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Increased Medical Visits and Mortality among Adults with Cardiovascular Diseases in Severely Affected Areas after Typhoon Morakot

Author

Listed:
  • Hsin-I Shih

    (Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan
    School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Tzu-Yuan Chao

    (Department of Urban Planning, National Cheng Kung University, Tainan 70101, Taiwan)

  • Yi-Ting Huang

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Yi-Fang Tu

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Paediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan)

  • Tzu-Ching Sung

    (School of Medicine for International Students, I-Shou University, Kaohsiung 82445, Taiwan)

  • Jung-Der Wang

    (Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Chia-Ming Chang

    (School of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Division of Geriatrics & Gerontology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan 70403, Taiwan)

Abstract

Natural disasters have negative health impacts on chronic diseases in affected populations. Severely affected areas are usually rural areas with limited basic infrastructure and a population have that has limited access to optimal healthcare after a disaster. Patients with cardiovascular diseases are required to maintain quality care, especially after disasters. A population-based case-control study enrolled adults from the National Health Insurance Registry who had ischemic heart disease and cerebrovascular disease histories and lived in the area affected by Typhoon Morakot in 2009. Monthly medical visits for acute cerebrovascular and ischemic heart diseases markedly increased at approximately 1–2 months after the typhoon. Survival analysis during the two years following the typhoon indicated a significant increase in mortality in adults with an acute ischemic heart disease history who lived in the severely affected area. Mortality hazard analysis showed that among affected adults with previous cerebrovascular diseases and acute ischemic heart diseases, patients with diabetes (adjusted hazard ratio [HR]: 1.3–1.7), Chronic Kidney Disease (CKD) (adjusted HR: 2.0–2.7), chronic obstructive pulmonary diseases (COPD) and asthma (adjusted HR: 1.7–2.1), liver cirrhosis (adjusted HR: 2.3–3.3) and neoplasms (adjusted HR: 1.1–2.1) had significantly increased mortality rates. Consequently, high-quality and accessible primary healthcare plans should be made available to maintain and support affected populations after disasters.

Suggested Citation

  • Hsin-I Shih & Tzu-Yuan Chao & Yi-Ting Huang & Yi-Fang Tu & Tzu-Ching Sung & Jung-Der Wang & Chia-Ming Chang, 2020. "Increased Medical Visits and Mortality among Adults with Cardiovascular Diseases in Severely Affected Areas after Typhoon Morakot," IJERPH, MDPI, vol. 17(18), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6531-:d:410473
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    References listed on IDEAS

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    1. Yu-Shu Yen & Dorji Harnod & Cheng-Li Lin & Tomor Harnod & Chia-Hung Kao, 2020. "Long-Term Mortality and Medical Burden of Patients with Chronic Obstructive Pulmonary Disease with and without Subsequent Stroke Episodes," IJERPH, MDPI, vol. 17(7), pages 1-11, April.
    2. Jejal Reddy Bathi & Himangshu S. Das, 2016. "Vulnerability of Coastal Communities from Storm Surge and Flood Disasters," IJERPH, MDPI, vol. 13(2), pages 1-12, February.
    3. Plough, A. & Fielding, J.E. & Chandra, A. & Williams, M. & Eisenman, D. & Wells, K.B. & Law, G.Y. & Fogleman, S. & Magaña, A., 2013. "Building community disaster resilience: Perspectives from a large urban county department of public health," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1190-1197.
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    Cited by:

    1. Chia-Ming Chang & Tzu-Yuan Stessa Chao & Yi-Ting Huang & Yi-Fang Tu & Tzu-Ching Sung & Jung-Der Wang & Hsin-I Shih, 2021. "Maintaining Quality of Care among Dialysis Patients in Affected Areas after Typhoon Morakot," IJERPH, MDPI, vol. 18(14), pages 1-13, July.
    2. Emily Ying Yang Chan & Holly Ching Yu Lam, 2021. "Research in Health-Emergency and Disaster Risk Management and Its Potential Implications in the Post COVID-19 World," IJERPH, MDPI, vol. 18(5), pages 1-3, March.

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