2006 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 , Brown, Daniel , Diez Roux, Ana V. , Levy, Helen , Schrag, Daniel , Schwartz, Joel , Williams, Roger , Zanobetti, Antonella
Current Investigators: O'Neill, Marie , Brown, Daniel , Diez Roux, Ana V. , Levy, Helen , Schrag, Daniel , Schwartz, Joel , Stults, Melissa , Williams, Roger , Zanobetti, Antonella
Institution: University of Michigan , Department of Earth and Planetary Sciences , 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, 2006 through December 1, 2007
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
  2. 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 non-white population, air conditioning (AC) prevalence, percent green space, housing characteristics, air pollution concentrations, weather variability, city preventive programs)

  3. Quantify the economic impact of these admissions under different climate change scenarios and adaptive/mitigative strategies, addressing equity concerns
  4. Disseminate results to city officials in order to foster and inform preventive actions and policies

Progress Summary:

We have hired research assistant and compiled datasets of community level variables, with the exception of housing characteristics and city preventive programs, and partially completed the datasets of hospital admissions and environmental variables. Preliminary analyses have been conducted with a subset of the hospital and environmental data and presentations on the planned work made at two conferences.

Future Activities:

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

References:

O'Neill MS, Zanobetti A, Schwartz J, Levy H, Diez-Roux AV, Williams R, Brown DG. Heat and hospital admissions among U.S. elderly. Epidemiology 2006;17(6):S 127-8.

O'Neill MS, Zanobetti A, Wellenius GA, Schwartz J. Heat and hospital admissions in 43 U.S. cities. Abstract submitted to International Society for Environmental Epidemiology 2007.

O'Neill MS, Zanobetti A, Schwartz J, Levy H, Diez-Roux AV, Wyman M, Brown DG. Climate change, heat and health in U.S. cities: Research and action to protect the vulnerable. Abstract submitted to American Public Health Association meeting 2007.

Journal Articles:

No journal articles submitted with this report: View all 38 publications for this project

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

Progress and Final Reports:

Original Abstract
  • 2007 Progress Report
  • 2008 Progress Report
  • 2009 Progress Report
  • Final Report