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Evaluating Dryocosmus Kuriphilus-induced Damage on Castanea Sativa

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Assessing disaster-attributed mortality: development and application of a definition and classification matrix.

D L Combs¹, L E Quenemoen, R G Parrish

¹Surveillance and Programs Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.

International Journal of Epidemiology

|February 8, 2000

Summary

A new method for classifying disaster-attributed mortality was developed, improving consistency in assessing health effects and informing prevention policies. This approach enhances disaster response and public health strategies.

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Area of Science:

Public Health
Disaster Medicine
Epidemiology

Background:

Accurate classification of disaster-attributed mortality is crucial for effective public health policy and prevention programs.
Existing classification methods lack standardization for all potential health outcomes following natural disasters.
This limitation hinders the assessment of disaster health impacts and the implementation of targeted prevention strategies.

Purpose of the Study:

To present a standardized method for ascertaining and classifying disaster-attributed mortality.
To establish a framework for consistent reporting and evaluation of disaster-related deaths.
To identify needs for prevention policies by understanding exposure-health effect relationships.

Main Methods:

Developed a comprehensive method including a case definition, flow chart, and matrix.
The matrix facilitates coding, reporting, and evaluation of death circumstances, causes, and disaster specifics.
Applied the method to classify deaths attributed to Hurricane Andrew (1992, USA) by two independent readers.

Main Results:

Achieved 97% agreement between readers on case status for 322 investigated deaths.
Demonstrated 83% agreement on case classification for 42 identified disaster-attributed deaths.
The proposed method showed high reliability in classifying disaster-related mortality.

Conclusions:

The developed case definition allows a broad interpretation of disaster-related circumstances and subsequent health conditions.
The integrated flow chart and matrix provide a robust framework for consistent classification and reporting.
This standardized approach aids in identifying critical prevention needs by linking exposures to health outcomes.