Tina Abbott, 67, has been facing multiple medical challenges, including a tear in her arm tissue, a cyst on her spine, and chronic breathing issues requiring a portable oxygen tank. The situation worsened when Hurricane Helene struck western North Carolina, forcing her to cancel a crucial lab appointment. Following the storm, Abbott found herself in a dark living room without reliable cell service or running water, concerned about obtaining oxygen refills and necessary blood tests.
The hurricane has exacerbated existing health care difficulties in the largely rural region, where many residents already faced health challenges. Although North Carolina's recent Medicaid expansion has improved health coverage for low-income individuals, the storm's aftermath is hindering progress. Hurricane Helene, one of the deadliest storms in U.S. history, made landfall in late September, claiming over 200 lives and devastating numerous homes and businesses, particularly in western North Carolina.
The region's health care infrastructure was already fragile, as noted by Kody H. Kinsley, the North Carolina secretary of health and human services. Several hospitals in North Carolina and Tennessee remain closed, including one in Erwin, Tennessee, where patients and staff had to be rescued during the storm. In western North Carolina, some hospitals are relying on bottled water, with Mission Health in Asheville receiving over 200,000 gallons of water daily due to the lack of potable municipal water.
The storm's impact has raised concerns about recruiting and retaining medical staff in an area already struggling with these issues. Kim Wagenaar, the chief executive of Western North Carolina Community Health Services, emphasized the long-term challenges of recovery in the region. The health disparities in Appalachia can be traced back to the 2008 recession, which significantly affected rural communities, leading to increased poverty and associated health problems.
Health officials warn that the storm's aftermath could lead to new health issues, including injuries from cleanup efforts and contamination from floodwaters. Residents are advised to take precautions, as dust from the mud could worsen respiratory conditions. The psychological impact of the storm is also significant, with many residents experiencing anxiety and grief following the loss of life and property.
In the wake of the disaster, volunteer medical professionals have arrived to assist those lacking access to care. They aim to alleviate the burden on local emergency services and document residents' health issues. Pat Tucker, an urgent care doctor, visited Abbott to assess her health needs and coordinate assistance. In Swannanoa, a temporary clinic was established to provide care for residents requiring medication refills and wellness checks.
Pharmacists have been working diligently to distribute prescriptions, with some individuals facing withdrawal due to a lack of access to addiction medications. Approximately one month after the storm, the makeshift clinic had served around 500 patients. Kinsley noted that the efforts of volunteers could help build trust in medical providers within the community, emphasizing that true health care access is built on trust and will require time to improve.