Capturing Disruptions to Food Availability After Disasters: Assessing the Food Environment Following Hurricanes Florence and María.

OBJECTIVE The aim of this study was to describe the results of food environment assessments completed after Hurricane Florence in North Carolina (2018) and Hurricane Maria in Puerto Rico (2017), and provide recommendations for assessing disaster food environments. METHODS Adapted structured observation protocols were used to conduct rapid assessments of the availability, price, and quality of specific foods in retail markets. RESULTS In both settings, unhealthful food items (soda, chips, fruit-flavored drinks) and milk were widely available and at lower prices than domestic averages. The adapted instrument in Puerto Rico allowed for documentation of greater availability of canned items compared with fresh or frozen foods. In both settings, researchers noted the inability of the instrument to document items that are important to assess postdisaster: ready-to-heat and ready-to-eat foods; food preparation facilities and supplies; hygiene supplies; and empty shelf-space. CONCLUSIONS The instruments, despite their limitations, were able to capture food availability issues in postdisaster environments. Future instrument adaptation is necessary to capture availability of all major food groups, healthful and unhealthful options, shelf-stable, ready-to-eat, and ready-to-heat foods versus other formats (fresh, frozen), and cooking and hygiene supplies.