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Extreme Precipitation and Beach Closures in the Great Lakes Region: Evaluating Risk among the Elderly

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  • Kathleen F. Bush

    (Department of Environmental Health Sciences, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
    Center for the Environment, Plymouth State University, 17 High St. Plymouth, NH 03264, USA
    Work was completed at these affiliations.)

  • Cheryl L. Fossani

    (Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
    Work was completed at these affiliations.)

  • Shi Li

    (Department of Biostatistics, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Bhramar Mukherjee

    (Department of Biostatistics, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Carina J. Gronlund

    (Department of Environmental Health Sciences, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Marie S. O'Neill

    (Department of Environmental Health Sciences, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA
    Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

Abstract

As a result of climate change, extreme precipitation events are expected to increase in frequency and intensity. Runoff from these extreme events poses threats to water quality and human health. We investigated the impact of extreme precipitation and beach closings on the risk of gastrointestinal illness (GI)-related hospital admissions among individuals 65 and older in 12 Great Lakes cities from 2000 to 2006. Poisson regression models were fit in each city, controlling for temperature and long-term time trends. City-specific estimates were combined to form an overall regional risk estimate. Approximately 40,000 GI-related hospital admissions and over 100 beach closure days were recorded from May through September during the study period. Extreme precipitation (≥90th percentile) occurring the previous day (lag 1) is significantly associated with beach closures in 8 of the 12 cities ( p < 0.05). However, no association was observed between beach closures and GI-related hospital admissions. These results support previous work linking extreme precipitation to compromised recreational water quality.

Suggested Citation

  • Kathleen F. Bush & Cheryl L. Fossani & Shi Li & Bhramar Mukherjee & Carina J. Gronlund & Marie S. O'Neill, 2014. "Extreme Precipitation and Beach Closures in the Great Lakes Region: Evaluating Risk among the Elderly," IJERPH, MDPI, vol. 11(2), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:2:p:2014-2032:d:32940
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    References listed on IDEAS

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    2. Curriero, F.C. & Patz, J.A. & Rose, J.B. & Lele, S., 2001. "The association between extreme precipitation and waterborne disease outbreaks in the United States, 1948-1994," American Journal of Public Health, American Public Health Association, vol. 91(8), pages 1194-1199.
    3. Fleisher, J.M. & Kay, D. & Salmon, R.L. & Jones, F. & Wyer, M. & Godfree, A.F., 1996. "Marine waters contaminated with domestic sewage: Nonenteric illnesses associated with bather exposure in the United Kingdom," American Journal of Public Health, American Public Health Association, vol. 86(9), pages 1228-1234.
    4. Morris, R.D. & Naumova, E.N. & Levin, R. & Munasinghe, R.L., 1996. "Temporal variation in drinking water turbidity and diagnosed gastroenteritis in Milwaukee," American Journal of Public Health, American Public Health Association, vol. 86(2), pages 237-239.
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    Cited by:

    1. Jan C. Semenza, 2014. "Climate Change and Human Health," IJERPH, MDPI, vol. 11(7), pages 1-7, July.
    2. Chenjing Fan & Wei Ouyang & Li Tian & Yan Song & Wensheng Miao, 2019. "Elderly Health Inequality in China and its Determinants: A Geographical Perspective," IJERPH, MDPI, vol. 16(16), pages 1-18, August.

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