Volume 95, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Extreme weather events are common and increasing in intensity in the southwestern Pacific region. Health impacts from cyclones and tropical storms cause acute injuries and infectious disease outbreaks. Defining population vulnerability to extreme weather events by examining a recent flood in Honiara, Solomon Islands, can help stakeholders and policymakers adapt development to reduce future threats. The acute and subacute health impacts following the April 2014 floods were defined using data obtained from hospitals and clinics, the Ministry of Health and in-country World Health Organization office in Honiara. Geographical information system (GIS) was used to assess morbidity and mortality, and vulnerability of the health system infrastructure and households in Honiara. The April flash floods were responsible for 21 acute deaths, 33 injuries, and a diarrhea outbreak that affected 8,584 people with 10 pediatric deaths. A GIS vulnerability assessment of the location of the health system infrastructure and households relative to rivers and the coastline identified 75% of the health infrastructure and over 29% of Honiara's population as vulnerable to future hydrological events. Honiara, Solomon Islands, is a rapidly growing, highly vulnerable urban Pacific Island environment. Evaluation of the mortality and morbidity from the April 2014 floods as well as the infectious disease outbreaks that followed allows public health specialists and policy makers to understand the health system and populations vulnerability to future shocks. Understanding the negative impacts natural disaster have on people living in urban Pacific environments will help the government as well as development partners in crafting resilient adaptation development.


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  1. Alliance Development Works and United Nations University, Institute for Environment and Human Security, 2014. World Risk Report 2014. Available at: http://worldriskreport.entwicklung-hilft.de/WorldRiskReport.435.0.html. Accessed January 2015. [Google Scholar]
  2. Keener V, Marra J, Finucane M, Spooner D, Smith M, , eds., 2012. Climate Change and Pacific Islands: Indicators and Impacts. Report for the 2012 Pacific Islands. Regional climate assessment. Washington, DC: Island Press. [Google Scholar]
  3. World Bank, 2013. Acting on Climate Change and Disaster Risk for the Pacific. Available at: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/11/20/000442464_20131120105129/Rendered/PDF/808690Revised000Box379874B00PUBLIC0.pdf. Accessed July 2015. [Google Scholar]
  4. IPCC SR Field CB, Barros V, Stocker TF, Qin D, Dokken DJ, Ebi KL, Mastrandrea MD, Mach KJ, Plattner G-K, Allen SK, Tignor M, Midgley PM, , 2012. Managing risk of extreme events and disasters to advance climate change adaptation. A Special Report of Working Groups I and II of the Intergovernmental Panel on Climate Change. , eds. Cambridge, UK, and New York, NY: Cambridge University Press, 582. [Google Scholar]
  5. IPCC AR5 Stocker TF, Qin D, Plattner G-K, Tignor M, Allen SK, Boschung J, Nauels A, Xia Y, Bex V, Midgley PM, , 2013. Climate Change 2013: The Physical Science Basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. , eds. Cambridge, United Kingdom and New York, NY: Cambridge University Press, 1535. [Google Scholar]
  6. Knudson T, McBride J, Chan J, Emanuel K, Holland G, Landsea C, Held I, Kossin J, Srivastava A, Sugi M, , 2010. Tropical cyclones and climate change. Nat Geosci 3: 157163.[Crossref] [Google Scholar]
  7. Australian Bureau of Meteorology (BOM) and Commonwealth Scientific and Industrial Research Organization, 2014. Climate Variability, Extremes and Change in the Western Tropical Pacific: New Science and Updated Country Reports. Available at: http://www.pacificclimatechangescience.org/publications/reports/climate-variability-extremes-and-change-in-the-western-tropical-pacific-2014/. Accessed May 2015. [Google Scholar]
  8. World Health Organization, European Union, 2010. Extreme Weather Events and Public Health Responses. Springer-Verlag. [Google Scholar]
  9. Spickett JT, Katscherian D, , 2014. Health impacts of climate change in the Solomon Islands: an assessment and adaptation action plan. Glob J Health Sci 261273. [Google Scholar]
  10. McIver L, Woodward A, Davies S, Tibwe T, Iddings S, , 2014. Assessment of the health impacts of climate change in Kiribati. Int J Environ Res Public Health 1: 52245240.[Crossref] [Google Scholar]
  11. Bannister-Tyrrell M, Williams C, Ritchie SA, Rau G, Lindesay J, Mercer G, Harley D, , 2013. Weather-driven variation in dengue activity in Australia examined using a process-based modeling approach. Am J Trop Med Hyg 88: 6572.[Crossref] [Google Scholar]
  12. Spickett JT, Katscherian D, McIver L, , 2013. Health impacts of climate change in Vanuatu: an assessment and adaptation action plan. Glob J Health Sci 5: 4253. [Google Scholar]
  13. Morrow G, Bowen K, , 2014. Accounting for health in climate change policies: a case study of Fiji. Glob Health Action 7: 23550.[Crossref] [Google Scholar]
  14. United Nations Development Program, 2014. Human Development Report 2014. Available at: http://hdr.undp.org/en/content/human-development-report-2014. Accessed January 2015. [Google Scholar]
  15. Solomon Islands National Statistical Office, 2009. Solomon Islands Census Data 2009 National Report. Available at: http://www.spc.int/prism/solomons/. Accessed January 2015. [Google Scholar]
  16. United Nations Country Data, 2015. Solomon Islands. Available at: http://data.un.org/CountryProfile.aspx?crName=solomon%20islands. Accessed October 2015. [Google Scholar]
  17. Ebi K, , 2013. WHO Protecting Health from Climate Change Vulnerability and Adaptation Assessment. Geneva, Switzerland: WHO Press. [Google Scholar]
  18. The Interagency Working Group on Climate Change and Health, 2014. A Human Health Perspective on Climate Change: A report Outlining the Research Needs on the Human Health effects of Climate Change. San Bernadino, CA: Environmental Health Perspectives and the National Institute of Environmental Health Sciences. [Google Scholar]
  19. WHO Western Pacific Region Solomon Islands Office, 2014. Data from: Forrest Jones, Solomon Islands Diarrhea Outbreak Health Situation Report One. June 5, 2014. Available at: http://www.wpro.who.int/southpacific/programmes/communicable_diseases/disease_surveillance_response/Sitrep-No1SolomonIslands.pdf. Accessed April 2015. [Google Scholar]
  20. Guha-Sapir D, Hoyois P, Below R, , 2015. Annual Disaster Statistical Review 2014. Brussels, Belgium: Center for Research on the Epidemiology of Disasters, Universite. Catholique de Louvain. [Google Scholar]
  21. Britton N, , 1987. Disaster in the south Pacific: impact of tropical cyclone “Nomu” on the Solomon Islands, May 1986. Disasters 11: 120133.[Crossref] [Google Scholar]
  22. Blong R, Radford D, , 1993. Deaths in natural hazards in the Solomon Islands. Disasters 17: 111.[Crossref] [Google Scholar]
  23. Radford D, Blong R, , 1991. Assessment of natural hazards in the Solomon Islands and implications for other Pacific Island countries. ADRO 4: 39. [Google Scholar]
  24. D'Aubert A, Nunn P, , 2012. Furious Winds and Parched Islands: Tropical Cyclones (1558–1970) and Droughts (1722–1987) in the Pacific. New South Wales, Australia: Xlibris Corporation. [Google Scholar]
  25. Yeo S, Blong R, , 2010. Fiji's worst natural disaster: the 1931 hurricane and flood. Disasters 34: 657683.[Crossref] [Google Scholar]
  26. Australian Bureau of Meteorology, Commonwealth Scientific and Industrial Research Organisation, 2012. Climate change in the Pacific: scientific assessment and new research. Vol. 2: Country Reports. Chapter 13: Solomon Islands. Available at: http://www.pacificclimatechangescience.org/wp-content/uploads/2013/09/Volume-2-country-reports.pdf. [Google Scholar]
  27. Bich T, Quang L, Ha L, Hanh T, Guha-Sapir D, , 2011. Impacts of flood on health: epidemiologic evidence from Hanoi, Vietnam. Glob Health Action 4: 6356.[Crossref] [Google Scholar]
  28. Kunii O, Nakamura S, Abdur R, Wakai S, , 2002. The impact on health and risk factors of the diarrhoea epidemics in the 1998 Bangladesh floods. Public Health 116: 6874.[Crossref] [Google Scholar]
  29. Alderman K, Turner L, Tong S, , 2013. Assessment of the health impacts of the 2011 summer floods in Brisbane. Disaster Med Public Health Prep 7: 380386.[Crossref] [Google Scholar]
  30. Milojevic A, Armstrong B, Hashizume M, McAllister K, Faruque A, Yunus M, Kim Streatfield P, Moji K, Wilkinson P, , 2012. Health effects of flooding in rural Bangladesh. Epidemiology 23: 107115.[Crossref] [Google Scholar]
  31. Barnett J, John C, , 2010. Climate Change and Small Island States: Power, Knowledge and the South Pacific. New York, NY: Taylor and Francis. [Google Scholar]
  32. Story D, Connell J, , 2013. The Pacific Islands: Environment and Society. Chapter 26: Urban Challenges. Honolulu, HI: University of Hawaii Press. [Google Scholar]
  33. Lauer M, Albert S, Aswain S, Halpern B, Campanella L, LaRose D, , 2013. Globalization, Pacific Islands, and the paradox of resilience. Glob Environ Change 23: 4050.[Crossref] [Google Scholar]
  34. Rose J, Wu F, Levy B, Patz J, , 2015. Waterborne and foodborne diseases. , eds. Climate Change and Public Health. New York, NY: Oxford University Press, 157172.[Crossref] [Google Scholar]
  35. Levy B, Patz J, , eds., 2015. Climate Change and Public Health. New York, NY: Oxford University Press. [Google Scholar]
  36. McLellan S, Hollis E, Depas M, Van Dyke M, Harris J, Scopel C, , 2007. Distribution and fate of Escherichia coli in lake Michigan following contamination with urban storm water and combined sewer overflows. J Great Lakes Res 33: 566580.[Crossref] [Google Scholar]
  37. Ali Khan F, Ali J, Ullah R, Ayaz S, , 2014. Bacteriological quality assessment of drinking water available at the flood affected areas of Peshawar. Toxicol Environ Chem 95: 14481454.[Crossref] [Google Scholar]
  38. Cann K, Thomas D, Salmon R, Wyn-Jones A, Kay D, , 2013. Systematic review: extreme water-related weather events and waterborne disease. Epidemiol Infect 141: 671686.[Crossref] [Google Scholar]
  39. Weinberger D, Baroux N, Grangeon J, Ko A, Goarant C, , 2014. El Nino southern oscillation and leptospirosis outbreaks in New Caledonia. PLoS Negl Trop Dis 8: e2798.[Crossref] [Google Scholar]
  40. Reperan L, Osterhaus A, Atlas R, Maloy S, , 2014. The human-animal interface. , eds. One Health: People, Animals and the Environment. Washington, DC: ASM Press. [Google Scholar]
  41. WHO Asia Pacific Strategy for Emerging Diseases, Progress Report, 2013. Securing Regional Health. Available at: http://www.wpro.who.int/publications/PUB_ISBN/en/. Accessed December 2013. [Google Scholar]
  42. Cao-Lormeau V, Roche C, Musso D, Mallet H, Dalipanda T, Dofai A, Nogareda F, Nilles EJ, Aaskov J, , 2014. Dengue virus type 3, south Pacific Islands, 2013. Emerg Infect Dis 20: 10341036.[Crossref] [Google Scholar]
  43. Nogareda F, Joshua C, Sio A, Shortus M, Dalipanda T, Durski K, Musto J, Puiahi E, Dofai A, Aaskov J, Cao-Lormeau VM, Musso D, Dutta N, Fleisch J, Nilles E, , 2013. Ongoing outbreak of dengue serotype-3 in Solomon Islands, January to May 2013. Western Pac Surveill Response J 4: 15. [Google Scholar]
  44. Arima Y, Chiew M, Matsui T, , 2015. Epidemiological update on the dengue situation in the western Pacific region 2012. Western Pac Surveill Response J 6: 8289.[Crossref] [Google Scholar]
  45. Kouadio I, Ajunid S, Kamigaki T, Hammad K, Oshitani H, , 2012. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti Infect Ther 10: 95104.[Crossref] [Google Scholar]
  46. Maes P, Harries AD, Van den Bergh R, Noor A, Snow RW, Tayler-Smith K, Hinderaker SG, Zachariah R, Allan R, , 2014. Can timely vector control interventions triggered by atypical environmental conditions prevent malaria epidemics? A case-study from Wajir County, Kenya. PLoS One 9: e92386.[Crossref] [Google Scholar]
  47. Fernandez A, Black J, Jones M, Wilson L, Salvador-Carulla L, Astell-Burt T, Black D, , 2015. Flooding and mental health: a systematic mapping review. PLoS One 10: e0119929.[Crossref] [Google Scholar]
  48. Telles S, Singh N, Joshi M, , 2009. Risk of posttraumatic stress disorder and depression in survivors of the floods in Bihar, India. Indian J Med Sci 63: 330334.[Crossref] [Google Scholar]
  49. Burki T, , 2015. Floods in Myanmar damage hundreds of health facilities. Lancet 386: 843.[Crossref] [Google Scholar]
  50. Minh H, Anh T, Rocklov J, Bao Giang K, Trang le Q, Sahlen KG, Nilsson M, Weinehall L, , 2014. Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam. Glob Health Action 7: 23007.[Crossref] [Google Scholar]
  51. IPCC AR5 Barros VR, Field CB, Dokken DJ, Mastrandrea MD, Mach KJ, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC, Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, White LL, , 2014. Climate Change 2043: Impacts, Adaptation and Vulnerability Part B: Regional Aspects. Contribution of Working Group IIB to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. , eds. Cambridge, United Kingdom and New York, NY: Cambridge University Press, 688. [Google Scholar]
  52. ADB, 2015. Asian Development Bank and Solomon Islands: Factsheet. Available at: http://www.adb.org/publications/solomon-islands-fact-sheet. Accessed September 2015. [Google Scholar]
  53. ADB, 2015. Corporate Evaluation Study. ADB Support to Small Pacific Island Countries. Available at: http://www.adb.org/documents/adb-support-pacific-small-island-countries. Accessed September 2015. [Google Scholar]

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  • Received : 06 Mar 2016
  • Accepted : 31 Mar 2016
  • Published online : 03 Aug 2016

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