Shifts in mortality during a hot weather event in Vancouver, British Columbia: rapid assessment with case-only analysis.

Abstract:

OBJECTIVES:We assessed shifts in patterns of mortality during a hot weather event in greater Vancouver, British Columbia. METHODS:We used a case-only analysis to compare characteristics of individuals who died during the hottest week of 2009 with those who died (1) during earlier summer weeks in 2009 and (2) during the same calendar weeks in the summers of 2001 through 2008. RESULTS:Compared with the 8 previous weeks of 2009, odds of mortality during the summer's hottest week were highest in the 65 to 74 years age category, compared with the 85 years and older category (odds ratio [OR] = 1.47; 95% confidence interval [CI] = 1.06, 2.03). The number of deaths at home increased over deaths in hospitals or institutions (OR = 1.43; 95% CI = 1.10, 1.86). Densely populated administrative health areas were more affected. CONCLUSIONS:A shift toward deaths at home suggests that in-home-based protective measures should be part of planning for hot weather events in greater Vancouver. Targeting should be considered for those aged 65 to 74 years. The case-only approach is quick and easy to apply and can provide useful information about localized, time-limited events.

journal_name

Am J Public Health

authors

Kosatsky T,Henderson SB,Pollock SL

doi

10.2105/AJPH.2012.300670

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

2367-71

issue

12

eissn

0090-0036

issn

1541-0048

journal_volume

102

pub_type

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