Experts are calling for the integration of mental health into climate-disaster policy in the Caribbean as studies show that PTSD risks increase after hurricanes and displacement

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hen Hurricane Melissa struck Jamaica on 28 October with 185mph winds, destroying homes, hospitals and infrastructure, killing 32 people and affecting 1.5 million, Toni-Jan Ifill immediately realised it would leave many with long-term traumatic memories.

A month and a half after the storm, which also affected eastern Cuba, the clinical psychologist says recollections of the terrifying winds also haunt some of the staff at the University Hospital of the West Indies in Kingston. Even the sound of rain can cause trauma responses among people who lived through it.

“Simple things can trigger them,” Ifill says. “One woman mentioned a trolley we often push through the corridors, carrying bedding and other items, whose sound reminded her of cracking branches and the wind. She no longer wants to hear that sound.”