From the Research
Dermatology is significantly affected by cyclones or hurricanes through multiple mechanisms, leading to increased dermatological conditions due to environmental changes and limited healthcare access, as highlighted in a recent study 1. During and after these severe weather events, common skin issues include:
- Contact dermatitis from exposure to contaminated floodwater containing chemicals, sewage, and debris
- Wound infections from trauma sustained during evacuation or cleanup
- Fungal infections like tinea pedis (athlete's foot) from prolonged moisture exposure
- Exacerbation of pre-existing conditions such as eczema, psoriasis, and acne due to stress and disrupted treatment regimens Insect bites and stings also increase as mosquitoes and other vectors proliferate in standing water. Treatment becomes challenging as medication access is limited, refrigeration for biologics may be unavailable, and sterile conditions for procedures are compromised, as noted in a study on the health effects of hurricanes 1. Dermatologists should prepare emergency kits with essential medications, establish telemedicine capabilities, and educate patients with chronic conditions to maintain extra medication supplies during hurricane seasons, as suggested by the most recent and highest quality study on the topic 2. Key considerations for dermatologists include:
- Maintaining a supply of essential medications, such as topical antibiotics, antifungals, and corticosteroids
- Establishing telemedicine capabilities to provide continuous care to patients with chronic conditions
- Educating patients on the importance of maintaining extra medication supplies and having a plan in place for emergency situations, as emphasized in a study on exposure assessment for tropical cyclone epidemiology 2.