IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i18p6531-d410473.html
   My bibliography  Save this article

Increased Medical Visits and Mortality among Adults with Cardiovascular Diseases in Severely Affected Areas after Typhoon Morakot

Author

Listed:
  • Hsin-I Shih

    (Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan
    School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Tzu-Yuan Chao

    (Department of Urban Planning, National Cheng Kung University, Tainan 70101, Taiwan)

  • Yi-Ting Huang

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Yi-Fang Tu

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Paediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan)

  • Tzu-Ching Sung

    (School of Medicine for International Students, I-Shou University, Kaohsiung 82445, Taiwan)

  • Jung-Der Wang

    (Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Chia-Ming Chang

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Division of Geriatrics & Gerontology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan 70403, Taiwan)

Abstract

Natural disasters have negative health impacts on chronic diseases in affected populations. Severely affected areas are usually rural areas with limited basic infrastructure and a population have that has limited access to optimal healthcare after a disaster. Patients with cardiovascular diseases are required to maintain quality care, especially after disasters. A population-based case-control study enrolled adults from the National Health Insurance Registry who had ischemic heart disease and cerebrovascular disease histories and lived in the area affected by Typhoon Morakot in 2009. Monthly medical visits for acute cerebrovascular and ischemic heart diseases markedly increased at approximately 1–2 months after the typhoon. Survival analysis during the two years following the typhoon indicated a significant increase in mortality in adults with an acute ischemic heart disease history who lived in the severely affected area. Mortality hazard analysis showed that among affected adults with previous cerebrovascular diseases and acute ischemic heart diseases, patients with diabetes (adjusted hazard ratio [HR]: 1.3–1.7), Chronic Kidney Disease (CKD) (adjusted HR: 2.0–2.7), chronic obstructive pulmonary diseases (COPD) and asthma (adjusted HR: 1.7–2.1), liver cirrhosis (adjusted HR: 2.3–3.3) and neoplasms (adjusted HR: 1.1–2.1) had significantly increased mortality rates. Consequently, high-quality and accessible primary healthcare plans should be made available to maintain and support affected populations after disasters.

Suggested Citation

  • Hsin-I Shih & Tzu-Yuan Chao & Yi-Ting Huang & Yi-Fang Tu & Tzu-Ching Sung & Jung-Der Wang & Chia-Ming Chang, 2020. "Increased Medical Visits and Mortality among Adults with Cardiovascular Diseases in Severely Affected Areas after Typhoon Morakot," IJERPH, MDPI, vol. 17(18), pages 1-16, September.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6531-:d:410473
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/18/6531/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/18/6531/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yu-Shu Yen & Dorji Harnod & Cheng-Li Lin & Tomor Harnod & Chia-Hung Kao, 2020. "Long-Term Mortality and Medical Burden of Patients with Chronic Obstructive Pulmonary Disease with and without Subsequent Stroke Episodes," IJERPH, MDPI, vol. 17(7), pages 1-11, April.
    2. Jejal Reddy Bathi & Himangshu S. Das, 2016. "Vulnerability of Coastal Communities from Storm Surge and Flood Disasters," IJERPH, MDPI, vol. 13(2), pages 1-12, February.
    3. Plough, A. & Fielding, J.E. & Chandra, A. & Williams, M. & Eisenman, D. & Wells, K.B. & Law, G.Y. & Fogleman, S. & Magaña, A., 2013. "Building community disaster resilience: Perspectives from a large urban county department of public health," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1190-1197.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Emily Ying Yang Chan & Holly Ching Yu Lam, 2021. "Research in Health-Emergency and Disaster Risk Management and Its Potential Implications in the Post COVID-19 World," IJERPH, MDPI, vol. 18(5), pages 1-3, March.
    2. Chia-Ming Chang & Tzu-Yuan Stessa Chao & Yi-Ting Huang & Yi-Fang Tu & Tzu-Ching Sung & Jung-Der Wang & Hsin-I Shih, 2021. "Maintaining Quality of Care among Dialysis Patients in Affected Areas after Typhoon Morakot," IJERPH, MDPI, vol. 18(14), pages 1-13, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mikhail Rogov & Céline Rozenblat, 2018. "Urban Resilience Discourse Analysis: Towards a Multi-Level Approach to Cities," Sustainability, MDPI, vol. 10(12), pages 1-21, November.
    2. Saud Alshehri & Yacine Rezgui & Haijiang Li, 2015. "Delphi-based consensus study into a framework of community resilience to disaster," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 75(3), pages 2221-2245, February.
    3. Yusuke Toyoda, 2021. "Survey paper: achievements and perspectives of community resilience approaches to societal systems," Asia-Pacific Journal of Regional Science, Springer, vol. 5(3), pages 705-756, October.
    4. Kai Wang & Zhe Wang & Jun Deng & Yuanyuan Feng & Quanfang Li, 2022. "Study on the Evaluation of Emergency Management Capacity of Resilient Communities by the AHP-TOPSIS Method," IJERPH, MDPI, vol. 19(23), pages 1-14, December.
    5. Patrick Cheong-Iao Pang & Wenjing Jiang & Guanwen Pu & Kin-Sun Chan & Ying Lau, 2022. "Social Media Engagement in Two Governmental Schemes during the COVID-19 Pandemic in Macao," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    6. Alan Kirschenbaum, 2021. "Reducing patient surge: community based social networks as first responders," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 108(1), pages 163-175, August.
    7. Syeda Nadia Kiran & Muhammad Farooq Iqbal & Irfan Mahmood, 2023. "Assessing the impacts of climate change on flooding under Coupled Model Intercomparison Project Phase 6 scenarios in the river Chenab, Pakistan," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 117(1), pages 1005-1033, May.
    8. Swarupa Paudel & Neekita Joshi & Ajay Kalra, 2023. "Projected Future Flooding Pattern of Wabash River in Indiana and Fountain Creek in Colorado: An Assessment Utilizing Bias-Corrected CMIP6 Climate Data," Forecasting, MDPI, vol. 5(2), pages 1-19, April.
    9. Benjamin F. Springgate & Armen C. Arevian & Ashley Wennerstrom & Arthur J. Johnson & David P. Eisenman & Olivia K. Sugarman & Catherine G. Haywood & Edward J. Trapido & Cathy D. Sherbourne & Ashley Ev, 2018. "Community Resilience Learning Collaborative and Research Network (C-LEARN): Study Protocol with Participatory Planning for a Randomized, Comparative Effectiveness Trial," IJERPH, MDPI, vol. 15(8), pages 1-16, August.
    10. Nati K. Phan & Samendra P. Sherchan, 2020. "Microbiological Assessment of Tap Water Following the 2016 Louisiana Flooding," IJERPH, MDPI, vol. 17(4), pages 1-14, February.
    11. Ming Zhong & Lu Xiao & Qian Zhang & Tao Jiang, 2021. "Risk Perception, Risk Communication, and Mitigation Actions of Flash Floods: Results from a Survey in Three Types of Communities," Sustainability, MDPI, vol. 13(22), pages 1-23, November.
    12. Ke Cui & Ziqiang Han & Dongming Wang, 2018. "Resilience of an Earthquake-Stricken Rural Community in Southwest China: Correlation with Disaster Risk Reduction Efforts," IJERPH, MDPI, vol. 15(3), pages 1-14, February.
    13. Elizabeth Bromley & David P. Eisenman & Aizita Magana & Malcolm Williams & Biblia Kim & Michael McCreary & Anita Chandra & Kenneth B. Wells, 2017. "How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project," IJERPH, MDPI, vol. 14(10), pages 1-14, October.
    14. Yunlan Zhang & Xiaomin Jiang & Feng Zhang, 2024. "Urban Flood Resilience Assessment of Zhengzhou Considering Social Equity and Human Awareness," Land, MDPI, vol. 13(1), pages 1-23, January.
    15. David Eisenman & Anita Chandra & Stella Fogleman & Aizita Magana & Astrid Hendricks & Ken Wells & Malcolm Williams & Jennifer Tang & Alonzo Plough, 2014. "The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience," IJERPH, MDPI, vol. 11(8), pages 1-16, August.
    16. Haoran Su & Chang Liu & Donghui Dai & Wenkai Chen & Zhen Zhang & Yaowu Wang, 2023. "Distribution Characteristics and Influencing Factors of the National Comprehensive Disaster-Reduction Demonstration Community in China," Land, MDPI, vol. 12(8), pages 1-30, August.
    17. Odeya Cohen & Stav Shapira & Limor Aharonson-Daniel & Judith Shamian, 2019. "Confidence in Health-Services Availability during Disasters and Emergency Situations—Does it Matter?—Lessons Learned from an Israeli Population Survey," IJERPH, MDPI, vol. 16(19), pages 1-12, September.
    18. Nicola Banwell & Shannon Rutherford & Brendan Mackey & Cordia Chu, 2018. "Towards Improved Linkage of Disaster Risk Reduction and Climate Change Adaptation in Health: A Review," IJERPH, MDPI, vol. 15(4), pages 1-18, April.
    19. Wenyan Pan & Mengwei Yan & Zhikun Zhao & Muhammad Awais Gulzar, 2022. "Flood Risk Assessment and Management in Urban Communities: The Case of Communities in Wuhan," Land, MDPI, vol. 12(1), pages 1-14, December.
    20. Bukvic, A. & Mitchell, A. & Shao, Y. & Irish, J.L., 2023. "Spatiotemporal implications of flooding on relocation risk in rural and urban coastal municipalities," Land Use Policy, Elsevier, vol. 132(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6531-:d:410473. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.