The Utility of Ambulance Dispatch Call Syndromic Surveillance for Detecting and Assessing the Health Impact of Extreme Weather Events in England

Dados Bibliográficos

ID15466300
AutoresSimon Packer (0000-0002-9157-3650, UK Health Security Agency, autor correspondente), Paul Loveridge (0009-0008-2102-9044, UK Health Security Agency), Ana Soriano (UK Health Security Agency), Roger Morbey (0000-0001-8543-477X, UK Health Security Agency), Daniel Todkill (0000-0002-4325-4786, University of Warwick), Ross Thompson (0000-0002-1407-1964, UK Health Security Agency), Tracy Rayment-Bishop (East Midlands Ambulance Service NHS Trust), Cathryn James (0000-0003-1845-3123, London Ambulance Service NHS Trust), Hilary Pillin (0000-0001-5838-9096, London Ambulance Service NHS Trust), Gillian Smith (0000-0002-4257-0568, UK Health Security Agency), Alex J Elliot (0000-0002-6414-3065, UK Health Security Agency)
Ano2022
Volume19
Fascículo7
Páginas3876-3876
Data de publicação2022-03-24
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19073876
PMID35409559
OpenAlexW4220692595
IdiomaEN
Referências citadas20

Extreme weather events present significant global threats to health. The National Ambulance Syndromic Surveillance System collects data on 18 syndromes through chief presenting complaint (CPC) codes. We aimed to determine the utility of ambulance data to monitor extreme temperature events for action. Daily total calls were observed between 01/01/2018−30/04/2019. Median daily ’Heat/Cold’ CPC calls during “known extreme temperature” (identified a priori), “extreme temperature”; (within 5th or 95th temperature percentiles for central England) and meteorological alert periods were compared to all other days using Wilcoxon signed-rank test. During the study period, 12,585,084 calls were recorded. In 2018, median daily “Heat/Cold” calls were higher during periods of known extreme temperature: heatwave (16/day, 736 total) and extreme cold weather events (28/day, 339 total) compared to all other days in 2018 (6/day, 1672 total). Median daily “Heat/Cold” calls during extreme temperature periods (16/day) were significantly higher than non-extreme temperature periods (5/day, p < 0.001). Ambulance data can be used to identify adverse impacts during periods of extreme temperature. Ambulance data are a low resource, rapid and flexible option providing real-time data on a range of indicators. We recommend ambulance data are used for the surveillance of presentations to healthcare related to extreme temperature events

Climate change · Climatology · Cold weather · Extreme Cold · Extreme heat · Extreme weather · Geography · Medical emergency · Meteorology · Names of the days of the week · Percentile · Statistics · Wilcoxon signed-rank test · Climate Change and Health Impacts · Disaster Response and Management · Environmental Science · Healthcare cost, quality, practices · Medicine · Emergency Medicine · Internal Medicine