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Mortality and Morbidity during Extreme Heat Events and Prevalence of Outdoor Work: An Analysis of Community-Level Data from Los Angeles County, California

Author

Listed:
  • Kevin Riley

    (UCLA Labor Occupational Safety and Health Program, Los Angeles, CA 90095, USA)

  • Holly Wilhalme

    (Department of Medicine Statistics Core, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024, USA)

  • Linda Delp

    (UCLA Labor Occupational Safety and Health Program, Los Angeles, CA 90095, USA)

  • David P. Eisenman

    (Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90024, USA
    Center for Public Health and Disasters, Fielding School of Public Health, University of California at Los Angeles, Los Angeles, CA 90024, USA)

Abstract

Heat is a well-recognized hazard for workers in many outdoor settings, yet few investigations have compared the prevalence of outdoor work at the community level and rates of heat-related mortality and morbidity. This analysis examines whether heat-related health outcomes occur more frequently in communities with higher proportions of residents working in construction, agriculture, and other outdoor industries. Using 2005–2010 data from Los Angeles County, California, we analyze associations between community-level rates of deaths, emergency department (ED) visits, and hospitalizations during summer heat events and the prevalence of outdoor work. We find generally higher rates of heat-related ED visits and hospitalizations during summer heat events in communities with more residents working outdoors. Specifically, each percentage increase in residents working in construction resulted in an 8.1 percent increase in heat-related ED visits and a 7.9 percent increase in heat-related hospitalizations, while each percentage increase in residents working in agriculture and related sectors resulted in a 10.9 percent increase in heat-related ED visits. The findings suggest that outdoor work may significantly influence the overall burden of heat-related morbidity at the community level. Public health professionals and healthcare providers should recognize work and employment as significant heat risk factors when preparing for and responding to extreme heat events.

Suggested Citation

  • Kevin Riley & Holly Wilhalme & Linda Delp & David P. Eisenman, 2018. "Mortality and Morbidity during Extreme Heat Events and Prevalence of Outdoor Work: An Analysis of Community-Level Data from Los Angeles County, California," IJERPH, MDPI, vol. 15(4), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:580-:d:137777
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    References listed on IDEAS

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    Cited by:

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    4. Ruth McDermott-Levy & Madeline Scolio & Kabindra M. Shakya & Caroline H. Moore, 2021. "Factors That Influence Climate Change-Related Mortality in the United States: An Integrative Review," IJERPH, MDPI, vol. 18(15), pages 1-21, August.
    5. Kelsea Best & Siobhan Kerr & Allison Reilly & Anand Patwardhan & Deb Niemeier & Seth Guikema, 2023. "Spatial regression identifies socioeconomic inequality in multi-stage power outage recovery after Hurricane Isaac," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 117(1), pages 851-873, May.
    6. Matt Comi & Florence Becot & Casper Bendixsen, 2023. "Automation, Climate Change, and the Future of Farm Work: Cross-Disciplinary Lessons for Studying Dynamic Changes in Agricultural Health and Safety," IJERPH, MDPI, vol. 20(6), pages 1-15, March.

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