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

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

1
School of Public Health, Sun Yat-sen University, No. 74, 2nd Yat-Sen Road, Yuexiu District, Guangzhou 510080, China
2
School of Government, Sun Yat-sen University, Guangzhou 510275, China
3
Public Health Emergency Center, Chinese Center for Disease Control and Prevention, Beijing 102206, China
4
School of Public Health, State University of New York at Albany, Albany, NY 12222, USA
5
Funing County’s Center for Disease Control and Prevention, Yancheng 224400, China
6
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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Abstract

(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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