Injuries to professional volunteer responders post tropical-cyclone event; a systematic review. Öffentlichkeit

Abstract

Background:Tropical cyclones include Hurricanes, Typhoons and Tropical Storms. These events change communities, with a global reach and catastrophic effects. Volunteers often assist communities affected by tropical cyclones with rescue, response, and recovery. These volunteers can experience injury or illness or die while assisting after tropical cyclones. It is unknown what evidence exists on injury, illness, or deaths and prevention strategies or surveillance systems of professional volunteer disaster responders after tropical cyclone disasters.  

Methods:We conducted a systematic literature review of applicable and available public health, emergency management, humanitarian assistance, and disaster response literature from 2005-2018, providing data on the tropical cyclone researched, nature of injury, illness or death, year of impact of the tropical cyclone, disaster type, location of impact, article type, and country of research origin. 

Results:Through our searches we identified 1,045 resources, resulting in 261 original pieces of research, and 122 articles included in our review. 2 (<2%) of the 122 articles assessed the injuries, illnesses, and deaths specifically related to professional volunteer responders during a tropical cyclone event. 36 (30%) of the 122 articles were published in 2005, 30 (25%) of the articles were focused on Hurricane Katrina, 81 (66%) of the 122 articles assessed the nature of injury, illness, or death as unintentional injuries, illnesses, or deaths in tropical cyclone disasters, 44 (36%) of the 122 articles assessed mental or spiritual health as the nature of injury illness or death in tropical cyclone disasters and 41 (34%) of the 122 articles assessed trauma as the nature of injury illness or death in tropical cyclone disasters. 

Conclusions:While there is a body of evidence on health impacts of tropical cyclones, little, if any evidence exists on the injury, illness, or deaths of professional volunteer responders active in the rescue, response, or recovery phase of a tropical cyclone disaster occurring since 2005. Implementation of the Emergency Responder Health Monitoring and Surveillance (ERHMS) framework would greatly benefit the efforts of understanding these tropical cyclone disasters and their impacts on professional volunteer responders active in assisting affected communities. 

Table of Contents

1.     Acronyms:………………………………………………………………………………2

2.     Introduction:…………………………………………………………………………….3

3.     Overview:……………………………………………………………………………….4

a.     Figure 1………………………………………………………………………...5

4.     The Systematic Review & Research Questions: ……………………………………….9 

5.     Thesis Statement: ……………………………………………………………………...11

6.     Methods: ………………………………………………………………………………12

a.     Table 1 ………………………………………………………………………..13

b.     Table 2 ………………………………………………………………………..16

7.     Findings: ………………………………………………………………………………17

a.     Figure 2 ……………………………………………………………………….18

b.     Figure 3 ……………………………………………………………………….20

c.     Figure 4 ……………………………………………………………………….21

d.     Figure 5 ……………………………………………………………………….23

e.     Figure 6 ……………………………………………………………………….24

f.     Figure 7 ……………………………………………………………………….25

g.     Figure 8 ……………………………………………………………………….26

8.     Discussion: …………………………………………………………………………….32

9.     Conclusions: …………………………………………………………………………...37

10.  Appendix A: MeteorologicalDefinitions: ……………………………………………..38

11.  Appendix B: List of Selected References: ……………………………………………..40

12.  Appendix C: Articles, Sources and Tables: ……………………………………………47

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Meteorology Health Sciences, Public Health Sociology, Public and Social Welfare
Stichwort	Disaster Response Meteorology Typhoon Tropical Cyclone Emergency Management Complex Humanitarian Emergencies Hurricane Public Health Sociology Emergency Volunteer Infectious Disease First Responders Global Health Community Health Disaster Humanitarian Assistance Climate Change
Committee Chair / Thesis Advisor	Ali, Mohammed K. MD, MSc, MBA, Emory University
Committee Members	Martin, Lara S. MA, MPH, Emory University
Partnering Agencies	International Non-governmental organization (e.g., CARE, Inc.) US (Federal) agency other than CDC Emory University schools, faculty or affiliated programs International governmental organization (e.g., Agency for International Development, etc.) National or regional non-profit organization (e.g., American Cancer Society)

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