Hurricane Matthew hit South Carolina as a Category 1 Hurricane on October 8, 2016. In preparing for the hurricane, state and federal communication responders used a phase-based approach developed after Hurricane Katrina. The phase-based approach ties messaging to the specific phase of the hurricane and allows partners to coordinate messaging to focus on similar topics. This presentation will look at the communications coming from CDC and the state of South Carolina during Hurricane Matthew, will examine messaging channels and social media reach, and looking at outcomes data, will look at the challenges facing communicators in tying communications efforts to health outcomes for natural disasters.