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Published on: November 1, 2017
Child mortality after Hurricane Katrina
1Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, USA. kanterr@upstate.edu
Insights
Hurricane Katrina
Area of Science:
- Pediatric health
- Mortality statistics
- Public health emergencies
Background:
- Community disruption impact on child health post-Hurricane Katrina remains unanalyzed.
- Lack of post-disaster vital statistics necessitates alternative data sources.
- Assessing pediatric mortality is crucial for understanding health consequences.
Purpose of the Study:
- Validate newspaper death records as an alternative method for estimating child mortality.
- Compare pre- and post-Hurricane Katrina child mortality rates in New Orleans.
- Evaluate the age-specific health impact on children after community disruption.
Main Methods:
- Utilized local newspaper death reports to estimate pre-Katrina (2004) child mortality.
- Validated newspaper-derived estimates against Louisiana Department of Health data.
- Analyzed post-Katrina child mortality rates as a public health indicator.
Main Results:
- Newspaper-derived mortality estimates are largely valid, with potential underreporting of neonatal rates.
- Post-Katrina infant mortality rates showed significant declines: 92% for neonates (<28 days) and 57% for postneonatal infants (28 days-1 year).
- Observed post-Katrina infant mortality declines exceeded pre-Katrina data discrepancies.
Conclusions:
- Declining infant mortality suggests potential displacement of high-risk infants from the New Orleans area.
- No evidence of sustained excess child mortality post-Hurricane Katrina.
- Demographic shifts warrant further study for future public health emergency planning.
Background:
Age-specific pediatric health consequences of community disruption after Hurricane Katrina have not been analyzed. Post-Katrina vital statistics are unavailable. The objectives of this study were to validate an alternative method to estimate child mortality rates in the greater New Orleans area and compare pre-Katrina and post-Katrina mortality rates.
Methods:
Pre-Katrina 2004 child mortality was estimated from death reports in the local daily newspaper and validated by comparison with pre-Katrina data from the Louisiana Department of Health. Post-Katrina child mortality rates were analyzed as a measure of health consequences.
Results:
Newspaper-derived estimates of mortality rates appear to be valid except for possible underreporting of neonatal rates. Pre-Katrina and post-Katrina mortality rates were similar for all age groups except infants. Post-Katrina, a 92% decline in mortality rate occurred for neonates (<28 days), and a 57% decline in mortality rate occurred for postneonatal infants (28 days-1 year). The post-Katrina decline in infant mortality rate exceeds the pre-Katrina discrepancy between newspaper-derived and Department of Health-reported rates.
Conclusions:
A declining infant mortality rate raises questions about persistent displacement of high-risk infants out of the region. Otherwise, there is no evidence of long-lasting post-Katrina excess child mortality. Further investigation of demographic changes would be of interest to local decision makers and planners for recovery after public health emergencies in other regions.
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