Abstract

Impact of Hurricanes Irma and Maria on Puerto Rico Maternal and Child Health Research Programs and Strategies for Future

Michael Welton, PhD, MA1, Elle Russell2, Colleen Murphy, MPH3, Zaira Rosario Pabón, MS4, Carmen Velez-Vega, PhD, MSW4 and José Cordero, MD, MPH1
(1)University of Georgia, Athens, GA, (2)Northeastern University, Boston, MA, (3)University of Puerto Rico School of Public Health, San Juan, PR, Puerto Rico, (4)University of Puerto Rico School of Public Health, San Juan, PR

APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)

Prior to September 2017 when hurricanes Irma and Maria passed through the Caribbean, Puerto Rico had marked disparities in reproductive health. Compared to the mainland U.S. in recent years, Puerto Ricans had a 23% higher rate of preterm birth, a 35% higher rate of low birth weight, 38% higher infant mortality rate, 67% higher teen birth rate, and 75% higher rate of unintended pregnancy. The Puerto Rico Testsite for Exploring Contamination Threats (PROTECT) and Center for Research on Early Childhood Exposure and Development in Puerto Rico (CRECE) Centers are National Institute for Environmental Health Science (NIEHS) funded Superfund Research Programs that have been investigating exposures and health outcomes among Puerto Rican mothers and infants since 2010. PROTECT/CRECE have been very active in the hurricane recovery efforts in order to ensure the safety and welfare of team members, study participants, community health center partners, and members of the surrounding communities. These efforts have given our team first-hand experience with the impact difficulties of long-term recovery and preparedness. In this presentation, we identify access to care, maternal stress, access to potable water, access to nutrition, and climate change as major challenges to maternal and child health following Hurricanes Irma and Maria. Furthermore, we will illustrate the steps we are taking to include disaster preparedness into our programs’ future strategies. The PROTECT/CRECE team’s close proximity to the storms’ impact and recovery allow us to reflect and to prepare for future disasters, using our experiences to improve Puerto Rico’s maternal and child health.

Administration, management, leadership Diversity and culture Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Provision of health care to the public Public health or related nursing