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The Value of Local Heatwave Impact Assessment: A Case-Crossover Analysis of Hospital Emergency Department Presentations in Tasmania, Australia

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  • Sharon L. Campbell

    (Menzies Institute for Medical Research, University of Tasmania, 1 Liverpool St, Hobart, Tasmania 7000, Australia
    Public Health Services, Department of Health (Tasmania), 25 Argyle St, Hobart, Tasmania 7000, Australia)

  • Tomas A. Remenyi

    (Antarctic Climate and Ecosystems Cooperative Research Centre, University of Tasmania, 20 Castray Esplanade, Hobart, Tasmania 7000, Australia)

  • Grant J. Williamson

    (School of Natural Sciences, University of Tasmania, Hobart, Tasmania 7001, Australia)

  • Christopher J. White

    (Antarctic Climate and Ecosystems Cooperative Research Centre, University of Tasmania, 20 Castray Esplanade, Hobart, Tasmania 7000, Australia
    Department of Civil and Environmental Engineering, University of Strathclyde, James Weir Building, 75 Montrose Street, Glasgow G1 1XJ, UK)

  • Fay H. Johnston

    (Menzies Institute for Medical Research, University of Tasmania, 1 Liverpool St, Hobart, Tasmania 7000, Australia
    Public Health Services, Department of Health (Tasmania), 25 Argyle St, Hobart, Tasmania 7000, Australia)

Abstract

Heatwaves have been identified as a threat to human health, with this impact projected to rise in a warming climate. Gaps in local knowledge can potentially undermine appropriate policy and preparedness actions. Using a case-crossover methodology, we examined the impact of heatwave events on hospital emergency department (ED) presentations in the two most populous regions of Tasmania, Australia, from 2008–2016. Using conditional logistic regression, we analyzed the relationship between ED presentations and severe/extreme heatwaves for the whole population, specific demographics including age, gender and socio-economic advantage, and diagnostic conditions that are known to be impacted in high temperatures. ED presentations increased by 5% (OR 1.05, 95% CI 1.01–1.09) across the whole population, by 13% (OR 1.13, 95% CI 1.03–1.24) for children 15 years and under, and by 19% (OR 1.19, 95% CI 1.04–1.36) for children 5 years and under. A less precise association in the same direction was found for those over 65 years. For diagnostic subgroups, non-significant increases in ED presentations were observed for asthma, diabetes, hypertension, and atrial fibrillation. These findings may assist ED surge capacity planning and public health preparedness and response activities for heatwave events in Tasmania, highlighting the importance of using local research to inform local practice.

Suggested Citation

  • Sharon L. Campbell & Tomas A. Remenyi & Grant J. Williamson & Christopher J. White & Fay H. Johnston, 2019. "The Value of Local Heatwave Impact Assessment: A Case-Crossover Analysis of Hospital Emergency Department Presentations in Tasmania, Australia," IJERPH, MDPI, vol. 16(19), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3715-:d:272944
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    References listed on IDEAS

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    1. Mengmeng Li & Shaohua Gu & Peng Bi & Jun Yang & Qiyong Liu, 2015. "Heat Waves and Morbidity: Current Knowledge and Further Direction-A Comprehensive Literature Review," IJERPH, MDPI, vol. 12(5), pages 1-28, May.
    2. Anton Orlov & Jana Sillmann & Asbjørn Aaheim & Kristin Aunan & Karianne Bruin, 2019. "Economic Losses of Heat-Induced Reductions in Outdoor Worker Productivity: a Case Study of Europe," Economics of Disasters and Climate Change, Springer, vol. 3(3), pages 191-211, October.
    3. GS Leonardi & S Hajat & RS Kovats & GE Smith & D Cooper & E Gerard, 2006. "Syndromic surveillance use to detect the early effects of heat-waves: an analysis of NHS Direct data in England," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 51(4), pages 194-201, July.
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    1. Jessie Adams & Susan Brumby & Kate Kloot & Tim Baker & Mohammadreza Mohebbi, 2022. "High-Heat Days and Presentations to Emergency Departments in Regional Victoria, Australia," IJERPH, MDPI, vol. 19(4), pages 1-17, February.

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