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348-353 CrossRefGoogle ScholarPubMed
9. Kroenke, K, Spitzer, RL, Williams, JB. The 2-item Generalized Anxiety Disorder scale had high sensitivity and specificity for detecting GAD in primary care. Evid Based Med. 2007;12:149. http://ebm.bmj.com/content/ebmed/12/5/149.full.pdf. Accessed November 21, 2017.Google Scholar
10. US Census Bureau. American Fact Finder: US Virgin Islands.https://factfinder.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t. Accessed March 3, 2018.Google Scholar
11. Rodent Control after a Disaster. US Centers for Disease Control and Prevention Disaster Fact Sheet website. https://www.cdc.gov/disasters/rodents.html. Published November 8, 2012. Updated December 12, 2017. Accessed March 3, 2018.Google Scholar

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Addressing Community Needs During the Hurricane Response and Recovery Efforts Through Community Assessments for Public Health Emergency Response (CASPER)—United States Virgin Islands, 2017-2018
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Addressing Community Needs During the Hurricane Response and Recovery Efforts Through Community Assessments for Public Health Emergency Response (CASPER)—United States Virgin Islands, 2017-2018
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Addressing Community Needs During the Hurricane Response and Recovery Efforts Through Community Assessments for Public Health Emergency Response (CASPER)—United States Virgin Islands, 2017-2018
Available formats
×
×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *