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首页> 外文期刊>International Journal of Environmental Research and Public Health >A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population
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A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population

机译：佛罗里达人口中与热有关的疾病和死亡负担的综合评估

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The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among residents of a humid subtropical climate. Work-related and non-work-related HRI emergency department (ED) visits, hospitalizations, and deaths among Florida residents during May to October (2005–2012) were examined. Sub-groups susceptible to HRI were identified. The age-adjusted rates/100,000 person-years for non-work-related HRI were 33.1 ED visits, 5.9 hospitalizations, and 0.2 deaths, while for work-related HRI/100,000 worker-years there were 8.5 ED visits, 1.1 hospitalizations, and 0.1 deaths. The rates of HRI varied by county, data source, and work-related status, with the highest rates observed in the panhandle and south central Florida. The sub-groups with the highest relative rates regardless of data source or work-relatedness were males, minorities, and rural residents. Those aged 15–35 years had the highest ED visit rates, while for non-work-related hospitalizations and deaths the rates increased with age. The results of this study can be used for targeted interventions and evaluating changes in the HRI burden over time.
机译：人体无法进行温度调节会导致严重后果（例如死亡）和持久的生理损伤。但是，通过个人和社区一级的干预可以高度预防与热相关的疾病（HRI）。要有效地干预，必须对负担有透彻的了解。本文描述了潮湿的亚热带气候居民中严重的HRI发病率和死亡率的负担。调查了5月至10月（2005-2012年）佛罗里达州居民与工作有关和与工作无关的HRI急诊科（ED）的出诊，住院情况和死亡情况。确定了易受HRI影响的亚组。与非工作相关的HRI的按年龄调整的比率/ 100,000人年为33.1次急诊就诊，5.9例住院和0.2例死亡，而与工作相关的HRI / 100,000工年则有8.5次急诊就诊，1.1例住院和0.1死亡。 HRI的发生率因县，数据源和工作相关状态的不同而不同，在攀爬区和佛罗里达州中南部地区观察到的发生率最高。无论数据来源或工作相关性如何，相对比率最高的亚组是男性，少数民族和农村居民。 15-35岁年龄组的急诊就诊率最高，而与非工作相关的住院和死亡率则随着年龄的增长而增加。这项研究的结果可用于有针对性的干预措施，并评估HRI负担随时间的变化。

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