Pediatric Health and Extreme Weather - Health Effects of Ambient Temperature (PHEW-HEAT)

项目摘要/摘要 虽然越来越多但数量仍然很少的研究证实，炎热与儿科健康有关 影响，这一领域的炎热和儿童健康仍然严重不足，从而限制了公共健康 预防和临床方法侧重于减少儿童的中暑健康风险。在我们的 在前期工作中，我们假设儿童易受高温对健康影响的程度因年龄而异。 具有重要的公共卫生信息后果，对儿童的健康影响最大的 热是非特定于热的诊断之一，而诸如损伤和其他诊断的结果代表了 现有研究中的重要差距，可能会错过与高温相关的大部分健康负担 孩子们。我们建议进行一项使用管理数据集的调查，该数据集的大小足以 按较小年龄类别和诊断分组进行检查，以确定医疗脆弱儿童和 具体结果将阐明观察到的热-健康关联的潜在病因学。此外， 我们使用一个独特的先前汇编的全市易感指标数据集来了解社区- 降低慢性应激源对高温的易感性。 目标1：开发和比较细粒度、空间和时间分辨率的热量计算 纽约市(NYC)。 目标2：确定纽约市哪些儿科亚群最容易受到高温环境的影响 温度。 目标3：将儿科健康和热量分析扩展到国家层面，以了解风险范围 跨越城市化的梯度。 目标4：应用儿童-健康和高温协会的研究结果来通知公共卫生高温警报 项目，特定州的热脆弱性指数，以及纽约的临床医生意识。 这项研究的结果将作为目标4中提议的培训和外联系列的一部分加以传播。 此外，这项研究将有助于建立评估减少高温风险干预措施的基础设施。

Project Summary/Abstract While a growing but still small number of studies corroborate that heat is associated with pediatric health impacts, this area of heat and child health remains critically understudied, thereby limiting public health prevention and clinical approaches focused on heat health risk reduction for children. Drawing on our preliminary work, we hypothesize that children vulnerability to the health effects of heat varies by age in ways that have important public health messaging consequences and that the greatest health impact to children from heat is among non-heat specific diagnoses and that outcomes such as injury and other diagnoses represent an important gap in existing research that is potentially missing the bulk of heat-associated health burden for children. We propose an investigation that uses an administrative dataset that is large enough to permit examination by smaller age categories and diagnostic subgroups to identify medically-fragile children and specific outcomes that will shed light on underlying etiology of the observed heat-health associations. Further, we employ a unique previously-compiled dataset of city-wide susceptibility indicators to understand community- level vulnerability to heat by chronic stressors. Aim 1: Develop and compare fine-grained, spatially and temporally-resolved calculations of heat across New York City (NYC). Aim 2: Determine which pediatric subpopulations in NYC are most susceptible to high ambient temperatures. Aim 3: Expand the pediatric health and heat analysis to the state level to understand the spectrum of risk across a gradient of urbanicity. Aim 4: Apply the child-health and heat association study findings to inform public health heat alert programs, state-specific heat vulnerability indices, and clinician awareness in NYS. Results of this research will be disseminated as part of the training and outreach series proposed in aim 4. Further, this research will help build infrastructure for assessing heat-risk reduction interventions.