Review Article

Health Effects of Coastal Storms and Flooding in Urban Areas: A Review and Vulnerability Assessment

Table 1

Selected impacts and vulnerable subgroups for acute and secondary coastal storm exposure*.

HazardHealth Impact and ReferencesVulnerable Subgroups

Mortality/injury
CDC/ATSDR Public Health Vulnerability Mapping System; Jonkman et al. (2009) [9]; Brunkard et al. (2008) [6]; and Rygel et al. (2006) [11]
65+ years old
Black/African-American
Non-English speakers
Poor housing quality
Exposure to stormAcute myocardial infarction
Gautam et al. (2009) [21]
Unemployed
Substance abuse & smoking
Uninsured
Mental health effects
Picou and Hudson (2010)
[78]; Kessler et al. (2008)
[70]; Kim et al. (2008) [77];
and Cherry et al. (2010) [71]
Women
Black/African-American
Low-income
Age 40–59 for PTSD
Self-report of poor physical health
Pre-storm depression
Age 45–90 for declines in working memory

CO poisoning
Gulati et al. (2009) [31]
Non-English speakers
Increase in EMS calls
Rand et al. (2005) [39]; Kile et al. (2005) [32]
Patients who rely on electrically powered medical equipment
Power outageDiarrheal illness
Marx et al. (2006) [48]
Meat/seafood consumers
Respiratory hospital admissions
Lin et al. (2011) [41]
Age 75+
Excess mortality
Anderson and Bell (2012) [35]
Age 65–74

Ingestion (hand to mouth) of contaminated waterDiarrhea, non-diarrhea GI morbidity, waterborne diseases
Charron et al. (2004) [62]; Curriero et al. (2001)
Immunocompromised
Elderly, young children

Living in shelters Acute stress disorder
Mills et al. (2007) [79]
Infectious disease
Prior psychiatric history
Murray et al. (2009) [61]Infants

DisplacementInterruption of chronic disease management
Anderson et al. (2009) [65]; Arrieta et al. (2009) [63]
People with chronic illness such as cancer, hypertension, CV disease, respiratory illness, end stage renal disease, and AIDS
Medicaid users
People living alone

Hip fracture (ages 65+)
Uscher-Pines et al. (2009) [69]
Co-morbid conditions
Older age
Females
Non-African-American race
Prior history of hip fracture
Long-term displacement/storm exposureIncreased substance use **  
Cepeda et al. (2010) [80]
Women
High school level education and above
Mental health effects
LaJoie et al. (2010) [81]; Abramson et al. (2008)[82]
Women
Greater storm exposure
Weak social network
Increased number of children in single household
Fatalistic sentiments and poor self-efficacy

Selected health impacts and vulnerable subgroups lists depict range of outcomes but are not exhaustive.
**Among low-income, African-American substance users evacuated from New Orleans, LA, USA.