{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T07:10:06Z","timestamp":1750662606511,"version":"3.41.0"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"unspecified","delay-in-days":173,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"Abstract<\/jats:title>\n\t \n\t Objectives<\/jats:title>\n\t To identify changes in emergency department (ED) use in Houston, TX during the mid-summer Hurricane Beryl-induced power outage to inform future targeted public health interventions.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Methods<\/jats:title>\n\t Syndromic surveillance system ED visit daily counts for total visits, heat-related illness, carbon monoxide poisoning, acute cardiac condition, stroke, dialysis, and medication refills post-hurricane were statistically compared to the 2 weeks prior and plotted alongside the percentage of the population with power outage.<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Results<\/jats:title>\n\t Daily ED visits post-storm were statistically higher (P<\/jats:italic>< 0.05) than the 2 weeks prior for total visits and acute cardiac events (Day 1, 2); heat-related illness (Day 1-3); dialysis (Day 0-3); and carbon monoxide poisoning and medication refill (Day 1-9).<\/jats:p>\n\t <\/jats:sec>\n\t \n\t Conclusions<\/jats:title>\n\t While 50% of the city experienced power outages from high winds, total ED visits, acute cardiac events, and heat-related illness were statistically higher in the first 3 days after Beryl than expected. Houston developed targeted messaging to mitigate these events in future disasters.<\/jats:p>\n\t <\/jats:sec>","DOI":"10.1017\/dmp.2025.10086","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T06:38:28Z","timestamp":1750660708000},"source":"Crossref","is-referenced-by-count":0,"title":["Analysis of Emergency Department Use in Houston During Power Outages After Hurricane Beryl to Inform Targeted Interventions"],"prefix":"10.1017","volume":"19","author":[{"given":"Kelsey","family":"Caton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loren","family":"Hopkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lance","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Blanchard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janeana","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Persse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"S1935789325100864_r1","unstructured":"1. Major Events. US Department of Commerce National Oceanic and Atmospheric Administration. Published August 16, 2024. Accessed November 7, 2024. https:\/\/www.weather.gov\/hgx\/major_events."},{"key":"S1935789325100864_r4","unstructured":"4. Syndromic Surveillance. Houston Health Department. Accessed November 8, 2024. Published October 16, 2023. https:\/\/www.houstonhealth.org\/services\/data-reporting\/syndromic-surveillance."},{"key":"S1935789325100864_r2","unstructured":"2. U.S. Billion-Dollar Weather and Climate Disasters. NOAA National Centers for Environmental Information. Published 2025. Accessed November 15, 2024. https:\/\/www.ncei.noaa.gov\/access\/billions\/events."},{"key":"S1935789325100864_r7","unstructured":"7. Kanik, A , Stiefel, E , Haseman, J , et al. Texas Power Outage Tracker. Houston Chronicle. Published August 22, 2024. Published August 22, 2024. Accessed November 7, 2024. https:\/\/www.houstonchronicle.com\/projects\/2021\/houston-texas-power-outage-tracker."},{"key":"S1935789325100864_r8","unstructured":"8. SAS Enterprise Guide 8.1. Published 2019. SAS Institute Inc., Cary, NC."},{"key":"S1935789325100864_r9","first-page":"18","article-title":"Safeguarding patients with end-stage kidney disease from climate-driven extreme heat and Hurricanes","author":"Shakour","year":"2024","journal-title":"Disaster Med Public Health Prep"},{"key":"S1935789325100864_r6","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052756"},{"key":"S1935789325100864_r5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.307217"},{"key":"S1935789325100864_r3","unstructured":"3. Heat Watch vs. Warning. US Department of Commerce National Oceanic and Atmospheric Administration. Accessed November 7, 2024. Published February 25, 2025. https:\/\/www.weather.gov\/safety\/heat-ww."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325100864","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T06:38:29Z","timestamp":1750660709000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325100864\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":9,"alternative-id":["S1935789325100864"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10086","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e158"}}