Evidence map›Paper›PMID 39632362›Full record

ArticleJMIR public health and surveillance2024

Projections of Climate Change Impact on Acute Heat Illnesses in Taiwan: Case-Crossover Study.

Hsiao-Yu Yang, Chang-Fu Wu, Kun-Hsien Tsai

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Hsiao-Yu YangInstitute of Environmental and Occupational Health Sciences, National Taiwan University College of Public Health, No 17 Xuzhou Road, Taipei, 100, Taiwan, 886 233668102.ORCID 0000-0001-5298-2462
Chang-Fu WuInstitute of Environmental and Occupational Health Sciences, National Taiwan University College of Public Health, No 17 Xuzhou Road, Taipei, 100, Taiwan, 886 233668102.ORCID 0000-0003-2244-1934
Kun-Hsien TsaiInstitute of Environmental and Occupational Health Sciences, National Taiwan University College of Public Health, No 17 Xuzhou Road, Taipei, 100, Taiwan, 886 233668102.ORCID 0000-0002-6154-113X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With global warming, the number of days with extreme heat is expected to increase and may cause more acute heat illnesses. While decreasing emissions may mitigate the climate impacts, its effectiveness in reducing acute heat illnesses remains uncertain. Taiwan has established a real-time epidemic surveillance and early warning system to monitor acute heat illnesses since January 1, 2011. Predicting the number of acute heat illnesses requires forecasting temperature changes that are influenced by adaptation policies. Objective: The aim of this study was to estimate the changes in the number of acute heat illnesses under different adaptation policies. Methods: We obtained the numbers of acute heat illnesses in Taiwan from January 2011 to July 2023 using emergency department visit data from the real-time epidemic surveillance and early warning system. We used segmented linear regression to identify the join point as a nonoptimal temperature threshold. We projected the temperature distribution and excess acute heat illnesses through the end of the century when Taiwan adopts the "Sustainability (shared socioeconomic pathways 1-2.6 [SSP1-2.6])," "Middle of the road (SSP2-4.5)," "Regional rivalry (SSP3-7.0)," and "Fossil-fueled development (SSP5-8.5)" scenarios. Distributed lag nonlinear models were used to analyze the attributable number (AN) and attributable fraction (AF) of acute heat illnesses caused by nonoptimal temperature. Results: We enrolled a total of 28,661 patients with a mean age of 44.5 (SD 15.3) years up to July 2023, of whom 21,619 (75.4%) were male patients. The nonoptimal temperature was 27 °C. The relative risk of acute heat illnesses with a 1-degree increase in mean temperature was 1.71 (95% CI 1.63-1.79). In the SSP5-8.5 worst-case scenario, the mean temperature was projected to rise by +5.8 °C (SD 0.26), with the AN and AF of acute heat illnesses above nonoptimal temperature being 19,021 (95% CI 2249-35,792) and 89.9% (95% CI 89.3%-90.5%) by 2090-2099. However, if Taiwan adopts the Sustainability SSP1-2.6 scenario, the AN and AF of acute heat illnesses due to nonoptimal temperature will be reduced to 12,468 (95% CI 3233-21,704) and 62.1% (95% CI 61.2-63.1). Conclusions: Adopting sustainable development policies can help mitigate the risk of acute heat illnesses caused by global warming.

Indexed as

Climate ChangeEnvironmental PolicyForecastingHeat Stress DisordersPublic Health SurveillanceSustainable DevelopmentAcute DiseaseAdolescentAdultAgedChildChild, PreschoolCross-Over StudiesEmergency Room VisitsFemaleHumanscarbon reductionclimate changeearly warning systememergency departmentenvironmentalenvironmental healthepidemicepidemiologyextreme heatglobal warmingheatheat illnessheat-related illnessheat stressnonlinear modelpublic healthreal timesocioeconomicsurveillanceTaiwantemperature

Identifiers

PMID39632362
PMCPMC11617331

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.