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Definitions Chapter 4 4-2 1 68°F. process isanormal Radiation ofheat moving away from thebodywhen airtemperatures are lower than being inanenvironment cooler thanthebodytemperature). This issimilarto leaving awoodstove. –transfer1. Radiation ofheat through electromagnetic waves (i.e., thebodyreleases heat simplyby The humanbodylosesheat infour different ways: Ways losesheat thehumanbody from:Modified http://www.hc-sc.gc.ca/dhp-mps/homologation-licensing/gloss/index-eng.php Subpopulations whoare at increased ofheat-related risk factors. illnessesbecausetheyhaverisk certain Vulnerable population from:Modified http://dictionary.webmd.com/terms/risk-factor for factor age isarisk heat-related illnesses. to, (i.e., anincreased (i.e., illness, ofmorbidity risk death). disease, For orcondition) ormortality example, that isstatistically isacharacteristic associated factor A risk with,althoughnotnecessarily causallyrelated factor Risk from:Modified http://www.getreadyforflu.org/pg_glossary.htm strategies. contains information onstrategies for preventing heat-related the illnessesandidentifies whowillperform A plan/annex for states, communities, governments, etc. to useintheevent ofanextremeheat event and heatExtreme response plan/excessive heat annex location. temperaturesextreme definitionofan heat that affecthumanhealth. An exact event varies bygeographic An extremeheat event highairtemperatures oftimewithabnormally isaperiod and/orhighdewpoint heatExtreme event factors,have risk e.g., conditions certain ordiseases. young children, peoplewithpre-existing People whoare “at risk” are peoplewhoare at anincreased for risk heat-related illnessesbecausethey At risk B p1882-3. toolkit. toolkit. The definitionsbelow theusage ofthese clarify words withinthe toolkit. Toolkit. to note that someofthebelow isimportant definitionsmay differ It outsidethe contextofthis Platt Mand Vicario inRosen’s S.(2010).Heat Illness Concepts Medicine: Emergency and ClinicalPractice, 7th Ed. elow are definitionsof words, HeatMinnesota Extreme phrases and usedwithinthe terminology 2

1 Extreme Heat Toolkit Extreme Chapter 4 4-3 http:// 2 2 . Accessed April 16, 2012. . Accessed 2 Healthwise. (2011). WebMD: First Aid & Emergencies: Ways in Which the Body Loses Heat. Available online: Available Heat. the Body Loses Which in Ways & Emergencies: Aid First WebMD: (2011). Healthwise. firstaid.webmd.com/ways-in-which-the-body-loses-heat Minnesota Department of Health 2 As air and increases, the ability to cool the body through radiation is dramatically is dramatically radiation the body through the ability cool to and humidity increases, air temperature As of heat the process the skin, back to reversing is actually heat Under direct sunlight, transferred reduced. mechanism the dominant becomes rises, air temperature As body. and warming the transfer the and cool heat the ability transfer to as humidity increases, however sweating; through transfer of heat is little movement when there is minimal reduced. is dramatically evaporation body through does not Convection the skin importantin the air around more but can become as speed increases. conduction when is lost through body heat high. Only 2% of our are the body when air cool be 25 times greater. can conduction in loss through heat air; by however, surrounded – transfer of heat to air or water surrounding our bodies. Heat is lost when temperatures are are when temperatures is lost Heat our bodies. surrounding air or water to of heat – transfer 4. Conduction in water. is submerged or when the body ground sleeping on the cold lost from is heat This than 68°F. lower the body very can be lost from so heat quickly in cold it is placed when than air, loss heat causes more Water water. – direct transfer of heat to molecules surrounding the skin. surrounding molecules vapor is carried Heat and water to of heat – direct transfer 3. Convection of a fan. in front to sitting This is similar motion. fluid the body due to dispersed from – conversion of liquid into a gas, which transfers heat energy to the gas and away from the from and away the gas to energy heat transfers which a gas, liquid into of – conversion 2. Evaporation the skin from body). During the cools intense the sweat of the evaporation and skin sweats the body (i.e., sweating. through 85% of its heat the body loses exercise,

References Chapter 5 5-2 7 6 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 5 4 3 2 1 communication, March 7,2012). 82(7):1353-1368. midwestern United States: Learning from Meteorological thelessonsof1995.Bulletin American Society -change-understanding-link-managing-risk.pdf Center for Climate andEnergy Solutions. http://www.pewclimate.org/docUploads/white-paper-extreme-weather- http://www.un.org/apps/news/story.asp?NewsID=37357&Cr=disaster+reduction&Cr1 co.uk/news/worldnews/europe/russia/7931206/Russian-heatwave-kills-5000-as-fires-rage-out-of-control.html vulnerability, andmitigation. Lancet, 367(9528),2101-2109.doi:10.1016/S0140-6736(06)68933-2 55(29),796-798. Weeklyand Mortality Report, per midcontinental Biol. America. region Conserv., ofNorth doi:10.1016/j.biocon.2009.03.030 edu/climateChange/climateChangeObservedNu.htm December. Generated onlineNovember 2011.Available online:http://www.wrcc.dri.edu/spi/divplot1map.html climate.umn.edu/doc/journal/record_state_dew_point.htm. Available online:http://climate.umn.edu/doc/journal/dew_point110719.htm p1882-3. shorstmeyer.com/wxfaqs/humidity/humidity.html approach”. Steve Horstmeyer, Meteorologist, WKRC TV, Cincinnati, Ohio, USA.Available online: http://answers.noaa.gov/noaa.answers/consumer/kbdetail.asp?kbid=536&start=91 Retrieved 172012 from April http://www.thefreedictionary.com/relative+humidity Available online:http://climate.umn.edu/doc/twin_cities/mspdewpoint.htm. Lakes Research., doi:10.1016/j.jglr.2010.03.012 Minnesota Department of Health, Minnesota Environmental ofHealth,Minnesota Public Department Health Minnesota Tracking Program (personal Palecki, Kunkel. M.A.,S.A.Changnon, andK.E. (2001). The nature oftheJuly1999heat wave andimpacts inthe Huber, D., Gulledge, J. weather (2011).Extreme &climate change:understandingthelinkandmanaging therisk. UNNews 24,2011).UN:2010amongdeadliestyears Centre. for disasters, urges (January better preparedness. The Telegraph. (August 6,2010).Russianheatwave5,000asfires rage outof kills control. Haines, A.,Kovats, R.,Campbell-Lendrum, D., C.(2006).Climate &Corvalan, changeandhumanhealth:impacts, Luber, (2008).Climate Heat ChangeandExtreme G&McGeehin. Events. Am JPrev 2008:35(5). Med Centers for DiseaseControl andPrevention (2006).Heat-related (CDC). deaths---united states, 1999--2003.Morbidity Centers for DiseaseControl andPrevention heat: (2004).Extreme aprevention (CDC). guideto promote your Galatowitsch, S.,etal. (2009).Regional climate changeadaptation strategies for ina biodiversity conservation Zandlo, theclimate. State J. Minnesota Climatology (2008).Observing Office. Available online: Western Regional Climate Center. (2011).Minnesota Temperature 1890–2010: 12monthendingin period Luber, (2008).Climate Heat ChangeandExtreme G&McGeehin. Events. Am JPrev 2008:35(5). Med Kling, G.W., Hayhoe, K. L.B. Johnson,J.J. Magnuson,S.Polasky, B.J. Robinson, S.K. Shuter, M.M. Wander, D.J. State Minnesota Climatology Record Office. (2011). Point Temperature Minnesota. for Available online: State Minnesota Climatology Record Office. (2011). Temperature inthe Twin Cities:July19,2011. Platt, M.& Vicario, Rosen’s S.(2010).Heat Illness. In Concepts Medicine: Emergency andClinicalPractice, 7thEd. Horstmeyer, Steve (2006-08-15). “Relative Humidity....Relative to What? The Point Dew Temperature...a better National Oceanic andAtmospheric Administration. point (2005).Dew temperature. Retrieved 17,2012from April Relative humidity. (n.d.) oftheEnglishLanguage, Fourth Edition. (2003). The Dictionary Heritage American State Minnesota Climatology Office. (2010).108 Yearsof Dew Twin Cities Point Temperature Records: 1902–2010. Hayhoe, etal. (2010).Regional climate K. for changeprojections ChicagoandtheUSGreat Lakes. ofGreat Journal sonal healthandsafety. Available online:www.bt.cdc.gov/disasters/extremeheat/heat_guide.asp . . . http://www.telegraph. http://www. Extreme Heat Toolkit Extreme http://climate.umn. . . http:// Chapter 5 5-3 http://ucsusa.org/assets/documents/global_ . . . http://www.crh.noaa.gov/images/mpx/nwsmn_wi_responsibility.gif . . . McAuliffe, B & Hughlett, M. (July 21, 2011). “Heat relief is coming, but too late for some.” StarTribune. Available Available StarTribune. for some.” too late but coming, relief is “Heat M. B & Hughlett, (July 21, 2011). McAuliffe, J Med;346:1978–88. N Engl stroke. (2002). Heat Bouchama A, Knochel JP. Bernard SM, Samet JM, Grambsch A, Ebi KL, Romieu I. (2001). The potential impacts variability potential and of climate The A, Ebi KL, Romieu SM, Samet Bernard I. (2001). JM, Grambsch action. A call to K. Bulletin of (1996). Impacts S. A., & Kunkel, wave: E. the 1995 heat Changnon, to and responses Bernard SM, Samet JM, Grambsch A, Ebi KL, Romieu I. (2001). The potential impacts variability potential and of climate The A, Ebi KL, Romieu SM, Samet Bernard I. (2001). JM, Grambsch weather/ extreme to (WHO) public health responses Health Organization (2009). Improving World Europe. World Health Organization (WHO) Europe. (2009). Improving public health responses to / to (WHO) public health responses Organization Health (2009). Improving World Europe. Available Effects. Health and Environmental Ozone: (2011). Ground-level Agency. Protection Environmental U.S. Bernard SM, Samet JM, Grambsch A, Ebi KL, Romieu I. (2001). The potential impacts variability potential and of climate The A, Ebi KL, RomieuSamet SM, I. (2001). Bernard JM, Grambsch Ozone-Related K., Knowlton, (2004). Assessing Environmental Health Impacts al. et. Climate. Under a Changing Kalkstein, L. S. and Greene, J. S. (1997). An Evaluation of Climate/Mortality Relationships in Large U.S. Cities and the Cities of Climate/Mortality Evaluation S. (1997). An U.S. Relationships in Large J. Kalkstein, L. S. and Greene, N in . during wave 1995 heat deaths the July (1996). Heat-related KH, et al. Semenza JC, Rubin CH, Falter and heart JA. (2004). Hospital admissions for temperature of disease: the effects Schwartz Samet JM, Patz J, Lugo-Amador N.M., Rothenhaus T., Moyer P. (2004). Heat-related illness. Emerg Med Clin North Emerg illness. Am;22:315–27. (2004). Heat-related P. Moyer T., N.M., Rothenhaus Lugo-Amador Jun 1;71(11):2133-2140. Physician. Fam Exhaustion. Am and Heat (2005). Management of Heatstroke J.L.. Glazer, National Weather Service. (2012). Service area map for the six National Weather Service serving stations Weather Minnesota Service. (2012). Service National the six map for Weather area National communication, MN. (Personal Cities/Chanhassen, Twin Service - Meteorologist Weather M. National Friedlein, communication, MN. (Personal Cities/Chanhassen, Twin Service - Meteorologist Weather M. National Friedlein, U.S. Environmental Protection Agency. (2005). Heat island effect. U.S. Environmental Protection Agency. Available Available Agency. Protection U.S. Environmental effect. island (2005). Heat Agency. Protection Environmental U.S. online: http://www.startribune.com/local/125895693.html change on air pollution-related health effects in the United States. Environmental Health Perspectives Vol 109, Perspectives Health Environmental States. health effects in the United change on air pollution-related 2, pp 199-209. Supplement 77(7), 1497. Society, the American Meteorological change on air pollution-related health effects in the United States. Environmental Health Perspectives Vol 109, Perspectives Health Environmental States. health effects in the United change on air pollution-related 2, pp 199-209. Supplement online: http://www.euro.who.int/__data/assets/pdf_ Available summary. Technical – EuroHEAT: heat-waves file/0010/95914/E92474.pdf heat-waves – EuroHEAT: Technical summary. Available online: http://www.euro.who.int/__data/assets/pdf_ Available summary. Technical – EuroHEAT: heat-waves file/0010/95914/E92474.pdf online: http://www.epa.gov/air/ozonepollution/health.html change on air pollution-related health effects in the United States. Environmental Health Perspectives Vol 109, Perspectives Health Environmental States. health effects in the United change on air pollution-related 2, pp 199-209. Supplement 112, Number 15. Volume Health Perspectives, Possible Impacts of a Climate Change. Environ. Health Perspect., 105, 84-93. Health Perspect., Impacts Environ. Change. of a Climate Possible Engl J Med;335:84 –90. Epidemiology;15:755– 61. humidity. http://www.aafp.org/afp/2005/0601/p2133.html and Western Wisconsin. Wisconsin. Available online: and Western September 13, 2011) 29, 2011) August online: http://www.epa.gov/heatisland/index.html 41 39 40 38 37 36 35 34 33 31 32 30 29 27 28 26 25 24 23 Wuebbles, D.R. Zak, R.L. Lindroth, S.C. Moser, and M.L. Wilson (2003). Confronting Climate Change in the Great Lakes in the Great Change Climate Confronting (2003). Wilson and M.L. Zak, Moser, S.C. R.L. Lindroth, D.R. Wuebbles, Massachusetts, Cambridge, Scientists, Union of Concerned ImpactsRegion: and Ecosystems. our Communities on online: Available D.C. Washington, Society of America, and Ecological warming/greatlakes_final.pdf Minnesota Department of Health er 5haptC 5-4 index.shtml 63 62 61 60 59 58 57 56 55 54 53 52 51 50 49 48 47 46 45 44 43 42 with highambient temperature inCalifornia. Am JEpidemiol.;168(6):632-7. html?Id=32539. Projections by Age andGender, 2010-2060.Available online:http://www.demography.state.mn.us/resource. afollow-up inRome. ofelderly Environ studyofacohort Health;8:50-. related mortality: visits. Environwave: department onhospitalizations andemergency HealthPerspect impacts 117:61-67. Home. Eur JPublic Health.,16(6):583-591.doi:10.1093/eurpub/ckl063 Declercq andM.Ledrans. (2006).August 2003Heat Wave inFrance: Factors Risk for People DeathofElderly Livingat mortlaity. of Journal American Public Health,97(Supplement 1),S158. andcause-specific Chicago onall-cause cities. Epidemiology, 19(5),711. 55(29),796-798. WeeklyMortality Report,; 196. by exposure to high environmental temperatures. The ofForensic Journal American andPathology, Medicine 22(2), 10oftheCouncilEmergencies. onScientific Affairs Report (A-97). Presented atthe1997 Meeting.AMA Annual July 1995heat wave inChicago. NEnglJMed.;335(2):84-90. eastern United States. Am JEpidemiol.;155(1):80-7. Occup Environ Med.;64(2):93-100. cities. Am JEpidemiol.;157(12):1074-82. significant temperaturerise inenclosed vehicles. Pediatrics.;116(1):e109-e12. http://ggweather.com/heat/index.htm. Accessed March 15,2012. Physiol.;105(2):718-24. 1954, 1955,and1966.Environ. Res., 12,38-48. BasuR,Ostro BD. associated (2008).Amulticounty analysis identifying thepopulations vulnerable to mortality ofAdministration, ofthe State Demographer. Office Department Minnesota Minnesota (2012). Population P, Schifano P, M,Michelozzi Cappai Sario G,De C,Bargagli AM, Marino etal. to (2009).Susceptibility - Foster, G.,Ellis, F. K. P., Dore, C.etal. (1976).Sweat intheAged. Responses Age andAgeing, 5,91-101. G,Margolis HG,SmithD, M,King G,etal. Rotkin-Ellman andSolomon (2009). Knowlton K, The 2006California heat S. Vandentorren, P. Bretin, AZeghnoun, L.Mandereau-Bruno, A.Croisier, C.Cochet, J. Ribéron, I.Siberan, B. R,Le Kaiser Tertre J, Daley CA, Gotway A,Schwartz WR, andRubinCH.(2007). The effectofthe1995 heat wave in Baccini A,Accetta M,Biggeri G,Kosatsky T, in15 European etal. (2008).Heat effectsonmortality K, Katsouyanni, Centers for DiseaseControl andPrevention. (2006).Heat-related deaths—United States, and 1999-2003.Morbidity J, JamesR,andByard, Green H,Gilbert RW. (2001).An contributing analysis to offactors ofdeaths aseries caused Association Medical American Council onScientific ExtremeAffairs. (1997).Heat-Related During Illness Weather JC,RubinCH,Falter Semenza JD, KH,Selanikio Flanders WD, Howe HL,etal. (1996).Heat-related deathsthe during Curriero JM,Zeger FC,HeinerKS,Samet SL,Strug L,Patz JA.(2002). Temperature in11citiesofthe andmortality Hajat S,Kovats (2007).Heat-related RS,Lachowycz K. andcold-related deaths inEnglandand Wales: whoisat risk? association J. inseven ofthe (2003).Modifiers temperatureUS MS,ZanobettiA,Schwartz O’Neill andmortality NOAA’s National Weather Killer. (2012)Heat: AMajor Service. Available online: NegusK, K, Vance King JC.(1981).Heat stress inmotor vehicles: Aproblem ininfancy. Pediatrics.;68(4):579. McLaren C,NullJ, J. Quinn (2005).Heat stress from enclosedvehicles: moderate ambient temperatures cause DeathofChildren in NullJ. (2012)Hyperthermia Vehicles. ofGeosciences, SFSU. Department Available online: Rowland T. (2008) Thermoregulation exercise during intheheat inchildren: oldconcepts revisited. JAppl Rep.;2(6):320-4. JR,Squire Med DL.(2003).Heat illnessinchildren. Bytomski Curr Sports Bridger, C.A.,Ellis, F. P. and Taylor, inSt. Louis, Heat during Missouri, H.L.(1976).Mortality Waves in1936,1953, . http://www.nws.noaa.gov/os/heat/ Extreme Heat Toolkit Extreme Chapter 5 5-5 http://www.epa. http://www.epa. http://www.epa. http://www.epa.gov/hiri/ . . . . Luber, G & McGeehin. (2008). Climate Change and Extreme Heat Events. Am J Prev Med 2008:35(5). J Prev Am Events. G & McGeehin. Change and Extreme Heat Climate (2008). Luber, Bernard SM, McGeehin MA. (2004). Municipal heat wave response plans. Am J Public Health;94:1520-2. J Public Am plans. response McGeehin wave SM, (2004). Municipal Bernard heat MA. Reports SY2008-2009. Available Performance for State (CSPR) Department (2012) Consolidated of Education. U.S. online: guidebook. Available events heat (2006). Excessive Agency. Protection Environmental U.S. U.S. Environmental Protection Agency. (2006). Excessive heat events guidebook. Available online: guidebook. events Available heat (2006). Excessive Agency. Protection Environmental U.S. 1 Minnesota. of 2000 Summary the state Census (P002) for [6], Urban (2000). File and Rural Bureau. Census U.S. online: guidebook. Available events heat (2006). Excessive Agency. Protection Environmental U.S. Thomas NS. (2002). Preventable Tragedies: Heat Disaster and the Elderly. Journal of Gerontological Social Work. Work. Social Journal of Gerontological and the Elderly. Disaster Heat Tragedies: NS. (2002). Preventable Thomas mortality related Heat JL, Kieszak (2002). SM, et al. Wilhelm A, Mirabelli Henderson MC, Kaiser R, MP, Naughton online: Available island effect. (2012). Heat Agency. Protection Environmental U.S. Swartz J. (2005). Who is sensitive to extremes of temperature?: A case-only analysis. Epidemiology, 16(1), 67. 16(1), A case-only of temperature?: extremes Epidemiology, to is sensitive analysis. Who (2005). SwartzJ. a health in on mental waves of heat effect The G. (2008). Tucker and D, Nitschke M, Pisaniello Ryan P, Bi P, Hansen A, Deaths: A Meta-Related Wave Heat in Factors Prognostic (2007). Bouchama, et al. G. A., Dehbi, M., Mohamed, gov/heatisland/about/heatguidebook.html gov/heatisland/about/heatguidebook.html gov/heatisland/about/heatguidebook.html online: http://www2.ed.gov/admins/lead/account/consolidated/index.html . http://factfinder2.census.gov/ at download for Available Data. (SF1) 100-Percent 38:53-65. Med;22:221–27. J Prev Am in Chicago. during a 1999 heatwave temperate Australian city. Environmental Health Perspectives, 116(1), 1369. 116(1), Health Perspectives, Environmental city. Australian temperate 167, 2170-2176. Intern. Med., Arch. Analysis. 76 75 73 74 72 71 69 70 68 67 65 66 64 Minnesota Department of Health