ArticleEnvironmental research2021
The immediate effects of winter storms and power outages on multiple health outcomes and the time windows of vulnerability.
Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 39 citations in OpenAlex.
- Recurrent power outages and the mental health burden of grid reliability in Maryland.iScience · 2026Article
- A dangerous combination: how co-occurring floods and blackouts increase cardiovascular hospitalizations.Journal of exposure science & environmental epidemiology · 2026Article
- Freezing-Rain Experience and Household Preparedness: A Bayesian Network Analysis of Disruption Severity and Risk Normalization.Behavioral sciences (Basel, Switzerland) · 2026Article
- Estimating Spatial and Temporal Patterns of Residential Power Outages in Massachusetts from 2013 to 2022 Using Public Records.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Do Power Outages Impact Mental Health? Empirical evidence from Maryland.Research square · 2026Article
- Assessing bias in measuring power outage exposure with simulations.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- New York State Climate Impacts Assessment Chapter 07: Human Health and Safety.Annals of the New York Academy of Sciences · 2024Review
- The Joint Effects of Thunderstorms and Power Outages on Respiratory-Related Emergency Visits and Modifying and Mediating Factors of This Relationship.Environmental health perspectives · 2024Article
- Impact of extreme weather events on healthcare utilization and mortality in the United States.Nature medicine · 2024Article
- Power outages and pediatric unintentional injury hospitalizations in New York State.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Association of social vulnerability factors with power outage burden in Washington state: 2018-2021.PloS one · 2024Article
- The independent and synergistic impacts of power outages and floods on hospital admissions for multiple diseases.The Science of the total environment · 2022Article
- The individual and synergistic impacts of windstorms and power outages on injury ED visits in New York State.The Science of the total environment · 2021Article
- Hispanic Disaster Preparedness in the United States, 2017: Examining the Association with Residential Characteristics.Cityscape (Washington, D.C.) · 2021Article
- A holistic approach to climate change in the emergency department: Direct impact of environmental factors on patients.Turkish journal of emergency medicineReview
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 2 countries.
Funding
Abstract
backgroundWhile most prior research has focused on extreme heat, few assessed the immediate health effects of winter storms and associated power outages (PO), although severe storms have become more frequent. This study evaluates the joint and independent health effects of winter storms and PO, snow versus ice-storm, effects by time window (peak timing, winter/transitional months) and the impacts on critical care indicators including numbers of comorbidity, procedure, length of stay and cost.
methodsWe use distributed lag nonlinear models to assess the impacts of winter storm/PO on hospitalizations due to cardiovascular, lower respiratory diseases (LRD), respiratory infections, food/water-borne diseases (FWBD) and injuries in New York State on 0-6 lag days following storm/PO compared with non-storm/non-PO periods (references), while controlling for time-varying factors and PM
resultsWe found the joint effects of storm/PO are the strongest (risk ratios (RR) range: 1.01-1.90), followed by that of storm alone (1.02-1.39), but not during PO alone. Ice storms have stronger impacts (RRs: 1.04-3.15) than snowstorms (RRs: 1.03-2.21). The storm/PO-health associations, which occur immediately, and some last a whole week, are stronger in FWBD, October/November, and peak between 3:00-8:00 p.m. Comorbidity and medical costs significantly increase after storm/PO.
conclusionWinter storms increase multiple diseases, comorbidity and medical costs, especially when accompanied by PO or ice storms. Early warnings and prevention may be critical in the transitional months and afternoon rush hours.
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