A5089248600- Climate Change and Health Impacts
- Air Quality and Health Impacts
- Global Health Care Issues
- Health disparities and outcomes
- COVID-19 and healthcare impacts
- Disaster Management and Resilience
- Agricultural risk and resilience
- Disaster Response and Management
- Global Public Health Policies and Epidemiology
- Thermoregulation and physiological responses
- Environmental Justice and Health Disparities
- Health, Environment, Cognitive Aging
- Food Security and Health in Diverse Populations
- Health and Conflict Studies
- Urban Heat Island Mitigation
- Amyotrophic Lateral Sclerosis Research
- Flood Risk Assessment and Management
- Health, psychology, and well-being
- COVID-19 Clinical Research Studies
- Indoor Air Quality and Microbial Exposure
- Insect and Pesticide Research
- Air Quality Monitoring and Forecasting
- Employment and Welfare Studies
- Coal and Its By-products
- COVID-19 Impact on Reproduction
Columbia University
2020-2025
Johns Hopkins University
2023
Earth Island Institute
2020-2022
Faculty of Public Health
2021
Imperial College London
2018-2020
MRC Centre for Environment and Health
2019-2020
The Coronavirus Disease 2019 (COVID-19) pandemic has changed many social, economic, environmental and healthcare determinants of health. We applied an ensemble 16 Bayesian models to vital statistics data estimate the all-cause mortality effect for 21 industrialized countries. From mid-February through May 2020, 206,000 (95% credible interval, 178,100–231,000) more people died in these countries than would have had not occurred. number excess deaths, deaths per 100,000 relative increase were...
COVID-19 was the underlying cause of death for more than 940 000 individuals in US, including at least 1289 children and young people (CYP) aged 0 to 19 years, with 821 CYP deaths occurring 1-year period from August 1, 2021, July 31, 2022. Because among US are rare, mortality burden is best understood context all other causes death.To determine whether a leading (top 10) US.This national population-level cross-sectional epidemiological analysis years 2019 2022 used data Centers Disease...
Background Exposure to fine particulate matter pollution (PM2.5) is hazardous health. Our aim was directly estimate the health and longevity impacts of current PM2.5 concentrations benefits reductions from 1999 2015, nationally at county level, for entire contemporary population contiguous United States. Methods findings We used vital registration data with information on sex, age, cause death, residence. four Bayesian spatiotemporal models, different adjustments other determinants...
Temperatures that deviate from the long-term local norm affect human health, and are projected to become more frequent as global climate changes1. There limited data on how such anomalies deaths injuries. In present study, we used mortality temperature over 38 years (1980-2017) in contiguous USA formulated a Bayesian spatio-temporal model quantify anomalous temperatures, defined deviations of monthly average entire analysis period, unintentional (transport, falls drownings) intentional...
Increasingly, we face compounding and interrelated environmental, socioeconomic, political crises. Yet our approaches to these problems are often siloed, fragmented, inadequate. The current pandemic, for instance, continues collide with a number of other threats human life livelihoods. These include violent conflicts, displacement, insect swarms, droughts, heat waves, structural inequality in the form racism gender discrimination. We believe at critical juncture, faced need responsibility...
Abstract Hurricanes and other tropical cyclones have devastating effects on society. Previous case studies quantified their impact some health outcomes for particular cyclones, but a comprehensive assessment over longer periods is currently missing. Here, we used data 70 million Medicare hospitalizations cyclone exposures 16 years (1999–2014). We formulated conditional quasi-Poisson model to examine how exposure (days greater than Beaufort scale gale-force wind speed; ≥34 knots) affect 13...
<h3>Importance</h3> Tropical cyclones have a devastating effect on society, but comprehensive assessment of their association with cause-specific mortality over multiple years study is lacking. <h3>Objective</h3> To comprehensively evaluate the county-level tropical cyclone exposure and death rates from various causes in US. <h3>Design, Setting, Participants</h3> A retrospective observational using Bayesian conditional quasi-Poisson model to examine how were associated monthly rates. Data...
This chapter of the New York City Panel on Climate Change 4 (NPCC4) report considers climate health risks, vulnerabilities, and resilience strategies in City's unique urban context. It updates evidence since last assessment 2015 as part NPCC2 addresses risks vulnerabilities that have emerged especially salient to NYC 2015. from heat flooding are emphasized. In addition, other climate-sensitive exposures harmful human considered, including outdoor indoor air pollution, aeroallergens; insect...
Abstract Climate change is predicted to increase the frequency of potentially hazardous heat conditions across United States, putting incarcerated population 2 million at risk for heat-related health conditions. We evaluate exposure 4,078 continental US carceral facilities during 1982–2020. Results show that number hot days per year increased 1982–2020 1,739 facilities, primarily located in southern States. State-run Texas and Florida accounted 52% total exposure, despite holding 12% all...
Flooding greatly endangers public health and is an urgent concern as rapid population growth in flood-prone regions more extreme weather events will increase the number of people at risk. However, exhaustive analysis mortality following floods has not been conducted. Here we used 35.6 million complete death records over 18 years (2001–2018) from National Center for Health Statistics United States, highly resolved flood exposure data a Bayesian conditional quasi-Poisson model to estimate...
Abstract Background Limited evidence exists on how temperature increases are associated with hospital visits from alcohol- and substance-related disorders, despite plausible behavioral physiological pathways. Methods In the present study, we implemented a case-crossover design, which controls for seasonal patterns, long-term trends, non- or slowly-varying confounders, distributed lag non-linear terms (0–6 days) to estimate associations between daily ZIP Code-level disorder visit rates in New...
Abstract Climate change is escalating the threat of heat stress to global public health, with majority humans today facing increasingly severe and prolonged waves. Accurate weather data reflecting complexity measuring crucial for reducing impact extreme on health worldwide. Previous studies have employed Heat Index (HI) Wet Bulb Globe Temperature (WBGT) metrics understand exposure, forming basis guidelines. However, systematic comparisons meteorological climate sets used these related...
Abstract Climate change will increase the frequency of extreme weather events. This means climate-driven events like wildfires and power outages likely co-occur more often, potentially magnifying their health risks. We characterized three types events—anomalously warm temperatures, wildfire burn zone disasters, long outages—in 58 California counties during 2018–2019. defined county-day anomalously temperatures when daily average exceeded 24°C 85th percentile long-term county average....
Climate change will increase the frequency of extreme weather events. This means climate-driven events like wildfires and power outages likely co-occur more often, potentially magnifying their health risks. We characterized three types events-anomalously warm temperatures, wildfire burn zone disasters, long outages-in 58 California counties during 2018-2019. defined county-day anomalously temperatures when daily average exceeded 24 °C 85th percentile long-term county average. disasters an...
Abstract Quantifying how hurricanes disrupt educational attainment is essential to evaluating the burden of climate-related disasters. Here, we examine association between hurricane-force tropical cyclones and among elementary middle school students in all affected areas United States during 2008/2009–2017/2018 years. Educational performance was based on county-level average standardized test scores math reading/language arts (RLAs). Hurricane-force cyclone-exposed counties were those that...
Knowledge of excess deaths after tropical cyclones is critical to understanding their impacts, directly relevant policies on preparedness and mitigation. We applied an ensemble 16 Bayesian models 40.7 million U.S. a comprehensive record 179 over 32 years (1988-2019) estimate short-term all-cause deaths. The deadliest cyclone was Hurricane Katrina in 2005, with 1491 [95% credible interval (CrI): 563, 3206] (>99% posterior probability deaths), including 719 CrI: 685, 752] Orleans Parish, LA...
In temperate climates, winter deaths exceed summer ones. However, there is limited information on the timing and relative magnitudes of maximum minimum mortality, by local climate, age group, sex medical cause death. We used geo-coded mortality data wavelets to analyse seasonality group from 1980 2016 in USA its subnational climatic regions. Death rates men women ≥ 45 years peaked December February were lowest June August, driven cardiorespiratory diseases injuries. these ages, percent...
<ns4:p><ns4:bold>Background:</ns4:bold> Industrialised countries had varied responses to the COVID-19 pandemic, which may lead different death tolls from and other diseases. <ns4:bold> </ns4:bold></ns4:p><ns4:p> <ns4:bold>Methods: </ns4:bold>We applied an ensemble of 16 Bayesian probabilistic models vital statistics data estimate number weekly deaths if pandemic not occurred for 40 industrialised US states mid-February 2020 through 2021. We subtracted these estimates actual calculate impacts...
Background As the global climate changes in response to anthropogenic greenhouse gas emissions, weather and temperature are expected become increasingly variable. Although heat sensitivity is a recognized clinical feature of multiple sclerosis (MS), chronic demyelinating disorder central nervous system, few studies have examined implications change for patients with this disease. Methods findings We conducted retrospective cohort study individuals MS ages 18–64 years nationwide United States...
<ns4:p><ns4:bold>Background:</ns4:bold> Industrialised countries had varied responses to the coronavirus disease 2019 (COVID-19) pandemic, and how they adapted new situations knowledge since it began. These differences in preparedness policy may lead different death tolls from COVID-19 as well other diseases.<ns4:bold> </ns4:bold></ns4:p><ns4:p> <ns4:bold>Methods: </ns4:bold>We applied an ensemble of 16 Bayesian probabilistic models vital statistics data estimate impacts pandemic on weekly...
In the United States (US), urinary tract infections (UTI) lead to more than 10 million office visits each year. Temperature and season are potentially important risk factors for UTI, particularly in context of climate change. We examined relationship between ambient temperature outpatient UTI diagnoses among patients followed from 2015 2017 two California healthcare systems: Kaiser Permanente Southern (KPSC) Sutter Health Northern California. identified adult using diagnostic codes...