A recent study reveals a significant decrease in colorectal cancer (CRC) diagnoses during and after Hurricanes Irma and Maria, as well as the early stages of the COVID-19 pandemic in Puerto Rico. The analysis, published in CANCER, indicates that disruptions caused by these events likely delayed timely CRC diagnoses. While initial diagnosis rates dropped, there was a subsequent rise in late-stage cases, surpassing expected numbers. This suggests that limited access to screening services during such crises may have contributed to delayed cancer detection and potentially worsened health outcomes.

Disaster scenarios often lead to delays or inaccessibility of medical services due to infrastructure damage, overwhelmed healthcare facilities, or shortages of medical personnel. To evaluate the impact of hurricanes and pandemic lockdowns on CRC diagnoses, researchers analyzed data from the Puerto Rico Central Cancer Registry spanning 2012–2021. Over this period, approximately 18,537 residents received their first CRC diagnosis. During the months when hurricanes struck, diagnostic numbers plummeted significantly—only 82 cases were identified compared to an anticipated 161.4 cases. A similar trend occurred during the pandemic; in April 2020, only 50 cases were diagnosed instead of the projected 162.5.

The study highlights disparities between expected and actual diagnostic patterns. By the end of the study, fewer patients within the recommended screening age range (50–75 years) were diagnosed with early-stage CRC than anticipated. Conversely, higher-than-expected numbers of patients outside this age range and those with advanced-stage disease were identified. These findings underscore the challenges faced by the Puerto Rican healthcare system, which already struggles under existing pressures.

Co-lead author Tonatiuh Suárez-Ramos emphasized the critical importance of addressing healthcare accessibility issues exacerbated by these events. Another co-author, Yisel Pagán-Santana, noted that understanding these disruptions could facilitate the development of more adaptable strategies for maintaining essential care during crises. Such insights are vital for improving resilience in healthcare systems.

Senior author Karen J. Ortiz-Ortiz called for urgent policy changes to strengthen healthcare infrastructure in regions like Puerto Rico. Evaluating the long-term impacts of natural disasters and pandemics can foster discussions about sustainable solutions to enhance cancer care coordination, reduce health inequities, and ensure continuous patient access to necessary services. Ultimately, the aim is to improve overall health outcomes even during challenging times.

The research underscores the necessity of resilient healthcare systems capable of functioning effectively despite external disruptions. Addressing gaps in service provision during crises will not only enhance immediate care delivery but also contribute to better long-term health outcomes for affected populations.