TY  - JOUR
PY  - 2016//
TI  - The impact of heatwaves on community morbidity and healthcare usage: a retrospective observational study using real-time syndromic surveillance
JO  - International journal of environmental research and public health
A1  - Smith, Sue
A1  - Elliot, Alex J.
A1  - Hajat, Shakoor
A1  - Bone, Angie
A1  - Bates, Chris
A1  - Smith, Gillian E.
A1  - Kovats, Sari
SP  - e13010132
EP  - e13010132
VL  - 13
IS  - 1
N2  - We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph13010132
ID  - ref1
ER  -