Display options
Cite
Chandra A, Marsh T, Madrigano J, et al. Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery. Rand Health Q. 2021;9(2):10
Chandra, A., Marsh, T., Madrigano, J., Simmons, M. M., Abir, M., Chan, E. W., Ryan, J., Nanda, N., Ziegler, M. D., & Nelson, C. (2021). Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery. Rand health quarterly, 9(2), 10.
Chandra, Anita, et al. "Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery." Rand health quarterly vol. 9,2 (2021): 10.
Chandra A, Marsh T, Madrigano J, Simmons MM, Abir M, Chan EW, Ryan J, Nanda N, Ziegler MD, Nelson C. Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery. Rand Health Q. 2021 Aug 16;9(2):10. eCollection 2021 Aug. PMID: 34484882; PMCID: PMC8383835.
Copy Download .nbib Format: NLM
Share it on

Rand Health Q. 2021 Aug 16;9(2):10. eCollection 2021 Aug.

Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery.

Rand health quarterly

Anita Chandra, Terry Marsh, Jaime Madrigano, Molly M Simmons, Mahshid Abir, Edward W Chan, Jamie Ryan, Nupur Nanda, Michelle D Ziegler, Christopher Nelson

PMID: 34484882 PMCID: PMC8383835

Abstract

"In September 2017, Puerto Rico was struck by two major hurricanes-Irma and Maria-that intensified existing challenges in Puerto Rico's health and social services infrastructure. In the aftermath, the government of Puerto Rico created a long-term recovery plan built on an evidence-based assessment of the damage from the hurricanes and the ongoing needs across Puerto Rico. Development of the recovery plan was supported by the Federal Emergency Management Agency, other federal agencies, local stakeholders, and analysis from the Homeland Security Operational Analysis Center (HSOAC), operated by RAND Corporation under contract with the U.S. Department of Homeland Security. HSOAC research provided the foundation for the 31 courses of action in the recovery plan addressing the health and social services sector. These actions are a mix of social, governmental, fiscal, and economic policies and reforms. This collection of actions presents an opportunity to build a more resilient health and social services infrastructure and regional health care networks to ensure reliable access to services, promote health and well-being, and more efficiently and effectively respond to public health crises and future disasters. The actions span the areas of health care, public health and emergency preparedness, environmental health, mental and behavioral health, and social services. The damage and needs assessment and courses of actions cover four major themes: building system capacity to respond both during disasters and routine times; strengthening the health and social services workforce; strengthening support services for at-need populations; and creating health-promoting communities.

Copyright © 2021 RAND Corporation.

Keywords: Critical Infrastructure Protection; Disaster Recovery Operations; Hurricanes; Natural Hazards; Puerto Rico

References

  1. Health Secur. 2016 Mar-Apr;14(2):55-63 - PubMed
  2. P R Health Sci J. 2012 Dec;31(4):192-8 - PubMed
  3. Disaster Med Public Health Prep. 2019 Sep 02;:1-9 - PubMed
  4. MMWR Morb Mortal Wkly Rep. 2015 Jun 26;64(24):668-72 - PubMed
  5. Am J Public Health. 2015 Nov;105(11):2212-3 - PubMed
  6. Environ Res. 2019 Feb;169:41-51 - PubMed
  7. Prehosp Disaster Med. 2007 Mar-Apr;22(2):149-51 - PubMed
  8. Am J Epidemiol. 2007 Apr 15;165(8):927-35 - PubMed

Publication Types