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<div _ngcontent-c20="" innerhtml="<p>The devastation and flooding we have witnessed from Hurricane Harvey over the past five days offers&amp;nbsp;an example of nature’s ability to wreak havoc.</p> 
<div id=&quot;attachment_41517753&quot; class=&quot;wp-caption alignnone&quot;> 
 <div class=&quot;article-body-image&quot;> 
  <progressive-image class=&quot;progressive-placeholder&quot; src=&quot;https://thumbor.forbes.com/thumbor/960x0/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F41517753%2F960x0.jpg%3Ffit%3Dscale&quot; low-res-src=&quot;https://thumbor.forbes.com/thumbor/100x0/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F41517753%2F960x0.jpg%3Ffit%3Dscale&quot;></progressive-image> 
 </div> 
 <div article-image-caption=&quot;&quot;> 
  <div class=&quot;caption-container&quot; ng-class=&quot;caption_state&quot;> 
   <fbs-accordion current=&quot;0&quot;> 
    <p class=&quot;wp-caption-text&quot;>A Texas State flag hangs from a home surrounded by floodwaters from Hurricane Harvey in The Woodlands, Texas, U.S., on Tuesday, Aug. 29, 2017. Estimates for damages caused by Hurricane Harvey are climbing with the storm poised to regain strength in the Gulf of Mexico before crashing back on land. Courtesy, Luke Sharrett/Bloomberg</p> 
   </fbs-accordion> 
  </div> 
 </div> 
</div> 
<p><span>Restoring power is often the first part of any disaster plan after such a storm hits. But as repairs begin&amp;nbsp;and&amp;nbsp;people who have evacuated start&amp;nbsp;to re-enter their homes,&amp;nbsp;</span><span>the ultimate question, given the harsh reality of water-logged property and the ensuing mold, becomes whether the existing homes can be salvaged or will be habitable in the coming weeks to months.</span></p> 
<p>As a result, delivering medical care to individuals in compromised living quarters ― whether in a flooded home or in a shelter ― presents unique challenges to first responders, as well as doctors and nurses who serve on the front lines.</p> 
<p> 
 </p> 
<p><span>“The health and emergency response communities of Houston, Galveston and Corpus Christi need to focus on the care of acute injuries and prevention of health crises,” said Maria T. Carney, MD, a former Nassau County health commissioner and the chief of the Division of Geriatric and Palliative Medicine&amp;nbsp;at Northwell Health&amp;nbsp;in New Hyde Park, NY.</span>&amp;nbsp;“<span>There will be lots of injuries such as abrasions, cuts, lacerations, sprains, strains and fractures, all of which are easily managed typically, but when access to care is limited, they can easily turn into a health crisis.”</span></p> 
<p><span>The lack of access to prescription medicine during and after hurricanes remains an ongoing and important issue for those with chronic illnesses such as diabetes and high blood pressure, Carney said.</span></p> 
<div class=&quot;vestpocket&quot; vest-pocket=&quot;&quot;></div> 
<p>Carney was behind Northwell's first <a href=&quot;https://link.springer.com/article/10.1007/s10900-013-9805-7&quot; target=&quot;_blank&quot; rel=&quot;nofollow&quot;>mobile health unit</a> (MHU) that was launched in the aftermath of Hurricane Sandy in 2013, which treated more than 1,ooo people who were displaced by the hurricane. Vaccinations were the most common request among patient care services delivered, with upper respiratory infections (URIs) the most common diagnosis of patients who were treated.</p>"><p class="speakable-paragraph">The devastation and flooding we have witnessed from Hurricane Harvey over the past five days offers&nbsp;an example of nature’s ability to wreak havoc.</p> 
<div id="attachment_41517753" class="wp-caption alignnone"> 
 <div class="article-body-image"> 
  <progressive-image class="progressive-placeholder" src="https://thumbor.forbes.com/thumbor/960x0/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F41517753%2F960x0.jpg%3Ffit%3Dscale" low-res-src="https://thumbor.forbes.com/thumbor/100x0/smart/https%3A%2F%2Fspecials-images.forbesimg.com%2Fimageserve%2F41517753%2F960x0.jpg%3Ffit%3Dscale"></progressive-image> 
 </div> 
 <div article-image-caption=""> 
  <div class="caption-container" ng-class="caption_state"> 
   <fbs-accordion current="0"> 
    <p class="wp-caption-text">A Texas State flag hangs from a home surrounded by floodwaters from Hurricane Harvey in The Woodlands, Texas, U.S., on Tuesday, Aug. 29, 2017. Estimates for damages caused by Hurricane Harvey are climbing with the storm poised to regain strength in the Gulf of Mexico before crashing back on land. Courtesy, Luke Sharrett/Bloomberg</p> 
   </fbs-accordion> 
  </div> 
 </div> 
</div> 
<p><span>Restoring power is often the first part of any disaster plan after such a storm hits. But as repairs begin&nbsp;and&nbsp;people who have evacuated start&nbsp;to re-enter their homes,&nbsp;</span><span>the ultimate question, given the harsh reality of water-logged property and the ensuing mold, becomes whether the existing homes can be salvaged or will be habitable in the coming weeks to months.</span></p> 
<p>As a result, delivering medical care to individuals in compromised living quarters ― whether in a flooded home or in a shelter ― presents unique challenges to first responders, as well as doctors and nurses who serve on the front lines.</p> 
<p> 
 </p> 
<p><span>“The health and emergency response communities of Houston, Galveston and Corpus Christi need to focus on the care of acute injuries and prevention of health crises,” said Maria T. Carney, MD, a former Nassau County health commissioner and the chief of the Division of Geriatric and Palliative Medicine&nbsp;at Northwell Health&nbsp;in New Hyde Park, NY.</span>&nbsp;“<span>There will be lots of injuries such as abrasions, cuts, lacerations, sprains, strains and fractures, all of which are easily managed typically, but when access to care is limited, they can easily turn into a health crisis.”</span></p> 
<p><span>The lack of access to prescription medicine during and after hurricanes remains an ongoing and important issue for those with chronic illnesses such as diabetes and high blood pressure, Carney said.</span></p> 
<div class="vestpocket" vest-pocket=""></div> 
<p>Carney was behind Northwell's first <a href="https://link.springer.com/article/10.1007/s10900-013-9805-7" target="_blank" rel="nofollow">mobile health unit</a> (MHU) that was launched in the aftermath of Hurricane Sandy in 2013, which treated more than 1,ooo people who were displaced by the hurricane. Vaccinations were the most common request among patient care services delivered, with upper respiratory infections (URIs) the most common diagnosis of patients who were treated.</p></div>
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	</app-root><script id="ng-templates-state" type="application/json">{&q;environmentName&q;:&q;prod&q;,&q;is_mobile&q;:false,&q;/forbesapi/content/uri.json?shortcodes=true&a;slides=true&a;type=ng&a;tickers=true&a;bvallpages=true&a;autovpslider=true&a;stream=true&a;compressimages=true&a;mobile=false&a;prgsmobileads=false&a;relativeVideo=true&a;videoplayertype=brightcove_perform_with_keyvalues&a;swimlane=&a;uri=http://www.forbes.com/sites/robertglatter/2017/08/30/hurricane-harvey-why-mobile-medical-care-is-critical/&q;:{&q;content&q;:{&q;id&q;:&q;content_59a6372e64aaf97b128dd151&q;,&q;naturalId&q;:&q;blogAndPostId/blog/post/2002-9920&q;,&q;source&q;:&q;blogs&q;,&q;author&q;:&q;Robert Glatter, MD&q;,&q;title&q;:&q;Hurricane Harvey: Why Mobile Medical Care Is Critical&q;,&q;date&q;:1504089000000,&q;body&q;:&q;&l;p&g;The devastation and flooding we have witnessed from Hurricane Harvey over the past five days offers&a;nbsp;an example of nature&a;rsquo;s ability to wreak havoc.\r\n\r\n[caption id=\&q;attachment_41517753\&q; photocredit=\&q;\&q;  align=\&q;\&q; width=\&q;960\&q;]&l;img class=\&q;dam-image bloomberg size-large wp-image-41517753\&q; src=\&q;https://specials-images.forbesimg.com/imageserve/41517753/960x0.jpg?fit=scale\&q; data-height=\&q;640\&q; data-width=\&q;960\&q;&g; A Texas State flag hangs from a home surrounded by floodwaters from Hurricane Harvey in The Woodlands, Texas, U.S., on Tuesday, Aug. 29, 2017. Estimates for damages caused by Hurricane Harvey are climbing with the storm poised to regain strength in the Gulf of Mexico before crashing back on land. Courtesy, Luke Sharrett/Bloomberg[/caption]\r\n\r\n&l;span&g;Restoring power is often the first part of any disaster plan after such a storm hits. But as repairs begin&a;nbsp;and&a;nbsp;people who have evacuated start&a;nbsp;to re-enter their homes,&a;nbsp;&l;/span&g;&l;span&g;the ultimate question, given the harsh reality of water-logged property and the ensuing mold, becomes whether the existing homes can be salvaged or will be habitable in the coming weeks to months.&l;/span&g;\r\n\r\nAs a result, delivering medical care to individuals in compromised living quarters &a;#8213; whether in a flooded home or in a shelter &a;#8213; presents unique challenges to first responders, as well as doctors and nurses who serve on the front lines.\r\n\r\n&l;span&g;&a;ldquo;The health and emergency response communities of Houston, Galveston and Corpus Christi need to focus on the care of acute injuries and prevention of health crises,&a;rdquo; said Maria T. Carney, MD, a former Nassau County health commissioner and the chief of the Division of Geriatric and Palliative Medicine&a;nbsp;at Northwell Health&a;nbsp;in New Hyde Park, NY.&l;/span&g;&a;nbsp;&a;ldquo;&l;span&g;There will be lots of injuries such as abrasions, cuts, lacerations, sprains, strains and fractures, all of which are easily managed typically, but when access to care is limited, they can easily turn into a health crisis.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;The lack of access to prescription medicine during and after hurricanes remains an ongoing and important issue for those with chronic illnesses such as diabetes and high blood pressure, Carney said.&l;/span&g;\r\n\r\nCarney was behind Northwell&s;s first &l;a href=\&q;https://link.springer.com/article/10.1007/s10900-013-9805-7\&q; target=\&q;_blank\&q;&g;mobile health unit&l;/a&g; (MHU) that was launched in the aftermath of Hurricane Sandy in 2013, which treated more than 1,ooo people who were displaced by the hurricane. Vaccinations were the most common request among patient care services delivered, with upper respiratory infections (URIs) the most common diagnosis of patients who were treated.\r\n&l;!--nextpage--&g;\r\n&l;span&g;&a;ldquo;In Hurricane Sandy, we encountered individuals who were healthy and managing chronic illnesses but lost their medicines in the flooding or were separated from where their medicines were located,&a;rdquo; Carney&a;nbsp;explained.&l;/span&g;\r\n\r\n&l;span&g;Ultimately, the result of&a;nbsp;Hurricane Sandy was that high blood pressure and diabetes were not managed appropriately. &a;ldquo;We started making efforts to prevent the crises that would be worse &a;#8213; treat the high blood pressure rather than waiting for a stroke to happen,&a;rdquo; Carney&a;nbsp;said. &a;ldquo;Lastly, we discovered a lot of anxiety and depression that needed to be addressed and supported.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;She added: &a;ldquo;We deployed a mobile van with support from grants and the health department and received medication donations from our hospitals. [tweet_quote display=\&q;We brought personnel, skill, supplies and care to where people were located\&q;]We brought personnel, skill, supplies and care to where people were located[/tweet_quote] . I truly believe we helped empower individuals in a great time of fear and unknown.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;When she went into communities most affected by the hurricane, &a;ldquo;that&s;s when and how we identified elder orphans,&a;rdquo; she said. This allowed her team &a;ldquo;to direct them to shelters or medical care.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;By sending medical supplies and skilled medical and social workers to the shelters, her team was able to take control of situations on the ground. &l;/span&g;\r\n\r\n&l;span&g;[tweet_quote display=\&q;&a;ldquo;It&a;rsquo;s critical to bring the resources to where the need is, work together, and leverage partnerships,&a;rdquo;\&q;]&a;ldquo;It&a;rsquo;s critical to bring the resources to where the need is, work together and leverage partnerships,&a;rdquo;[/tweet_quote]&a;nbsp;Carney stressed.&l;/span&g;\r\n\r\n&l;span&g;Another expert, Michael Grosso, MD, the chair of pediatrics and chief medical officer at&a;nbsp;Huntington Hospital&a;nbsp;in New York, concurred, adding that&l;/span&g; &a;ldquo;&l;span&g;the frail elderly are, of course, at especially high risk after such natural disasters.\&q;&l;/span&g;\r\n\r\n&l;span&g;&a;ldquo;Older patients often need access to multiple medications. At the same time, the disruption to normal life may interfere with taking these as prescribed even if they are available,&a;rdquo; Grosso added. &l;/span&g;\r\n&l;!--nextpage--&g;\r\n&l;span&g;Older individuals may inherently be at a higher risk of dehydration. &a;ldquo;One reason for this is that the normal thirst mechanism is blunted with advanced age, so these persons may need to be reminded to drink,&a;rdquo; Grosso said.&l;/span&g;\r\n\r\n&l;span&g;Grosso also alluded to problems that may equally affect younger and older people alike, saying, &a;ldquo;A serious concern is the possibility of infectious diarrheal illness due to microbes such as Salmonella and E.Coli, with outbreaks associated with interruption of normal sanitation and contamination of the water supply.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;Beyond this, Grosso offered that &a;ldquo;individuals who are technology-dependent, such as children or adults who require breathing support of one kind or another, face especially difficult challenges.&a;rdquo;&l;/span&g;\r\n\r\n&l;span&g;&a;ldquo;Post-traumatic stress disorder is another potential problem for many individuals, whether or not there are underlying behavioral health problems. However, a history or family history of anxiety or depression are risk factors. Prolonged exposure to severe stress &a;#8213; as may occur in the current tragedy in Texas &a;#8213; makes the risk of PTSD greater,&a;rdquo; Grosso concluded.&l;/span&g;&l;/p&g;&q;,&q;description&q;:&q;The devastation from the Hurricane Harvey flooding underscores the need to treat acute injuries while maintaining a focus on preventing health crises. The goal is to direct resources to where the need is and promote cooperation while leveraging partnerships.&q;,&q;image&q;:&q;/thumbnails/blog_2002/pt_2002_9920_o.jpg?t=1504089005&q;,&q;type&q;:&q;blog&q;,&q;storyType&q;:&q;post&q;,&q;uri&q;:&q;http://www.forbes.com/sites/robertglatter/2017/08/30/hurricane-harvey-why-mobile-medical-care-is-critical/&q;,&q;comments&q;:[],&q;visible&q;:true,&q;authors&q;:[{&q;naturalId&q;:&q;blogAuthorId/blog/author/230867&q;,&q;name&q;:&q;Robert Glatter, MD&q;,&q;avatars&q;:[{&q;size&q;:400,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=400&a;d=mm&a;r=g&q;},{&q;size&q;:136,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=136&a;d=mm&a;r=g&q;},{&q;size&q;:62,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=62&a;d=mm&a;r=g&q;},{&q;size&q;:40,&q;image&q;:&q;https://2.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;d=mm&a;r=g&q;}],&q;url&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;type&q;:&q;Contributor&q;,&q;profileUrl&q;:&q;/sites/robertglatter/&q;,&q;twitterName&q;:&q;drrobertglatter&q;,&q;authorType&q;:&q;individual&q;,&q;email&q;:&q;rdglatter@gmail.com&q;,&q;blog&q;:false,&q;timestamp&q;:1489622211390,&q;shortBio&q;:&q;I cover breaking news in medicine, med tech and public health&q;,&q;webSite&q;:&q;http://www.DR911MD.com&q;,&q;topics&q;:[&q;lifestyle&q;,&q;tech&q;,&q;business&q;,&q;health&q;,&q;pharma-and-health&q;,&q;forbeslife-magazine&q;,&q;innovation-and-science&q;,&q;fact-and-comment&q;,&q;small-business-roundtable&q;,&q;oped&q;],&q;recentFlag&q;:false,&q;description&q;:&q;I am an emergency physician on staff at Lenox Hill Hospital in New York City, where I have practiced for the past 15 years.  I also serve as an adviser and editor to Medscape Emergency Medicine, an educational portal for physicians, and an affiliate of WebMD. My other time is spent with my private house call practice, DR 911, providing medical care to both travelers and residents in Manhattan. I have a keen interest in medical technology and public health education.&q;,&q;recentActivityCount&q;:0,&q;latestActivityDate&q;:1447713600000,&q;dailyActivityCount&q;:0,&q;primaryBlogNaturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;shortUri&q;:&q;http://onforb.es/SVfTVT&q;,&q;displayChannel&q;:&q;business&q;,&q;displaySection&q;:&q;pharma&q;,&q;contributorSince&q;:1328327055000,&q;slug&q;:&q;robertglatter&q;,&q;showNoVestPocket&q;:false,&q;embargo&q;:false,&q;primaryChannelId&q;:&q;channel_1&q;,&q;primarySectionId&q;:&q;section_4&q;,&q;enableContribContact&q;:true,&q;sigfile&q;:&q;&l;em&g;Follow me on &l;a href=\&q;https://twitter.com/DrRobertGlatter\&q;&g;Twitter&l;/a&g;&l;/em&g;&l;i&g; @DrRobertGlatter&l;/i&g;&q;,&q;enableTwitterFeed&q;:false,&q;disableCanonical&q;:false,&q;disableDigest&q;:false,&q;forbesTwitterProfile&q;:{&q;screenName&q;:&q;DrRobertGlatter&q;,&q;name&q;:&q;Dr. Robert Glatter&q;,&q;profileImageUrl&q;:&q;http://pbs.twimg.com/profile_images/3205354709/e86606d63be3687e090f032669e80d53.jpeg&q;,&q;description&q;:&q;ER Physician, Lenox Hill Hospital/Forbes/CBS News/Medscape EM Editor/Former NY Jets Sideline MD/DR 911(https://t.co/DdtPoE6r84) Physician for @nbcolympics @rio2016&q;,&q;createdDate&q;:1335443739000,&q;location&q;:&q;New York City&q;,&q;url&q;:&q;https://t.co/FKAKfy6Rz2&q;,&q;expandedUrl&q;:&q;https://www.forbes.com/sites/robertglatter/&q;,&q;displayUrl&q;:&q;forbes.com/sites/robertgl…&q;,&q;verified&q;:false},&q;inactive&q;:true,&q;badges&q;:[],&q;primaryChannel&q;:{&q;id&q;:&q;channel_1&q;,&q;channelId&q;:&q;channel_1&q;,&q;channelName&q;:&q;Business&q;,&q;sectionId&q;:&q;section_4&q;,&q;sectionName&q;:&q;Pharma &a; Healthcare&q;,&q;url&q;:&q;/healthcare&q;,&q;shortName&q;:&q;Pharma &a; Healthcare&q;},&q;allowEmail&q;:false,&q;avatar_map&q;:{}},{&q;naturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;avatars&q;:[{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;},{&q;size&q;:0,&q;image&q;:&q;&q;}],&q;url&q;:&q;http://www.forbes.com/sites/robertglatter/&q;,&q;profileUrl&q;:&q;https://blogs.forbes.com/robertglatter/profile/&q;,&q;authorType&q;:&q;individual&q;,&q;blog&q;:true,&q;timestamp&q;:1518448620626,&q;topics&q;:[&q;lifestyle&q;,&q;tech&q;,&q;business&q;,&q;leadership&q;,&q;health&q;,&q;pharma-and-health&q;,&q;technology&q;,&q;social-media&q;,&q;travel&q;,&q;human-ingenuity&q;,&q;entrepreneurs&q;,&q;innovation-and-science&q;,&q;media--entertainment&q;,&q;autos&q;,&q;wall-street&q;,&q;managing&q;,&q;politics&q;,&q;oped&q;,&q;corporate-responsibility&q;,&q;economics&q;,&q;forbes-travel-guide&q;,&q;drinks&q;,&q;forbeslife-magazine&q;,&q;strategies-solutions&q;,&q;sports--leisure&q;,&q;fact-and-comment&q;,&q;arts--entertainment&q;,&q;intelligent-tech&q;,&q;policy&q;,&q;logistics-transportation&q;,&q;data-driven&q;,&q;retail&q;,&q;small-business-roundtable&q;,&q;regulation&q;,&q;mobile&q;,&q;healthcare-innovation&q;,&q;powering-productivity&q;,&q;global-2000-leading-companies&q;,&q;talent-strategies&q;],&q;recentActivityCount&q;:2,&q;latestActivityDate&q;:1447713600000,&q;dailyActivityCount&q;:1,&q;primaryBlogNaturalId&q;:&q;blogAuthorId/blog/author/blog-2002&q;,&q;primaryContributor&q;:&q;blogAuthorId/blog/author/230867&q;,&q;primaryContributorData&q;:{&q;naturalId&q;:&q;blogAuthorId/blog/author/230867&q;,&q;name&q;:&q;Robert Glatter, MD&q;,&q;avatars&q;:[{&q;size&q;:136,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=136&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:400,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=400&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:40,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=40&a;#038;d=mm&a;#038;r=g&q;},{&q;size&q;:62,&q;image&q;:&q;https://secure.gravatar.com/avatar/50b69f85fb0051c20f5e0e12d3043308?s=62&a;#038;d=mm&a;#038;r=g&q;}],&q;blog&q;:false,&q;shortBio&q;:&q;I cover breaking news in medicine, med tech and public health&q;,&q;description&q;:&q;I am an emergency physician on staff at Lenox Hill Hospital in New York City, where I have practiced for the past 15 years.  I also serve as an adviser and editor to Medscape Emergency Medicine, an educational portal for physicians, and an affiliate of WebMD. My other time is spent with my private house call practice, DR 911, providing medical care to both travelers and residents in Manhattan. 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Estimates for damages caused by Hurricane Harvey are climbing with the storm poised to regain strength in the Gulf of Mexico before crashing back on land. Courtesy, Luke Sharrett/Bloomberg&l;/p&g; \n   &l;/fbs-accordion&g; \n  &l;/div&g; \n &l;/div&g; \n&l;/div&g; \n&l;p&g;&l;span&g;Restoring power is often the first part of any disaster plan after such a storm hits. But as repairs begin&a;nbsp;and&a;nbsp;people who have evacuated start&a;nbsp;to re-enter their homes,&a;nbsp;&l;/span&g;&l;span&g;the ultimate question, given the harsh reality of water-logged property and the ensuing mold, becomes whether the existing homes can be salvaged or will be habitable in the coming weeks to months.&l;/span&g;&l;/p&g; \n&l;p&g;As a result, delivering medical care to individuals in compromised living quarters ― whether in a flooded home or in a shelter ― presents unique challenges to first responders, as well as doctors and nurses who serve on the front lines.&l;/p&g; \n&l;p&g; \n &l;fbs-ad position=\&q;inread\&q; progressive=\&q;\&q;&g;&l;/fbs-ad&g;&l;/p&g; \n&l;p&g;&l;span&g;“The health and emergency response communities of Houston, Galveston and Corpus Christi need to focus on the care of acute injuries and prevention of health crises,” said Maria T. Carney, MD, a former Nassau County health commissioner and the chief of the Division of Geriatric and Palliative Medicine&a;nbsp;at Northwell Health&a;nbsp;in New Hyde Park, NY.&l;/span&g;&a;nbsp;“&l;span&g;There will be lots of injuries such as abrasions, cuts, lacerations, sprains, strains and fractures, all of which are easily managed typically, but when access to care is limited, they can easily turn into a health crisis.”&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;The lack of access to prescription medicine during and after hurricanes remains an ongoing and important issue for those with chronic illnesses such as diabetes and high blood pressure, Carney said.&l;/span&g;&l;/p&g; \n&l;div class=\&q;vestpocket\&q; vest-pocket=\&q;\&q;&g;&l;/div&g; \n&l;p&g;Carney was behind Northwell&s;s first &l;a href=\&q;https://link.springer.com/article/10.1007/s10900-013-9805-7\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;mobile health unit&l;/a&g; (MHU) that was launched in the aftermath of Hurricane Sandy in 2013, which treated more than 1,ooo people who were displaced by the hurricane. Vaccinations were the most common request among patient care services delivered, with upper respiratory infections (URIs) the most common diagnosis of patients who were treated.&l;/p&g;&q;,&q;&l;p&g;&l;span&g;“In Hurricane Sandy, we encountered individuals who were healthy and managing chronic illnesses but lost their medicines in the flooding or were separated from where their medicines were located,” Carney&a;nbsp;explained.&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;Ultimately, the result of&a;nbsp;Hurricane Sandy was that high blood pressure and diabetes were not managed appropriately. “We started making efforts to prevent the crises that would be worse ― treat the high blood pressure rather than waiting for a stroke to happen,” Carney&a;nbsp;said. “Lastly, we discovered a lot of anxiety and depression that needed to be addressed and supported.”&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;She added: “We deployed a mobile van with support from grants and the health department and received medication donations from our hospitals. &l;span class=\&q;tweet_quote\&q;&g; &l;a href=\&q;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F08%2F30%2Fhurricane-harvey-why-mobile-medical-care-is-critical%2F&a;amp;text=We%20brought%20personnel%2C%20skill%2C%20supplies%20and%20care%20to%20where%20people%20were%20located\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;We brought personnel, skill, supplies and care to where people were located&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g; . I truly believe we helped empower individuals in a great time of fear and unknown.”&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;When she went into communities most affected by the hurricane, “that&s;s when and how we identified elder orphans,” she said. This allowed her team “to direct them to shelters or medical care.”&l;/span&g;&l;/p&g; \n&l;p&g; \n &l;fbs-ad position=\&q;inread\&q; progressive=\&q;\&q;&g;&l;/fbs-ad&g;&l;/p&g; \n&l;p&g;&l;span&g;By sending medical supplies and skilled medical and social workers to the shelters, her team was able to take control of situations on the ground. &l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;&l;span class=\&q;tweet_quote\&q;&g; &l;a href=\&q;https://twitter.com/intent/tweet?url=http%3A%2F%2Fwww.forbes.com%2Fsites%2Frobertglatter%2F2017%2F08%2F30%2Fhurricane-harvey-why-mobile-medical-care-is-critical%2F&a;amp;text=%E2%80%9CIt%E2%80%99s%20critical%20to%20bring%20the%20resources%20to%20where%20the%20need%20is%2C%20work%20together%2C%20and%20leverage%20partnerships%2C%E2%80%9D\&q; target=\&q;_blank\&q; rel=\&q;nofollow\&q;&g;“It’s critical to bring the resources to where the need is, work together and leverage partnerships,”&l;span&g;&l;/span&g;&l;/a&g;&l;/span&g;&a;nbsp;Carney stressed.&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;Another expert, Michael Grosso, MD, the chair of pediatrics and chief medical officer at&a;nbsp;Huntington Hospital&a;nbsp;in New York, concurred, adding that&l;/span&g; “&l;span&g;the frail elderly are, of course, at especially high risk after such natural disasters.&a;quot;&l;/span&g;&l;/p&g; \n&l;div class=\&q;vestpocket\&q; vest-pocket=\&q;\&q;&g;&l;/div&g; \n&l;p&g;&l;span&g;“Older patients often need access to multiple medications. At the same time, the disruption to normal life may interfere with taking these as prescribed even if they are available,” Grosso added. &l;/span&g;&l;/p&g;&q;,&q;&l;p&g;&l;span&g;Older individuals may inherently be at a higher risk of dehydration. “One reason for this is that the normal thirst mechanism is blunted with advanced age, so these persons may need to be reminded to drink,” Grosso said.&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;Grosso also alluded to problems that may equally affect younger and older people alike, saying, “A serious concern is the possibility of infectious diarrheal illness due to microbes such as Salmonella and E.Coli, with outbreaks associated with interruption of normal sanitation and contamination of the water supply.”&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;Beyond this, Grosso offered that “individuals who are technology-dependent, such as children or adults who require breathing support of one kind or another, face especially difficult challenges.”&l;/span&g;&l;/p&g; \n&l;p&g;&l;span&g;“Post-traumatic stress disorder is another potential problem for many individuals, whether or not there are underlying behavioral health problems. 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