气候变化领域集成服务门户(CCPortal): Quantifying the impact of changing the threshold of New York City heat emergency plan in reducing heat-related illnesses

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DOI	10.1088/1748-9326/ab402e
	Quantifying the impact of changing the threshold of New York City heat emergency plan in reducing heat-related illnesses
	Benmarhnia T.; Schwarz L.; Nori-Sarma A.; Bell M.L.
发表日期	2019
ISSN	17489318
卷号	14 期号:11
英文摘要	The adverse health impact of high heat is widely documented and can lead to a substantial public health burden. Although heat-related illness in western countries is largely preventable, extreme heat remains the main weather contributor to the burden of disease in the United States. In most US cities, local National Weather Service offices issue heat alerts in advance of forecast periods of high heat. In some locations, additional local heat emergency plans that include additional community-based actions to protect the public from the health impacts of heat are also triggered. In 2008, the NYC Health Department made changes in their local heat emergency plan by lowering the threshold for triggering heat advisories based on evidence from local epidemiological studies. This study aims to quantify the potential benefits associated with the change in the threshold the NYC Heat Emergency Plan in reducing heat-related illnesses for Medicare fee-for service beneficiaries aged 65 years or older. We apply a quasi-experimental study design using the Difference-in-Differences (DID) method coupled with the propensity-score matching and compare the difference in daily rates of heat-related illnesses between eligible and non-eligible days before and after implementing the threshold change (2006-2007 versus 2009-2010). We reveal that the change in threshold for the NYC Heat Emergency Plan is associated with reduced daily number of 0.80 (95%CI: 0.27; 1.33) Heat-related Illnesses during hot days as compared to a counterfactual scenario in which the original threshold did not change. This highlights the benefits of local epidemiological evidence in informing emergency heat action plans, in decreasing the health burden of high ambient heat. © 2019 The Author(s). Published by IOP Publishing Ltd.
英文关键词	climate change; evidence based policy; heat action plans; heat related illnesses; quasi-experimental designs
语种	英语
scopus关键词	Climate change; Extreme weather; Health insurance; Action plan; Difference-in-differences; Epidemiological studies; Evidence-based; National Weather Services; Potential benefits; Propensity score matching; Western countries; Diseases; action plan; climate change; experimental design; health impact; health policy; public health; temperature effect; New York [New York (STT)]; New York [United States]; United States
来源期刊	Environmental Research Letters
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/154776
作者单位	Department of Family Medicine and Public Health, Scripps Institution of Oceanography University of California, University of California, San Diego, CA, United States; Yale School of Forestry and Environmental Studies, New Haven, CT, United States
推荐引用方式 GB/T 7714	Benmarhnia T.,Schwarz L.,Nori-Sarma A.,et al. Quantifying the impact of changing the threshold of New York City heat emergency plan in reducing heat-related illnesses[J],2019,14(11).
APA	Benmarhnia T.,Schwarz L.,Nori-Sarma A.,&Bell M.L..(2019).Quantifying the impact of changing the threshold of New York City heat emergency plan in reducing heat-related illnesses.Environmental Research Letters,14(11).
MLA	Benmarhnia T.,et al."Quantifying the impact of changing the threshold of New York City heat emergency plan in reducing heat-related illnesses".Environmental Research Letters 14.11(2019).