Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr....

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Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management . Laurence S. Kalkstein enter for Climatic Research University of Delaware s in Urban Meteorology: A Forum for Users and Providers , Maryland , 2004

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Page 1: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management

Dr. Laurence S. KalksteinCenter for Climatic Research

University of Delaware

Challenges in Urban Meteorology: A Forum for Users and ProvidersRockville, MarylandSeptember, 2004

Page 2: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Cook County, Illinois: July, 1995

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Day

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-- During the hottest days, mortality increased by over 100 %

Page 3: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Maximum Temperature vs. Daily Mortality: New York and Jacksonville, Florida

New York Jacksonville

-- The impact of weather is relative rather than absolute.

Page 4: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.
Page 5: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

What can be done when a heat emergency is called?

Page 6: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Intervention Actions Taken byPhiladelphia Department of Public Health When Health

Warning is Issued

• Media announcement

• Promotion of the “buddy system”

• Activation of the “heatline”

• Home visits

• Nursing and personal care boarding home intervention

• Halt of utility service suspensions

• Increased emergency medical service staffing

• Daytime outreach to the homeless

• Air conditioned service facility capability

Page 7: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

New Orleans Intervention Activities

Very little

Page 8: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Steps That can be Taken When Alerts or Emergencies are Called

1. NWS alerts appropriate city agency (e.g., Department of Health, Office of Aging, etc.)

2. City develops (or already has in place) intervention plans

3. Effectiveness of system can be monitored in three manners,and improvements are implemented if there are shortcomings:--forecasting effectiveness (false positives or negatives)--accuracy in estimating health impacts of offensive weather --noting if we are saving lives.

Page 9: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Effectiveness of Philadelphia Heat Health System (based on Ebi et. al.*)

• Study evaluated effectiveness of Philadelphia system for the summers of 1995-98.

• It is estimated that 2.6 lives were saved on average, for each warning day and for the following three days.

• Therefore, based on the number of warning called by the Philadelphia Weather Service Forecast Office, the watch warning system saved an estimated 117 lives over the four summer period

---------* Ebi, K.L., T. J. Teisberg, L.S. Kalkstein, L.Robinson, R.F. Weiher. Heat Watch/Warning Systems Save Lives: Estimated Costs

and Benefits for Philadelphia 1995-1998. Bulletin of the American Meteorological Society, August 2004.

Page 10: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

How can we make cities cooler?

Page 11: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Key Strategies to Reduce Heat Islands

• Urban Vegetation

• Cool Roofing

• Cool Pavements

Page 12: Operational Heat/Health Warning Systems and Application in Urban Environmental Hazard Management Dr. Laurence S. Kalkstein Center for Climatic Research.

Modeling Exercise to Implement These Strategies in Los Angeles

• By increasing the urban area’s solar reflectivity (albedo), the intensity of heat and associated deaths should drop.

• For Los Angeles, average heat-related mortality dropped by over 20% during hot humid air masses.

• Similar results were obtained from Philadelphia.

• The costs of adding reflective roofs to inter-city dwellings is not expensive.

• The added benefit of vegetation is questionable:– provides shading

– but increases relative humidity