19 results match your criteria: "Center for Disaster Health[Affiliation]"

Background: Malaria remains a major public health burden to children under five, especially in Eastern Africa (E.A), -a region that is also witnessing the increasing occurrence of floods and extreme climate change. The present study, therefore, explored the trends in floods, as well as the association of their occurrence and duration with the malaria incidence in children < 5 years in five E.

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Introduction: The use of personal protective equipment (PPE) is a salient component of reducing occupational risk in many fields. Emergency medical services (EMS) personnel use PPE to reduce risk of exposure and defend against various pathogens they come in contact with while providing patient care. Currently, the understanding of factors that predict the use of PPE by an EMS responder during a pandemic is limited.

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Background: The autonomic nervous system (ANS) maintains physiological homeostasis in various organ systems via parasympathetic and sympathetic branches. ANS function is altered in common diffuse and focal conditions and heralds the beginning of environmental and disease stresses. Reliable, sensitive, and quantitative biomarkers, first defined in healthy participants, could discriminate among clinically useful changes in ANS function.

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Socioeconomic disparities in incidents at toxic sites during Hurricane Harvey.

J Expo Sci Environ Epidemiol

May 2021

Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Article Synopsis
  • - The study investigates the impact of Hurricane Harvey on toxic substance exposure in the greater Houston area, highlighting that vulnerable populations face greater risks due to existing disparities.
  • - It utilizes data on flooding, socioeconomic status (SES), and toxic site incidents, revealing that 5.9% of toxic sites reported releases during the hurricane, with lower SES areas more affected than higher SES areas.
  • - The findings suggest that despite similar flooding levels, lower SES regions experienced more toxic releases, indicating a need for improved safety measures to protect these communities from future adverse outcomes.
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Using Rapid Research Implementation and Collaborations to Assess the Mental Health Impact of the COVID-19 Pandemic Among Community and Clinical Cohorts.

Disaster Med Public Health Prep

April 2021

Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, USA.

Article Synopsis
  • A research initiative during the COVID-19 outbreak in New York gathered community members and patients to explore their experiences and mental health through surveys.
  • The study found that the clinical group reported higher levels of mental health issues like depression, anxiety, and PTSD compared to the community group, despite similar COVID-19 positivity rates.
  • Both groups faced low job loss rates, but community members experienced more financial difficulties, highlighting the need for more research on COVID-19's mental health effects.
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Exposure to Hurricane Sandy and Risk of Opioid Abuse.

Subst Use Misuse

June 2021

Department of Occupational Medicine, Epidemiology and Prevention, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.

Background: Given both the increased prevalence of natural disasters in recent years and the crippling opioid epidemic, identifying at-risk groups for substance abuse post-disaster is imperative to survivor mental health. The objective of this study was to examine the association between exposure to Hurricane Sandy and risk of opioid abusive behavior.

Methods: We conducted a retrospective analysis using data from two cross-sectional studies that examined the impact of Hurricane Sandy on mental health from October 2013- August 2016.

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Where Do We Go From Here? The Delivery of Addiction Treatment in a Post-COVID World.

J Addict Med

February 2022

Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY (MMC-P); The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY (MMC-P); Joint Center for Disaster Health, Trauma and Resilience at Mount Sinai, Stony Brook University, and Northwell Health, Stony Brook, NY (MMC-P); Addiction Services, Northwell Health, Glen Oaks, NY (SP); Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY (SP).

Many healthcare institutions across the nation experienced significant disruptions in addiction treatment services as a result of COVID-19. As restrictions now begin to loosen, there is an opportunity to transition towards a new treatment structure informed by the experience from both the current public health crisis and precrisis operations. However, there is currently limited information on how best to do so, leaving many providers and specialty programs searching for answers.

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Predictors of emergency department opioid administration and prescribing: A machine learning approach.

Am J Emerg Med

August 2021

Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, 175 Community Drive, 2nd floor, Great Neck, NY 11021, USA; Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, 175 Community Drive, 2nd floor, Great Neck, NY 11021, USA; The Feinstein Institutes for Medical Research, Northwell Health, 350 Community Drive, Manhasset, NY 11030, USA; Joint Center for Disaster Health, Trauma and Resilience at Mount Sinai, Stony Brook University and Northwell Health, New York, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USA; Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, Room 2-70A, New York, NY 10029, USA. Electronic address:

Introduction: The opioid epidemic has altered normative clinical perceptions on addressing both acute and chronic pain, particularly within the Emergency Department (ED) setting, where providers are now confronted with balancing pain management and potential abuse. This study aims to examine patient sociodemographic and ED clinical characteristics to comprehensively determine predictors of opioid administration during an ED visit (ED-RX) and prescribing upon discharge (DC-RX).

Methods: ED visit data of patients ≥18 years old from the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 2014 to 2017 were used.

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Disparities in COVID-19 Testing and Positivity in New York City.

Am J Prev Med

September 2020

Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York; Center for Disaster Health, Trauma, and Resilience, New York, New York; Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address:

Introduction: Existing socioeconomic and racial disparities in healthcare access in New York City have likely impacted the public health response to COVID-19. An ecological study was performed to determine the spatial distribution of COVID-19 testing by ZIP code Tabulation Area and investigate if testing was associated with race or SES.

Methods: Data were obtained from the New York City coronavirus data repository and 2018 American Community Survey 5-year estimates.

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Three months of informational trends in COVID-19 across New York City.

J Public Health (Oxf)

August 2020

Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

In the midst of widespread community transmission of coronavirus disease 2019 (COVID-19) in New York, residents have sought information about COVID-19. We analyzed trends in New York State (NYS) and New York City (NYC) data to quantify the extent of COVID-19-related queries. Data on the number of 311 calls in NYC, Google Trend data on the search term 'Coronavirus' and information about trends in COVID-19 cases in NYS and the USA were compiled from multiple sources.

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The disaster worker resiliency training program: a randomized clinical trial.

Int Arch Occup Environ Health

January 2021

Department of Psychiatry & Behavioral Health, Stony Brook University School of Medicine, Putnam Hall-South Campus, Stony Brook, NY, 11794, USA.

Objectives: Disaster workers are at elevated risk for mental health problems as a result of trauma exposures during response efforts. One possible way to prevent mental health problems is to build-up coping resources that promote resilience to the effects of disaster work. The primary aim of this study was to evaluate the efficacy of a resilience building workshop, the Disaster Worker Resiliency Training Program (DWRT), in disaster workers previously exposed to Hurricane Sandy.

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Unequal social vulnerability to Hurricane Sandy flood exposure.

J Expo Sci Environ Epidemiol

September 2021

Institute for Translational Epidemiology and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.

Disparities exist in post-disaster flooding exposure and vulnerable populations bear a disproportionate impact of this exposure. We describe the unequal burden of flooding in a cohort of New York residents following Hurricane Sandy and assess whether the likelihood of flooding was distributed equally according to socioeconomic demographics, and whether this likelihood differed when analyzing self-reported or FEMA flood exposure measures. Residents of New York City and Long Island completed a self-administered survey 1.

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Objectives: To evaluate whether the association between Hurricane Sandy exposures and post-traumatic stress disorder (PTSD) symptom severity was greater for exposed community members compared with responders.

Methods: Data were analysed from three existing studies with similar methodologies (N=1648): two community studies, Leaders in Gathering Hope Together (n=531) and Project Restoration (n=763); and the Sandy/World Trade Center Responders Study (n=354). Sandy-related PTSD symptoms were measured using the PTSD checklist-specific traumatic event and dichotomised as elevated (30) versus low/no (<30) PTSD symptoms.

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Exposure to 2012's Hurricane Sandy differed by community across New York City and nearby Long Island, and the differential impact of exposure on mental health concerns must be studied to enhance resilience in vulnerable communities. We assessed the association between self-reported Hurricane Sandy exposure and subsequent posttraumatic stress disorder (PTSD) symptoms, obtained through validated questionnaires completed by residents of lower Manhattan (n = 1,134), Queens/Long Island (LI)/Staten Island (SI; n = 622), and the Rockaways (n = 1,011); mean assessment times were 7, 14, and 32 months post-Sandy, respectively. The median number of hurricane exposures was similar for all communities; however, Rockaways residents had a higher proportion of likely PTSD symptoms (18.

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Engagement in linkage to mental health care program in the Rockaways after Hurricane Sandy.

J Community Psychol

May 2019

Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health.

The Rockaways area of New York City was especially devastated by Hurricane Sandy. This study examined participant characteristics associated with acceptance of a linkage to and attendance at appointments for mental health difficulties (MHD). Participants (N = 1,011) completed questionnaires to assess mental health symptoms.

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Preliminary Assessment of Hurricane Harvey Exposures and Mental Health Impact.

Int J Environ Res Public Health

May 2018

Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Hurricane Harvey made landfall in Houston, Texas on 25 August 2017, the psychological and physical effects of which are still unknown. We assessed hurricane exposure and the immediate mental health needs of the population to define public health priorities for a larger epidemiological study. Convenience sampling was used to recruit participants ( = 41) from the greater Houston area aged ≥18 years.

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Hurricane exposure can have a profound impact on mental health, leading to increased symptoms of stress, anxiety, depression and post-traumatic stress disorder that are still present years after the storm. Those displaced following a hurricane are particularly vulnerable to adverse mental health outcomes, especially if displaced to temporary shelters. The current work highlights the experiences and mental health challenges of displaced populations following Hurricane Sandy and Hurricane Harvey, as well as describing barriers to conducting research in the immediate aftermath of Hurricane Harvey and the need for more comprehensive interventions in these vulnerable populations.

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Displacement during Hurricane Sandy: The impact on mental health.

J Emerg Manag

May 2018

Department of Population Health Science and Policy and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York City, New York; Department of Thoracic Surgery, The Center for Disaster Health, Trauma, and Resilience, New York City, New York.

Objective: To assess the effect of displacement due to Hurricane Sandy on mental health outcomes among residents of the greater New York City (NYC) area.

Design: Prospective, cross sectional.

Setting: NYC area residents, including Queens, Staten Island, and Long Island.

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Background: Pre-hospital emergency care is a vital and integral component of health systems particularly in the resource constrained countries like Uganda. It can help to minimize deaths, injuries, morbidities, disabilities and trauma caused by the road traffic incidents (RTIs). This study identifies the weaknesses and capacities affecting the pre-hospital emergency care for the victims of RTIs in the Greater Kampala Metropolitan Area (GKMA).

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