prior to hurricane katrina, what was the deadliest type of extreme weather event to strike the us?...
TRANSCRIPT
QUESTION #1
Prior to Hurricane Katrina, what was the deadliest type of extreme weather event to strike the US? a) Tornadoesb) Floodsc) Heat
QUESTION #2
The urban heat island phenomenon causes warmer temperatures in cities during both the daytime and the nighttime.
a. Trueb. False
QUESTION #3
The European heat wave in 2003 caused how many deaths?
a) 700b) 7,000c) 70,000d) 700,000
QUESTION #4
According to the IPCC, heat waves are expected to increase in
a. Frequencyb. Magnitudec. Durationd. All of the above
QUESTION #6
When high heat threatens, what anticipatory guidance can health practitioners give to patients and their families to help them stay safe? Give three examples.
2012 IPCC SPECIAL REPORT
The IPCC is “virtually certain” [99-100% certainty] that [by the end of this century] the earth will experience a decrease in the frequency and magnitude of cold days/nights and an increase in frequency and magnitude of unusually warm days and nights.
HEAT CRAMPS
Muscle pains or spasms Abdomen, arms, or legs Occur with strenuous activity in the presence of
heat Due to salt imbalance
Stop all activity, and sit in a cool place. Drink clear juice or a sports beverage. No strenuous activity for a few hours after the
cramps subside because further exertion may lead to heat exhaustion or heat stroke.
Seek medical attention if heat cramps do not subside in 1 hour.
HEAT EXHAUSTION Symptoms
Intense Thirst Heavy sweating Weak, pale Headache Nausea/vomiting Dizziness/fainting Fatigue
Core temp normal or slightly elevated
Skin moist/cool
HEAT STROKE Heat exhaustion may
progress to heat stroke, which is a severe illness.
Core body temperature of 105°F+
Hot, dry skin Delirium Convulsions Coma Possible death
EXTREME HEAT CAN LEAD TO DEATH
750 people died from heat-related illness in the 1995 Chicago heat wave
The number of reported heat-related deaths and illness is expected to rise due to the projected increase in frequency, duration, and magnitude of extreme heat events.
HEAT, AIR POLLUTION, RESPIRATORY ISSUES
As people turn on their air conditioning during heat waves, their use of fossil fuels increases the amount of air pollution in the atmosphere.
This pollution may exacerbate preexisting conditions such as angina and asthma and may lead to increased death rates.
CARDIOVASCULAR ISSUES
Heat increases skin blood vessel dilation, affects blood pressure, and increases effective blood volume
Incidence of stroke and cardiovascular hospitalizations increase as temperature increases.
Increased ozone due to increasing temperature affects the cardiovascular system and can increase the risk of heart arrhythmias and heart attack.
CASE STUDY: 2003 EUROPEAN HEAT WAVE
Final estimate: 70,000 excess deaths
Greatest impact: elderly, the chronically ill and young children
In typically cool Europe, many people had no air conditioning
According to a study lead by climate expert, Dr. Peter Stott, “If greenhouse gas emissions continue to increase, by the 2040s more than half of European summers will be hotter than the summer of 2003, and by the end of this century, a summer as hot as that of 2003 will be considered unusually cool.” Jami Dwyer, Wikimedia Commons
VECTOR-BORNE DISEASES
• Prolonged higher average temperatures can increase transmission of vector-borne diseases
PRECIPITATION EVENTS
• Rising temperatures increase global evaporation rates.
• Increasing sea temperatures increase hurricane intensity and duration
• More intense hurricanes, flooding, and storms.
IMPACTS ON AGRICULTURE
Warmer temperatures: reduce overall crop
yields; decrease rates of
photosynthesis, reduce soil moisture;
Increase water demand and survival of plant pests, diseases and weeds
HEAT CONTRIBUTES TO WILDFIRES
• Extended periods of drought and decreased soil moisture raise the risk of wildfires
• Increasing wildfires can lead to death or injury, and increase fine particulate air pollution
HEAT AFFECTS MENTAL HEALTH
Heat waves contribute to more alcohol and substance abuse.
Prolonged and more severe heat waves increase homicide, suicide, physical abuse, and spousal abuse.
Just an increase of 1 degree F may increase the risk of violent behavior, especially in warm climates and the inner city.
The mentally ill are also a vulnerable population.
VULNERABLE POPULATIONS:
Elderly About 0.5 - 2% of the
annual deaths in older age groups in Europe is due to heat
Pre-existing medical condition
Immobile Mental illness Economically
disadvantaged
HEAT WAVE ADAPTATION STRATEGIES
Work with local governments Expand local green spaces and
plant more trees to reduce heat islands
Paint surfaces white (roofs, asphalt, parking lots)
Establish heat monitoring and warning systems
Set up local cooling centers and provide transportation to these centers
Create social support networks across vulnerable populations 31
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HEAT WAVE ADAPTATION STRATEGIES:
When outdoors, limit physical exertion, stay in the shade, wear loose clothing and hats
Take cool showers and baths Drink plenty of non-alcoholic, non-caffeinated fluids Eat lightly. Avoid using stoves or ovens to heat food Close curtains and blinds to keep out sunlight Use air conditioning when available or move to lower
floors Identify location of and transportation to local cooling
centers Establish a “buddy system” Be familiar with the signs and symptoms of heat
cramps, heat exhaustion and stroke
Anticipatory guidance for patients:
PREVENTING CLIMATE CHANGE:
Renewable energy makes good environmental and economic sense
Use alternative energy sources for lighting, heating and powering your home
Alternative sources of energy are less vulnerable to energy disruptions in the event of a disaster
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Photos: HCWH, Practice Greenhealth
Alternative Energy Generation:
CLINICIANS CAN PLAY A KEY ROLE COMBATING CLIMATE CHANGE
Encourage green practices and energy efficiency in your medical facility
Provide brochures, relevant literature and informational posters in waiting areas and lobbies to educate patients and their families about how they can reduce their emissions
Make recommendations to patients that improve health and wellbeing and reduce greenhouse gas emissions (such as eat less meat, walk and bike more, use public transit) 34
QUESTION #1
Prior to Hurricane Katrina, what was the deadliest type of extreme weather event to strike the US? a) Tornadoesb) Floodsc) Heat
QUESTION #2
The urban heat island phenomenon causes warmer temperatures in cities during both the daytime and the nighttime.
a. Trueb. False
QUESTION #3
The European heat wave in 2003 caused how many deaths?
a) 700b) 7,000c) 70,000d) 700,000
QUESTION #4
According to the IPCC, heat waves are expected to increase in
a. Frequencyb. Magnitudec. Durationd. All of the above
QUESTION #5
Describe 3 consequences of heat stroke.1) Core body temperature of 105°F+ 2) Hot, dry skin 3) Delirium4) Convulsions5) Coma6) Possible death
QUESTION #6When high heat threatens, what anticipatory guidance can health practitioners give to patients and their families to help them stay safe? Give three examples.
When outdoors, limit physical exertion, stay in the shade, wear loose clothing and hats
Take cool showers and baths Drink plenty of non-alcoholic, non-caffeinated fluids Eat lightly. Avoid using stoves or ovens to heat food Close curtains and blinds to keep out sunlight Use air conditioning when available or move to lower floors Identify location of and transportation to local cooling centers Establish a “buddy system” Be familiar with the signs and symptoms of heat cramps, heat
exhaustion and stroke