Abstract
Purpose of Review
Studies have shown that disasters may exacerbate the comorbidities in vulnerable populations such as those with a pre-existing chronic medical condition like diabetes. This article highlights recent studies that look at the impact of disasters on people with diabetes and also shows recent resources for consumers, health care providers, and policy makers to improve resiliency in people with diabetes.
Recent Findings
Recent articles have looked at the short-term impact of disasters upon people with diabetes and its comorbidities such as Hurricane Sandy in 2012, the triple disaster of 2011 in Japan (earthquake, tsunami, and nuclear accident), and the 2016 Kumamoto earthquake in Japan as well as the long-term impact of disasters such as Hurricane Katrina in 2005.
Summary
Several public and private partners have used the past and recent findings to develop resources that help consumers with diabetes and the people who care for them, prepare for a disaster BEFORE the event.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
International Diabetes Federation https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html. Accessed 10 May 2019
Miller A, Arquilla B. Chronic diseases and natural hazards: impact of disasters on diabetic, renal and cardiac patients. Prehospital Disast Med. 2008;23(2):185–94.
Miller AC, Arquilla B. Chronic renal insufficiency and diabetes mellitus following disasters: a model for reform. Prehospital Disast Med. 2007;22(2):s127 abstract.
Aldrich N, Benson WF. Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis. 2008:5(1) http://www.cdc.gov/pcd//issues/2008/jan/07_0135.htm. Accessed 10 May 2019
Arrieta M, Foreman R, Crook E, Icenogle M. Insuring continuity of care for chronic disease patients after a disaster: key preparedness elements. Am J Med Sci. 2008;336(2):128–33.
Allweiss P, Albright A. Diabetes, disasters, and decisions. Diabetes Manag. 2011;1(4):369–77.
Mokdad AH, Mensah GA, Posner SF, Reed E, Simoes EJ, Engelgau MM, and the Chronic Diseases and Vulnerable Populations in Natural Disasters Working Group. When chronic conditions become acute: prevention and control of chronic diseases and adverse health outcomes during natural disasters. Prev Chronic Dis Prev Chronic Dis. 2005;2(Spec no.):A04.
Kirizuka K, Nishizaki H, Kohriyama K, Nukata O, Arioka Y, Motobuchi M, et al. Influences of the Great Hanshin-Awaji Earthquake on glycemic control in diabetic patients. Diabetes Res Clin Pract. 1997 Jun;36(3):193–6.
Arrieta M, Foreman R, Crook E, Icenogle M. Providing continuity of care for chronic diseases in the aftermath of Katrina: from field experience to policy recommendations. Disaster Med Public Health Preparedness. 2009;3:174–82.
Brodie M, Weltzien E, Altman D, et al. Experiences of hurricane Katrina evacuees in Houston shelters: implications for future planning. Am J Public Health. 2006;96:1402–8.
Ford ES, Mokdad AH, Link MW, Link M, Garvin W, McGuire L, et al. Chronic disease in health emergencies: in the eye of the hurricane. Prev Chronic Dis. 2006;3:A46.
Cefalu W, Smith S, Blonde L, Fonseca V, The Hurricane Katrina aftermath and its impact on diabetes care. Observations from “ground zero”: lessons in disaster preparedness of people with diabetes. Diabetes Care. 2006;29(1):158–60.
Fonseca VA, Smith H, Kuhadiya N, Leger SM, Yau CL, Reynolds K, et al. Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences. Diabetes Care. 2009;32(9):1632–8. https://doi.org/10.2337/dc09-0670.
Carameli KA, Eisenman DP, Blevins J, d'Angona B, Glik DC. Planning for chronic disease medications in disaster: perspectives from patients, physicians, pharmacists, and insurers. Disaster Med Public Health Prep. 2013;7(3):257–65. https://doi.org/10.1001/dmp.2010.46.
Centers for Disease Control and Prevention Rapid assessment of the needs and health status of older adults after Hurricane Charley-Charlotte, DeSoto, and Hardee Counties, Florida, August 27--31, 2004. MMWR. 2004;53:837–40.
Brown DW, Young SL, Engelgau MM, Mensah GA. Evidence-based approach for disaster preparedness authorities to inform the contents of repositories for prescription medications for chronic disease management and control. Prehospital Disast Med. 2008;23(5):447–57.
Jhung MA, Shehab N, Rohr-Allegrini, Pollock DA, Sanchez R, Guerra F, et al. Chronic disease and disasters medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207–10.
Motoki E, Mori K, Kaji H, Nonami Y, Fukano C, Kayano T, et al. Development of disaster pamphlets based on health needs of patients with chronic illnesses. Prehosp Disaster Med. 2010;25(4):354–60.
Saulnier DD, Brolin Ribacke K, von Schreeb J. No calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp Disaster Med. 2017;32(5):568–79. This study is a useful summary of the need to address chronic conditions such as diabetes pre-, during, and post-disasters.
Quast T, Feng L. Long-term effects of disasters on health care utilization: hurricane Katrina and older individuals with diabetes. Disaster Med Public Health Prep. 2019;9:1–8. https://doi.org/10.1017/dmp.2018.128.
Quast T, Mortensen K. Diabetes care provided to children displaced by hurricane Katrina. Disaster Med Public Health Prep. 2015;9(5):480–3. https://doi.org/10.1017/dmp.2015.98.
Lee DC, Gupta VK, Carr BG, et al. Acute post-disaster medical needs of patients with diabetes: emergency department use in New York City by diabetic adults after Hurricane Sandy. BMJ Open Diabetes Res Care. 2016;4(1):e000248. This study gives important documentation of the needs of people with diabetes post-disaster.
Velez-Valle EM, Shendell D, Echeverria S, et al. Type II diabetes emergency room visits associated with Hurricane Sandy in New Jersey: implications for preparedness. J Environ Health. 2016;79(2):30.
Burger J, Gochfeld M, Lacy C. Ethnic differences in risk: experiences, medical needs, and access to care after hurricane Sandy in New Jersey. Toxicol Environ Health A. 2019;82(2):128–41.
Burger J, Gochfeld M, Lacy C. Concerns and future preparedness plans of a vulnerable population in New Jersey following Hurricane Sandy. Disasters. 2019;43(3):658–85.
Heptulla R, Hashim R, Johnson DN, Ilkowitz JT, DiNapoli G, Renukuntla V, et al. Evaluating emergency preparedness and impact of a hurricane sandy in pediatric patients with diabetes. Disaster Mil Med. 2016;2:2–15. https://doi.org/10.1186/s40696-016-0012-9.
Leppold C, Tsubokura M, Ozali A, Nomura S, Shimada Y, Morita T, et al. Sociodemographic patterning of long-term diabetes mellitus control following Japan's 3.11 triple disaster: a retrospective cohort study. BMJ Open. 2016;6(7):e011455. https://doi.org/10.1136/bmjopen-2016-011455.
Fujihara K, Saito A, Heianza Y, Gibo H, Suzuki H, Shimano H, et al. Impact of psychological stress caused by the Great East Japan Earthquake on glycemic control in patients with diabetes. Exp Clin Endocrinol Diabetes. 2012 Oct;120(9):560–3. https://doi.org/10.1055/s-0032-1314873.
Hasegawa A, Ohira T, Maeda M, Yasumura S. Tanigawa. Emergency responses and health consequences after the Fukushima accident; evacuation and relocation. Clin Oncol (R Coll Radiol). 2016;28(4):237–44. https://doi.org/10.1016/j.clon.2016.01.002.
Satoh H, Ohira T, Hosoya M, et al. Evacuation after the FukushimaDaiichi nuclear power plant accident is a cause of diabetes: results from the Fukushima Health Management Survey. J Diabetes Res. 2015;2015:627390. https://doi.org/10.1155/2015/627390.
Kondo T, Miyakawa N, Motoshima H, Hanatani S, Ishii N, Igata M, et al. Impacts of the 2016 Kumamoto Earthquake on glycemic control in patients with diabetes. J Diabetes Investig. 2019;10(2):521–30. https://doi.org/10.1111/jdi.12891.
Cruz-Cano R, Mead E. Causes of excess deaths in Puerto Rico after Hurricane Maria: a time-series estimation. Am J Public Health. 2019;109(7):1050–2.
Ramphal L. Medical and psychosocial needs of the Puerto Rican people after Hurricane Maria. Proc (Bayl Univ Med Cent). 2018;31(3):294–6.
Ryan B, Franklin R, Burkle F, Smith E, Aitken P, Leggat P. Determining key influences on patient ability to successfully manage noncommunicable disease after natural disaster. Prehospital Disaster Med. 2019;34(3):241–50.
Ryan B, Franklin R, Burkle F, Smith E, Aitken P, Leggat P. Application of national and sub-national indicators to rank needs of people with life-threatening conditions and chronic diseases before, during, and after a disaster after natural disaster. Prehospital Disaster Med. 2019;34(3):s47–8.
Acosta JD, Burgette L, Chandra A, Eisenman D, Gonzalez I, Varda D, et al. How community and public health partnerships contribute to disaster recovery and resilience. Disaster Med Public Health Prep. 2018;12(5):635–43. https://doi.org/10.1017/dmp.2017.130.
Eisenman D, Adams R, Lang C, Prelip M, Dorian A, Acosta J, et al. Chinman M A program for local health departments to adapt and implement evidence-based emergency preparedness programs. Am J Public Health. 2018;08(Suppl 5):S396–8. Examples of how public and private entities can work together to develop disaster preparedness programs.
Persell D, Medical Reserve Corps. American Red Cross, and a university: lessons learned from their partnership during the ice storm. 26(Supplement S1 May 2011):s74–s75. https://doi.org/10.1017/S1049023X11002548.
Author information
Authors and Affiliations
Ethics declarations
Conflict of Interest
The author declares that she has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Lifestyle Management to Reduce Diabetes/Cardiovascular Risk
Appendix: Examples of Resources
Appendix: Examples of Resources
American Association of Clinical Endocrinologists https://www.empoweryourhealth.org/sites/all/files/Diabetes-Emergency-Web-Download.pdf
American Association of Diabetes Educators
https://www.diabeteseducator.org/practice/educator-tools/app-resources/disaster-preparedness
American Diabetes Association
http://www.diabetes.org/living-with-diabetes/treatment-and-care/emergency-preparedness/
http://www.diabetes.org/assets/pdfs/living/emergency-preparedness/switching-between-insulin-1.pdf
American Diabetes Association Statement on Emergency and Disaster Preparedness: A report of the Disaster Response Task Force. Diabetes Care 2007;30(9):2395–8
Australian Diabetes Educators Association
Diabetes and Natural Disasters Online Learning Module.
Centers for Disease Control and Prevention
https://www.cdc.gov/diabetes/ndep/people-with-diabetes/emergency.html
Diabetes Disaster Response Coalition (DDRC) https://www.diabetesdisasterresponse.org/our-vision
Insulin for Life
Johns Hopkins Diabetes Guide: Disaster Emergency Preparedness in Diabetes
Katzki L. Disaster Preparedness and Diabetes. Diabetes Self Management. Published July 22, 2016 https://www.diabetesselfmanagement.com/managing-diabetes/general-health-issues/disaster-preparedness-diabetes/
HealthCare Ready
https://www.healthcareready.org/
HealthCare Ready has a program called Rx open that connects people with open pharmacies and also has resources about preparedness for people with chronic conditions. https://www.healthcareready.org/system/cms/files/1555/files/original/20170331_Chronic_Care_Roundtable_-_Discussion_Slides.pdf
Rights and permissions
About this article
Cite this article
Allweiss, P. Diabetes and Disasters: Recent Studies and Resources for Preparedness. Curr Diab Rep 19, 131 (2019). https://doi.org/10.1007/s11892-019-1258-7
Published:
DOI: https://doi.org/10.1007/s11892-019-1258-7