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Mortality in Puerto Rico after Hurricane Maria

Overview of attention for article published in New England Journal of Medicine, July 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#19 of 30,147)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Citations

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609 Mendeley
Title
Mortality in Puerto Rico after Hurricane Maria
Published in
New England Journal of Medicine, July 2018
DOI 10.1056/nejmsa1803972
Pubmed ID
Authors

Nishant Kishore, Domingo Marqués, Ayesha Mahmud, Mathew V. Kiang, Irmary Rodriguez, Arlan Fuller, Peggy Ebner, Cecilia Sorensen, Fabio Racy, Jay Lemery, Leslie Maas, Jennifer Leaning, Rafael A. Irizarry, Satchit Balsari, Caroline O. Buckee

Abstract

Background Quantifying the effect of natural disasters on society is critical for recovery of public health services and infrastructure. The death toll can be difficult to assess in the aftermath of a major disaster. In September 2017, Hurricane Maria caused massive infrastructural damage to Puerto Rico, but its effect on mortality remains contentious. The official death count is 64. Methods Using a representative, stratified sample, we surveyed 3299 randomly chosen households across Puerto Rico to produce an independent estimate of all-cause mortality after the hurricane. Respondents were asked about displacement, infrastructure loss, and causes of death. We calculated excess deaths by comparing our estimated post-hurricane mortality rate with official rates for the same period in 2016. Results From the survey data, we estimated a mortality rate of 14.3 deaths (95% confidence interval [CI], 9.8 to 18.9) per 1000 persons from September 20 through December 31, 2017. This rate yielded a total of 4645 excess deaths during this period (95% CI, 793 to 8498), equivalent to a 62% increase in the mortality rate as compared with the same period in 2016. However, this number is likely to be an underestimate because of survivor bias. The mortality rate remained high through the end of December 2017, and one third of the deaths were attributed to delayed or interrupted health care. Hurricane-related migration was substantial. Conclusions This household-based survey suggests that the number of excess deaths related to Hurricane Maria in Puerto Rico is more than 70 times the official estimate. (Funded by the Harvard T.H. Chan School of Public Health and others.).

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 609 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 609 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 119 20%
Student > Ph. D. Student 96 16%
Student > Doctoral Student 61 10%
Student > Bachelor 61 10%
Researcher 60 10%
Other 98 16%
Unknown 114 19%
Readers by discipline Count As %
Social Sciences 82 13%
Medicine and Dentistry 57 9%
Environmental Science 54 9%
Engineering 48 8%
Psychology 37 6%
Other 188 31%
Unknown 143 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 9645. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 May 2022.
All research outputs
#184
of 21,244,293 outputs
Outputs from New England Journal of Medicine
#19
of 30,147 outputs
Outputs of similar age
#2
of 299,516 outputs
Outputs of similar age from New England Journal of Medicine
#1
of 264 outputs
Altmetric has tracked 21,244,293 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 30,147 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 108.3. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 299,516 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 264 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.