The impact of natural disaster on pediatric surgical delivery: A review of Haiti six months before and after the 2010 earthquake

Christopher D. Hughes, Katherine A. Nash, Blake C. Alkire, Craig D. McClain, Lars E. Hagander, C. Jason Smithers, Maxi Raymonville, Stephen R. Sullivan, Robert Riviello, Selwyn O. Rogers, John G. Meara

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    8 Scopus citations

    Abstract

    Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<01). Conclusion. Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.

    Original languageEnglish (US)
    Pages (from-to)523-533
    Number of pages11
    JournalJournal of Health Care for the Poor and Underserved
    Volume23
    Issue number2
    DOIs
    StatePublished - May 1 2012

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    Keywords

    • Burden of surgical disease
    • Natural disaster
    • Pediatrics
    • Resource-poor settings
    • Surgery

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

    Hughes, C. D., Nash, K. A., Alkire, B. C., McClain, C. D., Hagander, L. E., Jason Smithers, C., Raymonville, M., Sullivan, S. R., Riviello, R., Rogers, S. O., & Meara, J. G. (2012). The impact of natural disaster on pediatric surgical delivery: A review of Haiti six months before and after the 2010 earthquake. Journal of Health Care for the Poor and Underserved, 23(2), 523-533. https://doi.org/10.1353/hpu.2012.0067