Climate change is expected to impact the human exposure to multiple environmental stressors (e.g. heat waves, air pollution, and forest fires). Studies to date have largely examined these environmental stressors individually and currently we don't have the much needed research framework to do otherwise. To better understand how climate change will directly and indirectly alter human health risks and to identify those who will be most vulnerable to adverse health effects, we need to develop a new research framework that addresses the following challenges: 1) adaptation: the capacity of individuals and their communities to adapt to heat will affect the extent to which climate change will impact morbidity and mortality; 2) climate induced changes in atmospheric system: ambient air pollution levels will change in response to the altered meteorological conditions arising from climate change; 3) health risks of multiple exposures: the health effects of combined exposure to degraded air quality and heat could be more severe than would be expected based on the individual exposures (i.e., synergism). Our main objective is to develop an innovative research framework that will link national databases on health to atmospheric conditions under a changing climate. We plan to: 1) characterize future adaptation to extreme heat (Aim 1); 2) project future exposure to both extreme heat and air pollution (Aim 2); and 3) estimate future health risks associated with joint exposure to heat and air pollution under a changing climate accounting for adaptation (Aim 3). To mitigate the public health consequences of climate change we need to recognize the synergy due to concurrent changes in several environmental stressors and that populations will adapt. This is the first national study that will characterize the public health consequences f concurrent changes in exposure to heat and air pollution under changing climate. By strengthening our understanding of which communities and populations will be most vulnerable and of how they will adapt, we will greatly impact the development of environmental interventions and adaptive strategies.
To mitigate the public health consequences of climate change we need to recognize the synergy due to concurrent changes in several environmental stressors and that populations will adapt. We will develop an innovative research framework and conduct the first national study that to estimate the public health consequences of changes in both heat and air pollution under changing climate. By strengthening our understanding of which communities and populations will be most vulnerable and of how they will adapt, we will greatly impact the development of environmental interventions and mitigation strategies.
|Hopp, Stephanie; Dominici, Francesca; Bobb, Jennifer F (2018) Medical diagnoses of heat wave-related hospital admissions in older adults. Prev Med 110:81-85|
|Wilson, Ander; Zigler, Corwin M; Patel, Chirag J et al. (2018) Model-averaged confounder adjustment for estimating multivariate exposure effects with linear regression. Biometrics 74:1034-1044|
|Wasfy, Jason H; Zigler, Corwin Matthew; Choirat, Christine et al. (2017) Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med 166:324-331|
|Bobb, Jennifer F; Ho, Kalon K L; Yeh, Robert W et al. (2017) Time-Course of Cause-Specific Hospital Admissions During Snowstorms: An Analysis of Electronic Medical Records From Major Hospitals in Boston, Massachusetts. Am J Epidemiol 185:283-294|
|Shen, Lu; Mickley, Loretta J (2017) Effects of El Niño on summertime ozone air quality in the eastern United States. Geophys Res Lett 44:12543-12550|
|Liu, Jia Coco; Wilson, Ander; Mickley, Loretta J et al. (2017) Wildfire-specific Fine Particulate Matter and Risk of Hospital Admissions in Urban and Rural Counties. Epidemiology 28:77-85|
|Liu, Jia Coco; Wilson, Ander; Mickley, Loretta J et al. (2017) Who Among the Elderly Is Most Vulnerable to Exposure to and Health Risks of Fine Particulate Matter From Wildfire Smoke? Am J Epidemiol 186:730-735|
|Berman, Jesse D; Ebisu, Keita; Peng, Roger D et al. (2017) Drought and the risk of hospital admissions and mortality in older adults in western USA from 2000 to 2013: a retrospective study. Lancet Planet Health 1:e17-e25|
|Di, Qian; Wang, Yan; Zanobetti, Antonella et al. (2017) Air Pollution and Mortality in the Medicare Population. N Engl J Med 376:2513-2522|
|Shen, Lu; Mickley, Loretta J (2017) Seasonal prediction of US summertime ozone using statistical analysis of large scale climate patterns. Proc Natl Acad Sci U S A 114:2491-2496|
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