Work-Related Unintentional Injuries Associated with Hurricane Sandy in New Jersey

Elizabeth G. Marshall, Shou En Lu, Zhengyang Shi, Joel Swerdel, Marija Borjan, Margaret E. Lumia

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective We aimed to evaluate the occurrence of work-related injuries after Hurricane Sandy potentially related to response and recovery. Methods Emergency and hospital discharges (patients aged 18-65 years) with a diagnosis of unintentional injury were obtained from the New Jersey Department of Health. Work-related injuries were identified as those with a workers' compensation payer or other work-related codes. Counties were categorized as high-, medium-, or low-impact areas. Poisson regression analysis was used to compare the rate of work-related injury the year following Sandy landfall with the 3 previous years. Results Total work-related injuries declined the week immediately after Sandy (rate ratio [RR]: 0.85; 95% confidence interval [CI]: 0.69-1.05) and no overall increase was found in the year after Hurricane Sandy. However, high-impact counties showed an elevated risk of work-related injuries in the first and third quarters after Hurricane Sandy among men, especially for blacks and Hispanics. The greatest excesses occurred in the third quarter after the storm, May to July, for falls (RR: 1.30; 95% CI: 1.08-1.57), cut/pierce injuries (RR: 1.24; 95% CI: 1.09-1.40), struck-by injuries (RR: 1.17; 95% CI: 1.02-1.34), and overexertion (RR: 1.26; 95% CI: 1.10-1.44). Conclusions Hospital data suggested an increase in injuries associated with rebuilding and recovery rather than with initial response. Future efforts aimed at prevention should evaluate the mechanisms and circumstances of injury in more detail.

Original languageEnglish (US)
Pages (from-to)394-404
Number of pages11
JournalDisaster Medicine and Public Health Preparedness
Volume10
Issue number3
DOIs
StatePublished - Jun 1 2016

Fingerprint

Cyclonic Storms
Wounds and Injuries
Confidence Intervals
Workers' Compensation
Patient Discharge
Hispanic Americans
Emergencies
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • hurricane
  • occupational health
  • wounds and injuries

Cite this

Marshall, Elizabeth G. ; Lu, Shou En ; Shi, Zhengyang ; Swerdel, Joel ; Borjan, Marija ; Lumia, Margaret E. / Work-Related Unintentional Injuries Associated with Hurricane Sandy in New Jersey. In: Disaster Medicine and Public Health Preparedness. 2016 ; Vol. 10, No. 3. pp. 394-404.
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Work-Related Unintentional Injuries Associated with Hurricane Sandy in New Jersey. / Marshall, Elizabeth G.; Lu, Shou En; Shi, Zhengyang; Swerdel, Joel; Borjan, Marija; Lumia, Margaret E.

In: Disaster Medicine and Public Health Preparedness, Vol. 10, No. 3, 01.06.2016, p. 394-404.

Research output: Contribution to journalArticle

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AU - Lu, Shou En

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AU - Lumia, Margaret E.

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N2 - Objective We aimed to evaluate the occurrence of work-related injuries after Hurricane Sandy potentially related to response and recovery. Methods Emergency and hospital discharges (patients aged 18-65 years) with a diagnosis of unintentional injury were obtained from the New Jersey Department of Health. Work-related injuries were identified as those with a workers' compensation payer or other work-related codes. Counties were categorized as high-, medium-, or low-impact areas. Poisson regression analysis was used to compare the rate of work-related injury the year following Sandy landfall with the 3 previous years. Results Total work-related injuries declined the week immediately after Sandy (rate ratio [RR]: 0.85; 95% confidence interval [CI]: 0.69-1.05) and no overall increase was found in the year after Hurricane Sandy. However, high-impact counties showed an elevated risk of work-related injuries in the first and third quarters after Hurricane Sandy among men, especially for blacks and Hispanics. The greatest excesses occurred in the third quarter after the storm, May to July, for falls (RR: 1.30; 95% CI: 1.08-1.57), cut/pierce injuries (RR: 1.24; 95% CI: 1.09-1.40), struck-by injuries (RR: 1.17; 95% CI: 1.02-1.34), and overexertion (RR: 1.26; 95% CI: 1.10-1.44). Conclusions Hospital data suggested an increase in injuries associated with rebuilding and recovery rather than with initial response. Future efforts aimed at prevention should evaluate the mechanisms and circumstances of injury in more detail.

AB - Objective We aimed to evaluate the occurrence of work-related injuries after Hurricane Sandy potentially related to response and recovery. Methods Emergency and hospital discharges (patients aged 18-65 years) with a diagnosis of unintentional injury were obtained from the New Jersey Department of Health. Work-related injuries were identified as those with a workers' compensation payer or other work-related codes. Counties were categorized as high-, medium-, or low-impact areas. Poisson regression analysis was used to compare the rate of work-related injury the year following Sandy landfall with the 3 previous years. Results Total work-related injuries declined the week immediately after Sandy (rate ratio [RR]: 0.85; 95% confidence interval [CI]: 0.69-1.05) and no overall increase was found in the year after Hurricane Sandy. However, high-impact counties showed an elevated risk of work-related injuries in the first and third quarters after Hurricane Sandy among men, especially for blacks and Hispanics. The greatest excesses occurred in the third quarter after the storm, May to July, for falls (RR: 1.30; 95% CI: 1.08-1.57), cut/pierce injuries (RR: 1.24; 95% CI: 1.09-1.40), struck-by injuries (RR: 1.17; 95% CI: 1.02-1.34), and overexertion (RR: 1.26; 95% CI: 1.10-1.44). Conclusions Hospital data suggested an increase in injuries associated with rebuilding and recovery rather than with initial response. Future efforts aimed at prevention should evaluate the mechanisms and circumstances of injury in more detail.

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