Dr. Wilma Wooten’s Presentation on Heat and Health Effects to League of Women Voters EJ Subcommittee: Climate Crisis Steps San Diegans can take to safeguard their health

Program of H3SD 2023: (To be posted)

EPA Releases Report Showing Health Impacts of Climate Change on Children in the United States

https://www.epa.gov/newsreleases/epa-releases-report-showing-health-impacts-climate-change-children-united-states

Climate Change and Children’s Health and Well-Being in the United States (EPA April 2023)

Press Release (April 25, 2023)

Summary for Clinicians pdf

Extreme Heat, Where Are the Cooling Zones?

The Use of Cooling Centers to Prevent Heat-Related Illness: Summary of Evidence and Strategies for Implementation: Climate and Health Program, Centers for Disease Control and Prevention. (PDF in google drive) https://www.cdc.gov/climateandhealth/docs/UseOfCoolingCenters.pdf

Heat Response Plans: Summary of Evidence and Strategies for Collaboration and Implementation: Climate and Health Program, Centers for Disease Control and Prevention. (PDF in google drive) https://www.cdc.gov/climateandhealth/docs/HeatResponsePlans_508.pdf

Consumer Version Excessive Heat P_Consumer_Version.pdfResponse Plan Prepared by: County of San Diego Health and Human Services Agency https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/ExtremeHeat/EHRP_Consumer_Version.pdf

Protecting Californians From Extreme Heat: A State Action Plan to Build Community Resilience April 2022
STATE OF CALIFORNIA Gavin Newsom, Governor https://resources.ca.gov/-/media/CNRA-Website/Files/Initiatives/Climate-Resilience/2022-Final-Extreme-Heat-Action-Plan.pdf

Cool Zone Information: Aging & Independence Services (AIS), a division of the County of San Diego Health and Human Services Agency https://www.sdge.com/tools/summer/coolzones

How to Locate San Diego County Cool Zones.

https://sdcounty.maps.arcgis.com/apps/instant/nearby/index.html?appid=24edb3f222364f10bdec9fc1143020b4

California Office of the Environmental Health Hazard Assessment (OEHHA) 2023 Symposium on Heat: Impacts on Children and Pregnanc

https://oehha.ca.gov/risk-assessment/general-info/2023-symposium-heat-impacts-children-and-pregnancy

1. Pediatric Physiologic Considerations for Responding to Heat – recording available

2. Clinical Perspective and Epidemiology of Health Effects of Heat in Children – recording to be posted

3. Strategies to combat health effects of heat in children and during pregnancy

Relevant Recent Studies

The role of extreme heat exposure on premature rupture of membranes in Southern California: A study from a large pregnancy cohort.  https://pubmed.ncbi.nlm.nih.gov/36809710/

A Longitudinal Study on the Impact of Indoor Temperature on Heat-Related Symptoms in Older Adults Living in Non-Air-Conditioned Households https://pubmed.ncbi.nlm.nih.gov/35857398/

Fisher JD, Shah AP, Norozian F. Clinical Spectrum of Pediatric Heat Illness and Heatstroke in a North American Desert Climate. Pediatr Emerg Care, 2022; 38(2): e 891—e 893.

Kerr ZY, Casa DJ, Marshall SW, Comstock RD. Epidemiology of exertional heat illness among U.S. high school athletes. Am J Prev Med. 2012; 44(1): 8-14.  

Wald A, Demorest S. Race to Beat the Heat: Climate Change Impacts Physical Activity. TJNP: The Journal for Nurse Practitioners, 2022’ 18(4)”388-394.  

Heat Toolkits from Other Communities/ Other Resources

APHA: New Infographics “How Climate Change Affects Your Health” https://apha.org/News-and-Media/Multimedia/Infographics/How-Climate-Change-Affects-Your-Health

Americares https://www.americares.org/what-we-do/community-health/climate-resilient-health-clinics/

UC Center for Climate for Climate, Health and Equity (Issue 1: The Health Impacts of Heat) https://myemail.constantcontact.com/CCHE-s-First-Newsletter–The-Health-Impacts-of-Heat.html?soid=1137066890641&aid=TJJKywpPq2w

Heat Illness in Virginia https://www.virginiaclinicians.org/2022-heat-illness-report

Extreme Heat and Youth Sports Workflows

Korey Stringer Institute U Conn https://ksi.uconn.edu/2018/07/

Heat Acclimatization https://ksi.uconn.edu/prevention/heat-acclimatization/

Extreme Heat and Mental Health

Climate Psychiatry Alliance: How To Survive Extreme Heat https://www.climatepsychiatry.org/heat-wave-resources

Conferences/Publication Opportunities

Contemporary Pediatrics

jfitch@mjhlifesciences.com, Editor Joshua Fitch, https://www.contemporarypediatrics.com/

Contemporary Ob-Gyn

Journal of Climate Change and Health

Spoke with editorial team and they are very open to accepting publications from breakout session and /or our conference proceedings. There will be publication fee.

Journal of Graduate Medical Education (JGME)

The Journal of Graduate Medical Education (JGME) is seeking submissions related to climate and graduate medical education (GME) for a journal supplement to be published in 2024. These manuscripts may be submitted in any JGME article category. The goal of this supplement is to enhance access, for GME programs worldwide, to curriculum, faculty development, assessments, and other resources on climate change and GME. Where there are gaps, articles providing specific research directions, for enhancing our understanding of the intersections of patients, trainees, training programs, and those marginalized or underserved by health care, are strongly encouraged.

Examples of Potential Intersections of Climate and GME

  • Climate determinants of health 
  • Can residents counsel a patient who must work outside during extreme heat (eg, construction, agriculture, landscaping, or package delivery workers)?
  • Vector-borne conditions
  • Can residents describe how climate change–related occurrences, such rising temperatures, storms, fires, flooding, and power outages, produce different vector-borne conditions?
  • Climate-related disasters    
  • Can residents identify which clinical conditions are most at risk for decompensation in situations of severe weather (eg, heat, cold)?
  • Medications  
  • Can residents identify which medicines may promote heat exhaustion, stroke, or dehydration?
  • Health center access and power loss       
  • How will residents and faculty access the health center during flooding and other extreme events, or prolonged blackouts?

Authors can find guidance on how to submit a manuscript on the JGME website:  https://meridian.allenpress.com/jgme/pages/submit_manuscript. When submitting articles for the climate supplement, indicate the topic area (eg, curriculum, assessments, faculty development, other) in your cover letter. Please contact jgme@acgme.org with any questions.

Also for those who may be interested in reviewing for this supplement, please contact  Masi@uchc.edu

The Permanente Journal is open for submissions.

All articles are published open access immediately with no fees for authors. The Permanente Journal – Peer-reviewed research in equitable and value-based care, health services, and delivery science