Table 4 Overview of findings – hurricane impact and NCD management
Challenges: | INFRASTRUCTURE DAMAGES | ELECTRICAL POWER OUTAGES | ||
|---|---|---|---|---|
Damaged Medical Facilities | Prescription Medication & Oxygen Supply Chain Interruptions | Storage Prescription Medications | Medical Facility & Residential | |
Adaptive Strategy: | • Travel greater distances for care • Move patients | Obtain Rx & oxygen in short supply | Restore power for the refrigeration of Rx | Contingency power generator |
Barriers to Implementing Adaptive Strategies: | • Blocked roadways • Long travel distances • No telecom-coordinate care | • Blocked roadways • Damaged pharmacies | No contingency power generator | Dysfunctional or inadequate contingency generator |
Cascading Failures: | Fuel shortages-transport patients | • Fuel shortages-transport supplies | • Fuel shortages- generator | • Fuel shortages- generator • Interrupted water supply from power outages • Lengthy power outages |
Impacts: | • Delayed health care • Mortality from lack of services | • No Rx, oxygen obtained • Inadequate Rx, oxygen • Mortality-lack of Rx (cardiac, diabetes, mental illness), oxygen | • Unrefrigerated Rx became unusable | • Delayed health care • Inoperable medical equipment • Worsened mental health-power outages • Mortality-lack of medical equipment, dialysis, declining mental health, suicides |