{"title":"Flood inundation and isolation differentially impact access to dialysis care.","authors":"Jennifer A Horney, Utkarsh Gangwal, Shangjia Dong","doi":"10.5055/ajdm.0490","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the impacts of flooding on access to dialysis care and compare current and future risk from flood inundation and isolation.</p><p><strong>Design: </strong>A cross-sectional study. Maps were generated in ArcGIS using the 100-year flood plain, transportation networks, and dialysis center locations, showing spatial flood risks for dialysis center locations in the State of Delaware.</p><p><strong>Main outcome measure: </strong>Number of roads, intersections, and dialysis centers closed due to flood inundation or isolation and population expected to be impacted.</p><p><strong>Results: </strong>Six dialysis facilities would be flooded in a flooding event, and three additional facilities would be isolated. The spatial distribution of dialysis care access is inequitable across the state and among socially vulnerable groups.</p><p><strong>Conclusions: </strong>Mapping the impact of flooding on access to dialysis center care in Delaware is important for identifying geographic areas and socially vulnerable populations at high risk for dialysis service disruptions in flooding events.</p>","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":"19 3","pages":"265-269"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of disaster medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5055/ajdm.0490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To assess the impacts of flooding on access to dialysis care and compare current and future risk from flood inundation and isolation.
Design: A cross-sectional study. Maps were generated in ArcGIS using the 100-year flood plain, transportation networks, and dialysis center locations, showing spatial flood risks for dialysis center locations in the State of Delaware.
Main outcome measure: Number of roads, intersections, and dialysis centers closed due to flood inundation or isolation and population expected to be impacted.
Results: Six dialysis facilities would be flooded in a flooding event, and three additional facilities would be isolated. The spatial distribution of dialysis care access is inequitable across the state and among socially vulnerable groups.
Conclusions: Mapping the impact of flooding on access to dialysis center care in Delaware is important for identifying geographic areas and socially vulnerable populations at high risk for dialysis service disruptions in flooding events.
期刊介绍：
With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.
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