Reaching vulnerable populations in the disaster-prone US Gulf Coast: Communicating across the crisis lifecycle

2019 ◽  
Vol 14 (2) ◽  
pp. 121-136
Author(s):  
Elizabeth L. Petrun Sayers, PhD ◽  
Andrew M. Parker, PhD ◽  
Rajeev Ramchand, PhD ◽  
Melissa L. Finucane, PhD ◽  
Vanessa Parks, MA ◽  
...  
Keyword(s):  
Hurricane Katrina ◽  
Vulnerable Populations ◽  
News Media ◽  
Gulf Coast ◽  
Multinomial Logistic Regression ◽  
Geographic Region ◽  
Unique Challenge ◽  
Response Strategies ◽  
The Us ◽  
Channel Preferences

Delivering risk and crisis communication to US Gulf Coast residents poses a unique challenge to individual and organizational responders. The region has endured several natural and man-made disasters, spanning Hurricane Katrina, the Deepwater Horizon oil spill, and more recently Hurricanes Harvey and Irma. In the future, the US Gulf Coast is expected to remain susceptible to a range of disasters. At the same time, the region is experiencing a growing population, struggles with systemic disparities between residents, and is home to major energy, tourism, fishing, and shrimping industries. Engaging in pre-crisis planning with vulnerable populations, and assessing response strategies, can help the region prepare for future disasters. In support of understanding vulnerabilities in the US Gulf Coast, the authors conducted a survey in 2016 of n = 2,520 adult residents of the targeted geographic region. The authors examine how demographic characteristics affect communication channel preferences (ie, television, Internet, print [newspapers, magazines], radio, word-of-mouth, or another specified channel) and trust in sources (ie, the national news media, local news media, business leaders and organizations, religious leaders and institutions, academics and academic institutions, friends and family, and doctors) in the US Gulf Coast. Weighted prevalence estimates or similar summary statistics (mean, standard deviation) are provided for both outcomes. Findings for channel preferences and trust in sources are examined by sex, race/ethnicity, age, and education. Weighted multinomial logistic regression is used in a multivariate model. Weighted linear regression is used to examine differences in trust in each source of information. Results highlight significant differences in channel preferences and trust across respondents. The authors also place these results in context to more readily accessible national estimates of these outcomes, emphasizing takeaways for the region.

Reaching vulnerable populations in the disaster-prone US Gulf Coast: Communicating across the crisis lifecycle

2019 ◽  
Vol 17 (4) ◽  
pp. 271-286 ◽  
Author(s):  
Elizabeth L. Petrun Sayers, PhD ◽  
Andrew M. Parker, PhD ◽  
Rajeev Ramchand, PhD ◽  
Melissa L. Finucane, PhD ◽  
Vanessa Parks, MA ◽  
...  
Keyword(s):  
Hurricane Katrina ◽  
Vulnerable Populations ◽  
News Media ◽  
Gulf Coast ◽  
Multinomial Logistic Regression ◽  
Geographic Region ◽  
Unique Challenge ◽  
Response Strategies ◽  
The Us ◽  
Channel Preferences

Delivering risk and crisis communication to US Gulf Coast residents poses a unique challenge to individual and organizational responders. The region has endured several natural and man-made disasters, spanning Hurricane Katrina, the Deepwater Horizon oil spill, and more recently Hurricanes Harvey and Irma. In the future, the US Gulf Coast is expected to remain susceptible to a range of disasters. At the same time, the region is experiencing a growing population, struggles with systemic disparities between residents, and is home to major energy, tourism, fishing, and shrimping industries. Engaging in pre-crisis planning with vulnerable populations, and assessing response strategies, can help the region prepare for future disasters.In support of understanding vulnerabilities in the US Gulf Coast, the authors conducted a survey in 2016 of n = 2,520 adult residents of the targeted geographic region. The authors examine how demographic characteristics affect communication channel preferences (ie, television, Internet, print [newspapers, magazines], radio, word-of-mouth, or another specified channel) and trust in sources (ie, the national news media, local news media, business leaders and organizations, religious leaders and institutions, academics and academic institutions, friends and family, and doctors) in the US Gulf Coast. Weighted prevalence estimates or similar summary statistics (mean, standard deviation) are provided for both outcomes. Findings for channel preferences and trust in sources are examined by sex, race/ethnicity, age, and education. Weighted multinomial logistic regression is used in a multivariate model. Weighted linear regression is used to examine differences in trust in each source of information. Results highlight significant differences in channel preferences and trust across respondents. The authors also place these results in context to more readily accessible national estimates of these outcomes, emphasizing takeaways for the region.

Securitization, racial cleansing, and disaster capitalism: Neoliberal disaster governance in the US Gulf Coast and Haiti

2017 ◽  
Vol 37 (4) ◽  
pp. 582-603 ◽  
Author(s):  
Loretta Pyles ◽  
Juliana Svistova ◽  
Suran Ahn
Keyword(s):  
Critical Discourse Analysis ◽  
Hurricane Katrina ◽  
News Media ◽  
Gulf Coast ◽  
Critical Discourse ◽  
Haiti Earthquake ◽  
Neoliberal Capitalism ◽  
The Us ◽  
Disaster Survivors ◽  
Disaster Capitalism

Through a critical discourse analysis of news media after the US Gulf Coast hurricane Katrina and the Haiti earthquake disasters, we draw from Soss et al.’s (2011) ideas about US poverty governance – neoliberal paternalism – to identify how a similar phenomenon of ‘neoliberal disaster governance’ (NDG) operates in these contexts. NDG is a set of discourses, policies, and practices, we argue, which endeavors to control disaster survivors in order to further the ends of neoliberal capitalism. Specifically, we find several key story lines that legitimate and perpetuate NDG, namely disaster capitalism, securitization and militarization of disaster settings, discourses of racial cleansing, and displacement.

Hurricane Katrina: an environmental perspective

2006 ◽  
Vol 364 (1845) ◽  
pp. 2099-2115 ◽  
Author(s):  
Ewen McCallum ◽  
Julian Heming
Keyword(s):  
Hurricane Katrina ◽  
Observational Studies ◽  
Gulf Coast ◽  
Theoretical Modelling ◽  
Loss Of Life ◽  
The Us ◽  
Hurricane Season ◽  
The Usa ◽  
The Impact ◽  
National Hurricane Center

On 29 August 2005, Hurricane Katrina hit the Gulf Coast of the USA to become one of the worst natural disasters in the country's history. The forecasts and official warnings of the event issued by the US National Hurricane Center up to 60 h ahead were excellent and largely based on an ‘ensemble’ of model and statistical guidance. The Met Office Global Model is highlighted as one of the best performers for Hurricane Katrina. The active 2005 Atlantic hurricane season has fuelled the debate on the impact of climate change on tropical cyclones. Some recent publications have suggested that this impact is already apparent, while others are more cautious. Inconsistencies remain among many of the theoretical, modelling and observational studies. Despite the excellent warnings, there was a tragic loss of life as a result of Hurricane Katrina which has led to political questions concerning complex socio-economic issues, the state of flood defences and how to coordinate the reaction to and mitigate the impact of such monumental natural hazards.

scholarly journals Hurricane Katrina Deaths, Louisiana, 2005

2008 ◽  
Vol 2 (4) ◽  
pp. 215-223 ◽  
Author(s):  
Joan Brunkard ◽  
Gonza Namulanda ◽  
Raoult Ratard
Keyword(s):  
Hurricane Katrina ◽  
Disaster Preparedness ◽  
Census Data ◽  
Gulf Coast ◽  
Mortality Data ◽  
Chi Square ◽  
Term Care ◽  
The Us ◽  
State Death ◽  
Us Census

ABSTRACTObjective: Hurricane Katrina struck the US Gulf Coast on August 29, 2005, causing unprecedented damage to numerous communities in Louisiana and Mississippi. Our objectives were to verify, document, and characterize Katrina-related mortality in Louisiana and help identify strategies to reduce mortality in future disasters.Methods: We assessed Hurricane Katrina mortality data sources received in 2007, including Louisiana and out-of-state death certificates for deaths occurring from August 27 to October 31, 2005, and the Disaster Mortuary Operational Response Team's confirmed victims' database. We calculated age-, race-, and sex-specific mortality rates for Orleans, St Bernard, and Jefferson Parishes, where 95% of Katrina victims resided and conducted stratified analyses by parish of residence to compare differences between observed proportions of victim demographic characteristics and expected values based on 2000 US Census data, using Pearson chi square and Fisher exact tests.Results: We identified 971 Katrina-related deaths in Louisiana and 15 deaths among Katrina evacuees in other states. Drowning (40%), injury and trauma (25%), and heart conditions (11%) were the major causes of death among Louisiana victims. Forty-nine percent of victims were people 75 years old and older. Fifty-three percent of victims were men; 51% were black; and 42% were white. In Orleans Parish, the mortality rate among blacks was 1.7 to 4 times higher than that among whites for all people 18 years old and older. People 75 years old and older were significantly more likely to be storm victims (P < .0001).Conclusions: Hurricane Katrina was the deadliest hurricane to strike the US Gulf Coast since 1928. Drowning was the major cause of death and people 75 years old and older were the most affected population cohort. Future disaster preparedness efforts must focus on evacuating and caring for vulnerable populations, including those in hospitals, long-term care facilities, and personal residences. Improving mortality reporting timeliness will enable response teams to provide appropriate interventions to these populations and to prepare and implement preventive measures before the next disaster. (Disaster Med Public Health Preparedness. 2008;2:215–223)

Characteristics of Physician Relocation Following Hurricane Katrina

2007 ◽  
Vol 1 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Kusuma Madamala ◽  
Claudia R. Campbell ◽  
Edbert B. Hsu ◽  
Yu-Hsiang Hsieh ◽  
James James
Keyword(s):  
Hurricane Katrina ◽  
Gulf Coast ◽  
General Medicine ◽  
Lessons Learned ◽  
Bivariate Analysis ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Factors Associated ◽  
The Us ◽  
The Impact

ABSTRACTIntroduction: On August 29, 2005, Hurricane Katrina made landfall along the US Gulf Coast, resulting in the evacuation of >1.5 million people, including nearly 6000 physicians. This article examines the relocation patterns of physicians following the storm, determines the impact that the disaster had on their lives and practices, and identifies lessons learned.Methods: An Internet-based survey was conducted among licensed physicians reporting addresses within Federal Emergency Management Agency–designated disaster zones in Louisiana and Mississippi. Descriptive data analysis was used to describe respondent characteristics. Multivariate logistic regression was performed to identify the factors associated with physician nonreturn to original practice. For those remaining relocated out of state, bivariate analysis with χ2 or Fisher exact test was used to determine factors associated with plans to return to original practice.Results: A total of 312 eligible responses were collected. Among disaster zone respondents, 85.6% lived in Louisiana and 14.4% resided in Mississippi before the hurricane struck. By spring 2006, 75.6% (n = 236) of the respondents had returned to their original homes, whereas 24.4% (n = 76) remained displaced. Factors associated with nonreturn to original employment included family or general medicine practice (OR 0.42, 95% CI 0.17–1.04; P = .059) and severe or complete damage to the workplace (OR 0.24, 95% CI 0.13–0.42; P < .001).Conclusions: A sizeable proportion of physicians remain displaced after Hurricane Katrina, along with a lasting decrease in the number of physicians serving in the areas affected by the disaster. Programs designed to address identified physician needs in the aftermath of the storm may give confidence to displaced physicians to return. (Disaster Med Public Health Preparedness. 2007;1:21–26)

Abandoned and abused: prisoners in the wake of Hurricane Katrina

Race & Class ◽  
2007 ◽  
Vol 49 (1) ◽  
pp. 81-92 ◽  
Author(s):  
Keyword(s):  
African American ◽  
Hurricane Katrina ◽  
New Orleans ◽  
Gulf Coast ◽  
The State ◽  
The Us ◽  
Women And Children

During Hurricane Katrina, which struck the US Gulf Coast in August 2005, thousands of men, women and children were abandoned in Orleans Parish Prison (OPP), the New Orleans jail. As the floodwaters rose in the OPP buildings, prisoners were trapped for days in locked cells without food, some standing in sewage-tainted water up to their chests, while guards left their posts. Predominantly poor African-American pre-trial detainees, held on minor charges, such as failure to pay court fees, the prisoners were eventually evacuated to various receiving facilities around the state of Louisiana, only to face systematic racial abuse, assaults and further brutality. The experiences of the OPP prisoners lay bare the routine injustices that permeate a system of incarceration that is effectively run as a profitmaking concern.

Characteristics of Physician Relocation Following Hurricane Katrina

2009 ◽  
Vol 95 (1) ◽  
pp. 6-12
Author(s):  
Kusuma Madamala ◽  
Claudia R. Campbell ◽  
Edbert B. Hsu ◽  
Yu-Hsiang Hsieh ◽  
James James
Keyword(s):  
Hurricane Katrina ◽  
Gulf Coast ◽  
General Medicine ◽  
The United States ◽  
Lessons Learned ◽  
Bivariate Analysis ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Factors Associated ◽  
The Impact

ABSTRACT Introduction: On Aug. 29, 2005, Hurricane Katrina made landfall along the Gulf Coast of the United States, resulting in the evacuation of more than 1.5 million people, including nearly 6000 physicians. This article examines the relocation patterns of physicians following the storm, determines the impact that the disaster had on their lives and practices, and identifies lessons learned. Methods: An Internet-based survey was conducted among licensed physicians reporting addresses within Federal Emergency Management Agency-designated disaster zones in Louisiana and Mississippi. Descriptive data analysis was used to describe respondent characteristics. Multivariate logistic regression was performed to identify the factors associated with physician nonreturn to original practice. For those remaining relocated out of state, bivariate analysis with x2 or Fisher exact test was used to determine factors associated with plans to return to original practice. Results: A total of 312 eligible responses were collected. Among disaster zone respondents, 85.6 percent lived in Louisiana and 14.4 percent resided in Mississippi before the hurricane struck. By spring 2006, 75.6 percent (n = 236) of the respondents had returned to their original homes, whereas 24.4 percent (n = 76) remained displaced. Factors associated with nonreturn to original employment included family or general medicine practice (OR 0.42, 95 percent CI 0.17–1.04; P = .059) and severe or complete damage to the workplace (OR 0.24, 95 percent CI 0.13–0.42; P &lt; .001). Conclusions: A sizeable proportion of physicians remain displaced after Hurricane Katrina, along with a lasting decrease in the number of physicians serving in the areas affected by the disaster. Programs designed to address identified physician needs in the aftermath of the storm may give confidence to displaced physicians to return.

The US news media and World War III

Journalism ◽  
2002 ◽  
Vol 3 (1) ◽  
pp. 14-21 ◽  
Author(s):  
Robert W. McChesney
Keyword(s):  
News Media ◽  
World War ◽  
The Us ◽  
World War Iii

Hospitalization Rates Among Dialysis Patients During Hurricane Katrina

2012 ◽  
Vol 27 (4) ◽  
pp. 325-329 ◽  
Author(s):  
David Howard ◽  
Rebecca Zhang ◽  
Yijian Huang ◽  
Nancy Kutner
Keyword(s):  
Hurricane Katrina ◽  
Large Scale ◽  
Service Use ◽  
Hospital Admissions ◽  
Gulf Coast ◽  
The United States ◽  
Time Varying ◽  
Dialysis Patients ◽  
Hospitalization Rates ◽  
The Impact

AbstractIntroductionDialysis centers struggled to maintain continuity of care for dialysis patients during and immediately following Hurricane Katrina's landfall on the US Gulf Coast in August 2005. However, the impact on patient health and service use is unclear.ProblemThe impact of Hurricane Katrina on hospitalization rates among dialysis patients was estimated.MethodsData from the United States Renal Data System were used to identify patients receiving dialysis from January 1, 2001 through August 29, 2005 at clinics that experienced service disruptions during Hurricane Katrina. A repeated events duration model was used with a time-varying Hurricane Katrina indicator to estimate trends in hospitalization rates. Trends were estimated separately by cause: surgical hospitalizations, medical, non-renal-related hospitalizations, and renal-related hospitalizations.ResultsThe rate ratio for all-cause hospitalization associated with the time-varying Hurricane Katrina indicator was 1.16 (95% CI, 1.05-1.29; P = .004). The ratios for cause-specific hospitalization were: surgery, 0.84 (95% CI, 0.68-1.04; P = .11); renal-related admissions, 2.53 (95% CI, 2.09-3.06); P < .001), and medical non-renal related, 1.04 (95% CI, 0.89-1.20; P = .63). The estimated number of excess renal-related hospital admissions attributable to Katrina was 140, representing approximately three percent of dialysis patients at the affected clinics.ConclusionsHospitalization rates among dialysis patients increased in the month following the Hurricane Katrina landfall, suggesting that providers and patients were not adequately prepared for large-scale disasters.Howard D, Zhang R, Huang Y, Kutner N. Hospitalization rates among dialysis patients during Hurricane Katrina. Prehosp Disaster Med. 2012;27(4):1-5.

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