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Factors that support public health infrastructure recovery in Puerto Rico and US Virgin Islands after Hurricanes Irma and Maria.
Luna-Pinto, S Carolina; Ramos, Jessica Irizarry; Gonzalez, Yanelis; Cartagena, Nairimer Berrios; Taveras, Samuel.
Afiliação
  • Luna-Pinto SC; Centers for Disease Control and Prevention/Office of Minority Health & Health Equity, Atlanta, Georgia.
  • Ramos JI; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Gonzalez Y; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Cartagena NB; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Taveras S; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia.
J Emerg Manag ; 22(2): 129-138, 2024.
Article em En | MEDLINE | ID: mdl-38695710
ABSTRACT
This paper describes the factors that support recovery of public health infrastructure (PHI), including conditions that facilitated or hindered recovery in United States (US) territories impacted by hurricanes Irma and Maria. A deductive approach was used to categorize data from five organizations that received crisis hurricane recovery (CHR) funds from the Centers for Disease Control and Prevention.* Spending was grouped into five infrastructure gaps (1) human resources, (2) informatic upgrades, (3) equipment, (4) minor repairs, and (5) preventive maintenance. Unanticipated PHI costs, facilitators, and hinderances to PHI recovery were identified. Most (72 percent) of the $53,529,823 CHR funding was used to address infrastructure gaps in (1) human resources (56 percent), (2) informatics (16 percent), (3) equipment (13 percent), (4) minor repairs (10 percent), and (5) preventive maintenance (5 percent). Most of the requests (56 percent) to redirect funds were associated with unanticipated costs in initial work plans and budgets. The use of administrative partners, planning tools, dedicated staff, streamlined procedures, eg, contracts, and cost sharing facilitated PHI recovery. The most common hindrance to PHI recovery were delays in procurement and shipping. In summary, investments in dedicated funding to upgrade, repair, or replace critical structures and systems for infectious disease surveillance, laboratory capacity, vector control, environmental health inspections, and vaccine storage and administration in Puerto Rico and the US Virgin Islands after Hurricanes Irma and Maria contributed to their recovery capacity. These findings may inform funding and resource allocation considerations for PHI recovery in the US territories.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Planejamento em Desastres / Tempestades Ciclônicas / Infraestrutura de Saúde Pública País/Região como assunto: America do norte / Caribe / Caribe ingles / Islas virgenes de los estados unidos / Puerto rico Idioma: En Revista: J Emerg Manag Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Geórgia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Planejamento em Desastres / Tempestades Ciclônicas / Infraestrutura de Saúde Pública País/Região como assunto: America do norte / Caribe / Caribe ingles / Islas virgenes de los estados unidos / Puerto rico Idioma: En Revista: J Emerg Manag Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Geórgia País de publicação: Estados Unidos