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APHA Scientific Session and Event Listing
3028.0: Monday, November 05, 2007 - 9:05 AM

Abstract #162252

Epidemiologic Challenges in Post-Disaster Population

Felicia A. Rabito, PhD1, Elizabeth W. Holt, MPH1, Shahed Iqbal, PhD1, and John J. Lefante, PhD2. (1) Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St., SL-18, New Orleans, LA 70112, 504.988.3479, rabito@tulane.edu, (2) Biostatistics, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2001, New Orleans, LA 70112-2715

The post-Katrina New Orleans environment is a major concern of returning residents. The Healthy Home Project is a study assessing the indoor environment of New Orleans households (N=100). Given the combination of mass migration, extensive demolitions, and low occupancy rates, standard probability sampling was not feasible. Challenges included lack of an accurate sampling frame and methods to delineate non-response from vacancy. We developed a sampling methodology to obtain a representative sample of all occupied households in New Orleans.

 US Census 2000 data and post-Katrina occupancy estimates were combined to develop sampling parameters. Stratified random sampling was employed to ensure representation of all areas of the city, including areas heavily flooded. Ten New Orleans planning districts were included as strata. Required sample size per stratum was proportional to post-Katrina occupancy. Households were oversampled to account for non-response and vacancies. The following formula was used.  

                                                     

A total of 1,638 addresses were drawn randomly from a pre-Katrina sampling frame to represent all occupied housing in New Orleans.  To preserve the integrity of the random selection process, addresses were picked chronologically for recruitment. Each household's occupancy was determined based on a 21-item occupancy criteria.

Probability sampling in a post-disaster environment poses unique challenges. Although non-probability sampling methods are acceptable, we developed a probabilistic method to obtain a representative sample. This approach may help ensure greater representation of New Orleans households.  

Learning Objectives:

Keywords: Epidemiology, Disasters

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Epidemiologic Methods

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA