August 3, 2010 -- As the acute phase of the Gulf oil spill transitions to a chronic phase, marked by long-term challenges to the public health, environment and economy, researchers at Columbia University's National Center for Disaster Preparedness interviewed over 1,200 adults living within 10 miles of the Gulf Coast in Louisiana and Mississippi, in collaboration with the Children's Health Fund and The Marist Poll of Poughkeepsie, NY. The survey, conducted by telephone in July, after the Deepwater Horizon well was capped, found evidence of significant and potentially lasting impact of the disaster on the health, mental health, and economic fortunes of residents and their children and on the way they live their everyday lives. The findings have implications for health and economic policies going forward.
Among the key survey findings:
"Over the last few days we are seeing an effort by officials who are suggesting that, as the oil is less visible on the surface, the 'crisis is over.' Clearly, this is far from the case," says Irwin Redlener, MD, director of the National Center for Disaster Preparedness (NCPD) at Columbia's Mailman School of Public Health and president of the Children's Health Fund (CHF). "As shown by our survey, done after the well was capped, there is a significant and persistent public health crisis underscored by the large number of children with medical and psychological problems related to the oil disaster. These concerns will need to be assessed and managed in these coastal communities where there are few or no pediatricians and vastly insufficient mental health professional capacity.'
The survey found a dramatic relationship between economic vulnerability and health effects. Adults with household incomes under $25,000 were by far the most likely to report physical and mental health effects for themselves and also among their children.
"Much the way Hurricane Katrina had its greatest effect on those with the least, the oil spill is also having a greater impact on those coastal residents who are 'economically vulnerable,' says David Abramson, PhD, MPH, director of Research at NCDP and assistant professor of clinical sociomedical sciences at the Mailman School. "In an area still recovering from the 2005 Hurricane Katrina, the oil spill represents a significant test of a population's resiliency."
Dr. Redlener, a pediatrician and professor at the Mailman School, outlined a number of implications for policymakers and others: "Guidelines need to be developed, with active participation of relevant federal agencies, with respect to the short- and long-term health risks of remaining in affected communities. This should include recommendations, based on known science, on when families would be advised to move out of the community entirely." He also believes BP should provide funds to state and local agencies involved with providing assessment and care to affected families. "Children are particularly susceptible to the consequences of this disaster and need to have special resources focused on their needs."
The National Center for Disaster Preparedness at Columbia's Mailman School, which designed the survey, intends to follow a cohort of at least 1,000 children and adults in the region to determine the continuing health and mental health consequences of the oil spill. Meanwhile the Children's Health Fund will bring badly needed mobile pediatric care to the region shortly. "There are literally no pediatricians in the lower two-thirds of Plaquemines Parish," notes Dr. Redlener, "and this is one of the worst hit areas."
Mailman School of Public Health
The only accredited school of public health in New York City and among the first in the nation, Columbia University's Mailman School of Public Health pursues an agenda of research, education, and service to address the critical and complex public health issues affecting millions of people locally and globally. The Mailman School is the recipient of some of the largest government and private grants in Columbia University's history. Its more than 1000 graduate students pursue master's and doctoral degrees, and the School's 300 multi-disciplinary faculty members work in more than 100 countries around the world, addressing such issues as infectious and chronic diseases, health promotion and disease prevention, environmental health, maternal and child health, health over the life course, health policy, and public health preparedness. www.mailman.columbia.edu
National Center for Disaster Preparedness
NCDP is an academically based, inter-disciplinary center focused on the nation's capacity to prevent and respond to terrorism and major disasters. NCDP's areas of expertise include disaster preparedness and response, mental health treatment, pediatric issues, and the socio-political dimensions of terrorism. NCDP is a national and international leader in disaster and terrorism readiness providing direct services to individuals affected by September 11, public health training, and applied research.
The Children's Health Fund
The Children's Health Fund, founded in 1987, is committed to providing health care to the nation's most medically underserved children through the development and support of innovative pediatric programs and the promotion of guaranteed access to appropriate health care for all children. To date, The Children's Health Fund's national network of 22 pediatric programs has treated more than 350,000 children. For more information visit www.childrenshealthfund.org.
Marist College Institute for Public Opinion
Founded in 1978, the Marist Institute for Public Opinion (MIPO) is a survey research center at Marist College in Poughkeepsie, New York. The Marist Poll has conducted independent research on public priorities, elections, and a wide variety of issues including the economy, health care, foreign affairs, the environment, science, information technology, and lifestyles. Through the regular public release of Marist Poll surveys, MIPO has built a reputation of independence, reliability, and accuracy.
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