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The utility of ambulance dispatch call syndromic surveillance for detecting and assessing the health impact of extreme weather events in England

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Packer, Simon, Loveridge, Paul, Soriano, Ana, Morbey, Roger, Todkill, Daniel, Thompson, Ross, Rayment-Bishop, Tracy, James, Cathryn, Pillin, Hilary, Smith, Gillian and Elliot, Alex J. (2022) The utility of ambulance dispatch call syndromic surveillance for detecting and assessing the health impact of extreme weather events in England. International Journal of Environmental Research and Public Health, 19 (7). e3876. doi:10.3390/ijerph19073876

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Official URL: https://doi.org/10.3390/ijerph19073876

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Abstract

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.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Public health -- Great Britain -- Data processing, Ambulance service -- Great Britain, Human beings -- Effect of climate on, Weather -- Health aspects
Journal or Publication Title: International Journal of Environmental Research and Public Health
Publisher: M D P I AG
ISSN: 1660-4601
Official Date: 24 March 2022
Dates:
DateEvent
24 March 2022Published
14 March 2022Accepted
Volume: 19
Number: 7
Article Number: e3876
DOI: 10.3390/ijerph19073876
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
TPN-FE-GLBNTask Force for Global Healthhttps://www.tephinet.org/

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