Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance
Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance
复制标题
使用症状监测估算 2013 年夏季热浪期间英格兰的中暑负担
DOI：
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发表时间：
2016
影响因子：
6.3
通讯作者：
S. Kovats
中科院分区：
文献类型：
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作者：
Sue Smith;A. Elliot;S. Hajat;A. Bone;Gillian E. Smith;S. Kovats
在英国，热病对卫生系统的负担没有得到很好的描述。虽然英国通常经历温和的夏季，但由于气候变化，炎热天气的频率和强度可能会增加，特别是在英格兰南部。我们使用英格兰的症状监测数据调查了2013年中度热浪对初级保健和急诊科（艾德）就诊的影响。方法采用全科医生小时内（GPIH）、全科医生小时外（GPOOH）和艾德症状监测系统监测中暑/中暑症状（中暑）对健康的影响。数据按年龄组分层，并在热浪和非热浪年之间进行比较。发病率比计算GPIH中暑咨询。结果热浪期间，因中暑就诊的GP和艾德就诊人数增加; GPIH就诊人数在各年龄组均有所增加，但以学龄儿童和≥75岁人群的比例最高，且≥75岁人群的就诊率持续到热浪结束后。 外推至英国人群，我们估计2013年整个夏季（5月至9月）因中暑进行GPIH咨询的人数为1166人（95% CI 1064至1268）。这是在非热浪年份观察到的比率的两倍。这些发现支持监测中暑（中暑/中暑症状）作为英格兰热浪计划的一部分，但也表明，特别是监测儿童，特别是学龄儿童的中暑，将提供额外的预警，并在热浪期间的情况意识。
Background The burden of heat illness on health systems is not well described in the UK. Although the UK generally experiences mild summers, the frequency and intensity of hot weather is likely to increase due to climate change, particularly in Southern England. We investigated the impact of the moderate heatwave in 2013 on primary care and emergency department (ED) visits using syndromic surveillance data in England. Methods General practitioner in hours (GPIH), GP out of hours (GPOOH) and ED syndromic surveillance systems were used to monitor the health impact of heat/sun stroke symptoms (heat illness). Data were stratified by age group and compared between heatwave and non-heatwave years. Incidence rate ratios were calculated for GPIH heat illness consultations. Results GP consultations and ED attendances for heat illness increased during the heatwave period; GPIH consultations increased across all age groups, but the highest rates were in school children and those aged ≥75 years, with the latter persisting beyond the end of the heatwave. Extrapolating to the English population, we estimated that the number of GPIH consultations for heat illness during the whole summer (May to September) 2013 was 1166 (95% CI 1064 to 1268). This was double the rate observed during non-heatwave years. Conclusions These findings support the monitoring of heat illness (symptoms of heat/sun stroke) as part of the Heatwave Plan for England, but also suggest that specifically monitoring heat illness in children, especially those of school age, would provide additional early warning of, and situation awareness during heatwaves.