Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 426-432 , April 2008

Burden of Disease and Health Status Among Hurricane Katrina–Displaced Persons in Shelters: A Population-Based Cluster Sample

  • P. Gregg Greenough, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA
    • Harvard Humanitarian Initiative, Harvard University, Boston, MA
    • Corresponding Author InformationAddress for reprints: P. Gregg Greenough, MD, MPH, Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115; 617-384-5857, fax 617-384-5988
    • ,
  • Michael D. Lappi, DO, PhD

      Affiliations

    • Harvard Humanitarian Initiative, Harvard University, Boston, MA
    • ,
  • Edbert B. Hsu, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Johns Hopkins Medical Institutions, Baltimore, MD
    • Center for Emergency Preparedness and Response, Johns Hopkins University, Baltimore, MD
    • ,
  • Sheri Fink, MD, PhD

      Affiliations

    • Harvard Humanitarian Initiative, Harvard University, Boston, MA
    • ,
  • Yu-Hsiang Hsieh, PhD

      Affiliations

    • Department of Emergency Medicine, Johns Hopkins Medical Institutions, Baltimore, MD
    • Center for Emergency Preparedness and Response, Johns Hopkins University, Baltimore, MD
    • ,
  • Alexander Vu, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Johns Hopkins Medical Institutions, Baltimore, MD
    • Center for Refugee and Disaster Response, Johns Hopkins University, Baltimore, MD.
    • ,
  • Clay Heaton, MPH

      Affiliations

    • Harvard Humanitarian Initiative, Harvard University, Boston, MA
    • ,
  • Thomas D. Kirsch, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Johns Hopkins Medical Institutions, Baltimore, MD
    • Center for Refugee and Disaster Response, Johns Hopkins University, Baltimore, MD.

Received 20 July 2006 ,Revised 7 March 2007 ,Accepted 4 April 2007.

References 

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  2. Louisiana Geographic Information Center. Louisiana Hurricane Impact Atlas. 2005;
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  10. Grein T, Checchi F, Escriba J, et al. Mortality among displaced former UNITA members and their families in Angola: a retrospective cluster survey. BMJ. 2003;327:650–654
  11. Centers for Disease Control and Prevention. Atlanta GA: Probability proportional to size cluster sampling. http://www.cdc.gov/descd/MiniModules/PPS/page02.htmAccessed May 31, 2006
  12. Knox SA, Chondros P. Observed intra-cluster correlation coefficients in a cluster survey sample of patient encounters in general practice in Australia. BMC Med Res Methodol. 2004;4:30
  13. US Census Bureau. State & county quick facts. http://quickfacts.census.gov/qfd/states/22/22071.htmlAccessed May 31, 2006
  14. US Census Bureau. Homeownership rates by age of householder and household type: 1985 to 2005. http://www.census.gov/compendia/statab/construction_housingAccessed February 22, 2007
  15. US Census Bureau. Income, Poverty and Health Insurance Coverage in the United States: 2004. US Census Bureau; 2005;
  16. Arnold JL. Disaster medicine in the 21st century: future hazards, vulnerabilities, and risk. Prehosp Disaster Med. 2002;17:3–11
  17. US Census Bureau. State rankings—statistical abstracts of the United States. http://www.census.govAccessed May 31, 2006
  18. Bureau of Labor Statistics. US Department of Labor, 2005. http://www.bls.govAccessed May 31, 2006
  19. Centers for Disease Control and Prevention. National Center for Health Statistics. 2002. http://www.cdc.gov/nchsAccessed May 31, 2006
  20. The Sphere Project. The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response. Geneva, Switzerland: The Sphere Project; 2004;http://www.sphereproject.orgAccessed May 31, 2006

 Supervising editors: Eric K. Noji, MD, MPH; William G. Barsan, MD

 Author contributions: PGG designed the study and developed the sampling frame. PGG, MDL, EBH, SF, and TDK developed the questionnaire. PGG deployed the teams. PGG, MDL, and EBH designed the data analysis. PGG, MDL, EBH, and SF helped write the article. MDL and SF helped coordinate field activity. MDL coordinated data collection. MDL and SF oversaw field management of data. SF trained and coordinated field teams on the questionnaire and sampling frame. Y-HH, AV, and CH conducted cleaning of the data set. Y-HH conducted all statistical analysis and designed graphs, the figure, and tables. AV conducted data entry. CH developed the field database. TDK coordinated Red Cross activity and logistics. PGG takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. The American Red Cross provided travel and lodging for study personnel.

 Publication dates: Available online June 20, 2007.

PII: S0196-0644(07)00449-0

doi: 10.1016/j.annemergmed.2007.04.004

Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 426-432 , April 2008

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