For Older Adults, Disaster Risk Starts Long Before Disaster Strikes
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A special issue of the Journal of Applied Gerontology brings together 12 studies on how disasters affect older adults across the United States, Puerto Rico and China. The research describes risks that can build before an emergency, including disrupted health care, limited mobility and weakened support networks, and calls for preparedness across clinical care, long-term care and communities.

A special issue of the Journal of Applied Gerontology brings together 12 studies examining how disasters affect older adults across the United States, Puerto Rico and China. The research describes how chronic illness, limited mobility, gaps in care and disrupted social support can compound risks before an emergency begins and complicate recovery afterward.

The studies cover hurricanes, floods, wildfires, extreme heat and air pollution, and include older people aging at home as well as residents of assisted living communities and nursing homes. The collection examines how exposure and losses can accumulate over time, including the effects of childhood adversity and repeated hurricanes on later-life outcomes. It also reports that essential health services can be disrupted beyond areas most directly hit by a disaster.

According to the special issue’s editors, prior experience with emergencies and managing chronic conditions do not necessarily mean a person has a workable plan for maintaining care during a crisis. Older adults may need to secure medications, power for medical equipment and contact with health care providers. The studies also identify possible protective factors, including resilience, confidence in one’s ability to act, dependable caregiving relationships and access to reliable information.

The editors say preparedness should extend beyond immediate physical safety. Disasters can interrupt daily routines, relationships and caregiving networks, with possible psychological effects that persist after the emergency. The issue calls for disaster planning to be integrated into routine clinical care, stronger preparedness and staffing capacity in long-term care, regulations responsive to facilities’ different risks, and expanded community programs, particularly in rural areas.

At a glance
reportWhen: Published October 2, 2026; the special…
The developmentA new Journal of Applied Gerontology special issue presents 12 studies examining how overlapping hazards and care challenges affect older adults before, during and after disasters.

Care Disruptions Can Outlast the Hazard

The findings matter because emergency plans can fall short if they focus only on evacuation or the period when a hazard is most visible. Older adults who rely on regular treatment, medical equipment, caregivers or consistent contact with clinicians may face a chain of difficulties when any part of that support is interrupted. A disruption outside the disaster’s hardest-hit zone can also affect people who might not be treated as direct victims of the event.

The special issue frames risk as an interaction among health needs, living arrangements and available support, rather than as a single age-related vulnerability. That has implications for health providers, emergency managers, care facilities, families and local services. The editors argue that planning should account for mental health and caregiver support as well as physical safety, while the studies offer evidence to inform those efforts rather than a single intervention proven to work in every setting.

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Twelve Studies Across Three Regions

The October 2 report on the special issue describes research spanning the United States, Puerto Rico and China and multiple types of hazards and long-term care settings. Its focus is the way different pressures can intersect: repeated or overlapping emergencies may arrive while communities and care systems are still recovering, while chronic health needs and limited social support can make continuity of care harder.

Three editors quoted in the report emphasize different parts of the response. Lindsay Peterson of the University of South Florida School of Aging Studies stresses relevant information and organizational support. Lisa M. Brown of Palo Alto University points to mental health, caregiving and trauma-informed care. David M. Dosa of UMass Chan Medical School says research can help communities prepare and respond. These are the editors’ recommendations and interpretations of the collection, not evidence that any one policy has already been adopted.

“Motivation alone is not enough.”

— Lindsay Peterson, Ph.D., special issue editor and researcher at the University of South Florida School of Aging Studies

Evidence Does Not Set One Plan

The report summarizes themes and recommendations from the 12 studies but does not provide detailed methods, sample sizes or numerical estimates of risk in the material available here. It is not possible from that summary to compare the size of effects across hazards, locations or care settings, or to determine which proposed preparedness measures have been tested and shown to work.

The collection spans different populations and emergencies, so its findings should not be read as showing that every older adult faces the same risks. The report also does not identify specific jurisdictions that have adopted the editors’ recommendations, how much implementation would cost, or what services are currently available in particular communities.

Preparedness Across Care Systems

The special issue’s findings are intended to inform researchers, clinicians, emergency planners, long-term care providers and families. The editors call for disaster planning to become part of routine clinical care and for facilities and community programs to build capacity suited to their local risks and residents’ needs. The report does not specify a single policy deadline or a forthcoming implementation milestone.

For readers and local decision-makers, the practical next step described by the editors is coordination: plans need to address continuity of medications, equipment, clinical contact, caregiving and mental health support, not only immediate evacuation. How those priorities are translated into local plans—and whether they improve outcomes across different settings—remains to be established.

Key Questions

What is the new development?

The Journal of Applied Gerontology has published a special issue containing 12 studies on how disasters affect older adults before, during and after emergencies.

Which hazards are covered?

The studies examine hurricanes, floods, wildfires, extreme heat and air pollution, among other factors described in the report. The collection also considers how repeated events and accumulating losses can affect later-life outcomes.

What can make it harder to maintain care during a disaster?

The report identifies possible interruptions to medications, medical equipment and communication with health care providers. Caregiver relationships and access to reliable information can also shape how older adults manage an emergency.

What do the editors recommend?

They call for disaster planning in routine clinical care, better preparedness and staffing in long-term care, rules that reflect facilities’ differing risks, and more community programs, especially in rural areas. These are recommendations; the report does not say they have been adopted everywhere.

Does the report show which intervention works best?

Not in the supplied summary. It describes protective factors and policy priorities, but does not provide a comparative evaluation showing that one specific preparedness measure is most effective across all populations and settings.

Source: rss

Wellness content on this site is informational and not a substitute for professional medical guidance.
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