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

项目总结/摘要 虽然越来越多但仍然很少的研究证实了热量与儿童健康有关 影响，这一领域的热量和儿童健康仍然严重不足，从而限制了公共卫生 预防和临床方法侧重于减少儿童的热健康风险。也关注于我们的 初步工作，我们假设，儿童对热的健康影响的脆弱性因年龄而异， 对公共卫生信息产生重要影响的， 发热属于非发热特异性诊断，且诸如损伤和其他诊断结果代表了 现有研究中的一个重要空白，可能会遗漏大部分与热相关的健康负担， 孩子我们建议使用足够大的管理数据集进行调查， 按较小的年龄类别和诊断亚组进行检查，以确定医学上脆弱的儿童， 具体的结果，这将揭示所观察到的热健康协会的根本病因。此外，本发明还 我们采用了一个独特的先前编制的数据集的城市范围内的易感性指标，以了解社区， 通过慢性压力源来降低对热的脆弱性。 目标1：开发和比较细粒度的、空间和时间分辨的热跨 纽约市。 目标2：确定纽约市哪些儿科亚群最容易受到高环境温度的影响 温度 目标3：将儿科健康和热量分析扩展到州一级，以了解风险范围 跨越城市化的梯度。 目的4：应用儿童健康和热量协会的研究结果，为公共卫生热量警报提供信息 程序，国家特定的热脆弱性指数，和临床医生的意识在纽约州。 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予以传播。 此外，这项研究将有助于建立评估减少热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.