Syndromic surveillance use to detect the early effects of heat-waves: an analysis of NHS direct data in England.

Sozial- und Praventivmedizin Pub Date : 2006-01-01 DOI:10.1007/s00038-006-5039-0

G S Leonardi, S Hajat, R S Kovats, G E Smith, D Cooper, E Gerard

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引用次数: 65

Abstract

Objectives: To investigate the effects of high ambient temperatures, including the summer 2003 heat-episode, on NHS Direct usage and its suitability as a surveillance tool in heat health warning systems.

Methods: Analyses of data on calls to NHS Direct in English Regions in the period Dec 2001-May 2004. Outcomes were daily rates of all symptomatic calls, and daily proportion of calls for selected causes (fever, vomiting, difficulty breathing, heat/sun-stroke)

Results: Total calls were moderately increased as environmental temperature increased; this effect was greatest in calls for young children and for fever. Total calls were moderately elevated during two summer heat episodes in 2003: calls specifically for heat/sun stroke increased acutely in response to these episodes. No association was apparent between environmental temperature and proportion of calls for vomiting and difficulty breathing.

Conclusions: Calls to NHS Direct are sensitive to daily temperatures and extreme weather. NHS Direct is timely and has great potential in health surveillance. Calls for heat- and sun-stroke are now routinely monitored as part of the UK Heat-wave plan

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综合征监测用于检测热浪的早期影响:对英格兰NHS直接数据的分析。

目的:调查高环境温度(包括2003年夏季高温事件)对NHS直接使用的影响及其作为热健康预警系统监测工具的适用性。方法:对2001年12月- 2004年5月英国地区国民保健服务(NHS)直呼数据进行分析。结果是所有症状的每日呼叫率，以及选定原因(发烧、呕吐、呼吸困难、中暑/中暑)的每日呼叫比例。结果:总呼叫量随着环境温度的升高而适度增加;这种效果在呼叫幼儿和发烧时最为明显。在2003年的两次夏季炎热事件中，总呼叫量适度增加:在这些事件中，专门针对中暑/中暑的呼叫急剧增加。环境温度与呕吐和呼吸困难的比例之间没有明显的联系。结论:呼叫NHS直接是敏感的日常温度和极端天气。NHS Direct在卫生监测方面具有及时性和巨大潜力。现在，作为英国热浪计划的一部分，对中暑和中暑的呼吁进行了例行监测

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Sozial- und Praventivmedizin

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