ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments

Introduction: Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural...

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Main Authors: Aparna Keshaviah, Dheeya Rizmie, Huihua Lu, Mike Rudacille, Eric Morris, Colleen Psomas, Farid Qamar, Xindi C. Hu
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:The Journal of Climate Change and Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667278224000622
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author Aparna Keshaviah
Dheeya Rizmie
Huihua Lu
Mike Rudacille
Eric Morris
Colleen Psomas
Farid Qamar
Xindi C. Hu
author_facet Aparna Keshaviah
Dheeya Rizmie
Huihua Lu
Mike Rudacille
Eric Morris
Colleen Psomas
Farid Qamar
Xindi C. Hu
author_sort Aparna Keshaviah
collection DOAJ
description Introduction: Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens. Case presentation: Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California. Discussion: The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region. Conclusion: Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.
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spelling doaj-art-79f35a915f754c0e93b1dce521cb161e2025-02-11T04:35:34ZengElsevierThe Journal of Climate Change and Health2667-27822025-01-0121100359ClimaWATCH: A new interactive tool for community heat-health vulnerability assessmentsAparna Keshaviah0Dheeya Rizmie1Huihua Lu2Mike Rudacille3Eric Morris4Colleen Psomas5Farid Qamar6Xindi C. Hu7Corresponding author.; Mathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesMathematica, Inc, 600 Alexander Park, Suite 100, Princeton, NJ 08540, United StatesIntroduction: Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens. Case presentation: Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California. Discussion: The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region. Conclusion: Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.http://www.sciencedirect.com/science/article/pii/S2667278224000622HeatwavesVulnerability assessmentsHealthInteractive toolHeat resilienceHealthcare spending
spellingShingle Aparna Keshaviah
Dheeya Rizmie
Huihua Lu
Mike Rudacille
Eric Morris
Colleen Psomas
Farid Qamar
Xindi C. Hu
ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
The Journal of Climate Change and Health
Heatwaves
Vulnerability assessments
Health
Interactive tool
Heat resilience
Healthcare spending
title ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
title_full ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
title_fullStr ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
title_full_unstemmed ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
title_short ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments
title_sort climawatch a new interactive tool for community heat health vulnerability assessments
topic Heatwaves
Vulnerability assessments
Health
Interactive tool
Heat resilience
Healthcare spending
url http://www.sciencedirect.com/science/article/pii/S2667278224000622
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