2009 Progress Report: Heat-related Hospital Admissions Among the Elderly: Community, Socio-economic and Medical Determinants of Vulnerability and Economic Impacts

EPA Grant Number: R832752
Title: Heat-related Hospital Admissions Among the Elderly: Community, Socio-economic and Medical Determinants of Vulnerability and Economic Impacts
Investigators: O'Neill, Marie , Diez Roux, Ana V. , Zanobetti, Antonella , Schrag, Daniel , Brown, Daniel , Levy, Helen , Schwartz, Joel , Williams, Roger
Current Investigators: O'Neill, Marie , Diez Roux, Ana V. , Zanobetti, Antonella , Schrag, Daniel , Brown, Daniel , Levy, Helen , Schwartz, Joel , Stults, Melissa , Williams, Roger
Institution: University of Michigan , Harvard University , ICLEI Local Governments for Sustainability/Cities for Climate Protection Campaign
Current Institution: University of Michigan , Harvard University , ICLEI Local Governments for Sustainability/Cities for Climate Protection Campaign , University of Michigan
EPA Project Officer: Chung, Serena
Project Period: January 1, 2006 through December 1, 2009 (Extended to December 31, 2010)
Project Period Covered by this Report: January 1, 2009 through December 31,2009
Project Amount: $576,091
RFA: The Impact of Climate Change & Variability on Human Health (2005) RFA Text |  Recipients Lists
Research Category: Global Climate Change , Health Effects , Health , Climate Change

Objective:

1. a) Determine whether excess hospital admissions occur among elderly people during hot weather in 100 U.S. cities, from cardiovascular, respiratory, diabetes, and heat-related causes
b) Assess whether vulnerability to heat-associated hospital admission differs, according to:
- co-morbid conditions (diabetes; cardiovascular, respiratory, renal disease; overall frailty)
- individual characteristics (race, gender, age, use of public vs. private hospital)
- city-wide characteristics (percent poverty, percent with college education, percent of nonwhite population, air conditioning (AC) prevalence, percent green space, housing characteristics, air pollution concentrations, weather variability, city preventive programs)
2. Quantify the economic impact of these admissions under different climate change scenarios and adaptive/mitigative strategies, addressing equity concerns
3. Disseminate results to city officials to foster and inform preventive actions and policies

Progress Summary:

We have compiled datasets of community-level variables, with the exception of housing characteristics, which are about 1 week off from being ready, completed our city preventive survey, and completed the datasets of hospital admissions and environmental variables. Preliminary analyses have been conducted with the hospital and environmental data.

Future Activities:

We will complete dataset preparation and analyses and other remaining activities outlined in the grant proposal.


Journal Articles on this Report : 4 Displayed | Download in RIS Format

Other project views: All 38 publications 21 publications in selected types All 21 journal articles
Type Citation Project Document Sources
Journal Article O'Neill MS, Carter R, Kish JK, Gronlund CJ, White-Newsome JL, Manarolla X, Zanobetti A, Schwartz JD. Preventing heat-related morbidity and mortality: new approaches in a changing climate. Maturitas 2009;64(2):98-103. R832752 (2009)
R832752 (Final)
  • Full-text from PubMed
  • Abstract from PubMed
  • Associated PubMed link
  • Abstract: Maturitas-Abstract
    Exit
  • Journal Article O'Neill MS, Jackman DK, Wyman M, Manarolla X, Gronlund CJ, Brown DG, Brines SJ, Schwartz J, Diez-Roux AV. US local action on heat and health: are we prepared for climate change? International Journal of Public Health 2010;55(2):105-112. R832752 (2009)
    R832752 (Final)
  • Abstract from PubMed
  • Abstract: Springer-Abstract
    Exit
  • Journal Article Reid CE, O’Neill MS, Gronlund CJ, Brines SJ, Brown DG, Diez-Roux AV, Schwartz J. Mapping community determinants of heat vulnerability. Environmental Health Perspectives 2009;117(11):1730-1736. R832752 (2009)
    R832752 (Final)
  • Full-text from PubMed
  • Abstract from PubMed
  • Associated PubMed link
  • Full-text: EHP-Full Text PDF
  • Abstract: EHP-Abstract & Full Text HTML
  • Journal Article White-Newsome J, O’Neill MS, Gronlund C, Sunbury TM, Brines SJ, Parker E, Brown DG, Rood RB, Rivera Z. Climate change, heat waves, and environmental justice: advancing knowledge and action. Environmental Justice 2009;2(4):197-205. R832752 (2009)
    R832752 (Final)
  • Abstract: Liebert-Abstract
    Exit
  • Supplemental Keywords:

    global climate, health effects, sensitive populations, susceptibility, RFA, Health, Scientific Discipline, Air, ENVIRONMENTAL MANAGEMENT, Health Risk Assessment, climate change, Air Pollution Effects, Risk Assessments, Environmental Monitoring, Ecological Risk Assessment, Atmosphere, Risk Assessment, air quality modeling, ecosystem models, elderly adults, climatic influence, heat related health effects, hormone degradation, modeling, human exposure, climate models, demographics, heart attacks, regional climate model, cardiotoxicity, cardiovascular disease, exposure assessment, Global Climate Change, human health risk, ambient air pollution

    Relevant Websites:

     

    Progress and Final Reports:

    Original Abstract
  • 2006 Progress Report
  • 2007 Progress Report
  • 2008 Progress Report
  • Final Report