Medical Consultations After Typhoon Haiyan in a Field Hospital in the Philippines

Disaster Med Public Health Prep. 2020 Feb;14(1):34-38. doi: 10.1017/dmp.2019.99.

Abstract

Introduction and objectives: Typhoon Haiyan partially destroyed the Ormoc District Hospital in the Philippines. A field hospital was established to replace its outpatient department for 5 weeks. We investigated the reasons for medical consultation in the field hospital.

Methods: We described the consultations by sex, age, week, and diagnosis according to the Surveillance in Post-Extreme Emergencies and Disasters system. We compared the number and proportion of upper respiratory tract infections (URTIs) with a control season in 2014.

Results: We included 6785 consultations, 55.9% from women. The majority of consultations were communicable diseases (88.2%) followed by noncommunicable (7.1%) and injuries (5.6%). Males suffered more often from injuries than women (66.0% vs 34.0%). Consultations due to injuries decreased from 10.0% in the first to 2.9% in the last week. The most frequent diagnosis over the study period was acute respiratory infections (ARIs) (73.1%), of which 83.0% were children. The number of daily URTIs was higher than in a similar 2014 period.

Conclusions: ARI was the most prevalent diagnosis. We recommend ARI treatments being fully accessible after such a disaster. During the first week, injury prevention should focus on adult men. Studies after natural disasters should include control periods to better understand disease distribution, ultimately improving the prioritization in disasters.

Keywords: cyclonic storms; mobile health units; natural disasters; outpatients.

Publication types

  • Observational Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Civil Defense / methods
  • Cyclonic Storms / statistics & numerical data*
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Mobile Health Units / organization & administration
  • Mobile Health Units / statistics & numerical data*
  • Philippines / epidemiology
  • Population Surveillance / methods
  • Referral and Consultation / statistics & numerical data
  • Referral and Consultation / trends*