2019 heat-related illness surveillance summary report · biosurveillance system, to track...

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2019 Heat-related Illness Surveillance Summary Report October 9, 2019 Reporting for May 21, 2019 to September 16, 2019 Total Heat Advisories Declared This Year: 6 (7/17, 7/18, 7/19, 7/21, 7/22) Note: Heat Indexes are only calculated for temperatures above 80˚F with humidity of 43% or greater 0 20 40 60 80 100 120 140 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 Heat-Related Illnesses Temperature (ᵒF) Temperature Data May-September 2019 Emergency Department Chief Complaints EMS Reports Heat Index High Temp

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Page 1: 2019 Heat-related Illness Surveillance Summary Report · biosurveillance system, to track heat-related illnesses may be an overestimation of the actual burden of illness related to

2019 Heat-related Illness Surveillance Summary Report October 9, 2019 Reporting for May 21, 2019 to September 16, 2019

Total Heat Advisories Declared This Year: 6 (7/17, 7/18, 7/19, 7/21, 7/22)

Note: Heat Indexes are only calculated for temperatures above 80˚F with humidity of 43% or greater

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mp

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ture

(ᵒF

)

Temperature Data May-September 2019

Emergency Department Chief Complaints EMS Reports Heat Index High Temp

Page 2: 2019 Heat-related Illness Surveillance Summary Report · biosurveillance system, to track heat-related illnesses may be an overestimation of the actual burden of illness related to

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*Note: ESSENCE chief complaint query for heat-related illness contains the following terms: hyperthermia, heat, dehydration and sunburn

*Note: ESSENCE chief complaint query for heat-related illness contains the following terms: hyperthermia, heat, dehydration and

sunburn

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Geographical Distribution of Emergency Department Chief

Complaints Regarding Heat-related Illnesses for May 21, 2019 to

September 16, 2019

*Geographical distribution of emergency department chief complaints is based on patients' jurisdictions of residence. The "Other

Region" category includes patient records without a ZIP code and patients who reside outside of Maryland.

Report continued on next page…

0 200 400 600 800 1000 1200 1400

Worcester

Wicomico

Washington

Talbot

St. Mary's

Somerset

Queen Anne's

Prince George's

Other region*

Montgomery

Kent

Howard

Harford

Garrett

Frederick

Dorchester

Charles

Cecil

Carroll

Caroline

Calvert

Baltimore County

Baltimore City

Anne Arundel

Allegany

Count of Chief Complaints

Reg

ion

Geographical Distribution

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Age Group Distribution of Emergency Department Chief

Complaints Regarding Heat-related Illnesses for May 21, 2019 to

September 16, 2019

Report continued on next page…

0 500 1000 1500 2000 2500 3000

65+

45-64

18-44

5-17

0-4

Unknown

Count of Chief Complaints

Age

Gro

up

Age Group Distribtuion

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There was a total of twenty-one heat-related deaths in Maryland during the

2019 heat monitoring period. Seven of the reported deaths occurred during the

excessive heat event from 7.17-7.22.19. It is not determined if two of the

reported deaths were suspected or presumed homeless individuals. One death

was reported after the final report was distributed but occurred within the 2019

heat monitoring period.

*Note: Heat-related death numbers, listed on this page and these charts, may differ in future reports as the OCME potentially may

unpend death reports from this reporting period after the release of this Summary Report

Report continued on next page…

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80

85

02468

10121416

May June July August September

2019 Heat Deaths by Month

2019 Deaths Average Temp (Reporting Period 2019)

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2019 Maryland Heat Deaths by Jurisdiction

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Trends in Heat-related deaths (2015-2019)

There were 6 heat-related deaths in Maryland during the 2015 heat monitoring

period, 17 heat-related deaths during the 2016 heat monitoring period, 5 heat-

related deaths during the 2017 heat monitoring period, and 28 heat-related

deaths during the 2018 heat monitoring period. There was a total of 21 heat-

related deaths in Maryland during the 2019 heat monitoring period.

*Note: Heat-related death numbers, listed on this page and chart, may differ in future reports as the OCME potentially may unpend death reports from this reporting period after the release of this Summary Report.

Report continued on next page…

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2

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May June July August September

Heat Deaths by Month

2019 Deaths 2018 2017 2016 2015

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*Note: Heat-related death numbers, listed on this chart, may differ in future reports as the OCME potentially may unpend death reports from this reporting period after the release of this Summary Report.

Report continued on next page…

0123456789

1011121314

2015-2019 Maryland Heat Deaths by Jurisdiction

2019

2018

2017

2016

2015

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Heat Advisory Criteria: The National Weather Service will issue a Heat Advisory when the heat

index value is expected to reach 105 to 109 degrees Fahrenheit within the next 12 to 24 hours. A

Heat Advisory may be issued for lower criteria if it is early in the season or during a multiday heat

wave. NWS will issue an Excessive Heat Warning when the heat index value is expected to reach

or exceed 110 degrees Fahrenheit within the next 12 to 24 hours. An Excessive Heat Warning may

be issued for lower criteria if it is early in the season or during a multiday heat wave.

Emergency Department Data: The results from the query used in ESSENCE, an electronic

biosurveillance system, to track heat-related illnesses may be an overestimation of the actual burden

of illness related to the hot weather. This overestimation is due to the nature of the query, which

includes the term dehydration, a condition that may be caused by factors other than heat. As of

September 2018, visit data from 22 urgent care centers are now included in ESSENCE

emergency department visit data.

Emergency Medical Services (EMS) Data: These data are based on EMS pre-hospital care reports

where the EMS provider has selected “Heat Exhaustion/Heat Stroke” and/or “Hyperthermia” as a

primary or secondary impression a patient’s illness. This impression is solely based on the signs

and symptoms seen by the provider, not on any diagnostic tests. Since these numbers do not

include all primary or secondary impressions that may be seen with heat exposure the actual

numbers may be low. These data are reported for trending purposes only.

Suspected Homeless Death Data: Office of the Chief Medical Examiner (OCME) Field Investigators use the U.S. Department of Health and Human Services (HHS) homeless definition to

determine suspected homeless deaths. Homeless deaths are listed as suspected due to the limited

information available to the Field Investigators at the time of investigation, which may result in

some misclassifications.

For more information about extreme cold and emergency preparedness, follow the Office of

Preparedness and Response on Twitter and Facebook.

For media inquiries, please contact the Office of Communications: 410-767-6490

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Prepared by:

Office of Preparedness and Response

Maryland Department of Health 300 W. Preston Street, Suite 202

Baltimore, MD 21201

http://preparedness.health.maryland.gov

Kristin A. Dietz, MS Chief Local Health & Health Planning

Office: 410-767-06391

Email: [email protected]

Jessica Acharya, MPH Career Epidemiology Field Officer

Office: 410-767- 6745

Email: [email protected]

Peter Fotang, MD, MPH Epidemiologist, Biosurveillance Program

Office: 410-767- 8438

Email: [email protected]

Jennifer Stanley, MPH Epidemiologist, Biosurveillance Program

Office: 410-767-2074

Email: [email protected]

Sara Barra, MS Emergency Operations Manager

Office: 410-767-6434

Email: [email protected]

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