Heat stroke admissions during heat waves in 1,916 US counties for the period from 1999 to 2010 and their effect modifiers
نویسندگان
چکیده
BACKGROUND Heat stroke is a serious heat-related illness, especially among older adults. However, little is known regarding the spatiotemporal variation of heat stroke admissions during heat waves and what factors modify the adverse effects. METHODS We conducted a large-scale national study among 23.5 million Medicare fee-for-service beneficiaries per year residing in 1,916 US counties during 1999-2010. Heat wave days, defined as a period of at least two consecutive days with temperatures exceeding the 97th percentile of that county's temperatures, were matched to non-heat wave days by county and week. We fitted random-effects Poisson regression models to estimate the relative risk (RR) of heat stroke admissions on a heat wave day as compared to a matched non-heat wave day. A variety of effect modifiers were tested including individual-level covariates, community-level covariates, meteorological conditions, and the intensity and duration of the heat wave event. RESULTS The RR declined substantially from 71.0 (21.3-236.2) in 1999 to 3.5 (1.9-6.5) in 2010, and was highest in the northeast and lowest in the west north central regions of the US. We found a lower RR among counties with higher central air conditioning (AC) prevalence. More severe and longer-lasting heat waves had higher RRs. CONCLUSIONS Heat stroke hospitalizations associated with heat waves declined dramatically over time, indicating increased resilience to extreme heat among older adults. Considerable risks, however, still remain through 2010, which could be addressed through public health interventions at a regional scale to further increase central AC and monitoring heat waves.
منابع مشابه
تحلیل فضایی امواج گرمایی ایران
Climate risks are the inherent features of Earth's climate. The occurence of heat wave is one of these natural phenomena. Heat waves, one of the basic appearances of climate change, are very important because of frequency and damage of life and property, (Haddow et al, 2008). Frequency of heat wave occurence in recent years, is one of the aspects of climatic changes and extreme weather (Matthie...
متن کاملAnalysis of heat waves temporal fluctuation in North - West region of Iran and their relationship with greenhouse gases and global land-ocean temperature anomalies
The heat waves today are one of the most important climatic hazards in the world. According to many scientists, the Severe and frequent occurrence of heat waves in recent years has been due to the emission of greenhouse gases and consequent increased global warming. The purpose of this study is to investigate changes in the frequency and intensity of heat waves As well as their relationship wit...
متن کاملSpatial-temporal analysis of heat waves in Iran over the last three decades
The purpose of this research is to analyze heat waves characteristics in the warm period of the year as a climatic hazard in Iran. In this study, the daily maximum temperature is taken at 44 synoptic stations during the period 1981-2010. These temperature values were used to extract the intensity, frequency and duration of heat waves using percentile thresholds of 90, 95, and 98. The results sh...
متن کاملThe application of Extreme value analysis method in heat wave hazard climatology; case study in Mid-Southern Iran
The application of Extreme value analysis method in heat wave hazard climatology; case study in Mid-Southern Iran Abstract Greenhouse warming poses the main cause of atmospheric hazards’ exacerbation and emergence in recent years. Earth planet has been witnessing frequent and severe natural hazards from the distant past; however, global warming has strongly influenced the occurrence of some a...
متن کاملContrasting patterns of mortality and hospital admissions during hot weather and heat waves in Greater London, UK.
BACKGROUND Epidemiological research has shown that mortality increases during hot weather and heat waves, but little is known about the effect on non-fatal outcomes in the UK. AIMS AND METHODS The effects of hot weather and heat waves on emergency hospital admissions were investigated in Greater London, UK, for a range of causes and age groups. Time series analyses were conducted of daily eme...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 15 شماره
صفحات -
تاریخ انتشار 2016