Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma

Abstract Two category 5 hurricanes, Irma and Maria, arrived in the Caribbean in September 2017 in rapid succession. On September 6, Irma devastated the islands of St. Thomas and St. John, in the Virgin Islands of the United States (USVI). Most medical infrastructure was damaged, including hemodialys...

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Autores principales:	Guillermo J. Avilés Mendoza, Kristen P. Finne, Francisco Torre Leon, Lisandro Montalvo Burke, Jessica Cabrera-Marquez, Ana M. Mercado Casillas, Grasiela Malave, Christopher Brown, Jeffrey Kelman, Jeffrey B. Kopp
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Disaster response Special needs population Access and functional needs Disaster shelters End-stage renal disease dialysis Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fd772a0eb48347bcbf377be19cac2822
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spelling	oai:doaj.org-article:fd772a0eb48347bcbf377be19cac28222021-11-21T12:06:08ZObservations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma10.1186/s12913-021-07194-61472-6963https://doaj.org/article/fd772a0eb48347bcbf377be19cac28222021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07194-6https://doaj.org/toc/1472-6963Abstract Two category 5 hurricanes, Irma and Maria, arrived in the Caribbean in September 2017 in rapid succession. On September 6, Irma devastated the islands of St. Thomas and St. John, in the Virgin Islands of the United States (USVI). Most medical infrastructure was damaged, including hemodialysis facilities, paralyzing dialysis operations. After Irma’s landfall, Puerto Rico served as a safehaven for thousands of displaced and repatriated persons from the impacted islands. These included a cohort of 129 hemodialysis patients evacuated from St. Thomas, USVI to San Juan, Puerto Rico from September 9−11, 2017. The hemodialysis patients arrived first at hotels in San Juan and were then transferred to a Special Needs Shelter, run by the Commonwealth of Puerto Rico and located in the Puerto Rico Convention Center. With the imminent arrival of Hurricane Maria, most patients were evacuated on September 19 to a special needs shelter on the campus of the Florida International University, in Miami, Florida. While in San Juan, hemodialysis treatments were provided by local nephrologists working with local hemodialysis centers. Here, we describe the challenges and the emergency management actions taken to ensure continuity of care, including providing dialysis, general medical care, shelter, food and transportation for USVI dialysis patients during their stay in San Juan, Puerto Rico. We describe here the experiences of federal and host state/territorial officials in the special needs shelter, in the context of the state/territorial and federal response to disasters, in order to provide ideas about challenges, solutions, and approaches to coordinating care for dialysis patients evacuated from a disaster.Guillermo J. Avilés MendozaKristen P. FinneFrancisco Torre LeonLisandro Montalvo BurkeJessica Cabrera-MarquezAna M. Mercado CasillasGrasiela MalaveChristopher BrownJeffrey KelmanJeffrey B. KoppBMCarticleDisaster responseSpecial needs populationAccess and functional needsDisaster sheltersEnd-stage renal diseasedialysisPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Disaster response Special needs population Access and functional needs Disaster shelters End-stage renal disease dialysis Public aspects of medicine RA1-1270
spellingShingle	Disaster response Special needs population Access and functional needs Disaster shelters End-stage renal disease dialysis Public aspects of medicine RA1-1270 Guillermo J. Avilés Mendoza Kristen P. Finne Francisco Torre Leon Lisandro Montalvo Burke Jessica Cabrera-Marquez Ana M. Mercado Casillas Grasiela Malave Christopher Brown Jeffrey Kelman Jeffrey B. Kopp Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
description	Abstract Two category 5 hurricanes, Irma and Maria, arrived in the Caribbean in September 2017 in rapid succession. On September 6, Irma devastated the islands of St. Thomas and St. John, in the Virgin Islands of the United States (USVI). Most medical infrastructure was damaged, including hemodialysis facilities, paralyzing dialysis operations. After Irma’s landfall, Puerto Rico served as a safehaven for thousands of displaced and repatriated persons from the impacted islands. These included a cohort of 129 hemodialysis patients evacuated from St. Thomas, USVI to San Juan, Puerto Rico from September 9−11, 2017. The hemodialysis patients arrived first at hotels in San Juan and were then transferred to a Special Needs Shelter, run by the Commonwealth of Puerto Rico and located in the Puerto Rico Convention Center. With the imminent arrival of Hurricane Maria, most patients were evacuated on September 19 to a special needs shelter on the campus of the Florida International University, in Miami, Florida. While in San Juan, hemodialysis treatments were provided by local nephrologists working with local hemodialysis centers. Here, we describe the challenges and the emergency management actions taken to ensure continuity of care, including providing dialysis, general medical care, shelter, food and transportation for USVI dialysis patients during their stay in San Juan, Puerto Rico. We describe here the experiences of federal and host state/territorial officials in the special needs shelter, in the context of the state/territorial and federal response to disasters, in order to provide ideas about challenges, solutions, and approaches to coordinating care for dialysis patients evacuated from a disaster.
format	article
author	Guillermo J. Avilés Mendoza Kristen P. Finne Francisco Torre Leon Lisandro Montalvo Burke Jessica Cabrera-Marquez Ana M. Mercado Casillas Grasiela Malave Christopher Brown Jeffrey Kelman Jeffrey B. Kopp
author_facet	Guillermo J. Avilés Mendoza Kristen P. Finne Francisco Torre Leon Lisandro Montalvo Burke Jessica Cabrera-Marquez Ana M. Mercado Casillas Grasiela Malave Christopher Brown Jeffrey Kelman Jeffrey B. Kopp
author_sort	Guillermo J. Avilés Mendoza
title	Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
title_short	Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
title_full	Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
title_fullStr	Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
title_full_unstemmed	Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma
title_sort	observations from the emergency management of dialysis patients evacuated from the us virgin islands to puerto rico following hurricane irma
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fd772a0eb48347bcbf377be19cac2822
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Observations from the emergency management of dialysis patients evacuated from the US Virgin Islands to Puerto Rico following hurricane Irma

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