Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery
- PMID: 34484882
- PMCID: PMC8383835
Health and Social Services in Puerto Rico Before and After Hurricane Maria: Predisaster Conditions, Hurricane Damage, and Themes for Recovery
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.
Keywords: Critical Infrastructure Protection; Disaster Recovery Operations; Hurricanes; Natural Hazards; Puerto Rico.
Copyright © 2021 RAND Corporation.
References
-
- Adams Laura E., Vargas Luzeida, Frasqueri-Quintana Veronica M., Torres-Figueroa Xiomara, Ryff Kyle, Sanchez-Gonzalez Liliana, Little Emma, Ciampaglio Kaitlyn, Claudio Julio M. Reyes, Ponton-Cruz Elyonel, Santiago William, Paz-Bailey Gabriela, and Alvarado Luisa I. “Evaluation of Emergency Department-Based Surveillance Systems at 2 Healthcare Facilities After Hurricane Maria: Puerto Rico, 2017–2018,”. Disaster Medicine and Public Health Preparedness. 2019. pp. 1–9. pp. - PMC - PubMed
-
- Aker A. M., Ferguson K. K., Rosario Z. Y., Mukherjee B., Alshawabkeh A. N., Cordero J. F., and Meeker J. D. “The Associations Between Prenatal Exposure to Triclocarban, Phenols, and Parabens with Gestational Age and Birth Weight in Northern Puerto Rico,”. Environmental Research. 2019;Vol. 169:41–51. pp. - PMC - PubMed
-
- Annie E. Casey Foundation. “Kids Count,”. 2018. http://www.aecf.org/work/kids-count/ As of June 27, 2021:
-
- Bureau of Labor Statistics. “Occupational Employment Statistics,”. 2018. https://www.bls.gov/oes/current/oes_pr.htm As of June 27, 2021:
-
- Canino G., Vila D., Santiago-Batista K., Garcia P., Valez-Baez G., and Moreda-Alegria Antonio. “Need Assessment Study of Mental Health and Substance Use Disorders and Service Utilization Among Adult Population of Puerto Rico: Final Report to ASSMCA,”. 2016. Behavior Sciences Research Institute, University of Puerto Rico.
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