Adapting to the challenges of warming
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13 November 2020
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RE: Climate action – Do not overlook human monitoring in health protection
We read with interest the perspective from Sherwood (1) and fully agree that there is a "need to more rigorously quantify the links between meteorological forecasts and practical consequences", especially regarding human heat-related health and safety. Heat stress remains a complex hazard resulting from the interaction of weather elements, body composition/surface area, clothing insulation, level of physical activity, pre-existing health condition, psychological state, and acclimatization (2). Everyone – and not only vulnerable individuals (e.g., elderly, residents of urban heat islands, pregnant women or children) – may be concerned. Thus enhancing surveillance also calls for a rethink of the "heat-health watch" system, given the predicted increase in heatwaves' frequency, intensity and length (3). This might be notably reinforced with the inclusion of human heat transfer advanced multi-node model (2, 4) in combination with individualized data collection (e.g., biomarkers, hydration status, basal or activity-induced metabolic rate) through wearables and cell phones-based apps (via global positioning system) (5). Associated with fine-scale weather metrics, more valid and precise information than time series and spatial models (fixed-point measurements) would be available for assessing any individual heat-related health risks and ultimately reducing the health burden of heat (5). Conversely to a "one-size-fits-all heat measure" (1), such "personalized/precision" medicine approach would authorize medical practitioners to track their patients' susceptibility and respond adequately. While providing sizeable insights regarding heat related illnesses diagnosis and interventions (5), this may also serve as promising education tool for empowering people. Accordingly, a recent survey (6) of the American population indicates that 25% recognize that the ongoing climate change raises serious concerns for human health, but less than 5% are able to correctly identify heat-related symptoms. Therefore, not only monitoring weather indices and physiological data, but also wide spreading up-to-date heat-related risks and prevention strategies are part of the challenges to face this "silent" killer.
Conflict of Interest
The authors have no conflicts of interest, or financial ties to disclose.
References
1. S. C. Sherwood, Adapting to the challenges of warming. Science 370, 782-783 (2020).
2. F. Brocherie, O. Girard, G. Millet, Emerging Environmental and Weather Challenges in Outdoor Sports. Climate 3, 492 (2015).
3. R. Basu, J. M. Samet, Relation between elevated ambient temperature and mortality: a review of the epidemiologic evidence. Epidemiol Rev 24, 190-202 (2002).
4. D. Fiala, G. Havenith, P. Brode, B. Kampmann, G. Jendritzky, UTCI-Fiala multi-node model of human heat transfer and temperature regulation. Int J Biometeorol 56, 429-441 (2012).
5. E. R. Kuras et al., Opportunities and Challenges for Personal Heat Exposure Research. Environ Health Perspect 125, 085001 (2017).
6. A. Leiserowitz et al., "Public perceptions of the health consequences of global warming: October, 2014," (New Haven, CT: Yale Project on Climate Change Communication, 2014).