Sociocultural | Biological | Health Care | Abiotic | |
---|---|---|---|---|
Community | Systems collapse (Water, electricity, food) Disbalanced social and political relationships Unemployment Poverty Limited access to and poor distribution of financial resources Precarious infrastructure Late federal/state response External dependency | Infectious disease exposure (e.g. leptospirosis) Shifting breeding grounds for vectors Bacterial, flora, fauna change | Collapse of medical facilities Limited health care personnel Only one trauma center in the island Limited medicines available Poor surveillance Traumatized health workers | Mountains Wind Rain Flood Debris Temperatures and humidity Mudslides Elevation Poor roads and bridges |
Household | No communication Weak building construction Lack of home ownership documentation Family income Gender roles Migration/relocation Poor access to available aid and resources Social and family networks disrupted | Exposure to Infectious Diseases Stress/Trauma Impact of trauma in chronic diseases Increases in household risk Increase in vector and vermin exposures Crop loss/ loss of food sources | Isolation (unable to access medical facilities) Limited assistance for bedridden family members No reliable access to medication and treatment New, important social determinants emerge | Housing Damage Loss of material goods, appliances, and equipment |
Individual | Unemployment Denial about hurricane Isolation Loneliness, isolation, depression, and anxiety Loss of social and family relationships Loss of role identification | Pre-existing medical conditions Weaken immune system Stress response Injuries | Unable to access healthcare facilities or treatments Stigma related to mental health care Loss of medication and therapeutic interventions | Lack of Protective clothing/footwear Sleeping environment disturbed |