Impact of Hurricanes on Children With Asthma: A Systematic Literature Review

Cowan, Kristen N.; Pennington, Audrey F.; Gregory, Tchernavia; Hsu, Joy

doi:10.1017/dmp.2020.424

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…By reviewing 212 articles published between the years 1990 and 2019, 3 of these articles examined the relationship between fungal exposure and asthma symptoms, reporting variation in their results. One of the reviewed studies quantified the burden of asthma in people attending mobile medical units, although it did not describe the factors associated with asthma symptoms [17]. Considering that air pollution has increased in India, a study was conducted to determine the association between air pollution, greenspaces, and the prevalence of asthma in children and adolescents in a diverse population in that country.…”

Section: Climate Change and Greenspacesmentioning

confidence: 99%

Global burden of pediatric asthma and rhinitis – what we have recently learned from epidemiology

Romero-Tapia,

García-Marcos

2024

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review To analyze and present recently published information on the factors that modify the burden of asthma and rhinitis in pediatric ages, such as ecological determinants; highlighting access and adherence to medications, exposure to pollutants and climate change. In addition to individual determinants such as obesity, protective & risk factors and comorbidities. Recent findings Asthma and rhinitis continue to have a significant impact worldwide on the health of affected patients, primarily children. The burden of asthma is greatest in developing countries and vulnerable populations, resulting in increased morbidity, potentially preventable asthma deaths and socioeconomic consequences. Summary A better understanding and representation of the burden of asthma and rhinitis in children can contribute to prevention strategies and improvements in the care of pediatric patients.

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Section: Climate Change and Greenspacesmentioning

confidence: 99%

Global burden of pediatric asthma and rhinitis – what we have recently learned from epidemiology

Romero-Tapia,

García-Marcos

2024

Current Opinion in Allergy &Amp; Clinical Immunology

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“…Previous reviews were generally descriptive and did not perform a systematical search of databases 29 , 30 or only focused on specific outcomes among certain subpopulations (e.g., hurricane-related asthma among children). 31 Furthermore, several recent important studies on the associations of cyclones with health were published after these reviews. 7 , 13 – 15 , 17 , 22 , 32 …”

Section: Introductionmentioning

confidence: 99%

Health Effects of Cyclones: A Systematic Review and Meta-Analysis of Epidemiological Studies

Huang,

Gao,

et al. 2023

Environ Health Perspect

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Background: More intense cyclones are expected in the future as a result of climate change. A comprehensive review is urgently needed to summarize and update the evidence on the health effects of cyclones. Objectives: We aimed to provide a systematic review with meta-analysis of current evidence on the risks of all reported health outcomes related to cyclones and to identify research gaps and make recommendations for further research. Methods: We systematically searched five electronic databases (MEDLINE, Embase, PubMed, Scopus, and Web of Science) for relevant studies in English published before 21 December 2022. Following the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines, we developed inclusion criteria, screened the literature, and included epidemiological studies with a quantitative risk assessment of any mortality or morbidity-related outcomes associated with cyclone exposures. We extracted key data and assessed study quality for these studies and applied meta-analyses to quantify the overall effect estimate and the heterogeneity of comparable studies. Results: In total, 71 studies from eight countries (the United States, China, India, Japan, the Philippines, South Korea, Australia, Brazil), mostly the United States, were included in the review. These studies investigated the all-cause and cause-specific mortality, as well as morbidity related to injury, cardiovascular diseases (CVDs), respiratory diseases, infectious diseases, mental disorders, adverse birth outcomes, cancer, diabetes, and other outcomes (e.g., suicide rates, gender-based violence). Studies mostly included only one high-amplitude cyclone (cyclones with a Saffir–Simpson category of 4 or 5, i.e., Hurricanes Katrina or Sandy) and focused on mental disorders morbidity and all-cause mortality and hospitalizations. Consistently elevated risks of overall mental health morbidity, post-traumatic stress disorder (PTSD), as well as all-cause mortality or hospitalizations, were found to be associated with cyclones. However, the results for other outcomes were generally mixed or limited. A statistically significant overall relative risk of 1.09 [95% confidence interval (CI): 1.04, 1.13], 1.18 (95% CI: 1.12, 1.25), 1.15 (95% CI: 1.13, 1.18), 1.26 (95% CI: 1.05, 1.50) was observed for all-cause mortality, all-cause hospitalizations, respiratory disease, and chronic obstructive pulmonary disease hospitalizations, respectively, after cyclone exposures, whereas no statistically significant risks were identified for diabetes mortality, heart disease mortality, and preterm birth. High between-study heterogeneity was observed. Conclusions: There is generally consistent evidence supporting the notion that high-amplitude cyclones could significantly increase risks of mental disorders, especially for PTSD, as well as mortality and hospitalizations, but the evidence for other health outcomes, s...

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“…[13][14][15] Other pathways that could contribute to an increase in adverse respiratory outcomes following tropical cyclones include stress and disrupted access to medical care. 16,17 However, there is little empirical evidence of longer-term health impacts following tropical cyclones, respiratory or otherwise. 18 To address this gap in knowledge, we examined whether tropical cyclones are associated with increases in symptom exacerbation among children with asthma in the 12 months following severe storms.…”

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confidence: 99%

“…18 To address this gap in knowledge, we examined whether tropical cyclones are associated with increases in symptom exacerbation among children with asthma in the 12 months following severe storms. While some prior studies have examined longer-term associations between tropical cyclones and respiratory health outcomes, 17,[19][20][21] they have largely focused on single storms (e.g., Hurricane Katrina); examined broad, nonspecific measures of respiratory health (e.g., lower respiratory symptoms); and/or relied on self-reported health outcomes. Furthermore, while asthma is one of the most common chronic diseases of childhood in the United States, with an estimated prevalence of 7%, 22 few studies have examined tropical cyclone impacts on the development or exacerbation of asthma among this population.…”

mentioning

confidence: 99%

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Long-term Impact of Tropical Cyclones on Disease Exacerbation Among Children with Asthma in the Eastern United States, 2000–2018

Weinberger,

Veeravalli,

et al. 2024

Epidemiology

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Background: Tropical cyclones are associated with acute increases in mortality and morbidity, but few studies have examined their longer-term health consequences. We assessed whether tropical cyclones are associated with a higher frequency of symptom exacerbation among children with asthma in the following 12 months in eastern United States counties, 2000–2018. Methods: We defined exposure to tropical cyclones as a maximum sustained windspeed >21 meters/second at the county center and used coarsened exact matching to match each exposed county to one or more unexposed counties. We used longitudinal, de-identified administrative claims data to estimate the county-level, monthly risk of experiencing at least one asthma exacerbation requiring medical attention among commercially insured children aged 5–17 with prior diagnosis of asthma. We used a difference-in-differences approach implemented via a Poisson fixed effects model to compare the risk of asthma exacerbation in the 12 months before versus after each storm in exposed versus unexposed counties. Results: Across 43 tropical cyclones impacting the eastern United States, we did not observe evidence of an increase in the risk of symptom exacerbation in the 12 months following the storm (random-effects meta-analytic summary estimate: risk ratio = 1.03 [95% confidence interval = 0.96, 1.10], I 2 = 17%). However, certain storms, such as Hurricane Sandy, were associated with a higher risk of symptom exacerbation. Conclusions: These findings are consistent with the hypothesis that some tropical cyclones are detrimental to children’s respiratory health. However, tropical cyclones were not associated in aggregate with long-term exacerbation of clinically apparent asthma symptoms among a population of children with commercial health insurance.

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Impact of Hurricanes on Children With Asthma: A Systematic Literature Review

Cited by 7 publications

References 28 publications

Global burden of pediatric asthma and rhinitis – what we have recently learned from epidemiology

Global burden of pediatric asthma and rhinitis – what we have recently learned from epidemiology

Health Effects of Cyclones: A Systematic Review and Meta-Analysis of Epidemiological Studies

Long-term Impact of Tropical Cyclones on Disease Exacerbation Among Children with Asthma in the Eastern United States, 2000–2018

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