Why Older Adults Face More Danger in Natural Disasters (2023)

The pictures from the Philippines were hard to watch. The devastation from Typhoon Haiyan is widespread, but, as in many natural disasters, older people have been disproportionately hurt. More than a million older Filipinos have been affected or displaced. In the regions where victims' ages are known, one out of three people who died were over the age of 60, even though they represented less than one tenth of the population.

When the typhoon struck, leaders in aging from around the world were gathered in Shanghai for a meeting of the International Association of Homes and Services for the Aging. As we watched events unfold on television,HelpAge, a leading international charity focused on the elderly, was on the ground in the Philippines immediately, reaching out to older people and their families with its local partner, the Coalition of Services for the Elderly.

HelpAge's Director of Strategic Development, Mark Gorman, was attending the conference in Shanghai and briefed us on the special challenges facing older people, including the fact that significant numbers of older people in the Philippines live alone; three-quarters are widows. The older and poorer they are, the more likely they are to be isolated and vulnerable.

Advertisement

Unfortunately, supposedly once-in-a-lifetime disasters are happening with alarming regularity. Older adults were 65 percent of the victims of the Japanese tsunami and about half of the victims in Hurricane Sandy. At Grantmakers In Aging (GIA), a national association of funders dedicated to improving the experience of aging, we know these challenges all too well. In 2005, we raised $4.87 million to rebuild services for older adults following Hurricane Katrina (when older adults made up 70 percent of the victims.)

So why are disaster-related death rates so much higher for older adults?

  • Not moving out of harm's way: Being unable to move quickly out of harm's way can become a terminal diagnosis. Forty-two percent of Americans over 65 have some kind of functional limitation could be a hindrance in a disaster.
(Video) Why is “contented worldliness” more dangerous to us than natural disasters?
  • Slow or reluctant to evacuate: For many older adults, home is where they feel safest. There is always a contingent that refuses, or is unable to evacuate, putting both themselves and rescuers at risk. HelpAge's Mark Gorman also points out that older people are often reluctant to seek assistance, feeling that others need it more than they do.
  • Past performance is no guarantee of future returns: In the Gulf States, past hurricanes are well-remembered and often referred to like crazy maiden aunts with quirky personalities, as in, "I didn't evacuate for [Hurricane] Bertha, and well, you know Bertha." But decisions not to evacuate based on these past experiences often turned out to be deadly gambles.
  • Chronic conditions can deteriorate quickly: Chronic health conditions, even if they are well managed, depend on daily medication. About three quarters of all Americans over 65 have two or more chronic conditions and many take between four and eight prescription drugs. Without access to medication (often the case in post-disaster chaos), conditions such as diabetes, high blood pressure, and heart disease quickly become acute problems. Add fear, stress, and grief to the mix, and the risk of death rises exponentially.
  • Cut off from help: Homebound older adults can be nearly invisible to neighbors, rendering them extremely vulnerable in a disaster. A building with no elevator -- or an elevator rendered useless by a disaster -- may further isolate older adults. (We experienced this problem in the U.S. during Hurricane Sandy, particularly in high-rise apartment buildings that lost power and stranded older people on high floors.) The web of connections to family and friends keeps people safe during times of danger; when those connections are too few or too fragmented, that safety net breaks and older adults are left to fend for themselves.
  • So how to keep this nightmare from playing out again and again?

    • Individual responsibility: Planning for a disaster requires emotional courage, resourcefulness, and thinking about the unthinkable. What are plans A, B, and C? Where to go? What is packed? Who will have trouble traveling? Who can help? It doesn't get any easier when a storm is bearing down. Thinking through past disaster scenarios can hone your planning. Google Docs could be a place you keep copies of important papers, phone numbers, and lists of medications. Talk to your doctor about getting an extra three week supply of medication to keep on hand. Check out this excellent disaster preparedness checklist from the American Red Cross.
    (Video) Causing a Natural Disaster to Party: The Case of James Scott | Overlooked
    • Individual Training: U.S. municipalities train individuals to help in disasters, including going door-to-door and helping formal relief staff with their work. This training increases understanding of what happens during and after a disaster and how to become part of the team. Older adults and those from the disability community play an active and important role in this work.
  • Community Drills: Oftentimes communities don't want to spend the money for disaster drills. But they should. We carry fire insurance on our homes, and collision insurance on our cars because we know that terrible things can happen. Disaster drills are expensive and time consuming, but they can also mean life or death for older adults and many other vulnerable members of your community.
  • Advertisement

  • Disaster Response: Policy makers are loath to allocate precious funds and time to disaster response when there are so many needs. But when unthinkable mayhem descends, we hope - and expect - that government resources will be available to save us and the people we love. When a disaster is massive, we hope that other counties will help, and we expect that our tax dollars will go to help other countries in their time of need. This takes political courage and foresight.
  • Charitable Giving: Individuals, philanthropies, civic agencies, business organizations, and governments all have a role in mitigating disasters. Although each fervently hopes the others will give more, disaster presents an equal opportunity event for everyone to dig deep. It has a way of highlighting what is important: health, safety, family, water, food. It can hone our understanding of what money can buy, and what each of us can do without, in order to help those in dire need.
  • Older adults as a resource: In a crisis like Typhoon Haiyan, older people are among the most affected, but can also be a crucial resource in the response. Plans are already underway in the Philippines to deploy teams of older people in "age-friendly spaces" in evacuation centers in Manila and Cebu, providing befriending services and counselling support by older people for older people, and a referral point for family members trying to contact older relatives.
  • The world is made smaller by these disasters. The boundaries between the heartbreak brought by a typhoon in the Philippines and the tornadoes in the American Midwest are really non-existent. We need to give of ourselves, our organizations, and our governments, to reach across boundaries and help alleviate the terrible suffering and stem the loss of life as we look ahead - together -- at a future of disaster preparedness and response that will shelter the vulnerable and help each other through the storm.

    (Video) Disaster Preparedness for Older Adults and Their Caregivers

    There are many wonderful charities working to help the victims of Typhoon Haiyan, but if you would like to focus on older people, please consider a donation to HelpAge International. In the U.S., donations can be made through https://donatenow.networkforgood.org/helpageusa. The needs will remain long after the initial emergency work is completed, so please be generous.

    Advertisement

    This post was co-authored by Jennifer W. Campbell, PhD, MSW, a consultant to Grantmakers In Aging who also served as Director of GIA's Hurricane Fund for the Elderly after Hurricane Katrina. She teaches at the Graduate School of Social Work and Social Research at Bryn Mawr College.

    Related

    hurricaneDrillselderlyolder adultsfifty

    Go To Homepage

    Before You Go

    (Video) The older people and disaster risk management
    Why Older Adults Face More Danger in Natural Disasters (1)

    John Feather, PhD, Contributor

    CEO, Grantmakers In Aging

    Popular in the Community

    (Video) Older people's roles in disaster risk reduction and management

    You May Like

    FAQs

    What makes older adults more vulnerable to natural disasters? ›

    Older adults are more vulnerable than younger adults during a disaster because they are more likely to have impaired physical mobility, diminished sensory awareness, chronic health conditions, or social and economic limitations that interfere with their ability to prepare for disasters and to respond and adapt during ...

    What is one of the main reasons some older adults choose not to evacuate in disasters? ›

    Loss of Pets.

    One of the main reasons why people refuse to evacuate in the face of imminent life- threatening danger is concern about pets that cannot be evacuated with their owners, according to CDC.

    Why do poor people are more vulnerable to disaster? ›

    The places they live in have poorer services and levels of support. When disaster strikes, proportionately the cost of recovery in social and economic terms is very high for the poor, and the end result is that poor families often find themselves in an even more vulnerable situation after a disaster.

    Why is disaster planning difficult for the elderly population? ›

    Why is disaster planning difficult for the elderly population? They have more mobility and chronic disease issues.

    Why are older people most vulnerable? ›

    As we age, our immune system weakens. This makes us more vulnerable to infections of all types. And any sort of challenge to the body can do more damage. When the immune system gears up in older people, there is also a higher likelihood of a phenomenon called a cytokine storm.

    What are age related and other factors that increase an older person's risk for falls? ›

    Biological risk factors include advanced age, decreased mobility and balance, muscle weakness, visual impairment, acute or chronic illness and disability (i.e. cognitive impairment, stroke, arthritis).

    What are the 5 common factors that make people more vulnerable to disaster? ›

    PW Disaster risk
    • Climate change.
    • Enviromental degradation.
    • Globalized economic development.
    • Poverty and inequality.
    • Poorly planned urban development.
    • Weak governance.

    Which age group is affected the most during an emergency? ›

    Thus, children over 5 and adults are disproportionately more affected by exposure to emergency risks than are younger children.

    What is one reason that older people are resistant to move or change the place they live in? ›

    Now, research has shown that the elderly are often unable to adjust to new surroundings because of the deterioration of a brain circuit which plays a critical role in goal-directing learning.

    Who is most affected by natural disasters? ›

    This includes the frail elderly; people living with chronic sensory, mobility, or cognitive impairments; and individuals dependent upon assistive devices or complex medical regimens in order to survive.

    Who are the most vulnerable people to disaster? ›

    Introduction. Conflict and disasters often place people at an increased risk of discrimination and/or abuse, especially vulnerable groups such as children, women, older people and those with existing disabilities or chronic health conditions.

    Who are the most vulnerable to poverty and why? ›

    a)Scheduled ... The correct option is D. The social groups most vulnerable to poverty have been identified to be the scheduled caste households and the scheduled tribe households along with casual labourers groups having above average levels of poverty indicators in the rural and the urban population.

    Why is it important for older adults to have an emergency plan? ›

    Older adults are among the most vulnerable when disaster strikes. That's why it's critical that older people, and those who care for them, prepare for emergencies. If you're an older adult, or care for an older person, follow the steps below to prepare for and respond in an emergency.

    What are the key challenges faced by people affected by a disaster? ›

    Factors that have inhibited the response to disasters in the past include, lack of a national-level plan policy, absence of an institutional framework at the center / state / district level, poor intersectoral coordination, lack of an early warning system, slow response from the relief agencies, lack of trained / ...

    What are the risks of older patients in the emergency department? ›

    Increased frailty, delayed diagnosis, and greater illness severity contribute to a higher risk of adverse outcomes.

    Do older people take more risks? ›

    A study has shown that—contrary to popular belief—older people make riskier decisions than younger adults. Older people's generally more positive emotions make them more optimistic when gauging risks.

    What factors can make an older person more vulnerable to abuse? ›

    Relationship Risk Factors
    • High financial and emotional dependence upon a vulnerable elder.
    • Past family conflict.
    • Inability to establish or maintain positive prosocial relationships.
    • Lack of social support.

    What is most likely to lower the risk of falling in older adults? ›

    Exercise is the most effective method for decreasing the rate of falls in adults aged 65 and older who live independently. It is especially effective in adults aged 75 and older. Exercise and a basic falls risk assessment by your healthcare provider can reduce your risk of breaking bones in a fall.

    How can you help reduce the risk of falls in an elderly home? ›

    Avoiding falls at home
    1. immediately mopping up spillages.
    2. removing clutter, trailing wires and frayed carpet.
    3. using non-slip mats and rugs.
    4. making sure all rooms, passages and staircases are well lit.
    5. organising your home so that climbing, stretching and bending are kept to a minimum, and to avoid bumping into things.

    What are the two biggest common risk factors for age related disease? ›

    Lifestyle choices affect multiple diseases: smoking and obesity are risk factors for most ageing disorders and a good cardiovascular risk factor profile reduces the overall mortality risk from any disease [117].

    What factors make humans vulnerable to natural hazards and disasters? ›

    Population Growth and Distribution

    Nearly 80 percent of the U.S. population resides in urban areas, resulting in increasing population concentration in coastal communities and flood-prone areas. Congestion, limited escape routes, dense infrastructure, and poverty add to the vulnerability.

    What are the three important factors of disaster risk? ›

    Annotation: Underlying disaster risk drivers — also referred to as underlying disaster risk factors — include poverty and inequality, climate change and variability, unplanned and rapid urbanization and the lack of disaster risk considerations in land management and environmental and natural resource management, as ...

    What are the 3 important elements of disaster risk? ›

    In disasters, there are three broad areas of risk to health: the hazard that can cause damage, exposure to the hazard and the vulnerability of the exposed population (see also Chapters 1.3 and 2.5) (1). Disaster research often strives to show that these risks affect morbidity, mortality or well- being in some way.

    What age ranges are most stressed out after a disaster? ›

    Age - adults in the age range of 40-60 are more stressed after disasters but in general, children exhibit more stress after disasters than adults do.

    Which of the following age ranges are more stressed after a disaster? ›

    Age. Adults who are in the age range of 40-60 are likely to be more distressed after disasters.

    Who is at the highest risk for a weather related emergency? ›

    Older adults. Infants and young children. People will chronic heart or lung problems. People with disabilities.

    What do elderly people fear most and why? ›

    Loss of Independence

    Losing physical functions and having to rely on others for daily care is the biggest fear among seniors. According to a 2010 study from the Disabled Living Foundation, more seniors fear losing independence than dying.

    What are 3 factors that can lead to a loss of independence in the elderly? ›

    Difficulties with mobility, behavioral health conditions such as isolation and loneliness, and financial strains are just some of the contributors to a loss of independence in aging adults.

    What 3 factors affect an elderly person's independence? ›

    Safety, nutrition, and mobility are major factors that impact a person's ability to live independently.

    What natural disaster killed the most? ›

    Great Galveston Storm (1900)

    The Great Galveston Storm occurred on September 8, 1900, when a hurricane with an estimated strength of Category 4 hit Galveston, Texas. This hurricane remains the deadliest natural disaster in U.S. history, as well as the worst hurricane in U.S. history.

    What type of natural disaster kills the most people every year? ›

    Earthquakes, however, can still claim a large number of lives. Whilst historically floods, droughts and epidemics dominated disaster deaths, a high annual death toll now often results from a major earthquake and possibly a tsunami caused by them.

    What is the most deaths from a natural disaster? ›

    Ten deadliest natural disasters by highest estimated death toll excluding epidemics and famines
    Death toll (Highest estimate)EventDate
    4,000,0001931 China floodsJuly 1931
    2,000,0001887 Yellow River floodSeptember 1887
    655,0001976 Tangshan earthquakeJuly 28, 1976
    500,0001970 Bhola cycloneNovember 13, 1970
    6 more rows

    Why do people live in areas affected by a natural hazard? ›

    People choose to live in areas at risk of natural hazards for many reasons, including economic benefits such as resources and jobs, not wanting to leave because of family ties, not thinking the risk is great enough, and practical reasons such as not having enough money to move, not having knowledge of other places, and ...

    Why are poor people more vulnerable to certain disaster? ›

    Households with more assets are less vulnerable because assets provide buffers against disaster loss. For instance, such households might have the opportunity to sell animals if a harvest fails. However, intensive disasters may destroy all assets, reducing the value of these asset buffers.

    Why are poor people more vulnerable to certain natural hazard? ›

    The poor are less able to afford housing and other infrastructure that can withstand extreme events. They are less able to purchase resources needed for disaster response and are less likely to have insurance policies that can contribute. They are also less likely to have access to medical care.

    Which group of people suffer the most from poverty? ›

    Children, lone parents, disabled people and people in households in which no one works are more likely to experience poverty, to remain in poverty for longer and to experience deeper poverty, than others.

    Who suffers from poverty the most? ›

    Children under five

    Compared to working-age adults or senior citizens, children are significantly more likely to live in poverty — 18.4 percent of Americans under age 18 live in poverty, compared to 12.6 percent of 18 to 64 year olds and 9.3 percent of senior citizens. And the most vulnerable children are the youngest.

    Who are the most vulnerable in society? ›

    Vulnerable populations in social work include children, the elderly, the poor, minorities, and people with disabilities. Part of overcoming adversity is having the presence of mind and the resources available to transcend one's circumstances.

    Why is preventive care important for the elderly? ›

    Preventive services are important for everyone, especially for older adults. This is because your risk for health problems increases as you age. By preventing problems, or identifying them early, you are more likely to live a longer, healthier, and more satisfying life.

    What is the duty of a caregiver to a client during a disaster? ›

    As a caregiver, one of your most important responsibilities is to keep everyone safe and to have a plan of action for emergency situations.

    What are the 4 major effects of disaster? ›

    Conceptual framework. The immediate effects of a natural disaster materialize through four main channels: loss of life; destruction of physical capital (e.g. housing, commercial buildings, vehicles, andc infrastructure such as roads); population displacement; and disruption of economic activity.

    What are the 3 major factors that influence the impact of a disaster on an area? ›

    Specifically, Figure 6-1 indicates the effects of a disaster are determined by three preimpact conditions—hazard exposure, physical vulnerability, and social vulnerability.

    What are two 2 risk factors for older people in hospital? ›

    Mobility impairment, falls and gait disturbance are risk factors for delirium, falls, functional decline, pressure injuries and incontinence13,1519, while functional impairment is associated with delirium, functional decline, incontinence and pressure injuries11,13,15,1921.

    What is the vulnerability of older adults in disasters emergency department utilization by geriatric patients after Hurricane Sandy? ›

    Results: We found significant increases in ED utilization by older adults (and disproportionately higher in those aged ≥85 years) in the 3 weeks after Hurricane Sandy, especially in NYC evacuation zone one. Primary diagnoses with notable increases included dialysis, electrolyte disorders, and prescription refills.

    Who is more vulnerable to natural disasters? ›

    Age. Children and the elderly tend to be more vulnerable. They have less physical strength to survive disasters and are often more susceptible to certain diseases. The elderly often also have declining vision and hearing.

    Who is most at higher risk of the effects of natural disasters? ›

    Gender and family. Almost always, women or girls suffer more negative effects than do men or boys. Disaster recovery is more stressful when children are present in the home. Women with spouses also experience more distress during recovery.

    Who are the most vulnerable to disaster and why? ›

    Vulnerability of individuals, communities and the environment is a major factor in terms of exposure to disaster risks which limits resilience, but these risks do not affect everybody in the same way. Poor people and socially disadvantaged groups are the most exposed and suffer most directly from disasters.

    What are the 4 main types of vulnerability? ›

    The four main types of vulnerabilities in information security are network vulnerabilities, operating system vulnerabilities, process (or procedural) vulnerabilities, and human vulnerabilities.

    What are 3 risk factors underlying disasters? ›

    Annotation: Underlying disaster risk drivers — also referred to as underlying disaster risk factors — include poverty and inequality, climate change and variability, unplanned and rapid urbanization and the lack of disaster risk considerations in land management and environmental and natural resource management, as ...

    Which of the following age groups are more vulnerable to a disaster? ›

    Most disaster victims are aged over 60 (Hewitt, 2007;García-Herrera et al., 2010;Peek 2013), and, in the wake of extreme events such as the 1995 Chicago Heat Wave, the 1995 Great Hanshin Earthquake, the 2003 European Heat Wave, the 2004 Indonesian Tsunami, the 2005 Hurricane Katrina, the 2010-2011 Canterbury earthquake ...

    Who is the most vulnerable group in the destruction of the environment? ›

    People who are socially, economically, culturally, politically, institutionally, or otherwise marginalized are especially vulnerable to climate change (IPCC, 2014).

    Who are older adults more likely to be abused by? ›

    Who are the abusers of older adults? Abusers are both women and men. In almost 60% of elder abuse and neglect incidents, the perpetrator is a family member. Two thirds of perpetrators are adult children or spouses.

    Why are older people more vulnerable to abuse than those without dementia? ›

    People living with dementia and other forms of cognitive impairment have a heightened risk of abuse, as they may find it difficult or impossible to fully comprehend, recall, or report the abuse.

    Where does elder abuse happen the most? ›

    Elder abuse most often takes place in the home where the senior lives. It can also happen in institutional settings, especially long-term care facilities. It is estimated that more than 1 in 10 older adults experience some form of abuse.

    What are the leading causes of natural disasters? ›

    The main causes of natural disasters are tectonic shifts, lunar activities, deforestation, soil erosion, air pressure, ocean currents, pollution, global warming, mining, seismic waves, etc. Agricultural practices, mining, deforestation, etc., can lead to landslides. Plants and animals can also be damaged by wildfires.

    How many people are affected by natural disasters? ›

    In 2022, the Emergency Event Database EM-DAT recorded 387 natural hazards and disasters worldwide, resulting in the loss of 30,704 lives and affecting 185 million individuals. Economic losses totaled around US$ 223.8 billion.

    Videos

    1. 2. Natural Disaster Management and Mitigation / Causal Factors of Natural Disasters
    (Royal Alberta United Services Institute)
    2. Natural Hazards How they impact Humans and the Environment
    (Zahria Buchanon)
    3. Climate Change: The Special Risks to Children, Pregnant Women, and Older Adults
    (University of California Television (UCTV))
    4. Natural Disasters compilation | The Dr. Binocs Show | Best Learning Videos For Kids | Peekaboo Kidz
    (Peekaboo Kidz)
    5. How To Survive Floods? | Preparing For A Flood | The Dr Binocs Show | Peekaboo Kidz
    (Peekaboo Kidz)
    6. Mother Nature Angry Caught On Camera
    (Top Discovery)

    References

    Top Articles
    Latest Posts
    Article information

    Author: Rev. Leonie Wyman

    Last Updated: 03/06/2023

    Views: 5855

    Rating: 4.9 / 5 (79 voted)

    Reviews: 86% of readers found this page helpful

    Author information

    Name: Rev. Leonie Wyman

    Birthday: 1993-07-01

    Address: Suite 763 6272 Lang Bypass, New Xochitlport, VT 72704-3308

    Phone: +22014484519944

    Job: Banking Officer

    Hobby: Sailing, Gaming, Basketball, Calligraphy, Mycology, Astronomy, Juggling

    Introduction: My name is Rev. Leonie Wyman, I am a colorful, tasty, splendid, fair, witty, gorgeous, splendid person who loves writing and wants to share my knowledge and understanding with you.