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Emergencies and disasters impact population health. Despite the importance of upstream readiness, a persistent challenge for public health practitioners is defining what it means to be prepared. There is a knowledge gap in that existing frameworks lack consideration for complexity relevant to health systems and the emergency context. The objective of this study is to describe the essential elements of a resilient public health system and how the elements interact as a complex adaptive system.
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Abstract Objective To examine mental health and community cohesion in women living in Calgary after a natural disaster considering previously collected mental health data. Methods Data from an ongoing longitudinal cohort, the All Our Families study, were used to examine mental health and community cohesion 5 months after a major flood in Calgary, Canada. Participants who had completed a baseline questionnaire before the flood were eligible for inclusion in this study (N=923). Four multivariable logistic regression models were built to examine predictors of post-traumatic stress, depression, anxiety, and community cohesion. Results Elevated anxiety before the flood was associated with 2.49 (95% CI: 1.17, 5.26) increased odds of experiencing high levels of post-traumatic stress, regardless of whether respondents lived in a flood-risk community or not. Women who experienced damage to property, or who provided help to others, were more likely to perceive an increased sense of community cohesion (adjusted ods ratio (AOR): 1.67; 95% CI: 1.09, 2.54 and AOR: 1.68; 95% CI: 1.13, 2.52, respectively). Conclusions Women with underlying mental health conditions may be more vulnerable to the psychological impacts of a natural disaster regardless of their level of exposure. Natural disasters may bring communities together, especially those who were more tangibly impacted. ( Disaster Med Public Health Preparedness . 2018;12:470–477)
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Hurricane Katrina destroyed over 200,000 homes and led to massive economic and physical dislocation. Using a panel of tax return data, we provide one of the first comprehensive analyses of the hurricane's long-term economic impact on its victims. Hurricane Katrina had large and persistent impacts on where people live, but small and surprisingly transitory effects on employment and income. Within just a few years, Katrina victims' incomes actually surpass that of controls from similar unaffected cities. The strong economic performance of Hurricane Katrina victims is particularly remarkable given that the hurricane struck with essentially no warning. (JEL D14, H24, Q53, R23)
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Intact Centre on Climate Adaptation, University of Waterloo
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Summary The questionable ability of the U.S. pension system to provide for the growing elderly population combined with the rising number of people affected by depression and other mental health issues magnifies the need to understand how these household characteristics affect retirement. Mental health problems have a large and significant negative effect on retirement savings. Specifically, psychological distress is associated with decreasing the probability of holding retirement accounts by as much as 24 percentage points and decreasing retirement savings as a share of financial assets by as much as 67 percentage points. The magnitude of these effects underscores the importance of employer management policy and government regulation of these accounts to help ensure households have adequate retirement savings.
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Exposure and vulnerability are the main contributing factors of growing impact from climate-related disasters globally. Understanding the spatiotemporal dynamic patterns of vulnerability is important for designing effective disaster risk mitigation and adaptation measures. At national scale, most cross-country studies have suggested that economic vulnerability to disasters decreases as income increases, especially for developing countries. Research covering sub-national climate-related natural disasters is indispensable to obtaining a comprehensive understanding of the effect of regional economic growth on vulnerability reduction. Taking China as a case, this subnational scale study shows that economic development is correlated with the significant reduction in human fatalities but increase in direct economic losses (DELs) from climate-related disasters since 1949. The long-term trend in climate-related disaster vulnerability, reflected by mortality (1978–2015) and DELs (1990–2015) as a share of the total population and Gross Domestic Product, has seen significant decline among all economic regions in China. While notable differences remain among its West, Central and East economic regions, the temporal vulnerability change has been converging. The study further demonstrated that economic development level is correlated with human and economic vulnerability to climate-related disasters, and this vulnerability decreased with the increase of per-capita income. This study suggested that economic development can have nuanced effects on overall human and economic vulnerability to climate-related disasters. We argue that climate change science needs to acknowledge and examine the different pathways of vulnerability effects related to economic development.
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This paper investigates local-scale social vulnerability to flood hazards in Romania, aiming to identify the most vulnerable social and demographic groups across a wide range of geographical locations by considering three dimensions: demographic, socioeconomic, and the built environment. The purpose of the paper is threefold: first, it strives to improve the Social Vulnerability model (SoVI®) by applying a different weighting method adapted to the Romanian context, taking into consideration the municipalities exposed to flood movements. Second, it aims to develop an assessment model for the most vulnerable communities by measuring the heterogeneity according to local indicators related to disaster risks. Third, it aims to facilitate emergency managers to identify community sub-groups that are more susceptible to loss and to increase the resilience of local communities. To perform local-level vulnerability mapping, 28 variables were selected and three aggregated indexes were constructed with the help of the ArcGIS software. Moreover, a model of Geographically Weighted Regression (GWR) between communities directly affected by floods and localities with high- and very high values of the Local Social Vulnerability Index (LoSoVI) was used to explore the spatial relationship among them and to compare the appropriateness of Ordinary Least Square (OLS) and GWR for such modelling. The established GWR model has revealed that the negative effects of flood hazards are often associated with communities with a high degree of social vulnerability. Thus, the analysis is able to provide a more comprehensive picture on communities in desperate need of financial resources in order to have the ability to diminish the negative impacts of flood hazards and to provide a more sustainable society.