Evidence map›Paper›PMID 31728717›Full record

ArticleMaternal and child health journal2020

Impact of Hurricanes Irma and Maria on Puerto Rico Maternal and Child Health Research Programs.

Michael Welton, Carmen M Vélez Vega, Colleen B Murphy, Zaira Rosario, Hector Torres, Elle Russell, Phil Brown, Gredia Huerta-Montanez, Deborah Watkins, John D Meeker and 2 more

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Sex and Gender Influences on the Impacts of Disasters: A Rapid Review of Evidence.International journal of environmental research and public health · 2025
    Review
  5. Article
  6. Climate Change Impacts on Environmental Fungi: Human Health and Fungal Disease.Current topics in microbiology and immunology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Adapting to Climate Change: Leveraging Systems-Focused Multidisciplinary Research to Promote Resilience.International journal of environmental research and public health · 2022
    Review
  12. Article
  13. The Changing Climate and Pregnancy Health.Current environmental health reports · 2022
    Review
  14. Article
  15. Pregnant Women's Experiences during Hurricane Maria: Impact, Personal Meaning, and Health Care Needs.International journal of environmental research and public health · 2021
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Michael WeltonDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Health Science Campus, 101 Buck Road, Athens, GA, 30602, USA. mdwelton@uga.edu.ORCID http://orcid.org/0000-0001-6097-2010
Carmen M Vélez VegaSchool of Public Health, University of Puerto Rico - Medical Sciences Campus, San Juan, PR, USA.
Colleen B MurphySchool of Public Health, University of Puerto Rico - Medical Sciences Campus, San Juan, PR, USA.
Zaira RosarioSchool of Public Health, University of Puerto Rico - Medical Sciences Campus, San Juan, PR, USA.
Hector TorresSchool of Public Health, University of Puerto Rico - Medical Sciences Campus, San Juan, PR, USA.
Elle RussellDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Phil BrownSocial Science Environmental Health Research Institute, Northeastern University, Boston, MA, USA.
Gredia Huerta-MontanezDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Deborah WatkinsDepartment of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA.
Akram AlshawabkehDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
José F CorderoDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Health Science Campus, 101 Buck Road, Athens, GA, 30602, USA.
Northeastern University · USUniversity of Puerto Rico, Medical Sciences Campus · PRUniversity of Georgia · USUniversity of Michigan · US

Funding

Research Experiences and Training Coordination CoreP42ES017198 · NIEHS · NORTHEASTERN UNIVERSITY · PI HARRIS, SEAN M · 2010 to 2024
$38.6M
Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Souhail M Malave-Rivera · 2017 to 2026
$35.8M
University of Michigan ERC-supplement (TRT)T42OH008455 · OH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEITZEL, RICHARD L · 2005 to 2025
$32.3M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UH3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI Akram N Alshawabkeh · 2018 to 2026
$24.0M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UG3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI ALSHAWABKEH, AKRAM N · 2016 to 2024
$13.0M
TRANSLATIONAL PROTEOMICS CENTERG12MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FERNANDEZ-REPOLLET, EMMA · 2012 to 2016
$11.0M
Toxicogenomics-based Mechanistic Multimedia Exposure Assessment and Child DevelopmentP50ES026049 · NIEHS · NORTHEASTERN UNIVERSITY · PI CORDERO, JOSE F · 2015 to 2018
$3.6M
Environmental exposures and prenatal stress related to Hurricane Maria among pregnant women in Puerto Rico: Characterization and impact on birth outcomesR21ES029751 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WATKINS, DEBORAH J · 2018 to 2019
$390k
Preterm Births and Other Infant Health Outcomes in Puerto Rico Following Hurricanes Irma and MariaR21MD013709 · NIMHD · PUERTO RICO SCIENCE, TECHNOLOGY AND RESEARCH TRUST · PI CORDERO, JOSE F, VELEZ VEGA, CARMEN M · 2018 to 2019
$347k
NIEHS NIH HHS P42 ES017198NIEHS NIH HHS P50 ES026049NIEHS NIH HHS R21 ES029751NIH HHS UG3 OD023251NIH HHS UH3 OD023251NIMHD NIH HHS G12 MD007600NIMHD NIH HHS R21 MD013709NIMHD NIH HHS U54 MD007600NIOSH CDC HHS T42 OH008455
6 · The paper itself

Abstract

Puerto Rico was hit by two major hurricanes in September 2017 causing great devastation, losing over 90% of the power grid, wireless communication and access to potable water, and destroying many homes. Our research programs: Puerto Rico Testsite for Exploring Contamination Threats (PROTECT), Center for Research on Early Childhood Exposure and Development in Puerto Rico (CRECE), Zika in Infants and Pregnancy (ZIP), and Environmental Influences on Child Health Outcomes (ECHO) are ongoing observational cohort studies that have been investigating environmental risk factors for perinatal health outcomes among Puerto Rican mothers and infants. Our projects paused operations for about two weeks, to begin recovery process and become a source of assistance, retaining 95% of study participants across all research programs. We joined with various groups to ensure the safety and welfare of team members, study participants, community health center partners, and members of the surrounding communities. We learned important lessons about the impact of these hurricanes and the difficulties of the recovery. Major challenges post-hurricanes were access to care and nutrition, maternal stress, and environmental damage. We understood the need to integrate disaster preparedness into our programs' operating procedures and future applications, recognizing that these events will recur. We will grow resilience among our staff, maternal and child health partners, and participants by building on the experience of these two storms.

Indexed as

Child HealthCyclonic StormsDisastersChildDisaster PlanningFemaleHumansInfantMaleMaternal-Child Health ServicesPuerto RicoDisaster preparednessHurricaneMaternal and child healthNatural disaster responsePuerto Rico

Identifiers

PMID31728717
PMCPMC7059554
OpenAlexW2982833783

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.