Document Detail


The effect of the 1995 heat wave in Chicago on all-cause and cause-specific mortality.
MedLine Citation:
PMID:  17413056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We sought to reexamine the effects of the 1995 Chicago heat wave on all-cause and cause-specific mortality, including mortality displacement, using advanced time-series analysis methods.
METHODS: We used Poisson regression with penalized regression splines to model excess mortality and mortality displacement over a 50-day period centered on the day in which the heat wave temperature peaked, adjusting for meteorological and other variables. We controlled for temporal trends by using daily mortality data during 1993-1997. We estimated relative risks (RRs) with reference to the first day of the 50-day period.
RESULTS: We estimated that there were 692 excess deaths from June 21, 1995, to August 10, 1995; 26% of these deaths were owing to mortality displacement. RR for all-cause mortality on the day with peak mortality was 1.74 (95% confidence interval=1.67, 1.81). Risk of heat-related death was significantly higher among Blacks, and mortality displacement was substantially lower.
CONCLUSIONS: The 1995 Chicago heat wave substantially effected all-cause and cause-specific mortality, but mortality displacement was limited. Mortality risks and displacement affected Blacks disproportionally. Appropriately targeted interventions may have a tangible effect on life expectancy.
Authors:
Reinhard Kaiser; Alain Le Tertre; Joel Schwartz; Carol A Gotway; W Randolph Daley; Carol H Rubin
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Publication Detail:
Type:  Journal Article     Date:  2007-04-05
Journal Detail:
Title:  American journal of public health     Volume:  97 Suppl 1     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-17     Completed Date:  2007-06-27     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S158-62     Citation Subset:  AIM; IM    
Affiliation:
Division for Emergency and Environmental Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga, USA. rkaiser@ke.cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Air Pollutants / analysis
Cause of Death*
Chicago / epidemiology
Climate*
Death Certificates
Female
Heat Stress Disorders / mortality*
Humans
Male
Poisson Distribution
Risk Factors
Time Factors
Urban Population
Chemical
Reg. No./Substance:
0/Air Pollutants
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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