title: The impact of the Tsunami on hospitalizations at the tertiary care hospital in the Southern Province of Sri Lanka.
abstract: OBJECTIVE
  Sri Lanka's human, physical, social, and economic resources suffered a massive impact after the tsunami of December 26, 2004. To assist in preparing for future disasters, the authors sought to characterize the pattern of hospitalizations from the main impact zone in the Southern Province.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Patients admitted to Teaching Hospital, Karapitiya, the only tertiary care hospital in the Southern Province.
  
  
  METHODS
  All hospital admissions on the day of and week following the tsunami, and a random sample (5 percent) of admissions from the month preceding, and the 3 months following the tsunami were coded according to the International Classification of Diseases, 10th Edition, analyzed, and geomapped.
  
  
  METHODS
  N/A.
  
  
  METHODS
  The overall daily number of hospitalizations increased by 50 percent on the day of the tsunami and decreased in the following week.
  
  
  RESULTS
  Before the tsunami, injuries typically accounted for 20 percent of hospital admissions. However, injuries were markedly higher (89 percent of the total) on the day of the tsunami and remained elevated (35 percent) during the following week. After the initial peak in injuries (including near drownings), there was no increase in the frequency of infectious, cardiac, or psychiatric admissions.
  
  
  CONCLUSIONS
  Injuries (including near drownings) were the most common cause of admissions immediately after the tsunami. The distribution of specific diagnoses differed from that seen after other natural disasters such as earthquakes and hurricanes. A central aspect of disaster relief operations and planning includes a thorough understanding of the postdisaster health effects and changes in disease patterns.
authors.affiliation: Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Truls
authors.initials: T
authors.lastname: Ostbye
authors.forename: Thyagi
authors.initials: T
authors.lastname: Ponnamperuma
authors.forename: Nayana
authors.initials: N
authors.lastname: Fernando
authors.forename: Vathsala
authors.initials: V
authors.lastname: Abeygunawardena
authors.forename: W A A
authors.initials: WA
authors.lastname: Wijayasiri
authors.forename: Jodi J
authors.initials: JJ
authors.lastname: Chen
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Woods
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004190:Disasters; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013188:Sri Lanka / Q000453:epidemiology; D055871:Tidal Waves; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult