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Environmental History Oct 2023For over a century, New York's Residential Heat and Hot Water Code has controlled the distribution of heat in New York City. Established in 1918 by New York's Department...
For over a century, New York's Residential Heat and Hot Water Code has controlled the distribution of heat in New York City. Established in 1918 by New York's Department of Health, it mandated that all residential and office spaces in the city be heated to sixty-eight degrees Fahrenheit at all times. Changes to it in the ensuing years sought not only to protect New Yorkers' health but reflected pressures in New York's fuel economy, which experienced periods of shortages and a transition from anthracite coal to oil that started between the two World Wars. Consequently, the standardization of sixty-eight degrees Fahrenheit reflected shifting assumptions about health and the "right to heat" for different communities over time, and the practical need to ensure affordable fuel for the city's population. The Heat Code, accordingly, played a crucial role in shaping energy consumption in New York and helping to formulate an "invisible energy policy"-that is, a policy developed in non-energy fields, such as health and housing, that alters energy usage in important but inconspicuous ways, with important consequences for the environment and for social justice.
PubMed: 38868361
DOI: 10.1086/726711 -
Weather, Climate, and Society (Print) Jul 2023Climate change is expected to impact individuals' recreational choices, as changing temperatures and precipitation patterns influence participation in outdoor recreation...
Climate change is expected to impact individuals' recreational choices, as changing temperatures and precipitation patterns influence participation in outdoor recreation and alternative activities. This paper empirically investigates the relationship between weather and outdoor recreation using nationally representative data from the contiguous United States. We find that across most outdoor recreational activities, participation is lowest on the coldest days (<35 degrees Fahrenheit) and highest at moderately high temperatures (80 to 90 degrees). Notable exceptions to this trend include water sports and snow and ice sports, for which participation peaks at the highest and lowest temperatures, respectively. If individuals continue to respond to temperature changes the same way that they have in the recent past, in a future climate that has fewer cool days and more moderate and hot days, our model anticipates net participation across all outdoor recreation activities will increase by 88 million trips annually at 1 degree Celsius of warming (CONUS) and up to 401 million trips at 6 degrees of warming, valued between $3.2 billion and $15.6 billion in consumer surplus annually (2010 population). The increase in trips is driven by participation in water sports; excluding water sports from future projections decreases the consumer surplus gains by approximately 75 percent across all modeled degrees of warming. If individuals in northern regions respond to temperature like people in southern regions currently do (a proxy for adaptation), total outdoor recreation trips will increase by an additional 17 percent compared to no adaptation at 6 degrees of warming. This benefit is generally not seen at lower degrees of warming.
PubMed: 37415774
DOI: 10.1175/wcas-d-22-0060.1 -
Annals of Clinical and Laboratory... Jan 2024To present the case of an athlete with hypereosinophilic syndrome (HES).
OBJECTIVE
To present the case of an athlete with hypereosinophilic syndrome (HES).
CASE REPORT
We present a 25-year-old female athlete, with no significant past medical history, who had a two-month history of progressive dry cough, wheezing, exertional dyspnea, and chest pain. Physical examination revealed patient to be febrile to 101.6 degrees Fahrenheit and tachycardic to 120 beats per minute with new leukocytosis of 35.9x10/L and eosinophilia of 24,000/μL. She was also found to have elevated troponins ~1.5 ng/mL and creatine kinase (CK) 203 U/L. Her overall clinical picture was concerning for hypereosinophilic syndrome with multiorgan system involvement.
CONCLUSION
Findings endorse the diagnosis of HES. HES is a rare condition that is difficult to diagnose. Early clinical diagnostic signs of HES may include fatigue, cough, breathlessness, and fever.
Topics: Humans; Female; Adult; Hypereosinophilic Syndrome; Cough; Athletes
PubMed: 38514061
DOI: No ID Found -
Cureus Nov 2023A heat stroke (HS) is a medical emergency that can occur when the body is unable to cool itself down after overexertion in a hot condition. It is characterized by a high...
A heat stroke (HS) is a medical emergency that can occur when the body is unable to cool itself down after overexertion in a hot condition. It is characterized by a high body temperature (usually greater than 40.5 degrees Celsius or 104.9 degrees Fahrenheit) and altered mental status. HS can cause a wide range of physiological changes in the body, including damage to the brain, heart, liver, kidneys, and muscles. In the case report presented, the patient was a 40-year-old man who developed severe HS. His condition rapidly deteriorated, and he developed multi-organ failure, involving the brain, liver, kidneys, muscles, and hematological system. The patient was admitted to the intensive care unit (ICU) and intubated, despite aggressive treatment. After an 18-day stay in the ICU, the patient achieved full recovery except for myopathy, which necessitated physiotherapy.
PubMed: 38111401
DOI: 10.7759/cureus.48984 -
PLoS Neglected Tropical Diseases Jun 2024West Nile virus (WNV) is the most common mosquito-borne disease in the United States, resulting in hundreds of reported cases yearly in California alone. The...
Exploring the role of temperature and other environmental factors in West Nile virus incidence and prediction in California counties from 2017-2022 using a zero-inflated model.
West Nile virus (WNV) is the most common mosquito-borne disease in the United States, resulting in hundreds of reported cases yearly in California alone. The transmission cycle occurs mostly in birds and mosquitoes, making meteorological conditions, such as temperature, especially important to transmission characteristics. Given that future increases in temperature are all but inevitable due to worldwide climate change, determining associations between temperature and WNV incidence in humans, as well as making predictions on future cases, are important to public health agencies in California. Using surveillance data from the California Department of Public Health (CDPH), meteorological data from the National Oceanic and Atmospheric Administration (NOAA), and vector and host data from VectorSurv, we created GEE autoregressive and zero-inflated regression models to determine the role of temperature and other environmental factors in WNV incidence and predictions. An increase in temperature was found to be associated with an increase in incidence in 11 high-burden Californian counties between 2017-2022 (IRR = 1.06), holding location, time of year, and rainfall constant. A hypothetical increase of two degrees Fahrenheit-predicted for California by 2040-would have resulted in upwards of 20 excess cases per year during our study period. Using 2017-2021 as a training set, meteorological and host/vector data were able to closely predict 2022 incidence, though the models did overestimate the peak number of cases. The zero-inflated model closely predicted the low number of cases in winter months but performed worse than the GEE model during high-transmission periods. These findings suggests that climate change will, and may be already, altering transmission dynamics and incidence of WNV in California, and provides tools to help predict incidence into the future.
PubMed: 38913741
DOI: 10.1371/journal.pntd.0012051