Next Article in Journal
Smartphone Applications for Encouraging Asthma Self-Management in Adolescents: A Systematic Review
Next Article in Special Issue
Heat-Related Health Impacts under Scenarios of Climate and Population Change
Previous Article in Journal
Heavy Metal and Metalloid Contamination Assessments of Soil around an Abandoned Uranium Tailings Pond and the Contaminations’ Spatial Distribution and Variability
Previous Article in Special Issue
Beyond Singular Climatic Variables—Identifying the Dynamics of Wholesome Thermo-Physiological Factors for Existing/Future Human Thermal Comfort during Hot Dry Mediterranean Summers
Article Menu
Issue 11 (November) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2018, 15(11), 2402; https://doi.org/10.3390/ijerph15112402

Understanding Weather and Hospital Admissions Patterns to Inform Climate Change Adaptation Strategies in the Healthcare Sector in Uganda

1
Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada
2
Indigenous Health Adaptation to Climate Change Research Team: Cesar Carcamo, Edmonton, AB T6G 2R3, Canada
3
Priestley International Centre for Climate, University of Leeds, Leeds LS2 9JT, UK
4
Centre for Public Health and Zoonoses, University of Guelph, Guelph, ON N1G 2W1, Canada
5
Department of Geography, Geo-Informatics and Climatic Sciences, School of Forestry, Environmental and Geographical Sciences, College of Agricultural and Environmental Sciences, Makerere University, Kampala, Uganda
6
Ministry of Health, Kampala, Uganda
7
Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda
8
Public Health Agency of Canada, Ottawa, ON K1A 019, Canada
9
Labrador Institute, Memorial University, Happy Valley-Goose Bay, NL A0P 1E0, Canada
10
Bwindi Community Hospital, Kanungu District 2JJ8+GP, Uganda
11
Department of Atmospheric and Oceanic Sciences, McGill University, Montreal, QC H3A 0G4, Canada
12
Facultad de Salud Publica y Administracion, Universidad Peruana Cayetano Heredia, Lima 15102, Peru
13
School of Public Health, University of Alberta, Edmonton, AB T6G 2R3, Canada
*
Authors to whom correspondence should be addressed.
Received: 30 September 2018 / Revised: 21 October 2018 / Accepted: 25 October 2018 / Published: 29 October 2018
(This article belongs to the Special Issue Climate Change and Human Health)
Full-Text   |   PDF [1112 KB, uploaded 29 October 2018]   |  

Abstract

Background: Season and weather are associated with many health outcomes, which can influence hospital admission rates. We examined associations between hospital admissions (all diagnoses) and local meteorological parameters in Southwestern Uganda, with the aim of supporting hospital planning and preparedness in the context of climate change. Methods: Hospital admissions data and meteorological data were collected from Bwindi Community Hospital and a satellite database of weather conditions, respectively (2011 to 2014). Descriptive statistics were used to describe admission patterns. A mixed-effects Poisson regression model was fitted to investigate associations between hospital admissions and season, precipitation, and temperature. Results: Admission counts were highest for acute respiratory infections, malaria, and acute gastrointestinal illness, which are climate-sensitive diseases. Hospital admissions were 1.16 (95% CI: 1.04, 1.31; p = 0.008) times higher during extreme high temperatures (i.e., >95th percentile) on the day of admission. Hospital admissions association with season depended on year; admissions were higher in the dry season than the rainy season every year, except for 2014. Discussion: Effective adaptation strategy characteristics include being low-cost and quick and practical to implement at local scales. Herein, we illustrate how analyzing hospital data alongside meteorological parameters may inform climate-health planning in low-resource contexts. View Full-Text
Keywords: season; meteorological parameters; weather; temperature; precipitation; climate change; hospital admissions; hospital planning; climate change adaptation; Southwestern Uganda season; meteorological parameters; weather; temperature; precipitation; climate change; hospital admissions; hospital planning; climate change adaptation; Southwestern Uganda
Figures

Figure 1

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

Share & Cite This Article

MDPI and ACS Style

Bishop-Williams, K.E.; Berrang-Ford, L.; Sargeant, J.M.; Pearl, D.L.; Lwasa, S.; Namanya, D.B.; Edge, V.L.; Cunsolo, A.; IHACC Research Team; Bwindi Community Hospital; Huang, Y.; Ford, J.; Garcia, P.; Harper, S.L. Understanding Weather and Hospital Admissions Patterns to Inform Climate Change Adaptation Strategies in the Healthcare Sector in Uganda. Int. J. Environ. Res. Public Health 2018, 15, 2402.

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