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Int. J. Environ. Res. Public Health 2017, 14(10), 1201; doi:10.3390/ijerph14101201

Assessment of the Public Health Risks and Impact of a Tornado in Funing, China, 23 June 2016: A Retrospective Analysis

School of Public Health, Sun Yat-sen University, No. 74, 2nd Yat-Sen Road, Yuexiu District, Guangzhou 510080, China
School of Government, Sun Yat-sen University, Guangzhou 510275, China
Public Health Emergency Center, Chinese Center for Disease Control and Prevention, Beijing 102206, China
School of Public Health, State University of New York at Albany, Albany, NY 12222, USA
Funing County’s Center for Disease Control and Prevention, Yancheng 224400, China
Department for Acute Infectious Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, 172 Jiangsu Road, Gulou District, Nanjing 210009, China
These authors contributed equally to this work.
Authors to whom correspondence should be addressed.
Received: 29 August 2017 / Revised: 24 September 2017 / Accepted: 8 October 2017 / Published: 10 October 2017
(This article belongs to the Special Issue Public Health and Disasters)
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(1) Background: Tornadoes are one of the deadliest disasters but their health impacts in China are poorly investigated. This study aimed to assess the public health risks and impact of an EF-4 tornado outbreak in Funing, China; (2) Methods: A retrospective analysis on the characteristics of tornado-related deaths and injuries was conducted based on the database from the Funing’s Center for Disease Control and Prevention (CDC) and Funing People’s Hospital. A change-point time-series analysis of weekly incidence for the period January 2010 to September 2016 was used to identify sensitive infectious diseases to the tornado; (3) Results: The 75 to 84 years old group was at the highest risk of both death (RR = 82.16; 95% CIs = 19.66, 343.33) and injury (RR = 31.80; 95% CI = 17.26, 58.61), and females were at 53% higher risk of death than males (RR = 1.53; 95% CIs = 1.02, 2.29). Of the 337 injuries, 274 injuries (81%) were minor. Most deaths occurred indoors (87%) and the head (74%) was the most frequent site of trauma during the tornado. Five diseases showed downward change-points; (4) Conclusions: The experience of the Funing tornado underscores the relative danger of being indoors during a tornado and is successful in avoiding epidemics post-tornado. Current international safety guidelines need modification when generalized to China. View Full-Text
Keywords: tornado; public health impact; natural disaster; death and injury; infectious disease tornado; public health impact; natural disaster; death and injury; infectious disease

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Wang, K.; Zhong, S.; Wang, X.; Wang, Z.; Yang, L.; Wang, Q.; Wang, S.; Sheng, R.; Ma, R.; Lin, S.; Liu, W.; Zu, R.; Huang, C. Assessment of the Public Health Risks and Impact of a Tornado in Funing, China, 23 June 2016: A Retrospective Analysis. Int. J. Environ. Res. Public Health 2017, 14, 1201.

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