{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:55:55Z","timestamp":1780498555910,"version":"3.54.1"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2016,5,5]],"date-time":"2016-05-05T00:00:00Z","timestamp":1462406400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1935789316000744_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Following Hurricane Superstorm Sandy, the New Jersey Department of Health (NJDOH) developed indicators to enhance syndromic surveillance for extreme weather events in EpiCenter, an online system that collects and analyzes real-time chief complaint emergency department (ED) data and classifies each visit by indicator or syndrome.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789316000744_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>These severe weather indicators were finalized by using 2 steps: (1) key word inclusion by review of chief complaints from cases where diagnostic codes met selection criteria and (2) key word exclusion by evaluating cases with key words of interest that lacked selected diagnostic codes.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789316000744_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Graphs compared 1-month, 3-month, and 1-year periods of 8 Hurricane Sandy-related severe weather event indicators against the same period in the following year. Spikes in overall ED visits were observed immediately after the hurricane for carbon monoxide (CO) poisoning, the 3 disrupted outpatient medical care indicators, asthma, and methadone-related substance use. Zip code level scan statistics indicated clusters of CO poisoning and increased medicine refill needs during the 2 weeks after Hurricane Sandy. CO poisoning clusters were identified in areas with power outages of 4 days or longer.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789316000744_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>This endeavor gave the NJDOH a clearer picture of the effects of Hurricane Sandy and yielded valuable state preparation information to monitor the effects of future severe weather events. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2016;10:463\u2013471)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2016.74","type":"journal-article","created":{"date-parts":[[2016,5,5]],"date-time":"2016-05-05T11:09:59Z","timestamp":1462446599000},"page":"463-471","source":"Crossref","is-referenced-by-count":12,"title":["Development and Application of Syndromic Surveillance for Severe Weather Events Following Hurricane Sandy"],"prefix":"10.1017","volume":"10","author":[{"given":"Stella","family":"Tsai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Hamby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessie A.","family":"Gleason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle M.","family":"Goodrow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Lifshitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerald A.","family":"Fagliano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,5,5]]},"reference":[{"key":"S1935789316000744_ref4","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2013.839030"},{"key":"S1935789316000744_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2014.09.028"},{"key":"S1935789316000744_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.artmed.2004.11.002"},{"key":"S1935789316000744_ref23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0110474"},{"key":"S1935789316000744_ref1","unstructured":"Drewniak M , Roberts R . Christie Administration Releases Total Hurricane Sandy Damage Assessment of $36.9 Billion. State of New Jersey website. http:\/\/www.nj.gov\/governor\/news\/news\/552012\/approved\/20121128e.html. Published November 28, 2012. Accessed April 5, 2016."},{"key":"S1935789316000744_ref6","unstructured":"Abramson D . Sandy Child and Family Health Study. National Center for Disaster Preparedness, Earth Institute, Columbia University website. http:\/\/ncdp.columbia.edu\/microsite-page\/sandy-child-and-family-health-study\/scafh-publications-reports\/. Published 2015. 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Loss events worldwide 1980-2014. http:\/\/preventionweb.net\/go\/44281. Published January 2015. Accessed April 5, 2016."},{"key":"S1935789316000744_ref3","first-page":"1","article-title":"Mold prevention strategies and possible health effects in the aftermath of hurricanes and major floods","volume":"55","author":"Brandt","year":"2006","journal-title":"MMWR Recomm Rep"},{"key":"S1935789316000744_ref5","first-page":"970194","article-title":"Mental health services required after disasters: learning from the lasting effects of disasters","volume":"2012","author":"McFarlane","year":"2012","journal-title":"Depress Res Treat"},{"key":"S1935789316000744_ref22","doi-asserted-by":"crossref","first-page":"e119","DOI":"10.5210\/ojphi.v7i1.5785","article-title":"Carbon monoxide poisoning during Hurricane Sandy in affected New York State counties","volume":"7","author":"Chen","year":"2015","journal-title":"Online J Public Health Inform"},{"key":"S1935789316000744_ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0073832"},{"key":"S1935789316000744_ref10","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/301408"},{"key":"S1935789316000744_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X15000163"},{"key":"S1935789316000744_ref16","unstructured":"Hoopes Halpin SH . The Impact of Superstorm Sandy on New Jersey Towns and Households. Rutgers University School of Public Affairs and Administration. http:\/\/njdatabank.newark.rutgers.edu\/sites\/default\/files\/files\/RutgersSandyImpact-FINAL-25Oct13.pdf. Published 2013. 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