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Updated: Sep 6, 2025

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Responding to Repeated Disasters: Time to Recovery in Public Health Workers.

Holly B Herberman Mash1,2, Carol S Fullerton1, Joshua C Morganstein1

  • 1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Disaster Medicine and Public Health Preparedness
|June 30, 2022
PubMed
Summary

Public health workers with less social support, longer prior recovery times, and personal injury/damage experienced longer recovery periods after disasters. Social support was key to faster recovery for disaster responders.

Keywords:
disasterhurricanerecoverysocial supportworkplace support

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Area of Science:

  • Public Health
  • Disaster Response
  • Occupational Psychology

Background:

  • Effective disaster response requires rapid recovery of public health workers after repeated events.
  • Predicting recovery time is crucial for planning and managing public health resources during crises.

Purpose of the Study:

  • To identify predictors of time to recovery among public health workers after a disaster.
  • To develop a model for predicting recovery time to inform disaster preparedness.

Main Methods:

  • A cohort of 681 public health workers was assessed 1 month before and 9 months after the 2005 hurricane season.
  • Data collected included demographics, trauma history, social support, work productivity, and disaster-specific experiences.
  • Recovery time from the most recent hurricane event was the primary outcome measure.

Main Results:

  • Less social support, longer previous recovery times, and lower predisaster work productivity predicted longer recovery.
  • Disaster-related personal injury/damage and initial emotional response were also associated with extended recovery periods.
  • Conversely, higher social support was linked to shorter recovery times.

Conclusions:

  • Factors such as prior recovery duration, personal impact, work productivity, and emotional response significantly influence recovery time.
  • Social support emerges as a critical protective factor for faster recovery in public health workers.
  • These predictors should be integrated into disaster preparedness and response planning.