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Individual and public-program adaptation: coping with heat waves in five cities in Canada.

ABSTRACT: Heat Alert and Response Systems (HARS) are currently undergoing testing and implementation in Canada. These programs seek to reduce the adverse health effects of heat waves on human health by issuing weather forecasts and warnings, informing individuals about possible protections from excessive heat, and providing such protections to vulnerable subpopulations and individuals at risk. For these programs to be designed effectively, it is important to know how individuals perceive the heat, what their experience with heat-related illness is, how they protect themselves from excessive heat, and how they acquire information about such protections. In September 2010, we conducted a survey of households in 5 cities in Canada to study these issues. At the time of the survey, these cities had not implemented heat outreach and response systems. The study results indicate that individuals' recollections of recent heat wave events were generally accurate. About 21% of the sample reported feeling unwell during the most recent heat spell, but these illnesses were generally minor. Only in 25 cases out of 243, these illnesses were confirmed or diagnosed by a health care professional. The rate at which our respondents reported heat-related illnesses was higher among those with cardiovascular and respiratory illnesses, was higher among younger respondents and bore no relationship with the availability of air conditioning at home. Most of the respondents indicated that they would not dismiss themselves as "not at risk" and that they would cope with excessive heat by staying in air conditioned environments and keeping well hydrated. Despite the absence of heat outreach and education programs in their city, our respondents at least a rough idea of how to take care of themselves. The presence of air conditioning and knowledge of cooling centers is location-specific, which provides opportunities for targeting HARS interventions.

SUBMITTER: Alberini A

PROVIDER: S-EPMC3290981 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Abstract At present, understanding the synergies between the Surface Urban Heat Island (SUHI) phenomenon and extreme climatic events entailing high mortality, i.e., heat waves, is a great challenge that must be faced to improve the quality of life in urban zones. The implementation of new mitigation and resilience measures in cities would serve to lessen the effects of heat waves and the economic cost they entail. In this research, the Land Surface Temperature (LST) and the SUHI were determined through Sentinel-3A and 3B images of the eight capitals of Andalusia (southern Spain) during the months of July and August of years 2019 and 2020. The objective was to determine possible synergies or interaction between the LST and SUHI, as well as between SUHI and heat waves, in a region classified as highly vulnerable to the effects of climate change. For each Andalusian city, the atmospheric variables of ambient temperature, solar radiation, wind speed and direction were obtained from stations of the Spanish State Meteorological Agency (AEMET); the data were quantified and classified both in periods of normal environmental conditions and during heat waves. By means of Data Panel statistical analysis, the multivariate relationships were derived, determining which ones statistically influence the SUHI during heat wave periods. The results indicate that the LST and the mean SUHI obtained are statistically interacted and intensify under heat wave conditions. The greatest increases in daytime temperatures were seen for Sentinel-3A in cities by the coast (LST = 3.90 °C, SUHI = 1.44 °C) and for Sentinel-3B in cities located inland (LST = 2.85 °C, SUHI = 0.52 °C). The existence of statistically significant positive relationships above 99% (p < 0.000) between the SUHI and solar radiation, and between the SUHI and the direction of the wind, intensified in periods of heat wave, could be verified. An increase in the urban area affected by the SUHI under heat wave conditions is reported. Graphical Abstract Supplementary Information The online version contains supplementary material available at 10.1007/s41748-021-00268-9.

Project description:BackgroundIn many parts of the world, including in China, extreme heat events or heat waves are likely to increase in intensity, frequency, and duration in light of climate change in the next decades. Risk perception and adaptation behaviors are two important components in reducing the health impacts of heat waves, but little is known about their relationships in China. This study aimed to examine the associations between risk perception to heat waves, adaptation behaviors, and heatstroke among the public in Guangdong province, China.MethodsA total of 2,183 adult participants were selected using a four-stage sampling method in Guangdong province. From September to November of 2010 each subject was interviewed at home by a well-trained investigator using a structured questionnaire. The information collected included socio-demographic characteristics, risk perception and spontaneous adaptation behaviors during heat wave periods, and heatstroke experience in the last year. Chi-square tests and unconditional logistic regression models were employed to analyze the data.ResultsThis study found that 14.8%, 65.3% and 19.9% of participants perceived heat waves as a low, moderate or high health risk, respectively. About 99.1% participants employed at least one spontaneous adaptation behavior, and 26.2%, 51.2% and 22.6% respondents employed <4, 4-7, and >7 adaptation behaviors during heat waves, respectively. Individuals with moderate (OR=2.93, 95% CI: 1.38-6.22) or high (OR=10.58, 95% CI: 4.74-23.63) risk perception experienced more heatstroke in the past year than others. Drinking more water and wearing light clothes in urban areas, while decreasing activity as well as wearing light clothes in rural areas were negatively associated with heatstroke. Individuals with high risk perception and employing <4 adaptation behaviors during heat waves had the highest risks of heatstroke (OR=47.46, 95% CI: 12.82-175.73).ConclusionsThere is a large room for improving health risk perception and adaptation capacity to heat waves among the public of Guangdong province. People with higher risk perception and fewer adaptation behaviors during heat waves may be more vulnerable to heat waves.

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Individual and public-program adaptation: coping with heat waves in five cities in Canada.

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