Purpose of Review
Power outages, a common and underappreciated consequence of natural disasters, are increasing in number and severity due to climate change and aging electricity grids. This narrative review synthesizes the literature on power outages and health in communities.
We searched Google Scholar and PubMed for English language studies with titles or abstracts containing “power outage” or “blackout.” We limited papers to those that explicitly mentioned power outages or blackouts as the exposure of interest for health outcomes among individuals living in the community. We also used the reference list of these studies to identify additional studies. The final sample included 50 articles published between 2004 and 2020, with 17 (34%) appearing between 2016 and 2020. Exposure assessment remains basic and inconsistent, with 43 (86%) of studies evaluating single, large-scale power outages. Few studies used spatial and temporal control groups to assess changes in health outcomes attributable to power outages. Recent research linked data from electricity providers on power outages in space and time and included factors such as number of customers affected and duration to estimate exposure.
The existing literature suggests that power outages have important health consequences ranging from carbon monoxide poisoning, temperature-related illness, gastrointestinal illness, and mortality to all-cause, cardiovascular, respiratory, and renal disease hospitalizations, especially for individuals relying on electricity-dependent medical equipment. Nonetheless the studies are limited, and more work is needed to better define and capture the relevant exposures and outcomes. Studies should consider modifying factors such as socioeconomic and other vulnerabilities as well as how community resiliency can minimize the adverse impacts of widespread major power outages.
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Haes Alhelou H, Hamedani-Golshan ME, Njenda TC, Siano P. A survey on power system blackout and cascading events: research motivations and challenges. Energies. 2019;12(4):682.
Küfeoğlu S, Prittinen S, Lehtonen M. A summary of the recent extreme weather events and their impacts on electricity. Int Rev Electr Eng. 2014;9(4):821–8.
Matthewman S, Byrd H. Blackouts: a sociology of electrical power failure. Social Space (Przestrzeń Społeczna). 2013:31–55.
Auffhammer M, Baylis P, Hausman CH. Climate change is projected to have severe impacts on the frequency and intensity of peak electricity demand across the United States. Proc Natl Acad Sci U S A. 2017;114(8):1886–91.
Horton R, Rosenzweig C, Gornitz V, Bader D, O’Grady M. Climate risk information: climate change scenarios & implications for NYC infrastructure New York City panel on climate change. Ann N Y Acad Sci. 2010;1196(1):147–228.
Pachauri RK, Allen MR, Barros VR, Broome J, Cramer W, Christ R, et al. Climate change 2014: synthesis report. Contribution of Working Groups I, II and III to the fifth assessment report of the Intergovernmental Panel on Climate Change: IPCC; 2014.
The World Bank. Power Outages in Firms in a Typical Month 2020. Available from: https://data.worldbank.org/indicator/IC.ELC.OUTG. Accessed 4 Aug 2020.
Laghari J, Mokhlis H, Bakar A, Mohamad H. Application of computational intelligence techniques for load shedding in power systems: a review. Energy Convers Manag. 2013;75:130–40.
U.S. Energy Information Administration. EIA projects less than a quarter of the world’s electricity generated from coal by 2050. 2020 Available from: https://www.eia.gov/todayinenergy/detail.php?id=42555. Accessed 29 Jul 2020.
Mukherjee S, Nateghi R, Hastak M. Data on major power outage events in the continental. US Data Brief. 2018;19:2079–83.
U.S. Energy Information Administration. Average U.S. electricity customer interruptions totaled nearly 8 hours in 2017. 2018. Available from: https://www.eia.gov/todayinenergy/detail.php?id=37652. Accessed 4 June 2019.
Kenward A, Raja U. Blackout: Extreme weather, climate change, and power outages. Princeton; 2014.
U.S. Department of Energy. OE-417: Electric Emergency Incident and Disturbance Report. Available from: https://www.oe.netl.doe.gov/OE417/. Accessed 10 Aug 2020.
Hines P, Apt J, Talukdar S. Large blackouts in North America: historical trends and policy implications. Energ Policy. 2009;37(12):5249–59.
Eaton. Blackout Tracker United States Annual Report 2018. United States; 2019.
The President’s National Infrastructure Advisory Council. Surviving a catastrophic power outage: how to strengthen the capabilities of the nation 2018. Available from: https://www.cisa.gov/publication/niac-catastrophic-power-outage-study. Accessed 31 Jul 2020.
Eto J. Final report on the August 14, 2003 blackout in the United States and Canada: causes and recommendations. Washington, DC: US-Canada Power System Outage Task Force; 2004.
Aon Benfield. Hurricane Sandy Event Recap Report: Impact Forecasting. Available from: http://thoughtleadership.aonbenfield.com/Documents/20130514_if_hurricane_sandy_event_recap.pdf. Accessed 14 Aug 2020.
Rubin GJ, Rogers MB. Behavioural and psychological responses of the public during a major power outage: a literature review. Int J Disaster Risk Reduct. 2019;101226.
• Li L, Ma Z, Cao T. Leveraging social media data to study the community resilience of New York City to 2019 power outage. Int J Disaster Risk Reduct. 2020:101776 This study illustrated the utility of using Twitter data to track psychosocial stress during and after power outages.
Chakalian PM, Kurtz LC, Hondula DM. After the lights go out: household resilience to electrical grid failure following hurricane Irma. Nat Hazards Rev. 2019;20(4):05019001.
Lemieux F. The impact of a natural disaster on altruistic behaviour and crime. Disasters. 2014;38(3):483–99.
Klinger C, Landeg O, Murray V. Power outages, extreme events and health: a systematic review of the literature from 2011-2012. PLoS Curr. 2014;6.
Bean R, Snow S, Glencross M, Viller S, Horrocks N. Keeping the power on to home medical devices. PLoS One. 2020;15(7):e0235068.
Molinari NA, Chen B, Krishna N, Morris T. Who’s at risk when the power goes out? The at-home electricity-dependent population in the United States, 2012. J Public Health Manag Pract. 2017;23(2):152–9.
Casey JA, Mango M, Mullendore S, Kiang MV, Hernández D, Li BH, et al. Trends from 2008–2018 in electricity-dependent durable medical equipment rentals and sociodemographic disparities. Under Rev. 2020.
Bethel JW, Foreman AN, Burke SC. Disaster preparedness among medically vulnerable populations. Am J Prev Med. 2011;40(2):139–43.
Cox K, Kim B. Race and income disparities in disaster preparedness in old age. J Gerontol Soc Work. 2018;61(7):719–34.
Dominianni C, Ahmed M, Johnson S, Blum M, Ito K, Lane K. Power outage preparedness and concern among vulnerable New York City residents. J Urban Health. 2018;95(5):716–26.
•• Gehringer C, Rode H, Schomaker M. The effect of electrical load shedding on pediatric hospital admissions in South Africa. Epidemiology. 2018;29(6):841–7 Identified power outages using a combination of social media and government data and applied causal inference methods to estimate the public health-relevant average treatment effect.
Liévanos RS, Horne C. Unequal resilience: the duration of electricity outages. Energ Policy. 2017;108:201–11.
Roman MO, Stokes EC, Shrestha R, Wang Z, Schultz L, Carlo EAS, et al. Satellite-based assessment of electricity restoration efforts in Puerto Rico after Hurricane Maria. PLoS One. 2019;14(6):e0218883.
Yabe T, Ukkusuri SV. Effects of income inequality on evacuation, reentry and segregation after disasters. Transp Res D Transp Environ. 2020;82:102260.
Burger J, Gochfeld M, Lacy C. Ethnic differences in risk: experiences, medical needs, and access to care after hurricane Sandy in New Jersey. J Toxicol Environ Health A. 2019;82(2):128–41.
Jessel S, Sawyer S, Hernandez D. Energy, poverty, and health in climate change: a comprehensive review of an emerging literature. Front Public Health. 2019;7:357.
Irwin BR, Hoxha K, Grépin KA. Conceptualising the effect of access to electricity on health in low- and middle-income countries: a systematic review. Glob Public Health. 2020;15(3):452–73.
Adair-Rohani H, Zukor K, Bonjour S, Wilburn S, Kuesel AC, Hebert R, et al. Limited electricity access in health facilities of sub-Saharan Africa: a systematic review of data on electricity access, sources, and reliability. Glob Health Sci Pract. 2013;1(2):249–61.
Chawla S, Kurani S, Wren SM, Stewart B, Burnham G, Kushner A, et al. Electricity and generator availability in LMIC hospitals: improving access to safe surgery. J Surg Res. 2018;223:136–41.
Anderson GB, Bell ML. Lights out: impact of the August 2003 power outage on mortality in New York, NY. Epidemiology. 2012;23(2):189–93.
Freese J, Richmond NJ, Silverman RA, Braun J, Kaufman BJ, Clair J. Impact of a citywide blackout on an urban emergency medical services system. Prehosp Disaster Med. 2006;21(6):372–8.
Gotanda H, Fogel J, Husk G, Levine JM, Peterson M, Baumlin K, et al. Hurricane Sandy: impact on emergency department and hospital utilization by older adults in Lower Manhattan, New York (USA). Prehosp Disaster Med. 2015;30(5):496–502.
Greenstein J, Chacko J, Ardolic B, Berwald N. Impact of Hurricane Sandy on the Staten Island University hospital emergency department. Prehosp Disaster Med. 2016;31(3):335–9.
Imperato PJ. Public health concerns associated with the New York City blackout of 1977. J Community Health. 2016;41(4):707–16.
Johnson-Arbor KK, Quental AS, Li D. A comparison of carbon monoxide exposures after snowstorms and power outages. Am J Prev Med. 2014;46(5):481–6.
Klein KR, Herzog P, Smolinske S, White SR. Demand for poison control center services "surged" during the 2003 blackout. Clin Toxicol. 2007;45(3):248–54.
Kobayashi S, Hanagama M, Yamanda S, Satoh H, Tokuda S, Kobayashi M, et al. Impact of a large-scale natural disaster on patients with chronic obstructive pulmonary disease: the aftermath of the 2011 Great East Japan Earthquake. Respir Investig. 2013;51(1):17–23.
Lin S, Fletcher BA, Luo M, Chinery R, Hwang SA. Health impact in New York City during the northeastern blackout of 2003. Public Health Rep. 2011;126(3):384–93.
Marx MA, Rodriguez CV, Greenko J, Das D, Heffernan R, Karpati AM, et al. Diarrheal illness detected through syndromic surveillance after a massive power outage: New York City, August 2003. Am J Public Health. 2006;96(3):547–53.
Mizuno K, Okamoto-Mizuno K. Actigraphically evaluated sleep on the days surrounding the Great East Japan Earthquake. Nat Hazards. 2014;72(2):969–81.
Platz E, Cooper HP, Silvestri S, Siebert CF. The impact of a series of hurricanes on the visits to two Central Florida emergency departments. J Emerg Med. 2007;33(1):39–46.
Rand DA, Mener DJ, Lerner EB, DeRobertis N. The effect of an 18-hour electrical power outage on an urban emergency medical services system. Prehosp Emerg Care. 2005;9(4):391–7.
• Smith JY, Sow MM. Access to e-prescriptions and related technologies before and after Hurricanes Harvey, Irma, and Maria. Health Aff (Millwood). 2019;38(2):205–11 This retrospective study used a U.S. national health information network that transmits 1.7 billion e-prescriptions annually to assess the relationship between Hurricanes Harvey, Irma, and Maria and changes in provider prescribing activity.
Kearns RD, Wigal MS, Fernandez A, Tucker MA Jr, Zuidgeest GR, Mills MR, et al. The 2012 derecho: emergency medical services and hospital response. Prehosp Disaster Med. 2014;29(5):542–5.
Audin C. Carbon monoxide poisoning following a natural disaster: a report on Hurricane Rita. J Emerg Nurs. 2006;32(5):409–11.
Broder J, Mehrotra A, Tintinalli J. Injuries from the 2002 North Carolina ice storm, and strategies for prevention. Injury. 2005;36(1):21–6.
Bromet EJ, Clouston S, Gonzalez A, Kotov R, Guerrera KM, Luft BJ. Hurricane Sandy exposure and the mental health of World Trade Center responders. J Trauma Stress. 2017;30(2):107–14.
Cukor J, Restuccia M. Carbon monoxide poisoning during natural disasters: the Hurricane Rita experience. J Emerg Med. 2007;33(3):261–4.
Falise AM, Griffin I, Fernandez D, Rodriguez X, Moore E, Barrera A, et al. Carbon monoxide poisoning in Miami-Dade County following Hurricane Irma in 2017. Disaster Med Public Health Prep. 2019;13(1):94–6.
Fife CE, Smith LA, Maus EA, McCarthy JJ, Koehler MZ, Hawkins T, et al. Dying to play video games: carbon monoxide poisoning from electrical generators used after hurricane Ike. Pediatrics. 2009;123(6):e1035–8.
Gulati RK, Kwan-Gett T, Hampson NB, Baer A, Shusterman D, Shandro JR, et al. Carbon monoxide epidemic among immigrant populations: King County, Washington, 2006. Am J Public Health. 2009;99(9):1687–92.
Iseki K, Hayashida A, Shikama Y, Goto K, Tase C. An outbreak of carbon monoxide poisoning in Yamagata Prefecture following the Great East Japan Earthquake. Asia Pac J Med Toxicol. 2013;2(2):37–41.
Jani AA, Fierro M, Kiser S, Ayala-Simms V, Darby DH, Juenker S, et al. Hurricane Isabel-related mortality—Virginia, 2003. J Public Health Manag Pract. 2006;12(1):97–102.
Kile JC, Skowronski S, Miller MD, Reissman SG, Balaban V, Klomp RW, et al. Impact of 2003 power outages on public health and emergency response. Prehosp Disaster Med. 2005;20(2):93–7.
Klein JG, Alter SM, Paley RJ, Hughes PG, Clayton LM, Benda W, et al. Carbon monoxide poisoning at a Florida Hospital following Hurricane Irma. Am J Emerg Med. 2019;37(9):1800–1.
Lutterloh EC, Iqbal S, Clower JH, Spiller HA, Riggs MA, Sugg TJ, et al. Carbon monoxide poisoning after an ice storm in Kentucky, 2009. Public Health Rep. 2011;126(Suppl 1):108–15.
Muscatiello NA, Babcock G, Jones R, Horn E, Hwang SA. Hospital emergency department visits for carbon monoxide poisoning following an October 2006 snowstorm in western New York. J Environ Health. 2010;72(6):43–8.
Nakayama T, Tanaka S, Uematsu M, Kikuchi A, Hino-Fukuyo N, Morimoto T, et al. Effect of a blackout in pediatric patients with home medical devices during the 2011 eastern Japan earthquake. Brain Dev. 2014;36(2):143–7.
Prezant DJ, Clair J, Belyaev S, Alleyne D, Banauch GI, Davitt M, et al. Effects of the August 2003 blackout on the New York City healthcare delivery system: a lesson for disaster preparedness. Crit Care Med. 2005;33(1 Suppl):S96–101.
Schnall A, Law R, Heinzerling A, Sircar K, Damon S, Yip F, et al. Characterization of carbon monoxide exposure during Hurricane Sandy and subsequent Nor'easter. Disaster Med Public Health Prep. 2017;11(5):562–7.
Styles T, Przysiecki P, Archambault G, Sosa L, Toal B, Magri J, et al. Two storm-related carbon monoxide poisoning outbreaks-Connecticut, October 2011 and October 2012. Arch Environ Occup Health. 2015;70(5):291–6.
Van Sickle D, Chertow DS, Schulte JM, Ferdinands JM, Patel PS, Johnson DR, et al. Carbon monoxide poisoning in Florida during the 2004 hurricane season. Am J Prev Med. 2007;32(4):340–6.
Baer A, Elbert Y, Burkom HS, Holtry R, Lombardo JS, Duchin JS. Usefulness of syndromic data sources for investigating morbidity resulting from a severe weather event. Disaster Med Public Health Prep. 2011;5(1):37–45.
Burlando A. Power outages, power externalities, and baby booms. Demography. 2014;51(4):1477–500.
Burlando A. Transitory shocks and birth weights: evidence from a blackout in Zanzibar. J Dev Econ. 2014;108:154–68.
Moreno J, Shaw D. Community resilience to power outages after disaster: a case study of the 2010 Chile earthquake and tsunami. Int J Disaster Risk Reduct. 2019;34:448–58.
• Nakajima M, Aso S, Matsui H, Fushimi K, Yamaguchi Y, Yasunaga H. Disaster-related carbon monoxide poisoning after the Great East Japan Earthquake, 2011: a nationwide observational study. Acute Med Surg. 2019;6(3):294–300 This study used an inpatient database to compare counts carbon monoxide poisoning before and after among disaster-exposed and unexposed regions following the 2011 Japanese Earthquake.
Rajaram N, Hohenadel K, Gattoni L, Khan Y, Birk-Urovitz E, Li L, et al. Assessing health impacts of the December 2013 ice storm in Ontario, Canada. BMC Public Health. 2016;16:544.
Pirard P, Goria S, Nguengang Wakap S, Galey C, Motreff Y, Guillet A, et al. No increase in drug dispensing for acute gastroenteritis after Storm Klaus, France 2009. J Water Health. 2015;13(3):737–45.
•• Xiao J, Huang M, Zhang W, Rosenblum A, Ma W, Meng X, et al. The immediate and lasting impact of Hurricane Sandy on pregnancy complications in eight affected counties of New York State. Sci Total Environ. 2019;678:755–60 This time-series study used database contained 95% of New York hospitalizations and finds evidence of increased acute and chronic ED visits for pregnancy complications after Hurricane Sandy.
•• Dominianni C, Lane K, Johnson S, Ito K, Matte T. Health impacts of citywide and localized power outages in New York City. Environ Health Perspect. 2018;126(6):067003 Evaluated both large single outages and localized power outage in NYC and differentiated between warm- and cold-season power outages.
•• Zhang W, Sheridan SC, Birkhead GS, Croft DP, Brotzge J, Justino JG, et al. Power Outage: an ignored risk factor for COPD exacerbations. Chest. 2020; This retrospective cohort study assigned power outages by power-operating divisions in New York state from 2001–2013 and used distributed lag nonlinear models controlling for time-varying confounders.
Amadi HN. Impact of power outages on developing countries: evidence from rural households in Niger Delta, Nigeria. J Energy Resour Technol. 2015;5(3):27–38.
• Koroglu M, Irwin BR, Grépin KA. Effect of power outages on the use of maternal health services: evidence from Maharashtra, India. BMJ Glob Health. 2019;4(3):e001372 Data on SAIDI and SAIFI values from India’s largest distribution utility revealed a relationship between power outages and maternal healthcare.
Ibrahim A, Aryeetey GC, Asampong E, Dwomoh D, Nonvignon J. Erratic electricity supply (Dumsor) and anxiety disorders among university students in Ghana: a cross sectional study. Int J Ment Heal Syst. 2016;10:17.
Stoppacher R, Yancon AR, Jumbelic MI. Fatalities associated with the termination of electrical services. Am J Forensic Med Pathol. 2008;29(3):231–4.
Cox R, Amundson T, Brackin B. Evaluation of the patterns of potentially toxic exposures in Mississippi following hurricane Katrina. Clin Toxicol. 2008;46(8):722–7.
Hampson NB, Stock AL. Storm-related carbon monoxide poisoning: lessons learned from recent epidemics. Undersea Hyperb Med. 2006;33(4):257–63.
Iqbal S, Clower JH, Hernandez SA, Damon SA, Yip FY. A review of disaster-related carbon monoxide poisoning: surveillance, epidemiology, and opportunities for prevention. Am J Public Health. 2012;102(10):1957–63.
Waite T, Murray V, Baker D. Carbon monoxide poisoning and flooding: changes in risk before, during and after flooding require appropriate public health interventions. PLoS Curr. 2014;6.
Rose JJ, Wang L, Xu Q, McTiernan CF, Shiva S, Tejero J, et al. Carbon monoxide poisoning: pathogenesis, management, and future directions of therapy. Am J Respir Crit Care Med. 2017;195(5):596–606.
Pages B, Planton M, Buys S, Lemesle B, Birmes P, Barbeau EJ, et al. Neuropsychological outcome after carbon monoxide exposure following a storm: a case-control study. BMC Neurol. 2014;14:153.
Greenwald PW, Rutherford AF, Green RA, Giglio J. Emergency department visits for home medical device failure during the 2003 North America blackout. Acad Emerg Med. 2004;11(7):786–9.
Gronlund CJ. Racial and socioeconomic disparities in heat-related health effects and their mechanisms: a review. Curr Epidemiol Rep. 2014;1(3):165–73.
Song X, Wang S, Hu Y, Yue M, Zhang T, Liu Y, et al. Impact of ambient temperature on morbidity and mortality: an overview of reviews. Sci Total Environ. 2017;586:241–54.
Salathe M, Bengtsson L, Bodnar TJ, Brewer DD, Brownstein JS, Buckee C, et al. Digital epidemiology. PLoS Comput Biol. 2012;8(7):e1002616.
Levin N, Kyba CCM, Zhang Q, Sánchez de Miguel A, Román MO, Li X, et al. Remote sensing of night lights: A review and an outlook for the future. Remote Sens Environ. 2020;237:111443.
Min B, O'Keeffe Z, Zhang F. Whose power gets cut? Using high-frequency satellite images to measure power supply irregularity: the World Bank; 2017.
Meier A, Ueno T, Pritoni M. Using data from connected thermostats to track large power outages in the United States. Appl Energy. 2019;256:113940.
Klugman N, Rosa J, Pannuto P, Podolsky M, Huang W, Dutta P, editors. Grid watch: Mapping blackouts with smart phones. Proceedings of the 15th Workshop on Mobile Computing Systems and Applications; 2014.
Simoes J, Blanquet A, Santos N, editors. Near real-time outage detection with spatio-temporal event correlation. CIRED Workshop 2016; 2016: IET.
Hultquist C, Simpson M, Cervone G, Huang Q. Using nightlight remote sensing imagery and Twitter data to study power outages. Proceedings of the 1st ACM SIGSPATIAL International Workshop on the Use of GIS in Emergency Management; Bellevue, Washington: Association for Computing Machinery; 2015. p. Article 6.
Mao H, Thakur G, Sparks K, Sanyal J, Bhaduri B. Mapping near-real-time power outages from social media. Int J Digit Earth. 2019;12(11):1285–99.
Sun H, Wang Z, Wang J, Huang Z, Carrington N, Liao J. Data-driven power outage detection by social sensors. IEEE Trans Smart Grid. 2016;7(5):2516–24.
Khan SS, Wei J, editors. Real-time power outage detection system using social sensing and neural networks. 2018 IEEE global conference on signal and information processing (GlobalSIP); 2018 26–29.
Huang B, Carley KM, editors. A large-scale empirical study of geotagging behavior on twitter. Proceedings of the 2019 IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining; 2019.
Bessette-Kirton EK, Cerovski-Darriau C, Schulz WH, Coe JA, Kean JW, Godt JW, et al. Landslides triggered by Hurricane Maria: assessment of an extreme event in Puerto Rico. GSA Today. 2019;29(6):4–10.
Van Beusekom AE, Álvarez-Berríos NL, Gould WA, Quiñones M, González G. Hurricane Maria in the US Caribbean: disturbance forces, variation of effects, and implications for future storms. Remote Sens. 2018;10(9):1386.
Adhikari B, Mishra SR, Sujan Babu M, Kaehler N, Paudel K, Adhikari J, et al. Earthquakes, fuel crisis, power outages, and health care in Nepal: implications for the future. Disaster Med Public Health Prep. 2017;11(5):625–32.
Schmidlin TW. Public health consequences of the 2008 Hurricane Ike windstorm in Ohio, USA. Nat Hazards. 2011;58(1):235–49.
Ochi S, Leppold C, Kato S. Impacts of the 2011 Fukushima nuclear disaster on healthcare facilities: a systematic literature review. Int J Disaster Risk Reduct. 2020;42:101350.
Kishore N, Marques D, Mahmud A, Kiang MV, Rodriguez I, Fuller A, et al. Mortality in Puerto Rico after Hurricane Maria. N Engl J Med. 2018;379(2):162–70.
Banks L. Caring for elderly adults during disasters: improving health outcomes and recovery. South Med J. 2013;106(1):94–8.
Casey JA, Schwartz BS, Stewart WF, Adler N. Using electronic health records for population health research: a review of methods and applications. Annu Rev Public Health. 2015;37:61–81.
The International Federation of Red Cross and Red Crescent Societies. IFRC Framework for Community Resilience Geneva 2014. Available from: https://media.ifrc.org/ifrc/wp-content/uploads/sites/5/2018/03/IFRC-Framework-for-Community-Resilience-EN-LR.pdf. Accessed 29 Aug 2020.
Helsloot I, Beerens R. Citizens' response to a large electrical power outage in the Netherlands in 2007. J Conting Crisis Manag. 2009;17(1):64–8.
Parent JR, Meyer TH, Volin JC, Fahey RT, Witharana C. An analysis of enhanced tree trimming effectiveness on reducing power outages. J Environ Manag. 2019;241:397–406.
Robinson M, Shapiro A. Home Healthcare in the Dark: Clean Energy Group and Meridian Institute; 2019.
Rosales-Asensio E, de Simón-Martín M, Borge-Diez D, Blanes-Peiró JJ, Colmenar-Santos A. Microgrids with energy storage systems as a means to increase power resilience: an application to office buildings. Energy. 2019;172:1005–15.
Baik S, Morgan MG, Davis AL. Providing limited local electric service during a major grid outage: a first assessment based on customer willingness to pay. Risk Anal. 2018;38(2):272–82.
Lurie N, Bunton A, Grande K, Margolis G, Howell B, Shrank WH. A public-private partnership for proactive pharmacy-based outreach and acquisition of needed medication in advance of severe winter weather. JAMA Intern Med. 2017;177(2):271–2.
Miles SB, Jagielo N, Gallagher H. Hurricane Isaac power outage impacts and restoration. J Infrastruct Syst. 2016;22(1):05015005.
DeSalvo KB. The health consequences of natural disasters in the United States: progress, perils, and opportunity. Ann Intern Med. 2018;168(6):440–1.
Use of carbon monoxide alarms to prevent poisonings during a power outage--North Carolina, December 2002. MMWR Morb Mortal Wkly Rep. 2004;53(9):189–92.
Ran T, Nurmagambetov T, Sircar K. Economic implications of unintentional carbon monoxide poisoning in the United States and the cost and benefit of CO detectors. Am J Emerg Med. 2018;36(3):414–9.
Henretig FM, Calello DP, Burns MM, O'Donnell KA, Osterhoudt KC. Predictable, preventable, and deadly: epidemic carbon monoxide poisoning after storms. Am J Public Health. 2018;108(10):1320–1.
Neke NM, Gadau G, Wasem J. Policy makers’ perspective on the provision of maternal health services via mobile health clinics in Tanzania-findings from key informant interviews. PLoS One. 2018;13(9):e0203588.
Calderon R, Morgan MC, Kuiper M, Nambuya H, Wangwe N, Somoskovi A, et al. Assessment of a storage system to deliver uninterrupted therapeutic oxygen during power outages in resource-limited settings. PLoS One. 2019;14(2):e0211027.
Hawkes MT, Conroy AL, Namasopo S, Bhargava R, Kain KC, Mian Q, et al. Solar-oowered oxygen delivery in low-resource settings: a randomized clinical noninferiority trial. JAMA Pediatr. 2018;172(7):694–6.
Dr. Casey received funding from a National Institutes of Environmental Health Sciences R00 ES027023 and NIEHS P30 ES009089. Dr. Kiang received funding from National Institute on Drug Abuse K99 DA051534.
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Casey, J.A., Fukurai, M., Hernández, D. et al. Power Outages and Community Health: a Narrative Review. Curr Envir Health Rpt 7, 371–383 (2020). https://doi.org/10.1007/s40572-020-00295-0
- Power outage
- Natural disasters
- Energy insecurity
- Carbon monoxide poisoning
- Durable medical equipment