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Hurricane Relief: Hurricanes Milton & Helene

Disaster Relief

A man looks out over flood damage in the aftermath of Hurricane Helene on October 1, 2024 in Bat Cave, North Carolina. (Photo by Sean Rayford/Getty Images)

Supporting Communities Affected by Devastating Storms

Direct Relief is actively aiding those impacted by Hurricanes Helene and Milton.


As Florida reels from Hurricane Milton, Direct Relief is on the ground, delivering aid, and coordinating with local agencies and responders to respond effectively.


Direct Relief is responding after Hurricane Helene has caused unprecedented damage across the southeastern U.S. and southern Appalachia, disrupting essential services.

Hurricane Relief: How to Help

Hurricane Helene Relief

Hurricane Milton Relief

Direct Relief’s policy regarding designated contributions for hurricane response activities is simple: Direct Relief will use all contributions designated for “Hurricane Helene” or “Hurricane Milton” directly and solely for relief and recovery efforts related to those hurricanes.

Helping Hurricane-Impacted Communities Rebuild

Direct Relief is dedicated to supporting both immediate relief and long-term hurricane recovery efforts:

  • On-the-Ground Presence: Staff are deployed in Florida and North Carolina, coordinating with state primary care associations, the Mobile Healthcare Association, and local healthcare providers.
  • Continuous Shipments: Since Hurricane Helene made landfall on September 25, Direct Relief has delivered more than $2.5 million in medical aid to healthcare providers in Florida, Georgia, North Carolina, South Carolina, and Tennessee.

Collaboration and Coordination:

  • Mobile Healthcare Units: Partnering with organizations operating mobile health programs in North Carolina’s Avery, Burke, Durham, Mecklenburg, Surry, and Watauga counties.
  • Health Center Support: Assisting centers like Roanoke Chowan Community Health Center, which is deploying staff to underserved rural communities lacking access to medical care for over ten days.

How Direct Relief Responds

How Direct Relief Prepares for and Responds to Hurricanes

When hurricanes and typhoons strike, their volatility and unpredictability can leave many in peril, especially when storms follow in close succession.

Smart preparation is the best defense. Each hurricane season, Direct Relief pre-positions hurricane prep packs and modules in secure locations near vulnerable areas, providing partner facilities with the medications and medical supplies they’ll need in a storm’s wake.

Widespread damage to residences and health facilities often leaves thousands homeless and at risk. Direct Relief works closely with local partners in the US and other affected countries to ensure those in need have medication, supplies, and necessary care. The organization prioritizes working with safety-net clinics, which serve a key role in caring for displaced individuals, particularly those who are low-income and vulnerable.

Hurricane Helene Relief

Hurricane Milton Relief

Equipping Hospitals and First Responders

Doctors unload medicines for temporary pharmacy set up in a school library to serve patients in the hard-hit community of Coamo. (Lara Cooper/Direct Relief)

Even before hurricanes and typhoons make landfall, Direct Relief staffers maintain continual contact with partners and government agencies in areas in a storm’s path, assessing needs and ensuring any hurdles to providing aid can be cleared quickly once a storm hits. The organization helps communities distribute and replenish stocks of supplies with its pre-positioned hurricane preparedness packs and modules, jump-starting relief efforts.

Direct Relief’s Hurricane Preparedness Program was established in 2006 with seed funding from Abbott. In 2009, following a series of devastating storms in the US, Direct Relief developed its waterproof hurricane preparedness modules to enable health centers and clinics to plan for hurricanes and other hard-to-predict emergencies. In the program’s first year, 16 partner health centers and clinics in hurricane-prone areas received pre-positioned modules. Each stocked with enough materials to treat 100 patients for 72 hours, the modules help providers treat conditions ranging from trauma injuries to chronic conditions. The modules are provided free of charge. The hurricane preparedness program has grown to become the largest in the US, supporting 50 partners throughout the South and the Eastern seaboard, as well as in other hurricane-prone areas throughout the world.

As Direct Relief is able to assess initial needs in a storm’s wake, corporate partners’ generous ongoing material donations of medications, medical supplies, and other requested supplies and equipment mean shipments are able to be quickly assembled at Direct Relief’s Santa Barbara, California, warehouse. From there, they’re rapidly airlifted to community health partners in affected areas. Direct Relief regularly coordinates with partners such as FedEx to provide airlift capabilities and logistical support for hurricane response.

Hurricane Response Efforts: What to Know

1. Different risks arise from the natural environment, built environment, demographics—and the intersection of all three. A hurricane in an area without people or infrastructure is an event of nature. A hurricane becomes an emergency when it occurs in a populated area, where critical infrastructure exists, where substandard housing, levees, or other such items in the built environment are present.

2. Food, Water, Shelter, and Medical Services are the four basic immediate concerns in a hurricane or other emergency situation to safeguard people.

3. The storm isn’t the only health risk. Preventing injury and loss of life from storm-tossed debris, electrocution, exposure, or being caught in floodwaters are priorities for first responders and emergency personnel during a hurricane. Evacuations relate to geographic areas. But evacuating can be difficult for some. People who lack mobility or have other disabling physical or mental conditions have greater difficulty simply leaving their residences, as do those without transportation or with very low incomes.

4. Social Vulnerability: Who is at Risk, Where, and Why. Not everyone within a hurricane’s path is equally at risk. Extensive research by Dr. Susan Cutter of the University of South Carolina regarding past hurricanes and other emergencies has identified over 30 factors that affect communities’ vulnerability in such events, including an area’s natural and built environment, its rural or urban character, and the demographic composition and income levels of the population.

5. Financial losses can be extreme and long-lasting. Hurricane-caused real and personal property damage or destruction is often readily apparent. Less readily apparent are both immediate and long-term economic losses for individuals and businesses, which result in extreme hardship that escapes official damage estimates. Lost sales and wages, uninsured personal and real property losses, crop and capital-equipment losses, reduced property values, business failures, and even large-scale relocation of people from an area have a compounding effect upon each other.

Hurricane Prep Map

After the Storm, Building for the Future

In the devastation that follows hurricanes, Direct Relief coordinates with existing partners in affected areas while actively seeking out new partners for urgent and ongoing efforts. Direct Relief then moves fast to establish funds and grant cash to organizations working to help the hardest-hit areas recover, with a goal of bolstering healthcare networks and capabilities of local communities. When disaster follows disaster, such as in situations in which earthquakes have been followed by hurricanes and other adverse weather events, wet conditions and living in close quarters can lead to life-threatening outbreaks of diseases like cholera, endangering residents who are displaced from their homes.

With millions of people affected by superstorms like Hurricane Sandy and Typhoon Haiyan, Direct Relief partners with dozens of organizations on the ground in affected regions. These partners include community healthcare networks serving the most vulnerable populations. Large-scale response to hurricanes requires immense logistical coordination to ensure needs are met from multiple angles. After acute care needs are met, Direct Relief continues to source and distribute medication and medical supplies, assist in staffing up and equipping hospitals and clinics, train new healthcare workers, provide grants to rebuild and resupply medical facilities and undertake many other efforts in conjunction with local partners to move from emergency response to recovery to rebuilding.

Leveraging Technology and Business Resources

The generous support of individuals, foundations, and corporate partners allows Direct Relief to continually deliver aid and much-needed medications and medical supplies to those living in storm-affected areas. All donations received for a specific hurricane relief effort go directly to assist those affected, from lifesaving interventions to planning for the future.

In the technology realm, Direct Relief’s mapping capabilities now include the ability to statistically correlate county-level values of the social vulnerability index and flood-related damage estimates from the University of South Carolina’s Hazards & Vulnerability Research Institute with data from the Centers for Disease Control and Prevention on disease prevalence rates. The organization can then score counties in terms of their health risks, population needs, and disaster impacts. Cross-referenced with clinical addresses and storm scenarios, the data allows Direct Relief to prioritize problem areas and response requirements. Rapid, highly targeted analysis of historical product flows for health centers in risk zones highlights areas of specific material need.

Hurricane Relief Operations

Working internationally since the end of World War II, Direct Relief expanded its US operations in 2004, delivering medicines and medical supplies to healthcare providers treating those unable to afford critical resources. In 2005, the organization began providing medication free of charge to nonprofit health centers and clinics in California. At that time, more than 6 million people in California were without insurance, and many sought care at the state’s safetynet health centers.

In 2004, Direct Relief contributed to relief efforts abroad in response to Hurricanes Ivan and Jeanne. In August 2005, when Hurricane Katrina made landfall in Louisiana, the effort mobilized in the storm’s aftermath would entirely reshape Direct Relief’s approach to emergency response. When the hurricane hit, the organization expanded its California Clinics Program to the Gulf, rapidly scaling its operations to address crucial emergency needs for medicine, medical supplies, and basic medical equipment.

The National Association of Community Health Centers and the National Association of Free and Charitable Clinics provided guidance and connected Direct Relief with their statewide clinic associations. In the storms’ wake, Direct Relief provided millions of dollars’ worth of medicines, medical supplies, equipment, and emergency cash assistance to safety-net clinics along the Gulf Coast. Ultimately, in response to those hurricanes, Direct Relief gave more than $85 million worth of ongoing support to the Gulf region, including grants to rebuild local healthcare systems across Texas, Louisiana, Mississippi, and Alabama.

In August 2007, NACHC honored Direct Relief for its unprecedented assistance to community health centers and their patients in the wake of Hurricane Katrina. Direct Relief also participated in the 2006 Pharmaceutical Blue Ribbon Task Force convened by the Texas Department of State Health Services.

Direct Relief has continued to provide aid and logistical assistance before, during, and after hurricanes and typhoons around the globe, with some of the largest efforts occurring in the US and Puerto Rico, the Philippines, Haiti, the Dominican Republic, St. Maarten, the US and British Virgin Islands, Anguilla, Turks and Caicos, Antigua, and Jamaica. The organization has worked to help those affected navigate a difficult set of transitions in moving from acute emergency response to recovery to rebuilding, often with significant obstacles in their path. As Direct Relief has conducted activities in these areas, the organization has established long-standing trusted relationships with local community groups, non-governmental organizations, and corporate partners.

A Proven Record of Effective Hurricane Response

For decades, Direct Relief has been at the forefront of hurricane disaster response, providing timely and effective aid to communities in need. Experience in managing relief efforts has strengthened the capacity to respond swiftly and efficiently.

Hurricane Responses Include:

Hurricane Helene Relief

Hurricane Milton Relief

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