The Effect of Hurricane Sandy on Cardiovascular Events in New Jersey

Abstract

Background Hurricane Sandy made landfall in New Jersey ( NJ ) on October 29, 2012. We studied the impact of this extreme weather event on the incidence of, and 30‐day mortality from, cardiovascular (CV) events ( CVEs ), including myocardial infarctions ( MI ) and strokes, in NJ . Methods and Results Data were obtained from the MI data acquisition system ( MIDAS ), a database of all inpatient hospital discharges with CV diagnoses in NJ, including death certificates. Patients were grouped by their county of residence, and each county was categorized as either high‐ (41.5% of the NJ population) or low‐impact area based on data from the Federal Emergency Management Agency and other sources. We utilized Poisson regression comparing the 2 weeks following Sandy landfall with the same weeks from the 5 previous years. In addition, we used CVE data from the 2 weeks previous in each year as to adjust for yearly changes. In the high‐impact area, MI incidence increased by 22%, compared to previous years (attributable rate ratio [ ARR] , 1.22; 95% confidence interval [ CI], 1.16, 1.28), with a 31% increase in 30‐day mortality ( ARR, 1.31; 95% CI, 1.22, 1.41). The incidence of stroke increased by 7% ( ARR, 1.07; 95% CI, 1.03, 1.11), with no significant change in 30‐day stroke mortality. There were no changes in incidence or 30‐day mortality of MI or stroke in the low‐impact area. Conclusion In the 2 weeks following Hurricane Sandy, there were increases in the incidence of, and 30‐day mortality from, MI and in the incidence of stroke.