Preparing for Extreme Heat in Arizona: A Heat-Health Early ... · Arizona: A Heat-Health Early...
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Health and Wellness for all Arizonans
Preparing for Extreme Heat in Arizona: A Heat-Health Early Warning System Approach
Matthew Roach, MPHNational Disaster Epidemiology Workshop
May 17, 2016Atlanta, GA
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Source: Flickr creative commons
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Arizona Temperatures
Phoenix, 114 days over 100 degrees F annually
Hottest Temperature on record in AZ
• 128°F, Lake Havasu City
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AZ July Temperature Projections
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Heat Morbidity & Mortality in Arizona
• Average of 126 heat-caused deaths and 160 heat-associated deaths from 2001-2013
• 2,000+ Heat-Related Emergency Room Visits per year (2008-2013)
• 500+ Heat-Related Inpatient Admissions per year (2008-2013)
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Syndromic Surveillance
• Investigational approach to monitor disease indicators in real-time or near real-time to detect outbreaks of disease earlier than would otherwise be possible with traditional public health methods
• Can be used to monitor emergency department visits during extreme heat events
http://www.cdc.gov/mmwr/preview/mmwrhtml/su5301a3.htm
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Decision-Support
• Syndromic Surveillance
• Hospitalization Data
– Emergency Department Visits
– Inpatient Admissions
• Death Data
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Syndromic Surveillance Data
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Excessive Heat Cases
using Syndromic
Surveillance
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Illustration of Selected Trigger Points for All-Cause Mortality
and Heat-Related Health Events: Implications for Practice?
Petitti, Hondula, Yang, Harlan, Chowell. In Review
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Chronic vs. EpisodicAdapted or Not?
• Heat weather hazard doctrine emphasizes an episodic heat wave warning concept originating from temperate mid latitude context.
• The average summer day in Phoenix, or the global south, meets outcomes-based definitions of a heat wave.
Source: Robert A. Rohde, Global Warming Art via Wikipedia
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Arizona Extreme Heat Response Plan
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Purpose• Limit the adverse public health effects from excessive heat events
• Identify conditions and/or events that would trigger activation of part or the entire Extreme Heat Incident Annex
• Provide a framework for coordinating the efforts of divisions within ADHS, counties, tribes, cities, and other stakeholders and agencies that provide services to support the citizens of Arizona.
• Considerations: Homeless, Seniors ,Medically “at-risk”, people with access and functional needs
• Provide a list of prevention and educational resources that may mitigate heat-health adverse effects and/or deaths
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Activation
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• Sign-up for heat alerts at www.azdhs.gov
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Other Heat Action Plan Resources
• Ahmedabad, India Heat Action Plan
– https://www.nrdc.org/sites/default/files/ahmedabad-heat-action-plan-2016.pdf
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Summary
• How do we reduce heat deaths and illnesses?
– Use both public health data and weather data for decision support
– Provide information desired by organizations that respond to heat and the public
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Thank you
• Acknowledgements
– CDC Climate Ready States & Cities Initiative
– Corey Tarango, ADHS PHEP Planner
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Contact Information
Matthew Roach, MPH
Climate and Health Program Manager
602-364-3673