Protecting yourself and loved ones during hurricane recovery

As our nation continues to recover from the impact of Hurricane Melissa, staying mindful of our health has never been more important. Health services in the central and eastern regions are not only recovering from their own challenges but are also providing support to patients who can’t access care in the west. In this time, using health services responsibly and staying personally vigilant are key to looking after both our own well-being and that of the nation.

INJURY PREVENTION

The first step in recovering from any major natural disaster is the clean-up. Clearing fallen debris from homes, roads, and community spaces is essential, but safety comes first. Broken materials, whether natural or man-made, can easily cause injuries to hands and feet and are often contaminated by storm water, soil, or animal waste.

Even small wounds can become serious infections, requiring sterile dressings, antibiotics, or hospital care. Always wear protective gloves and thick-soled, closed-toe boots when cleaning up.

Roofs, trees, and other elevated structures took the brunt of the hurricane’s winds. Climbing to clear or repair them can be very dangerous, especially on wet surfaces. Falls from height have already caused deaths during the storm’s approach. Downed power lines are another serious hazard — electrical burns are among the most severe injuries and often require intensive care.

Always prioritise safety and avoid risks with heights or live wires. Whenever possible, work in teams, use proper safety equipment, and seek professional help for unstable or high-risk situations.

If in doubt, contact the Jamaica Fire Brigade, Jamaica Defence Force, Jamaica Public Service, or certified contractors.

Preventing these injuries not only saves lives and limbs but also preserves critical emergency and surgical resources, which are limited.

INFECTION CONTROL

Wounds caused by potentially contaminated debris carry a higher risk of infection. This is especially true for people with diabetes. I want to warn all diabetics that even small, seemingly harmless wounds can quickly develop into serious infections, potentially requiring incision, drainage, or even amputation.

Check your hands and feet for wounds after working, as diabetes can reduce sensation and injuries may go unnoticed. Treat any injury seriously: clean and dress it immediately, and watch for early signs of infection such as increasing redness, swelling, or pain. If you have any foreign material stuck in a wound that you cannot remove yourself, and you are diabetic, seek medical attention promptly.

Patients recently discharged with surgical wounds or drains should continue cleaning and covering these areas daily, even if follow-up visits are delayed. Avoid using herbal mixtures or non-medical ointments, as these can worsen infections. Keep wounds dry and covered if there is floodwater or standing water nearby.

SURGICAL EMERGENCIES

Most major injuries requiring immediate emergency care are usually obvious. However, many people may have experienced issues during the storm or its aftermath and are unsure when to seek medical attention. Here are a few common surgical concerns people may encounter at this time:

1. Hidden or delayed injuries

Some internal injuries, especially fractures, may not be immediately obvious after the storm. Anyone experiencing persistent pain, swelling, or limited movement should seek evaluation promptly, before complications develop.

2. Hernias

During post-hurricane lifting and heavy manual labour, abdominal wall and groin hernias may become symptomatic. People with known hernias should seek review promptly if they develop pain, vomiting, or irreducible lumps, as this can prevent strangulation and emergency surgery, which can be harder to access after a disaster.

3. Crush injuries and burns

Crush injuries from debris removal can cause swelling, pain, and stiffness that may seem minor but signal serious damage. Any limb that becomes tense, numb, or discoloured after trauma should be assessed urgently. Burns from generators, fuel, or live wires should be cooled with clean running water—not toothpaste, oils, or creams—and covered with a clean cloth or dressing before seeking medical attention.

4. Stoma care

For patients with stomas who face disrupted medical supplies, safe improvisation may be necessary. Clean plastic barriers and well-secured adhesive tape can serve as temporary substitutes for ostomy bags until normal supplies return.

As we work towards recovery, I encourage the public to use appropriate entry points for care: community health centres for minor issues, and hospitals for major trauma or severe infections. Overcrowding emergency departments with minor cases can delay care for those who truly need surgery. By using services appropriately, we can all help surgical services across the island recover and provide timely care.

While we rebuild our homes and communities, let us also safeguard our health. Every careful choice — from wearing gloves to seeking timely care — helps protect lives, limbs, and the precious healthcare resources we all depend on.

Dr Matthew-Anthony Lyew is a consultant general surgeon at Kingston Public Hospital and Island Medical Specialists. Send your questions for consideration via DM on Instagram @drmatthewlyew or email surgicalconsult@gleanerjm.com.