Tropical cyclone exposure is associated with increased hospitalization rates in older adults

Robbie M. Parks (), G. Brooke Anderson, Rachel C. Nethery, Ana Navas-Acien, Francesca Dominici and Marianthi-Anna Kioumourtzoglou
Additional contact information
Robbie M. Parks: The Earth Institute, Columbia University
G. Brooke Anderson: Colorado State University
Rachel C. Nethery: Harvard University
Ana Navas-Acien: Columbia University
Francesca Dominici: Harvard University
Marianthi-Anna Kioumourtzoglou: Columbia University

Nature Communications, 2021, vol. 12, issue 1, 1-12

Abstract: Abstract Hurricanes and other tropical cyclones have devastating effects on society. Previous case studies have quantified their impact on some health outcomes for particular tropical cyclones, but a comprehensive assessment over longer periods is currently missing. Here, we used data on 70 million Medicare hospitalizations and tropical cyclone exposures over 16 years (1999–2014). We formulated a conditional quasi-Poisson model to examine how tropical cyclone exposure (days greater than Beaufort scale gale-force wind speed; ≥34 knots) affect hospitalizations for 13 mutually-exclusive, clinically-meaningful causes. We found that tropical cyclone exposure was associated with average increases in hospitalizations from several causes over the week following exposure, including respiratory diseases (14.2%; 95% confidence interval [CI]: 10.9–17.9%); infectious and parasitic diseases (4.3%; 95%CI: 1.2–8.1%); and injuries (8.7%; 95%CI: 6.0–11.8%). Average decadal tropical cyclone exposure in all impacted counties would be associated with an estimated 16,772 (95%CI: 8,265–25,278) additional hospitalizations. Our findings demonstrate the need for targeted preparedness strategies for hospital personnel before, during, and after tropical cyclones.

Date: 2021
References: Add references at CitEc
Citations: View citations in EconPapers (3)

Downloads: (external link)
https://www.nature.com/articles/s41467-021-21777-1 Abstract (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-21777-1

Ordering information: This journal article can be ordered from
https://www.nature.com/ncomms/

DOI: 10.1038/s41467-021-21777-1

Access Statistics for this article

Nature Communications is currently edited by Nathalie Le Bot, Enda Bergin and Fiona Gillespie

More articles in Nature Communications from Nature
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().