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Effect of Hurricane Sandy on Long Island Emergency Departments Visits

  • Hyun Kim (a1), Rebecca M. Schwartz (a2), Jerrold Hirsch (a3), Robert Silverman (a4), Bian Liu (a5) and Emanuela Taioli (a5)...

This study aimed to examine the effect of Hurricane Sandy on Long Island mental health emergency department (ED) visits and to determine whether these visits varied according to patient demographics or geographic area and intensity of the impact.


Individual-level de-identified data were extracted from the Statewide Planning and Research Cooperative System from New York State ED visits from October 1 to December 2012 for residents of Nassau and Suffolk counties in Long Island. The dates of the ED visits were grouped into 4 periods: (1) pre-Sandy, October 1–28; (2) during Sandy, October 29; (3) post-Sandy I, October 30 to November 1; and (4) post-Sandy II, November 2–30.


A total of 126,337 ED visits were recorded among 23 EDs. A significant drop in volume was observed on October 29; 399 more ED visits for physical health diagnoses were identified in the post-Sandy I period than in the pre-Sandy period. “Diseases of the respiratory system” was the only diagnosis group that showed a positive trend in the post-Sandy I period compared with the pre-Sandy period (increase of 4%). No significant changes in mental health visits were observed after Sandy landfall.


This analysis suggests that the critical temporal window during which ED resources should be increased is in the immediate aftermath of a hurricane. (Disaster Med Public Health Preparedness. 2016;10:344–350)

Corresponding author
Correspondence and reprint requests to Emanuela Taioli, MD, PhD, Department of Population Health Science and Policy, and Thoracic Surgery, Institute for Translational Epidemiology, One Gustave L. Levy Place, Box 1133, New York, NY 10029 (e-mail:
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1. Blake, ES, Kimberlain, TB, Berg, RJ, et al. Tropical Cyclone Report Hurricane Sandy. Published February 12, 2013. Accessed April 20, 2015.
2. New York Hurricane Sandy (DR-4085). FEMA website. 2012. Accessed April 20, 2015.
3. President Declares Major Disaster for New York. FEMA website. Published October 30, 2012. Accessed April 20, 2015.
4. Disaster Recovery Centers Open in Bronx, Kings, Nassau, Queens, Richmond and Suffolk Counties. FEMA website. Published November 3, 2012. Accessed April 20, 2015.
5. CDC. Deaths associated with Hurricane Sandy: October-November 2012. MMWR Morb Mortal Wkly Rep. 2013;62(20):393-397.
6. Hurricane Sandy Funding. 2013. Accessed April 20, 2015.
7. Blindauer, KM, Rubin, C, Morse, DL, McGeehin, M. The 1996 New York blizzard: impact on noninjury emergency visits. Am J Emerg Med. 1999;17(1):23-27.
8. Geehr, EC, Salluzzo, R, Bosco, S, et al. Emergency health impact of a severe storm. Am J Emerg Med. 1989;7(6):598-604.
9. Lin, C-H, Hou, S-K, Fuh-Yuan Shih, F, et al. The effect of tropical cyclones (typhoons) on emergency department visits. J Emerg Med. 2013;45(3):372-379.
10. Miller, JA, Kearney, GD, Proescholdbell, SK. Surveillance of injuries in Eastern North Carolina following Hurricane Irene using emergency department data. N C Med J. 2013;74(4):272-278.
11. Mortensen, K, Dreyfuss, Z. How many walked through the door?: the effect of hurricane Katrina evacuees on Houston emergency departments. Med Care. 2008;46(9):998-1001.
12. Platz, E, Cooper, HP, Silvestri, S, et al. The impact of a series of hurricanes on the visits to two central Florida Emergency Departments. J Emerg Med. 2007;33(1):39-46.
13. Sheppa, CM, Stevens, J, Philbrick, JT, et al. The effect of a class IV hurricane on emergency department operations. Am J Emerg Med. 1993;11(5):464-467.
14. Smith, CM, Graffeo, CS. Regional impact of Hurricane Isabel on emergency departments in coastal southeastern Virginia. Acad Emerg Med. 2005;12(12):1201-1205.
15. Chen, BC, Shawn, LK, Connors, NJ, et al. Carbon monoxide exposures in New York City following Hurricane Sandy in 2012. Clin Toxicol (Phila). 2013;51(9):879-885.
16. Kelman, J, Finne, K, Bogdanov, A, et al. Dialysis care and death following Hurricane Sandy. Am J Kidney Dis. 2015;65(1):109-115.
17. Boscarino, JA, Hoffman, SN, Adams, RE, et al. Mental health outcomes among vulnerable residents after Hurricane Sandy: implications for disaster research and planning. Am J Disaster Med. 2014;9(2):107-120.
18. Neria, Y, Shultz, JM. Mental health effects of Hurricane Sandy: characteristics, potential aftermath, and response. JAMA. 2012;308(24):2571-2572.
19. Schoenbaum, M, Butler, B, Kataoka, S, et al. Promoting mental health recovery after hurricanes Katrina and Rita: what can be done at what cost. Arch Gen Psychiatry. 2009;66(8):906-914.
20. Schreiber, MD, Yin, R, Omaish, M, et al. Snapshot from Superstorm Sandy: American Red Cross mental health risk surveillance in lower New York State. Ann Emerg Med. 2014;64(1):59-65.
21. Boscarino, JA, Hoffman, SN, Kirchner, HL, et al. Mental health outcomes at the Jersey Shore after Hurricane Sandy. Int J Emerg Ment Health. 2013;15(3):147-158.
22. Bleyer, B. Hurricane Sandy Long Island: Report Says Storm Ruined 95,534 Buildings In Nassau, Suffolk Counties. Huffington Post New York. Published January 8, 2013. Accessed April 20, 2015.
23. Statewide Planning and Research Cooperative System (SPARCS). New York State Department of Health website. Accessed April 20, 2015.
24. CDC. Epidemiologic Notes and Reports Hurricanes and Hospital Emergency-Room Visits -- Mississippi, Rhode Island, Connecticut. MMWR Weekly. 1986;34(51-52):765-770. Accessed April 20, 2015.
25. Sebek, K, Jacobson, L, Wang, J, et al. Assessing capacity and disease burden in a virtual network of New York City primary care providers following Hurricane Sandy. J Urban Health. 2014;91(4):615-622.
26. Kim, HK, Takematsu, M, Biary, R, et al. Epidemic gasoline exposures following Hurricane Sandy. Prehosp Disaster Med. 2013;28(6):586-591.
27. Schwartz, R, Liu, B, Sison, C, et al. Study design and results of a population-based study on perceived stress following Hurricane Sandy [published online ahead of print December 2, 2014]. Disaster Med Public Health Prep. doi: 10.1017/dmp.2015.157
28. Tropical Strom Allison. Houston 2001. MMWR Morb Mortal Wkly Rep. 2002;51(17):365-369.
29. The Free Dictionary. Rockaway cough. Accessed January 11, 2016.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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