title: The effects of Hurricane Mitch on a community in northern Honduras.
abstract: BACKGROUND
  Hurricane Mitch was an event described as one of the most damaging recent natural disasters in our hemisphere. This study examined its effects on a community of 5,000 residents in northern Honduras.
  
  
  METHODS
  Survey responses of 110 attendants at an ambulatory clinic 4 months after the event were analyzed. Correlates were established between demographic and housing characteristics and morbidity and mortality.
  
  
  RESULTS
  The availability of food, water, and medical care decreased significantly immediately after the hurricane, but by four months afterward returned to baseline values. Residents reported emotional distress correlated with the loss of a house or intrafamilial illness or mortality. Diarrheal illnesses more commonly were found in households with poor chronic access to medical care. The use of cement block housing correlated with availability of food or running water, with access to medical care and vaccinations, and with a reduced frequency of diarrhea or headaches in the immediate post-hurricane phase.
  
  
  CONCLUSIONS
  Improvements in housing construction appear to be the most effective preventive measure for withstanding the effects of future hurricanes in tropical regions similar to northern Honduras.
authors.affiliation: Baylor College of Medicine, Texas Medical Center, Houston, TX 77030, USA.
authors.forename: C K
authors.initials: CK
authors.lastname: Guill
authors.forename: W X
authors.initials: WX
authors.lastname: Shandera
mesh_terms: D003140:Communicable Disease Control / Q000379:methods; D003695:Delivery of Health Care / Q000592:standards / Q000639:trends; D004190:Disasters; D005260:Female; D006721:Honduras; D006798:Housing / Q000639:trends*; D006801:Humans; D008297:Male; D009752:Nutritional Status; D011159:Population Surveillance; D012066:Relief Work / Q000458:organization & administration*; D018570:Risk Assessment