Hurricane Risk Perceptions and Evacuation Decision-Making in the Age of COVID-19

The COVID-19 pandemic increases the complexity of planning for hurricanes as social distancing is in direct conflict with human mobility and congregation. COVID-19 presents not only urgent challenges for this hurricane season due to the likeliness of continued or heightened COVID-19 threat, but also challenges with the next hurricane season with additional waves of the pandemic. There is severe urgency to understand the impact of COVID-19 risk perceptions and the extent people are willing to risk their lives by sheltering in place rather than evacuating during severe hurricanes. In June 2020, a survey (in both English and Spanish) of 40 questions was disseminated through regional planning councils, emergency management, and the media to Florida residents. A total of 7,072 people responded from over 50 counties. Most data obtained were ordinal or categorical in nature, encouraging usage of nonparametric analysis and chi-square tests. Almost half the respondents view themselves as vulnerable to COVID-19 due to preexisting health conditions, and 74.3% of individuals viewed the risk of being in a shelter during the COVID-19 pandemic as more dangerous than enduring hurricane hazards. Additionally, there was a significant number of individuals who would choose to not utilize a public shelter during COVID-19 when they would have previously. Officials can use the results of this study regarding how household evacuation plans change with social distancing to better inform strategies of shelter preparedness and COVID-19 risk mitigation to minimize risk to those in harm’s way of storm surge and other hurricane effects during a mandatory evacuation order

An Analysis of Virtual Research Experiences for Undergraduates Programs in Light of the COVID-19 Pandemic

With the continued social distancing requirements of the novel COVID-19 pandemic, many in-person educational programs were halted in 2020, including specialty education and research experiences for undergraduates. However, some Research Experiences for Undergraduates (REUs) progressed in summer 2020 in a fully virtual format. The importance of understanding how these practical STEM skills translated in a virtual REU format, in addition to areas of improvement going forward, are critical to the development of effective online STEM learning through REUs. Two survey instruments were designed to capture data from both the REU mentors (including the PIs) and the students in the programs. Questions included information on the REU they participated in, their perceptions of the best and worst aspects, their overall satisfaction with the experience, and their likelihood to seek out virtual REUs in the future. Overall, both students and faculty involved in virtual REUs were glad to have had the experience and were satisfied with it. The benefits of flexibility, the ease of communication and scheduling, and the increased access to online resources were echoed as the strengths of the virtual format. However, many believe that an in-person REU had benefits that could not be replicated in a virtual environment, including community building and hands-on experiences. Several were bogged down by technical difficulties. With more effort made to include community building to a greater extent, as well as considerations and planning for technical demands, the future of widely accessible online REU experiences is a bright one

Hurricanes Laura and Sally: A Case Study of Evacuation Decision-Making in the Age of COVID-19

This study examines risk perceptions and evacuation planning for those residents affected by Hurricane Laura–the first major hurricane evacuation during the COVID-19 pandemic–and Hurricane Sally, prior to the widespread availability of vaccines. Research on hurricane evacuation behavior and risk perceptions during a pandemic is critical for quantifying the intersect of these compounding threats. Analyses captured how people perceive public shelters and whether evacuation choices changed in light of the pandemic. Many study participants considered themselves vulnerable to COVID-19 (39.4%) and two-thirds believed it would be “very serious” if they or their loved ones contracted COVID-19, but this had no impact on their actual evacuation decision-making. Approximately 75% of the sample stayed at home during Hurricanes Laura or Sally, and of these, just over 80% indicated that COVID-19 was a somewhat important deciding factor. This reflects the partial role that COVID-19 played in balancing individual and household protective action decision-making during complex disasters. Whereas 15.5% wanted to evacuate but waited until it was too late. For those who evacuated to a hotel, many found that staff and guests wore masks and socially distanced in common spaces. Of particular interest is that individuals have a continued negative perception of public shelters’ ability to safeguard against COVID-19 which was coupled with a significant decrease in the number of respondents that would potentially use shelters in 2020 compared to before the COVID-19 pandemic. These results have and will inform future hazard mitigation planning during the current or future pandemic, or infectious disease outbreaks

Quality of life in elderly patients with COPD: measurement and predictive factors

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity in old age. It leads to reduced quality of life (QoL), but the factors that contribute to this are less understood. There is no consensus on measurement of QoL in elderly COPD patients. We assessed (a) factors predicting QoL in elderly COPD out-patients and (b) specificity (SP), sensitivity (SEN), positive and negative predictive values (PPV and NPV) and repeatability of two disease-specific QoL instruments, the Chronic Respiratory Disease Questionnaire (CRQ) and the Breathing Problems Questionnaire (BPQ) in elderly people. All subjects also completed an ADL measure [Nottingham Extended ADL (NEADL)] and a measure of psychological well-being [Brief Assessment of Depression Cards [BASDEC)] as well as a 6-min walk test. Subjects comprised 96 (56 men) elderly out-patients with irreversible COPD aged 70–93 years (mean 78) who were clinically stable for ≥ 6 weeks. Controls were 55 (23 men) aged 71–90 years (mean 78) with normal lung function. All were cognitively intact. Mean FEV1/FVC in COPD subjects was 45·5 (=1·4)% and for controls was 71·4 (=1·3)%. Repeatability was good for both BPQ and CRQ with no significant difference. There were no significant differences in specificity and positive predictive values between the two questionnaires but BPQ performed better than CRQ with regard to sensitivity (P=0·02) and NPV (P<0·001). A multiple regression analysis was used to identify variables that best predicted BPQ and CRQ in COPD subjects. For BPQ predictive values were NEADL (P<0·0001); BASDEC (P<0·0001); age (P<0·0001); 6-min walk distance (P=0·001); body mass index (P<0·05); resting oxygen saturation (P<0·05); and household composition (living alone or with relatives, P=0·05). In contrast only the following predicted CRQ: NEADL, BASDEC and resting oxygen saturation. Sixteen per cent of the variance in BPQ was accounted for by NEADL score, 9% by BASDEC, 4% by age and 3% by 6-min walk distance (total r2=0·70). It was concluded that: (1) BPQ provides more valid assessment than CRQ of QoL in elderly COPD subjects; (2) severity of disease in terms of its impact on QoL is not predicted by lung function tests; (3) the most important determinants of QoL are ADL score and emotional status