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Eyes of a Hurricane: The Effect of Hurricane Harvey on Ophthalmology Consultations at Houston’s County Hospital

Published online by Cambridge University Press:  05 April 2021

Jonathan A. Go ,
Maxwell Lee ,
Nicole L. Alexander ,
Mahmood Khan  and
Zaina Al-Mohtaseb
Jonathan A. Go
Affiliation:
Baylor College of Medicine, Houston, TX, USA
Maxwell Lee
Affiliation:
Baylor College of Medicine, Houston, TX, USA
Nicole L. Alexander
Affiliation:
Baylor College of Medicine, Houston, TX, USA
Mahmood Khan
Affiliation:
Weill Cornell Medical College, Department of Ophthalmology, New York, NY, USA
Zaina Al-Mohtaseb*
Affiliation:
Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA Department of Ophthalmology, Ben Taub General Hospital-Harris Health System, Houston, TX, USA
*
Corresponding author: Zaina Al-Mohtaseb, Email: Zaina@bcm.edu.
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Abstract

Objective:

This study aimed to characterize ophthalmology consultations ordered after Hurricane Harvey compared to consultations ordered during the same time period of the prior year.

Methods:

A retrospective chart review was performed at an urban, level 1 trauma center of a county hospital. All patients were included who received an electronic health record, documented ophthalmology consultation order between September 2017 and October 2017 (the time period immediately following Hurricane Harvey) or September 2016 and October 2016. Patient demographic risk factors were collected. Patient ICD10 clinical diagnoses were categorized as extraocular, intraocular, infectious, physiological, or other, and then subcategorized as trauma or non-trauma-related. A geographical heat map was generated to compare the changes in diagnosis volume by zip code to the magnitude of rainfall in the county.

Results:

Following Hurricane Harvey, ophthalmology consultation volume decreased, number of infectious ophthalmology diagnoses increased (P < 0.001), percentage of patients on immunosuppression increased (P < 0.001), and the number of private insurance payers increased while the number of county-funded insurance payers decreased (P = 0.003).

Conclusions:

The risk of infectious eye diagnosis was double the risk of traumatic eye diagnosis from Hurricane Harvey flooding. During public disaster planning, different ophthalmological medical resources and responses should be considered for flooding versus high-wind events.

Keywords

eyefloodhurricaneophthalmology
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e13
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

United States National Weather Service. Hurricane Harvey and its impacts on Southeast Texas. NWS Web News Stories. 2017. http://www.weather.gov/hgx/hurricaneharvey. Accessed March 26, 2021.Google Scholar
Harris County. Harris County Flood Control District activites since Harvey. Harris County Flood Control District. 2018. http://www.hcfcd.org/About/Harris-Countys-Flooding-History/Hurricane-Harvey. Accessed March 26, 2021.Google Scholar
Harris County. 1 Year since Harvey. Harris County Flood Control District. 2018. http://www.hcfcd.org/About/Harris-Countys-Flooding-History/Hurricane-Harvey. Accessed March 26, 2021.Google Scholar
Pines, JM. Freestanding emergency department visits and disasters: the case of Hurricane Harvey. Am J Emerg Med. 2018;36:1514. doi: 10.1016/j.ajem.2018.01.015.CrossRefGoogle ScholarPubMed
Carroll, AE, Frakt, AB. Children’s health must remain a focus in the recovery from Hurricane Harvey. JAMA Pediatr. 2017;171(11):1029–1030. doi: 10.1001/jamapediatrics.2017.3851.CrossRefGoogle ScholarPubMed
Horney, JA, Casillas, GA, Baker, E, et al. Comparing residential contamination in a Houston environmental justice neighborhood before and after Hurricane Harvey. PLoS One. 2018;13(2):1–16. doi: 10.1371/journal.pone.0192660.Google Scholar
Schwartz, RM, Tuminello, S, Kerath, SM, et al. Preliminary assessment of Hurricane Harvey exposures and mental health impact. Int J Environ Res Public Health. 2018;15:974. doi: 10.3390/ijerph15050974.CrossRefGoogle ScholarPubMed
Marquez, L, Koy, TH, Baker, CR, et al. Foodborne illness outbreak due to Staphylococcus aureus among hospital staff following Hurricane Harvey. Infect Control Hosp Epidemiol. 2018;0:1–2. doi: 10.1017/ice.2018.272.Google Scholar
Sridhar, J, Lam, BL, Pasol, J, Sternau, L. Three cases of fungal disease with neuro-ophthalmic manifestations associated with post-hurricane environment. J Neuroophthalmol. 2012;32(3):197–201. doi: 10.2217/FON.09.6.Dendritic.CrossRefGoogle Scholar
Davies, BW, Smith, JM, Hink, EM, Durairaj, VD. Increased incidence of rhino-orbital-cerebral mucormycosis after Colorado flooding. Ophthal Plast Reconstr Surg. 2017;33(3S):S148–S151. doi: 10.1097/IOP.0000000000000448.CrossRefGoogle ScholarPubMed
Jones, R. III Providing post-hurricane eye care. Arch Ophthalmol. 2006;124:1067. doi: 10.1001/archopht.124.7.1067-b.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Acute hemorrhagic conjunctivitis – St. Croix, U.S. Virgin Islands, September-October 1998. Morb Mortal Wkly Rep. 1998;47(42):899–901.Google Scholar
Xiong, HY, Lin, H, Xvi, H, et al. Post-earthquake outbreak of insecticide-associated conjunctivitis in a primary school of Lixian district, China: an epidemiological investigation. Public Health. 2010;124(6):332–338. doi: 10.1016/j.puhe.2010.02.017.CrossRefGoogle Scholar
Bich, TH, Quang, LN, Ha, LTT, et al. Impacts of flood on health: epidemiologic evidence from Hanoi, Vietnam. Glob Health Action. 2011;4:6356. doi: 10.3402/gha.v4i0.6356.CrossRefGoogle ScholarPubMed
Huang, LY, Wang, YC, Wu, CC, et al. Risk of flood-related diseases of eyes, skin and gastrointestinal tract in Taiwan: a retrospective cohort study. PLoS One. 2016;11(5):1–11. doi: 10.1371/journal.pone.0155166.Google ScholarPubMed
Osaadon, P, Tsumi, E, Pokroy, R, et al. Ocular morbidity in natural disasters: field hospital experience 2010–2015. Eye (Lond). 2018;32(11):1717–1722. doi: 10.1038/s41433-018-0167-3.CrossRefGoogle ScholarPubMed
Rao, SK, Lam, PTH, Li, EYM, et al. A case series of contact lens-associated Fusarium keratitis in Hong Kong. Cornea. 2007;26(10):1205–1209. doi: 10.1097/ICO.0b013e31813e32a6.CrossRefGoogle ScholarPubMed
Gorscak, JJ, Ayres, BD, Bhagat, N, et al. An outbreak of Fusarium keratitis associated with contact lens use in the Northeastern United States. Cornea. 2007;26(10):1187–1194. doi: 10.1097/ICO.0b013e318142b932.CrossRefGoogle ScholarPubMed
Epstein, AB. In the aftermath of the Fusarium keratitis outbreak: what have we learned? Clin Ophthalmol. 2007;1(4):355–366. PMCID: PMC2704532.Google ScholarPubMed
United States Census Bureau. Gazetteer Files. 2017. http://www.census.gov/geographies/reference-files/time-series/geo/gazetteer-files.html. Accessed March 26, 2021.Google Scholar
Armstrong, RA. When to use the Bonferroni correction. Ophthalmic Physiol Opt. 2014;34:502–508. doi: 10.1111/opo.12131.CrossRefGoogle ScholarPubMed
Lindner, J, Fitzgerald, S. Immediate report – final Hurricane Harvey – storm and flood information. 2018. https://www.hcfcd.org/media/2678/immediate-flood-report-final-hurricane-harvey-2017.pdf. Accessed August 1, 2018.Google Scholar
Jacob, R, Arnold, LD, Hunleth, J, et al. Daily hassles’ role in health seeking behavior among low-income populations. Am J Health Behav. 2014;38(2):297–306. doi: 10.5993/AJHB.38.2.15.CrossRefGoogle ScholarPubMed
Taber, JM, Leyva, B, Persoskie, A. Why do people avoid medical care? A qualitative study using national data. J Gen Intern Med. 2015;30(3):290–297. doi: 10.1007/s11606-014-3089-1.CrossRefGoogle ScholarPubMed
Pines, JM. Freestanding emergency department visits and disasters: the case of Hurricane Harvey. Am J Emerg Med. 2018;36(8):1513–1515. doi: 10.1016/j.ajem.2018.01.016.CrossRefGoogle ScholarPubMed
Kim, H, Schwartz, RM, Hirsch, J, et al. Effect of Hurricane Sandy on Long Island emergency departments visits. Disaster Med Public Health Prep. 2016;10(3):344–350. doi: 10.1017/dmp.2015.189.CrossRefGoogle Scholar
Jhung, MA, Shehab, N, Rohr-Allegrini, C, et al. Chronic disease and disasters medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207–210. doi: 10.1016/j.amepre.2007.04.030.CrossRefGoogle ScholarPubMed
Gnauck, KA, Nufer, KE, LaValley, JM, et al. Do pediatric and adult disaster victims differ? A descriptive analysis of clinical encounters from four natural disaster DMAT deployments. Prehosp Disaster Med. 2007;22(1):67–73. doi: 10.1017/s1049023x00004362.Google Scholar
Taylor, MM, Stokes, WS, Bajuscak, R, et al. Mobilizing mobile medical units for hurricane relief: the United States Public Health Service and Broward County Health Department response to Hurricane Wilma, Broward County, Florida. J Public Health Manag Pract. 2007;13(5):447–452. doi: 10.1097/01.PHH.0000285195.39179.7d.CrossRefGoogle ScholarPubMed
Noe, RS, Schnall, AH, Wolkin, AF, et al. Disaster-related injuries and illnesses treated by American Red Cross Disaster Health Services during Hurricanes Gustav and Ike. South Med J. 2013;106(1):102–108. doi: 10.1097/SMJ.0b013e31827c9e1f.CrossRefGoogle ScholarPubMed
Ochi, S, Hodgson, S, Landeg, O, et al. Disaster-driven evacuation and medication loss: a systematic literature review. PLoS Curr. 2014;6. doi: 10.1371/CURRENTS.DIS.FA417630B566A0C7DFDBF945910EDD96.Google ScholarPubMed
Heslin, KC, Gin, JL, Afable, MK, et al. Personal medication preparedness among veteran and nonveteran men and women in the California population. Prehosp Disaster Med. 2013;28(4):359–366. doi: 10.1017/S1049023X13003506.CrossRefGoogle ScholarPubMed
Rotheray, KR, Aitken, P, Goggins, WB, et al. Epidemiology of injuries due to tropical cyclones in Hong Kong: a retrospective observational study. Injury. 2012;43(12):2055–2059. doi: 10.1016/j.injury.2011.10.033.CrossRefGoogle Scholar
Wolf, KR, Taylor, ZA, Placek, SB, et al. Do resident case logs meet ACGME requirements? A comparison between acute care and elective cases. J Surg Educ. 2017;74(6):e45–e50. doi: 10.1016/j.jsurg.2017.11.004.CrossRefGoogle ScholarPubMed
Schwartz, RM, Tuminello, S, Kerath, SM, et al. Preliminary assessment of Hurricane Harvey exposures and mental health impact. Int J Environ Res Public Health. 2018;15(5):974. doi: 10.3390/ijerph15050974.CrossRefGoogle ScholarPubMed
Horney, JA, Casillas, GA, Baker, E, et al. Comparing residential contamination in a Houston environmental justice neighborhood before and after Hurricane Harvey. PLoS One. 2018;13(2):e0192660. doi: 10.1371/journal.pone.0192660.CrossRefGoogle Scholar
Miranda, ML. Hurricane Harvey Registry. 2018. https://www.harveyregistry.rice.edu/. Accessed June 6, 2019.Google Scholar
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