Occupational heat‐related illness emergency department visits and inpatient hospitalizations in the southeast region, 2007–2011

Morano, Laurel Harduar; Bunn, Terry L.; Lackovic, Michelle; Lavender, Antionette; Dang, Gregory T T; Chalmers, Juanita; Li, Yun; Zhang, Li Min; Flammia, Dwight

doi:10.1002/ajim.22504

Cited by 25 publications

(32 citation statements)

References 29 publications

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“…HRI was defined as the presence of an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM, morbidity) or Tenth Revision (ICD-10, mortality) code for the effects of heat and light (992–992.9/T67–T67.9) or an excessive heat external cause of injury (Ecode) (E900.0/X30, E900.1/W92, E900.9) [ 24 , 25 , 26 ]. All diagnosis/Ecode fields and underlying/contributing cause of death fields were used.…”

Section: Methodsmentioning

confidence: 99%

“…Workers may be at high risk for HRI, and susceptibility factors within this group may differ from the general population; however, characterization of HRI in this population is sparse [ 27 ]. In the morbidity datasets, work-relatedness was defined as expected payer equals workers’ compensation or the presence of the following ICD-9-CM Ecodes indicating that the injury occurred at work or a probable work-location: E000.0, E000.1, E800–E807 (4th digit = 0), E830–E838 (4th digit = 2 or 6), E840–E845 (4th digit = 2 or 8), E846, E849.1–E849.3 ( Table 1 ) [ 25 , 28 ]. For mortality, if the death certificate variable injury at work was marked yes, then the death was considered work-related.…”

Section: Methodsmentioning

confidence: 99%

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A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population

Morano

Watkins

Kintziger

2016

IJERPH

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The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005–2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15–35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population

Morano

Watkins

Kintziger

2016

IJERPH

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“…Based on a standard case definition of work-related ED visits developed by the Southeastern Occupational Network (SouthON) (Harduar Morano et al, 2015), work-related ED data from 2010 to 2012 were obtained from the health departments of the five southeastern U.S. states that were willing and able to participate in this study: Florida, Georgia, Kentucky, Louisiana, and Tennessee. The data were a census of ED visits from those states and were restricted to the months of May through September when temperatures are highest.…”

Section: Health Data and Case Definitionmentioning

confidence: 99%

“…This need is especially great in the subtropical climate of the southeastern United States. During a 5-year period (2007)(2008)(2009)(2010)(2011), there were over 8,000 emergency department (ED) visits for work-related hyperthermia in nine southeastern states (Harduar Morano et al, 2015). In a nationwide study of workers' mortality risk due to heat, five U.S. southeastern states (Arkansas, Florida, Mississippi, North Carolina, and South Carolina) were among the 10 U.S. states with the highest rates for occupational heat-related deaths (Gubernot et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Association Between Work‐Related Hyperthermia Emergency Department Visits and Ambient Heat in Five Southeastern States, 2010–2012—A Case‐Crossover Study

et al. 2020

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The objective of this study is to assess ambient temperatures' and extreme heat events' contribution to work‐related emergency department (ED) visits for hyperthermia in the southeastern United States to inform prevention. Through a collaborative network and established data framework, work‐related ED hyperthermia visits in five participating southeastern U.S. states were analyzed using a time stratified case‐crossover design. For exposure metrics, day‐ and location‐specific measures of ambient temperatures and county‐specific identification of extreme heat events were used. From 2010 to 2012, 5,017 work‐related hyperthermia ED visits were seen; 2,298 (~46%) of these visits occurred on days when the daily maximum heat index was at temperatures the Occupational Safety and Health Administration designates as having “lower” or “moderate” heat risk. A 14% increase in risk of ED visit was seen for a 1°F increase in average daily mean temperature, modeled as linear predictor across all temperatures. A 54% increase in risk was seen for work‐related hyperthermia ED visits during extreme heat events (two or more consecutive days of unusually high temperatures) when controlling for average daily mean temperature. Despite ambient heat being a well‐known risk to workers' health, this study's findings indicate ambient heat contributed to work‐related ED hyperthermia visits in these five states. Used alone, existing OSHA heat‐risk levels for ambient temperatures did not appear to successfully communicate workers' risk for hyperthermia in this study. Findings should inform future heat‐alert communications and policies, heat prevention efforts, and heat‐illness prevention research for workers in the southeastern United States.

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“…Recent reports of heat-related events among the young, elderly people, and the outdoor workforce are indicators of rising temperatures and vulnerability in North Carolina [14,15]. For example, from 2008 to 2010, Rhea and colleagues identified a significant correlation between increased temperatures in North Carolina and heat-related illness (HRI) emergency department visits.…”

Section: Vulnerability and Population Groups Of Concernmentioning

confidence: 99%

Climate Change and Public Health through the Lens of Rural, Eastern North Carolina

Kearney¹,

Jones²,

Bell³

et al. 2018

North Carolina Medical Journal

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Occupational heat‐related illness emergency department visits and inpatient hospitalizations in the southeast region, 2007–2011

Cited by 25 publications

References 29 publications

A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population

A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population

Association Between Work‐Related Hyperthermia Emergency Department Visits and Ambient Heat in Five Southeastern States, 2010–2012—A Case‐Crossover Study

Climate Change and Public Health through the Lens of Rural, Eastern North Carolina

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