The authors detail the status of Puerto Rico's communities leading up to Hurricanes Irma and Maria, the storms' impact on them, and 15 courses of action to improve their capacity for emergency preparedness, communication, and recovery planning.

Homeland Security Operational Analysis Center analysts assessed Hurricanes Irma and Maria's effects on Puerto Rico's municipalities and the municipalities' ability to govern, deliver services, and recover and developed courses of action for recovery.

How stigma derails well-intentioned public health efforts, creating suffering and worsening inequalities. 2020 Winner, Society for Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for the British Sociological Association's Foundation for the Sociology of Health and Illness Book Prize Stigma is a dehumanizing process, where shaming and blaming are embedded in our beliefs about who does and does not have value within society. In Lazy, Crazy, and Disgusting, medical anthropologists Alexandra Brewis and Amber Wutich explore a darker side of public health: that well-intentioned public health campaigns can create new and damaging stigma, even when they are otherwise successful. Brewis and Wutich present a novel, synthetic argument about how stigmas act as a massive driver of global disease and suffering, killing or sickening billions every year. They focus on three of the most complex, difficult-to-fix global health efforts: bringing sanitation to all, treating mental illness, and preventing obesity. They explain how and why humans so readily stigmatize, how this derails ongoing public health efforts, and why this process invariably hurts people who are already at risk. They also explore how new stigmas enter global health so easily and consider why destigmatization is so very difficult. Finally, the book offers potential solutions that may be able to prevent, challenge, and fix stigma. Stigma elimination, Brewis and Wutich conclude, must be recognized as a necessary and core component of all global health efforts. Drawing on the authors' keen observations and decades of fieldwork, Lazy, Crazy, and Disgusting combines a wide array of ethnographic evidence from around the globe to demonstrate conclusively how stigma undermines global health's basic goals to create both health and justice.

Resilient supply chains are crucial to maintaining the consistent delivery of goods and services to the American people. The modern economy has made supply chains more interconnected than ever, while also expanding both their range and fragility. In the third quarter of 2017, Hurricanes Harvey, Irma and Maria revealed some significant vulnerabilities in the national and regional supply chains of Texas, Florida, the U.S. Virgin Islands, and Puerto Rico. The broad impacts and quick succession of these three hurricanes also shed light on the effectiveness of the nation's disaster logistics efforts during response through recovery. Drawing on lessons learned during the 2017 hurricanes, this report explores future strategies to improve supply chain management in disaster situations. This report makes recommendations to strengthen the roles of continuity planning, partnerships between civic leaders with small businesses, and infrastructure investment to ensure that essential supply chains will remain operational in the next major disaster. Focusing on the supply chains food, fuel, water, pharmaceutical, and medical supplies, the recommendations of this report will assist the Federal Emergency Management Agency as well as state and local officials, private sector decision makers, civic leaders, and others who can help ensure that supply chains remain robust and resilient in the face of natural disasters.

Following the 2017 hurricane season, the Federal Emergency Management Agency requested a review of Puerto Rico's hurricane damage and recovery needs. This report summarizes the resulting cross-sector analysis of history, conditions, and needs.

With its 155 mile-per-hour sustained windspeeds, the near-Category 5 Hurricane Maria brought catastrophic devastation and destruction as it diagonally crossed the Commonwealth of Puerto Rico from the southeast to the northwest on September 20, 2017. The official death toll estimate of 2,975 lost lives means this record storm became one of the most devasting hurricanes not only for Puerto Rico but for the U.S. Many of these deaths, as well as the prolonged human suffering, were attributed to what was described as inadequate disaster response and slow restoration of basic services (including running water, electricity, and the provision and distribution of food and medicine), and not to the direct impact of the hurricane itself. At the same time, Hurricane Maria made landfall when Puerto Rico had been confronting a severe economic crisis surging for over a decade. This crisis, referred to as La Crisis Boricua, was characterized by a significant loss of industry and jobs, a deteriorating infrastructure, record net outmigration, a shrinking and rapidly aging population, rising healthcare under-coverage, a bankrupt government, and federal legislation restricting fiscal policy decisions made by elected officials on the island. Thus, Hurricane Maria exacerbated the effects of La Crisis Boricua on the socioeconomic, health, and demographic outcomes affecting Puerto Ricans on the island and U.S. mainland. Bringing together scholars from a wide variety of disciplines (including economics, sociology, demography, health, psychology, disaster research, political science, education, the arts, and others), this volume represents one of the first interdisciplinary sets of studies dedicated to analyzing the effects of Hurricane Maria on island and stateside Puerto Ricans. Specific topics cover Hurricane Maria’s impact on labor market outcomes, including wages and employment by industry; health implications, including mental health; changes in artistic expression; civic engagement; and disaster response and recovery. A common thread through many of the chapters was the destruction of Puerto Rico’s electrical grid and the prolonged restoration of electricity and other essential services that resulted in the loss of thousands of lives.

U.S. Emergency Management in the 21st Century: From Disaster to Catastrophe explores a critical issue in American public policy: Are the current public sector emergency management systems sufficient to handle future disasters given the environmental and social changes underway? In this timely book, Claire B. Rubin and Susan L. Cutter focus on disaster recovery efforts, community resilience, and public policy issues of related to recent disasters and what they portend for the future. Beginning with the external societal forces influencing shifts in policy and practice, the next six chapters provide in-depth accounts of recent disasters— the Joplin, Tuscaloosa-Birmingham, and Moore tornadoes, Hurricanes Sandy, Harvey, Irma, Maria, and the California wildfires. The book concludes with a chapter on loss accounting and a summary chapter on what has gone right, what has gone wrong, and why the federal government may no longer be a reliable partner in emergency management. Accessible and clearly written by authorities in a wide-range of related fields with local experiences, this book offers a rich array of case studies and describes their significance in shifting emergency management policy and practice, in the United States during the past decade. Through a careful blending of contextual analysis and practical information, this book is essential reading for students, an interested public, and professionals alike.