Shakoor Hajat
Biographic Data
| ID | 4621883 |
|---|---|
| NAME | Shakoor Hajat |
| GIVEN NAMES | Shakoor |
| FAMILY NAME | Hajat |
| SIGNATURE | HAJAT S |
| AFFILIATIONS | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0002-3086-362X |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 29 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Occupation, displacement, and violence in the West Bank
Israeli settlement expansion in the West Bank has intensified violence in the occupied Palestinian territories (oPt). This violence escalated after attacks by Hamas on Israel on 7 October 2023 and the subsequent military campaign in Gaza. This study examines the possible impacts of military and land occupation on displacement, injuries, and deaths in the West Bank. This cross-sectional observational study analyses casualties and displacement data…
Water Insecurity in the Jordan Valley
The Jordan Valley in the West Bank in Palestine provides a unique social, environmental, and geopolitical context in regard to the global challenge of water insecurity, where its impacts on child and maternal health are only partly understood. Existing research has been largely limited to investigations of water quantity/quality and direct health outcomes, such as infectious disease. This qualitative study aimed to provide a holistic perspective …
Heat-Related Health Risks for People Experiencing Homelessness
Priority climate and health modelling needs
Climate and health modelling is necessary for improving understanding of the current and future distribution and timing of climate-related health risks. However, underinvestment in this area has limited the understanding required to inform policies that enable multisectoral interventions to safeguard health. We synthesised insights from a survey of 65 global climate and health modelling experts and 36 participants in a hybrid meeting to identify …
Disentangling the contributions of anthropogenic climate change, greenhouse gases, and aerosols to heat-related mortality in Great Britain
Health Protection Research Unit in Environmental Change and Health, National Institute for Health and Care Research
Eligibility criteria for the UK Winter Fuel Payment
BACKGROUND: Cold weather remains a serious health threat in the UK and elsewhere, particularly for older adults. The Winter Fuel Payment has been a key government strategy to mitigate health risks linked to cold homes in the UK, but recent policy shifts have raised questions about whether income-based eligibility criteria effectively identify those most at risk. METHODS: We analysed cold-related mortality in adults aged ≥75 across 324 local autho…
Is heat wave a predictor of diarrhoea in Dhaka, Bangladesh? A time-series analysis in a South Asian tropical monsoon climate
While numerous studies have assessed the association between temperature and diarrhoea in various locations, evidence of relationship between heat wave and diarrhoea is scarce. We defined elevated daily mean and maximum temperature over the 95 th and 99 th percentiles lasting for at least one day between March to October 1981–2010 as TAV95 and TAV99 and D95 and D99 heat wave, respectively. We investigated the association between heat wave and dai…
Heat Index
Heat index (HI) is a biometeorological indicator that combines temperature and relative humidity. This study aimed to investigate the relationship between the Heat Index and daily counts of diarrhoea hospitalisation in Dhaka, Bangladesh. Data on daily diarrhoea hospitalisations and meteorological variables from 1981 to 2010 were collected. We categorised the Heat Index of >94.3 °F (>34.6 °C), >100.7 °F (>38.2 °C) and >105 °F (>40.6 °C) as high, v…
A population-level framework to estimate unequal exposure to indoor heat and air pollution
As people in the UK spend 95% of their time indoors, buildings are an important modifier of exposure to both non-optimal temperatures and air pollution. High ambient temperature and high PM2.5 (particulate matter) concentrations often occur together in urban areas. Residential building types prone to overheating (e.g. purpose-built flats) are often also more common in urban areas. Together, this may lead to spatial and demographic inequalities in…
Neoliberalism, Climate Change, and Displaced and Homeless Populations
There is a growing attention to neoliberal policies and practices as they relate to climate change and housing within academic literature. However, the combined effects of neoliberal political and economic decisions on the interaction between climate change and displaced and homeless populations have not been substantially explored. In this paper, we identify and focus on three key re-emerging themes prevalent within neoliberal discourses: econom…
Contribution of Cold Versus Climate Change to Mortality in London, UK, 1976–2019
Objectives. To quantify past reductions in cold-related mortality attributable to anthropogenic climate change. Methods. We performed a daily time-series regression analysis employing distributed lag nonlinear models of 1 203 981 deaths in Greater London, United Kingdom, in winter months (November–March) during 1976 to 2019. We made attribution assessment by comparing differential cold-related mortality impacts associated with observed temperatur…
Acute air pollution and temperature exposure as independent and joint triggers of spontaneous preterm birth in New South Wales, Australia
Introduction Exposure to high ambient temperatures and air pollution has been shown to increase the risk of spontaneous preterm birth (sPTB). Less clear are the effects of cold and the joint effects of air pollution and temperature. Methods Using a Cox proportional hazard regression model, we assessed the risk of independent and combined short-term exposure to ambient daily mean temperature and PM 2.5 associated with sPTB in the last week before …
Ambient Temperature and Emergency Hospital Admissions in People Experiencing Homelessness
Objectives. To assess the impacts of ambient temperature on hospitalizations of people experiencing homelessness. Methods. We used daily time-series regression analysis employing distributed lag nonlinear models of 148 177 emergency inpatient admissions with “no fixed abode” and 20 804 admissions with a diagnosis of homelessness in London, United Kingdom, in 2011 through 2019. Results. There was a significantly increased risk of hospitalization a…
Past and projected climate change impacts on heat-related child mortality in Africa
Children (<5 years) are highly vulnerable during hot weather due to their reduced ability to thermoregulate. There has been limited quantification of the burden of climate change on health in sub-Saharan Africa, in part due to a lack of evidence on the impacts of weather extremes on mortality and morbidity. Using a linear threshold model of the relationship between daily temperature and child mortality, we estimated the impact of climate change o…
Heatwave Mortality in Summer 2020 in England
High ambient temperatures pose a significant risk to health. This study investigates the heatwave mortality in the summer of 2020 during the SARS-CoV-2 coronavirus (COVID-19) pandemic and related countermeasures. The heatwaves in 2020 caused more deaths than have been reported since the Heatwave Plan for England was introduced in 2004. The total and cause-specific mortality in 2020 was compared to previous heatwave events in England. The findings…
Climate Change and Diarrhoeal Disease Burdens in the Gaza Strip, Palestine
The Gaza Strip is one of the world’s most fragile states and faces substantial public health and development challenges. Climate change is intensifying existing environmental problems, including increased water stress. We provide the first published assessment of climate impacts on diarrhoeal disease in Gaza and project future health burdens under climate change scenarios. Over 1 million acute diarrhoea cases presenting to health facilities durin…
The Effects of Temperature on Accident and Emergency Department Attendances in London
The epidemiological research relating mortality and hospital admissions to ambient temperature is well established. However, less is known about the effect temperature has on Accident and Emergency (A&E) department attendances. Time-series regression analyses were conducted to investigate the effect of temperature for a range of cause- and age-specific attendances in Greater London (LD) between 2007 to 2012. A seasonally adjusted Poisson regressi…
Spatial Variability of Heat-Related Mortality in Barcelona from 1992–2015
Numerous studies have demonstrated the relationship between summer temperatures and increased heat-related deaths. Epidemiological analyses of the health effects of climate exposures usually rely on observations from the nearest weather station to assess exposure-response associations for geographically diverse populations. Urban climate models provide high-resolution spatial data that may potentially improve exposure estimates, but to date, they…
Time-Series Study of Associations between Rates of People Affected by Disasters and the El Niño Southern Oscillation (Enso) Cycle
The El Niño Southern Oscillation (ENSO) is a major driver of climatic variability that can have far reaching consequences for public health globally. We explored whether global, regional and country-level rates of people affected by natural disasters (PAD) are linked to ENSO. Annual numbers of PAD between 1964-2017 recorded on the EM-DAT disaster database were combined with UN population data to create PAD rates. Time-series regression was used t…
Environmental Exposure to Pesticides and Breast Cancer in a Region of Intensive Agribusiness Activity in Brazil
Background : Breast cancer is a serious public health problem and is the second most prevalent cancer type in the world. The purpose of this article is to evaluate the association between pesticide use and breast cancer in a region of intense agribusiness activity in the state of Mato Grosso, Brazil. Methods : A case-control study was conducted on women living in the city of Rondonópolis, in the south of Mato Grosso state. There were 85 cases of …
Risk factors for vitamin A and D deficiencies among children under-five in the state of Palestine
Using these results, the MOH may consider specifically targeting at risk children to increase adherence to the full supplementation regimen. Further research into effective methods of service delivery by health service providers is needed including an in depth look at the UNRWA maternal counselling and supplement provision protocols
Assessing Effect Modification of Excess Winter Death by Causes of Death and Individual Characteristics in Zhejiang Province, China
Mortality in many parts of the world has a seasonal pattern, with a marked excess of deaths during winter. To date, however, there is very little published evidence on the nature of this wintertime excess in low- and middle-income countries. In this study, we aimed to quantify the extent of the death peak in winter and to assess effect modification on excess winter death (EWD) by individual characteristics and cause of deaths in China. We used a …
Variation in Cold-Related Mortality in England Since the Introduction of the Cold Weather Plan
The Cold Weather Plan (CWP) in England was introduced to prevent the adverse health effects of cold weather; however, its impact is currently unknown. This study characterizes cold-related mortality and fuel poverty at STP (Sustainability and Transformation Partnership) level, and assesses changes in cold risk since the introduction of the CWP. Time series regression was used to estimate mortality risk for up to 28 days following exposure. Area l…
Pathogen seasonality and links with weather in England and Wales
The detection of seasonality in pathogen time series data and the identification of relevant weather predictors can improve forecasting and public health planning. Big data analytics and online visualisation allow the relationship between pathogen incidence and weather patterns to be clarified
Projections of temperature-related excess mortality under climate change scenarios
BACKGROUND: Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships across different populations and climates. METHODS: We collected observed daily time series of mean temperature and mortality counts for all causes or n…
Impact of hot temperatures on death in London
Study objective: This study investigated the relation between heat and mortality in London to determine the temperature threshold at which death rates increase and to quantify the effect of extreme temperatures on mortality. Design: Daily data on all cause mortality and temperature were obtained for a 21 year period and the relation between them investigated both graphically and by using non-parametric time series methods of analysis. Setting: Gr…
Climate change effects on human health
BACKGROUND: The most direct way in which climate change is expected to affect public health relates to changes in mortality rates associated with exposure to ambient temperature. Many countries worldwide experience annual heat-related and cold-related deaths associated with current weather patterns. Future changes in climate may alter such risks. Estimates of the likely future health impacts of such changes are needed to inform public health poli…
Racism, mental illness and social support in the UK
Heat–Health Warning Systems
Objectives. We compared the ability of several heat–health warning systems to predict days of heat-associated mortality using common data sets. Methods. Heat–health warning systems initiate emergency public health interventions once forecasts have identified weather conditions to breach predetermined trigger levels. We examined 4 commonly used trigger-setting approaches: (1) synoptic classification, (2) epidemiologic assessment of the temperature…
Contribution of Cold Versus Climate Change to Mortality in London, UK, 1976–2019
Objectives. To quantify past reductions in cold-related mortality attributable to anthropogenic climate change. Methods. We performed a daily time-series regression analysis employing distributed lag nonlinear models of 1 203 981 deaths in Greater London, United Kingdom, in winter months (November–March) during 1976 to 2019. We made attribution assessment by comparing differential cold-related mortality impacts associated with observed temperatur…
Ambient Temperature and Emergency Hospital Admissions in People Experiencing Homelessness
Objectives. To assess the impacts of ambient temperature on hospitalizations of people experiencing homelessness. Methods. We used daily time-series regression analysis employing distributed lag nonlinear models of 148 177 emergency inpatient admissions with “no fixed abode” and 20 804 admissions with a diagnosis of homelessness in London, United Kingdom, in 2011 through 2019. Results. There was a significantly increased risk of hospitalization a…
Association of mortality with high temperatures in a temperate climate
BACKGROUND: It is well known that high ambient temperatures are associated with increased mortality, even in temperate climates, but some important details are unclear. In particular, how heat-mortality associations (for example, slopes and thresholds) vary by climate has previously been considered only qualitatively. METHODS: An ecological time-series regression analysis of daily counts of all-cause mortality and ambient temperature in summers b…
Impact of hot temperatures on death in London
Study objective: This study investigated the relation between heat and mortality in London to determine the temperature threshold at which death rates increase and to quantify the effect of extreme temperatures on mortality. Design: Daily data on all cause mortality and temperature were obtained for a 21 year period and the relation between them investigated both graphically and by using non-parametric time series methods of analysis. Setting: Gr…
Mortality Displacement of Heat-Related Deaths
BACKGROUND: Mortality increases with hot weather, although the extent to which lives are shortened is rarely quantified. We compare the extent to which short-term mortality displacement can explain heat deaths in Delhi, São Paulo, and London given contrasting demographic and health profiles. METHODS: We examined time-series of daily mortality data in relation to daily ambient temperature using Poisson models and adjusting for season, relative hum…
Impact of High Temperatures on Mortality
BACKGROUND: Mortality during sustained periods of hot weather is generally regarded as being in excess of what would be predicted from smooth temperature-mortality gradients estimated using standard time-series regression models. However, the evidence for an effect of continuous days of exceptional heat ("heat wave effect") is indirect. In addition, because some interventions may be triggered only during forecasted heat waves, it would be helpful…
Heat-related and cold-related deaths in England and Wales
Background: Despite the high burden from exposure to both hot and cold weather each year in England and Wales, there has been relatively little investigation on who is most at risk, resulting in uncertainties in informing government interventions. Objective: To determine the subgroups of the population that are most vulnerable to heat-related and cold-related mortality. Methods: Ecological time-series study of daily mortality in all regions of En…
Outdoor air pollution and infant mortality
Background: There is growing concern that moderate levels of outdoor air pollution may be associated with infant mortality, representing substantial loss of life-years. To date, there has been no investigation of the effects of outdoor pollution on infant mortality in the UK. Methods: Daily time-series data of air pollution and all infant deaths between 1990 and 2000 in 10 major cities of England: Birmingham, Bristol, Leeds, Liverpool, London, Ma…
Heat Stress and Public Health
Heat is an environmental and occupational hazard. The prevention of deaths in the community caused by extreme high temperatures (heat waves) is now an issue of public health concern. The risk of heat-related mortality increases with natural aging, but persons with particular social and/or physical vulnerability are also at risk. Important differences in vulnerability exist between populations, depending on climate, culture, infrastructure (housin…
International study of temperature, heat and urban mortality
BACKGROUND: This study describes heat- and cold-related mortality in 12 urban populations in low- and middle-income countries, thereby extending knowledge of how diverse populations, in non-OECD countries, respond to temperature extremes. METHODS: The cities were: Delhi, Monterrey, Mexico City, Chiang Mai, Bangkok, Salvador, São Paulo, Santiago, Cape Town, Ljubljana, Bucharest and Sofia. For each city, daily mortality was examined in relation to …
Racism, mental illness and social support in the UK
Health effects of hot weather
Heat-related mortality
Although rapid response capacity has been instituted in many cities following recent catastrophic heatwave events, the recognition that theoretically preventable heat-related deaths may occur throughout the summer has provoked much less response. This essay reviews published estimates of the general summertime temperature–mortality relationship characterised in different settings around the world. A random-effects meta-regression is applied to th…
Heat–Health Warning Systems
Objectives. We compared the ability of several heat–health warning systems to predict days of heat-associated mortality using common data sets. Methods. Heat–health warning systems initiate emergency public health interventions once forecasts have identified weather conditions to breach predetermined trigger levels. We examined 4 commonly used trigger-setting approaches: (1) synoptic classification, (2) epidemiologic assessment of the temperature…
Association of mortality with high temperatures in a temperate climate
BACKGROUND: It is well known that high ambient temperatures are associated with increased mortality, even in temperate climates, but some important details are unclear. In particular, how heat-mortality associations (for example, slopes and thresholds) vary by climate has previously been considered only qualitatively. METHODS: An ecological time-series regression analysis of daily counts of all-cause mortality and ambient temperature in summers b…
OP15 Neighbourhood Deprivation, Land use and Physical Activity
Background Neighbourhood deprivation is associated with physical activity but it is not known whether the locations where physical activity takes place also varies by deprivation. The Forty Area Study (FAST) combined Global Positioning Systems (GPS) technology with accelerometery in UK adults to measure actual locations in which physical activity takes place. We evaluate what proportion of moderate to vigorous intensity physical activity (MVPA) i…
Time series regression studies in environmental epidemiology
Time series regression studies have been widely used in environmental epidemiology, notably in investigating the short-term associations between exposures such as air pollution, weather variables or pollen, and health outcomes such as mortality, myocardial infarction or disease-specific hospital admissions. Typically, for both exposure and outcome, data are available at regular time intervals (e.g. daily pollution levels and daily mortality count…
Climate change effects on human health
BACKGROUND: The most direct way in which climate change is expected to affect public health relates to changes in mortality rates associated with exposure to ambient temperature. Many countries worldwide experience annual heat-related and cold-related deaths associated with current weather patterns. Future changes in climate may alter such risks. Estimates of the likely future health impacts of such changes are needed to inform public health poli…
Heat protection behaviour in the UK
Our study has found a high level of awareness of the actions to take during heatwaves in the UK, and has identified important demographic indicators of sections of the UK population that might benefit from additional or more targeted information. The health agencies should attempt to provide better information about heatwaves to those vulnerable (elderly, those at risk living in London, low income earners) or identify any barriers that might be p…
Effects of Air Temperature on Climate-Sensitive Mortality and Morbidity Outcomes in the Elderly; a Systematic Review and Meta-analysis of Epidemiological Evidence
The Impact of Heatwaves on Community Morbidity and Healthcare Usage
We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence r…
Health, wealth and party in inter-war London
This article examines public health spending, health outcomes and political complexion in London's 28 Metropolitan Borough Councils (MBCs) in the inter-war period. It describes the place of the MBCs in the governance of the capital and demonstrates the variety of experience across the different boroughs in terms of wealth, politics and mortality. Searching for potential causes of differences in outcomes, it discovers some positive statistical rel…
Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance
BACKGROUND: The burden of heat illness on health systems is not well described in the UK. Although the UK generally experiences mild summers, the frequency and intensity of hot weather is likely to increase due to climate change, particularly in Southern England. We investigated the impact of the moderate heatwave in 2013 on primary care and emergency department (ED) visits using syndromic surveillance data in England. METHODS: General practition…
Projections of temperature-related excess mortality under climate change scenarios
BACKGROUND: Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships across different populations and climates. METHODS: We collected observed daily time series of mean temperature and mortality counts for all causes or n…
Risk factors for vitamin A and D deficiencies among children under-five in the state of Palestine
Using these results, the MOH may consider specifically targeting at risk children to increase adherence to the full supplementation regimen. Further research into effective methods of service delivery by health service providers is needed including an in depth look at the UNRWA maternal counselling and supplement provision protocols
Assessing Effect Modification of Excess Winter Death by Causes of Death and Individual Characteristics in Zhejiang Province, China
Mortality in many parts of the world has a seasonal pattern, with a marked excess of deaths during winter. To date, however, there is very little published evidence on the nature of this wintertime excess in low- and middle-income countries. In this study, we aimed to quantify the extent of the death peak in winter and to assess effect modification on excess winter death (EWD) by individual characteristics and cause of deaths in China. We used a …
Variation in Cold-Related Mortality in England Since the Introduction of the Cold Weather Plan
The Cold Weather Plan (CWP) in England was introduced to prevent the adverse health effects of cold weather; however, its impact is currently unknown. This study characterizes cold-related mortality and fuel poverty at STP (Sustainability and Transformation Partnership) level, and assesses changes in cold risk since the introduction of the CWP. Time series regression was used to estimate mortality risk for up to 28 days following exposure. Area l…
Pathogen seasonality and links with weather in England and Wales
The detection of seasonality in pathogen time series data and the identification of relevant weather predictors can improve forecasting and public health planning. Big data analytics and online visualisation allow the relationship between pathogen incidence and weather patterns to be clarified
Medicine (37 works) · Climate Change and Health Impacts (33 works) · Environmental health (26 works) · Geography (26 works) · Demography (25 works) · Air Quality and Health Impacts (16 works) · Climate change (16 works) · Population (16 works) · Thermoregulation and physiological responses (14 works) · Environmental Science (12 works)