美国 2023 年 5 月至 9 月与高温有关的急诊就诊人数

A. Vaidyanathan, Abigail Gates, Claudia Brown, Emily Prezzato, Aaron Bernstein
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引用次数: 0

摘要

史无前例的热浪会影响所有人,但有些人对高温的影响更为敏感,包括有潜在健康问题的儿童和成人、孕妇和户外工作者。2023 年,美国许多地区经历了破纪录的高温,人们长时间暴露在极高的温度下。美国疾病预防控制中心研究了国家综合症监测计划(National Syndromic Surveillance Program)中与热相关疾病(HRI)有关的急诊室(ED)就诊情况,并将 2023 年暖季月(5 月至 9 月)与 2018-2022 年暖季月期间的每日 HRI 急诊室就诊率进行了比较。在 2023 年暖季的几个月中,几个地区的每日 HRI 急诊就诊率达到峰值,并在很长一段时间内保持高位。在急诊室就诊的 HRI 患者中,男性多于女性,尤其是 18-64 岁的男性。疾病预防控制中心利用流行病信息交换系统发布了多个公共卫生警报,以引起人们对急诊室因高温中暑而就诊人数增加的关注。随着气候变化导致极端高温的时间更长、温度更高、次数更多,与高温暴露相关的死亡和疾病成为一个持续的公共卫生问题。对天气条件和不良健康后果的近实时监测可以指导公共卫生从业人员适时进行风险交流并实施与酷热相关的预防措施。
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Heat-Related Emergency Department Visits — United States, May–September 2023
Unprecedented heat waves can affect all persons, but some are more sensitive to the effects of heat, including children and adults with underlying health conditions, pregnant women, and outdoor workers. Many regions of the United States experienced record-breaking high temperatures in 2023, with populations exposed to extremely high temperatures for prolonged periods. CDC examined emergency department (ED) visits associated with heat-related illness (HRI) from the National Syndromic Surveillance Program and compared daily HRI ED visit rates during the warm-season months (May-September) of 2023 with those during 2018-2022. In the 2023 warm-season months, daily HRI ED visit rates peaked in several regions and remained elevated for a prolonged duration. More males than females sought care in EDs for HRI, especially males aged 18-64 years. CDC issued multiple public health alerts using the Epidemic Information Exchange system to bring attention to increases in ED utilization for HRI. Deaths and illnesses associated with heat exposure are a continuing public health concern as climate change results in longer, hotter, and more frequent episodes of extreme heat. Near real-time monitoring of weather conditions and adverse health outcomes can guide public health practitioners' timing of risk communication and implementation of prevention measures associated with extreme heat.
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