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    Area of Science:

    • Public Health
    • Epidemiology
    • Laboratory Science

    Background:

    • Hurricane Maria caused widespread infrastructure damage in Puerto Rico.
    • Public health laboratory services, including disease surveillance and testing, were severely impacted.
    • Access to potable water, power, transport, and communication was limited.

    Purpose of the Study:

    • To describe the initial laboratory emergency response following Hurricane Maria.
    • To detail collaborative efforts to restore public health laboratory services.
    • To highlight the implementation of a sample transport system for disease surveillance.

    Main Methods:

    • Rapid needs assessments were conducted by PRDOH, CDC, and APHL.
    • A temporary sample transport system was established with CDC Foundation assistance.
    • Samples were shipped to the continental US for testing and surveillance.

    Main Results:

    • The sample transport system enabled the reinitiation of priority infectious disease surveillance.
    • Laboratory testing for patient and public health interventions was resumed.
    • Federal, state, and nongovernmental partners engaged in response efforts.

    Conclusions:

    • The implemented sample transport system was crucial for restoring essential public health functions.
    • Collaboration was key to overcoming laboratory infrastructure challenges post-hurricane.
    • This system facilitated continued disease surveillance and testing while permanent services were rebuilt.