Analysis of Free Medical Clinic Patient Needs During the Recovery Period After Hurricane Helene

Introduction: Climate change has caused an increasing frequency and intensity of weather-related disasters that cause devastation by flooding. Local clinics damaged by flooding take time to reopen, and in small rural communities like Asheville, NC, health care disparities increase after disasters. Little published data exists about patient needs during the recovery period, weeks after the initial disaster. Free mobile clinics responding to disasters would benefit from improved understanding of patient needs before entering the disaster zone. Methods: A cross-sectional study was completed based on data collected at a free clinic located in Swannanoa, North Carolina, US, during the recovery period after Hurricane Helene. During five days, 40 patients visited the clinic and completed a simple survey stating the reason for their visit. The qualitative survey was analyzed to collect information to improve preparation for similar small free clinics working in flood response. Results: Lack of medication for chronic problems, including hypertension and diabetes, was the most common reason patients came to the clinic. Respiratory problems, known to be a frequent concern after flooding, were the second most frequent reason patients sought medical help. Skin complaints were the third most common concern at the clinic. Conclusion: Preparation is essential for medical clinics responding to disasters to ensure they have the treatments their patients are most likely to need. Chronic health problems, respiratory concerns, and skin issues are the most common ailments these clinics must prepare for.