Next Article in Journal
Occupational Stress, Work-Family Conflict and Depressive Symptoms among Chinese Bank Employees: The Role of Psychological Capital
Next Article in Special Issue
Association between Floods and Acute Cardiovascular Diseases: A Population-Based Cohort Study Using a Geographic Information System Approach
Previous Article in Journal
Spatiotemporal Pattern Analysis of Scarlet Fever Incidence in Beijing, China, 2005–2014
Previous Article in Special Issue
Effects of Extreme Temperatures on Cause-Specific Cardiovascular Mortality in China
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2016, 13(1), 132; doi:10.3390/ijerph13010132

The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance

1
Real-Time Syndromic Surveillance Team, Public Health England, Birmingham B3 2PW, UK
2
NIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK
3
Extreme Events and Health Protection, Public Health England, London SE1 8UG, UK
4
ResearchOne, The Phoenix Partnership, Leeds LS18 5TN, UK
*
Author to whom correspondence should be addressed.
Academic Editors: Jan C. Semenza and Paul B. Tchounwou
Received: 30 November 2015 / Revised: 23 December 2015 / Accepted: 9 January 2016 / Published: 16 January 2016
(This article belongs to the Collection Climate Change and Human Health)
View Full-Text   |   Download PDF [868 KB, uploaded 16 January 2016]   |  

Abstract

We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65–74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather. View Full-Text
Keywords: heatwave; general practitioner; emergency department; telehealth; syndromic surveillance heatwave; general practitioner; emergency department; telehealth; syndromic surveillance
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Smith, S.; Elliot, A.J.; Hajat, S.; Bone, A.; Bates, C.; Smith, G.E.; Kovats, S. The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance. Int. J. Environ. Res. Public Health 2016, 13, 132.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top