A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population
The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective in...
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| Veröffentlicht in: | International journal of environmental research and public health 2016-05, Vol.13 (6), p.551 |
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| description | The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005-2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15-35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time. |
| doi_str_mv | 10.3390/ijerph13060551 |
| format | Article |
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However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005-2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15-35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph13060551</identifier><identifier>PMID: 27258296</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Body Temperature Regulation ; Child ; Child, Preschool ; Climate change ; Community ; Compensation ; Cost of Illness ; Datasets ; Emergency medical services ; Emergency Service, Hospital - utilization ; Epidemiology ; Fatalities ; Feasibility studies ; Female ; Florida - epidemiology ; Health surveillance ; Heat ; Heat Stress Disorders - mortality ; Heat Stress Disorders - physiopathology ; Heating - adverse effects ; Hospitalization - trends ; Hospitals ; Humans ; Humid climates ; Male ; Males ; Middle Aged ; Minority & ethnic groups ; Minority Groups ; Morbidity ; Mortality ; Outdoors ; Population ; Population Surveillance ; Psychological aspects ; Public health ; Rural populations ; Surgeons General ; Tourism ; Young Adult</subject><ispartof>International journal of environmental research and public health, 2016-05, Vol.13 (6), p.551</ispartof><rights>2016. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 by the authors; licensee MDPI, Basel, Switzerland. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-ee5febacd530cab7c2379fcc2f615b0b3102ddfd486a9836a60057d159b443383</citedby><cites>FETCH-LOGICAL-c484t-ee5febacd530cab7c2379fcc2f615b0b3102ddfd486a9836a60057d159b443383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924008/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924008/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27258296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harduar Morano, Laurel</creatorcontrib><creatorcontrib>Watkins, Sharon</creatorcontrib><creatorcontrib>Kintziger, Kristina</creatorcontrib><title>A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005-2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15-35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Temperature Regulation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Climate change</subject><subject>Community</subject><subject>Compensation</subject><subject>Cost of Illness</subject><subject>Datasets</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Florida - epidemiology</subject><subject>Health surveillance</subject><subject>Heat</subject><subject>Heat Stress Disorders - mortality</subject><subject>Heat Stress Disorders - physiopathology</subject><subject>Heating - adverse effects</subject><subject>Hospitalization - trends</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Humid climates</subject><subject>Male</subject><subject>Males</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Outdoors</subject><subject>Population</subject><subject>Population Surveillance</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Rural populations</subject><subject>Surgeons General</subject><subject>Tourism</subject><subject>Young Adult</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc1v1DAQxS0EoqVw5YgsceGS4u_EF6SybWmlSiAEZ8uxJ8Qrrx3sZBH_fXe3pWo5zYzem59m9BB6S8kp55p8DGso00g5UURK-gwdU6VIIxShzx_1R-hVrWtCeCeUfomOWMtkx7Q6RuMZXuXNVGCEVMMW8MXWxsXOISecBzyPgD8vxcNhugI7N98h2hk8vo4xQa3YJo_Pd8KI_4R5DOmwcxlzCd7ib3la4oH2Gr0YbKzw5r6eoJ-XFz9WV83N1y_Xq7ObxolOzA2AHKC3zktOnO1bx3irB-fYoKjsSc8pYd4PXnTK6o4rqwiRradS90Jw3vET9OmOOy39BryDNBcbzVTCxpa_JttgniopjOZX3hqhmSBkD_hwDyj59wJ1NptQHcRoE-SlGtpqIVrKRbuzvv_Pus5LSbv3DKOUMy2Z3gNP71yu5FoLDA_HUGL2IZqnIe4W3j1-4cH-LzV-C3UsmgY</recordid><startdate>20160531</startdate><enddate>20160531</enddate><creator>Harduar Morano, Laurel</creator><creator>Watkins, Sharon</creator><creator>Kintziger, Kristina</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160531</creationdate><title>A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population</title><author>Harduar Morano, Laurel ; 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However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005-2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15-35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>27258296</pmid><doi>10.3390/ijerph13060551</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of environmental research and public health, 2016-05, Vol.13 (6), p.551 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Body Temperature Regulation Child Child, Preschool Climate change Community Compensation Cost of Illness Datasets Emergency medical services Emergency Service, Hospital - utilization Epidemiology Fatalities Feasibility studies Female Florida - epidemiology Health surveillance Heat Heat Stress Disorders - mortality Heat Stress Disorders - physiopathology Heating - adverse effects Hospitalization - trends Hospitals Humans Humid climates Male Males Middle Aged Minority & ethnic groups Minority Groups Morbidity Mortality Outdoors Population Population Surveillance Psychological aspects Public health Rural populations Surgeons General Tourism Young Adult |
| title | A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population |
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