Online Program

338764
Disaster-related mortality in Texas, May-June 2015


Sunday, November 1, 2015

Kacie Seil, MPH, Division for Disease Control and Prevention Services, Texas Department of State Health Services, Austin, TX
David Zane, MS, Division for Regional & Local Health Services, Texas Department of State Health Services, Austin, TX
Christopher Drucker, PhD, Division for Disease Control and Prevention Services, Texas Department of State Health Services, Austin, TX
Erin Kader, MPH, Division for Disease Control and Prevention Services, Texas Department of State Health Services, Austin, TX
Background: From 5/4/2015-6/19/2015, Texas experienced heavy rainfall, flash flooding, Tropical Storm Bill, and numerous tornadoes. Each event created environmental conditions that put individuals in danger. Surveillance was conducted to identify deaths potentially related to these disasters in order to provide situational awareness to emergency management and public health officials.

Methods: We conducted active surveillance for disaster-related deaths that occurred from 5/4/2015-6/19/2015 using online media reports and death certificate data. Using data abstracted from both sources, we calculated descriptive statistics on demographics, circumstances of death, and likelihood of disaster-relatedness.

Results: A total of 62 deaths possibly-related to severe weather were identified via media reports and death certificates. The majority of decedents were males (N=38, 61.3%); the mean age was 46.5 years (range=3-87 years). External causes of death were predominantly drownings (N=46, 74.2%), many caused by driving or recreating in flooded areas. Other decedents were struck by tornadoes or involved in motor vehicle crashes caused by hazardous conditions. Fatalities occurred in 35 Texas counties; counties with the greatest numbers of decedents included Harris (N=8) and Hays (N=7). Deaths occurred between 5/7/2015-6/18/2015; over two-thirds (N=43, 69.4%) occurred during a nine day period (5/23/2015-5/31/2015).

Conclusions: Conducting mortality surveillance on disasters that impact a large geographic area over a lengthy period of time is challenging. Data collected highlight the need for strengthened messaging on flash flood and tornado preparedness. Advancements in disaster-related mortality surveillance are necessary to improve the timeliness and quality of death data.

Learning Areas:

Epidemiology

Learning Objectives:
Describe an outbreak of injury deaths in Texas during May-June 2015 due to several natural disasters. Explain how outcomes of the severe weather were similar to those seen in other natural disasters, particularly for flash flooding and tornadoes. Highlight challenges encountered in conducting mortality surveillance for sustained severe weather events.

Keyword(s): Disasters, Public Health Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the injury data analyst on a grant-funded project focused on describing Hurricane Sandy-related morbidity and mortality. I am familiar with the disaster epidemiology literature and have conducted active mortality surveillance for multiple disasters.
Any relevant financial relationships? No

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.