While Hurricane Katrina demonstrated the dangers of failing to evacuate hospitals from the path of a storm, Hurricane Gustav demonstrated that moving thousands of sick people has its own risks. Gustav also highlighted a critical vulnerability of American hospitals - an inability to withstand prolonged blackouts.

In the United States, Western Europe and Japan, there is widespread access to dialysis, most of it publicly funded. But in many countries, the majority of patients who need dialysis die without it.

When Katrina struck in 2005, roughly 300 deaths were recorded at hospitals, long-term care facilities and in nursing homes, according to a recently published study of death certificates and disaster mortuary team records. Many of them might have been saved if they had been evacuated sooner.

Sheri Fink Quotes