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

International Journal of Environmental Research and Public Health
Sue SmithSari Kovats

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 ...Continue Reading

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Citations

Oct 14, 2005·BMC Medical Informatics and Decision Making·Amir-Homayoon Najmi, Steve F Magruder
Apr 27, 2018·International Journal of Environmental Research and Public Health·Alina Herrmann, Rainer Sauerborn
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Dec 11, 2020·BMC Public Health·Helen E HughesAlex J Elliot
Feb 3, 2021·International Journal of Hygiene and Environmental Health·Veronika WeilnhammerStefanie Heinze

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