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Lights Out – Intro: The Scope and Impact of Storm-Driven Power Loss on Safety-Net Clinics

Three-Part Report Details the Health Consequences of Disaster-Driven Power Outages

News

Resilient Power

NOAA satellite image
Power outages across several states in the southeast U.S. outline the path Hurricane Helene took as it traversed inland. (Power outages across several states in the southeast U.S. outline the path Hurricane Helene took as it traversed inland. (NOAA satellite imagery) imagery)

Hurricane Helene and Hurricane Milton devastated the southeastern United States in late September and early October 2024, killing more than 250 people and causing an estimated $113 billion in damages. But beyond the immediate destruction lay another crisis: widespread power outages that forced healthcare safety-net providers to close their doors when vulnerable patients needed them most.

Direct Relief surveyed federally qualified health centers (FQHCs) and free & charitable clinics across Florida, Georgia, North Carolina, and South Carolina to understand how power loss from natural disasters disrupts healthcare for the nation’s most vulnerable populations. This three-part report reveals the hidden health consequences of climate disasters—and the urgent need for resilient healthcare infrastructure.

Top findings among 80 survey respondents

  • Power outages forced the closure of one or more clinical sites at 54% of responding healthcare safety-net organizations (FQHCs or free & charitable clinics)* 
  • Nearly 28,000 patient visits across 44 safety-net organizations were canceled, with a median of 50 missed visits among those 44 organizations 
  • 50 organizations lost power at one or more sites, with a median outage of 47 hours 
  • 23 organizations lost revenue totaling $12.9 million 
  • 19 organizations lost temperature-sensitive medicine or vaccines 
  • 25 organizations suffered infrastructure damage 
  • 50% of organizations had no backup power at any site; only 12% had backup power at all sites 
  • Among the 44 organizations reporting one or more patients relying on electricity-powered medical devices, the median was 20 patients 
  • 38% of organizations reported an increase in patients seeking care after the storms 

Direct Relief would like to thank the National Association of Community Health Centers, the National Association of Free & Charitable Clinics, and the Florida Association of Community Health Centers, which helped us conduct the study. 

*Note on terminology: In this report, “health clinic” or “clinic” refers to two main types of safety-net healthcare providers in the United States: Federally Qualified Health Centers (FQHCs), often called community health centers, and Free & Charitable Clinics and Pharmacies (FCCs). The FQHC category also includes community health centers designated as “look-alikes” — providers that meet all Health Center Program standards but do not receive Section 330 grant funding. Many of these organizations operate more than one clinic site.

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