Sandy’s destructive power had repercussions beyond loss of power. Many people, particularly the elderly and disabled, found themselves unable to access medical care and medication refills. That is the status quo in much of Africa, where medical resources are limited. Innovative use of cellphones and other mobile devices has become a tool for overcoming infrastructure challenges in sub-Saharan Africa in particular. Some of those ideas could be modified and used in disaster scenarios in the United States. UTMB’s telemedicine service, for example, was able to resume near normal activity within the first week of the destructive Hurricane Ike while medical offices and pharmacies still lay in ruins.