Evidence map›Paper›PMID 41647874›Full record

ArticleThe journal of climate change and health

Assessing the impacts, risks, and vulnerabilities of extreme heat in learning environments of Puerto Rico in 2023.

Pablo A Méndez-Lázaro, Laura T Cabrera-Rivera, Digna Rueda-Roa, Frank E Muller-Karger, Manuel Heredia Morales, Mónica V Sánchez-Sepúlveda, Ernesto Rodríguez, Odalys Martínez, Ernesto Morales, Patricia Chardón-Maldonado and 4 more

Abstract read
In one paragraph

Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Pablo A Méndez-LázaroEnvironmental Health Department, Graduate School of Public Health, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico.
Laura T Cabrera-RiveraEnvironmental Health Department, Graduate School of Public Health, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico.
Digna Rueda-RoaUniversity of South Florida, College of Marine Science, St. Petersburg, FL, USA.
Frank E Muller-KargerUniversity of South Florida, College of Marine Science, St. Petersburg, FL, USA.
Manuel Heredia MoralesEnvironmental Health Department, Graduate School of Public Health, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico.
Mónica V Sánchez-SepúlvedaEnvironmental Health Department, Graduate School of Public Health, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico.
Ernesto RodríguezNational Oceanic and Atmospheric Administration (NOAA) National Weather Service, Weather Forecast Office San Juan, San Juan, Puerto Rico.
Odalys MartínezNational Oceanic and Atmospheric Administration (NOAA) National Weather Service, Weather Forecast Office San Juan, San Juan, Puerto Rico.
Ernesto MoralesNational Oceanic and Atmospheric Administration (NOAA) National Weather Service, Weather Forecast Office San Juan, San Juan, Puerto Rico.
Patricia Chardón-MaldonadoCaribbean Coastal Ocean Observing System Inc. (CARICOOS), Puerto Rico.
Wanda I Crespo-AcevedoNOAA Climate Adaptation Partnerships Program CAP. San Juan, Puerto Rico. Contractor with Lynker, Puerto Rico.
Sarah MolinariWorcester Polytechnic Institute, 100 Institute Road, Worcester, MA, , 01609-2280, USA.
Masoud GhandehariDepartment of Civil and Urban Engineering, New York University, Brooklyn, NY, USA.
Jorge E Gonzalez-CruzDepartment of Atmospheric and Environmental Sciences, University at Albany, Albany, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Puerto Rico is experiencing anomalous heat episodes. The year 2023 was marked by unprecedented extreme heat events with negative impacts in Puerto Rico's learning environments. This study aimed to understand the context, barriers, knowledge, risks, vulnerabilities, perceptions, employees' profiles, attitudes, and symptoms related to extreme heat in learning environments. Materials and Methods: We employed a mixed-methods approach combining: (1) Earth Observation Data and geospatial analysis, (2) an online survey for teachers, administrative staff, and other school employees from diverse educational settings and levels and (3) a series of participatory activities with stakeholders, practitioners and decision makers that led to knowledge co-production and adaptation strategies. Results: 36 % of schools were exposed to land surface temperatures exceeding 41.4 °C. The southern region showed the highest proportion (50.7 %) of schools in high or critical risk areas for heat and had insufficient A/C infrastructure. Survey results indicated significant disparities in A/C conditioning availability between private (17.28 %), public schools (2.93 %) and educational regions. Students and school employees in non-air-conditioned environments showed significantly higher odds of experiencing heat-related symptoms. Fatigue (OR=2.53), irrationality (OR=2.40), lack of attention (OR=2.14), dizziness (OR=2.62, 95 % CI: 1.91-3.65) were some of the most reported symptoms. Conclusion: This assessment of extreme heat impacts in tropical learning environments reveals significant disparities in heat exposure and adaptation capacity across Puerto Rico's educational system. The findings highlight the urgent need for targeted interventions. This research contributes to the improvement of learning environments and serves as a model for adaptation efforts in educational settings in tropical islands.

Indexed as

Climate adaptationClimate changeExtreme heatHeat stressLearning environmentsSmall islands

Identifiers

PMID41647874
PMCPMC12851191

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.