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Multiple information sources in the analysis of a disaster
Stephanie Barnhart1, Patrick M Cody, David E Hogan
1Department of Emergency Medicine, Integris Southwest Medical Center, Emergency Medicine Residency Program, Oklahoma City, Oklahoma, USA.
American Journal of Disaster Medicine
|April 22, 2009
Summary
Investigating disaster medical impacts requires accurate data. Public domain information, accessed via Freedom of Information Act (FOIA) requests, proves useful for epidemiologic studies of mass casualty events.
Area of Science:
- Disaster medicine
- Epidemiology
- Public health
Background:
- Accurate epidemiologic studies of disasters are hampered by poor record availability.
- Reliable denominator data is crucial for understanding disaster medical impacts.
Purpose of the Study:
- To identify available information sources for mass casualty disaster analysis.
- To assess the utility of these sources in epidemiologic evaluations.
- To describe characteristics of disaster-affected cases.
Main Methods:
- Retrospective cohort study of an explosion and fire.
- Abstraction of medical records and public domain documents.
- Utilized Freedom of Information Act (FOIA) requests for data acquisition.
Main Results:
- Seven case information sources were identified.
- Investigative agencies provided the most cases (33); medical records provided the fewest (18).
- Injury rate: 0.68, admission rate: 0.20, operative rate: 0.14; no deaths.
Conclusions:
- Public domain data is available and useful for disaster research.
- Freedom of Information Act (FOIA) requests and agency partnerships can improve denominator data accuracy.
- Enhanced data collection aids epidemiologic evaluations of mass casualty incidents.
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