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Systematic identification of heat events associated with emergency admissions to enhance the heat-health action plan in a subtropical city: a data-driven approach
Department of Anaesthesiology, School of Clinical Medicine, The University of Hong Kong, Hong Kong, Hong Kong; Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, Hong Kong.
Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.ORCID iD: 0000-0003-3438-1182
Division of Landscape Architecture, Faculty of Architecture, The University of Hong Kong, Hong Kong, Hong Kong.
Faculty of Health Sciences, Ontario Tech University, Oshawa, Canada; Institute for Disability and Rehabilitation Research, Oshawa, Canada.
2022 (English)In: Environmental Science and Pollution Research, ISSN 0944-1344, E-ISSN 1614-7499, Vol. 29, no 59, p. 89273-89282Article in journal (Refereed) Published
Abstract [en]

According to the United Nations Office for Disaster Risk Reduction (UNDRR), a heat-health action plan should address various impacts of hazards at different levels, including an early warning system to monitor risks and behaviour enhancement to increase disaster preparedness. It is necessary to comply with guidelines regarding heat duration/intensity. In this study, we developed a data-driven approach to rapidly and systematically estimate the impacts of various heat events on emergency admissions among the adult population (n = 7,086,966) in Hong Kong in order to enhance the heat-health action plan. Immediate, short-term, and long-term impacts determined by 1-day, 4-day, and 8-day windows were estimated to identify specific heat events suitable for early warnings. In addition, underestimated risk, determined by a continuous increase in heat risk after days without significant emergency admissions, was estimated to evaluate potential maladaptive behaviours among a specific subpopulation. Based on age- and gender-specific analyses, 1D, 1D1N, and 2D2N were observed to have a stronger immediate impact on emergency admissions. 1D1N and 2D2N also showed notable short-term and long-term impacts. Based on heat vulnerability factors (age and gender), 2D2N was a higher-priority extreme heat event for early warning measures than 1D1N. Furthermore, men aged 19 to 64 had the highest underestimated risk. Specifically, they had IRR values of 1.113 [1.087, 1.140], 1.061 [1.035, 1.087], and 1.069 [1.043, 1.095] during lag days 3-5 of 3D2N, respectively, possibly due to a lack of adaptive behaviour. By adopting our approach, the duration of heat events with significant health impacts can be identified in order to further enhance relevant heat stress information. This framework can be applied to other cities with a similar background for rapid assessment.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 29, no 59, p. 89273-89282
Keywords [en]
Heat wave definitions, Heat duration, Heat-health, Emergency admissions, Asian cities, Subtropical cities
National Category
Public Health, Global Health, Social Medicine and Epidemiology Environmental Sciences
Research subject
Architecture
Identifiers
URN: urn:nbn:se:ltu:diva-92319DOI: 10.1007/s11356-022-21963-8ISI: 000826854800003PubMedID: 35849238Scopus ID: 2-s2.0-85134499641OAI: oai:DiVA.org:ltu-92319DiVA, id: diva2:1685189
Note

Validerad;2022;Nivå 2;2022-11-30 (hanlid);

Funder: Vice-Chancellor’s Discretionary Fund of the Chinese University of Hong Kong; General Research Fund Project Grant 2017/18 (RGC-GRF 14611517); Research Impact Fund 2018/19 of the Hong Kong Research Grants Council (R4046-18); Guangdong Natural Science Fund (2021A1515012571)

Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2023-09-05Bibliographically approved

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