Knowlton 2008 the 2006 California Heat Wave
Research The 2006 California Heat Wave: Impacts on Hospitalizations and Emergency Department Visits Kim Knowlton,1,2 Miriam Rotkin-Ellman,3 Galatea King,4 Helene G. Margolis,4,5 Daniel Smith,4 Gina Solomon,3,6,7 Roger Trent,8 and Paul English4 1Health and Environment Program, Natural Resources Defense Council, New York, New York, USA; 2Environmental Health Sciences Department, Mailman School of Public Health, Columbia University, New York, New York, USA; 3Health and Environment Program, Natural Resources Defense Council, San Francisco, California, USA; 4California Department of Public Health, Environmental Health Investigations Branch, Richmond, California, USA; 5Department of Internal Medicine, School of Medicine, University of California Davis, Sacramento, California, USA; 6Pediatric Environmental Health Specialty Unit, California Poison Control System San Francisco, University of California San Francisco, San Francisco, California, USA; 7School of Medicine, University of California San Francisco, San Francisco, California, USA; 8California Department of Public Health, Epidemiology and Prevention for Injury Control Branch, Sacramento, California, USA The relationship between heat and morbidity BACKGROUND : Climate models project that heat waves will increase in frequency and severity. in any specific area may be affected by local Despite many studies of mortality from heat waves, few studies have examined morbidity. population demographics, economic well- OB JECTIVES : In this study we investigated whether any age or race/ethnicity groups experienced being, underlying disease risk, the presence of increased hospitalizations and emergency department (ED) visits overall or for selected illnesses vulnerable subpopulations, weather variability, during the 2006 California heat wave. physiologic acclimatization, and locally avail- METHODS : We aggregated county-level hospitalizations and ED visits for all causes and for able adaptations (Kinney et al.
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