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Heat health watch warning system and communication in Hungary. Krisztina Kishonti , A. Páldy, J. Bobvos National Institute of Environmental Health National Public Health and Medical Officer’s Service. PHEWE (EU/QLKA-CT-2001-00152 Sz). - 3- year project (2003-2005)
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Heat health watch warning system and communication in Hungary Krisztina Kishonti, A. Páldy, J. Bobvos National Institute of Environmental Health National Public Health and Medical Officer’s Service
PHEWE (EU/QLKA-CT-2001-00152 Sz) -3-year project (2003-2005) - In Hungary: „József Fodor” National Centre for Public Health, National Institute of Environmental Health (NIEH), NPHMOS and the National Meteorological Service (NMS) - Aim of the Project is to assess the association between weather and acute health effects (Daily mortality and hospital admission) during warm season in Europe and to provide information for public health policy on preventive and adaptive actions.
Preparation of the meteorological data Analyse of the mortality data Analyse of the hospital admission data Heat warning system (London, Paris, Roma, Barcelona, Budapest) Disturbing effects of the air pollutants Application in public health
Heat-wave communication on abroad USA - Weather-health forecast system in the big cities - Hot Weather Response Plan in Toronto, Canada - “How to beat the heat” • Uses likelihood method • Emergency >90% • Alert >65%
Heat-wave communication on abroad • Rome, Italy • “Heat health watchwarning system” • based on an Italian system, since 2002 • - In eight Italian towns • Communication • - Alert publications for the local governments and health authorities • - Advice for the public and people with special diseases • Telephone assistance service for 24 hours a day • Regular check in calls; home delivery of food and medicine, other services • Future • Improve technical capacity of HHWWS • Strengthen prevention programs
Heat-wave communication on abroad France Heat wave plan - define the vulnerable groups and local governments who responsible for them - regular information for the public by Météo France - set up alert level based on the evaluation of the temperature(measured in the last 30 years), morbidity data then assess themost vulnerable groups. - high co-operation between the competent institutes
Heat-wave communication on abroad France Emergency – four levels - Alertness – check the accessibility of the vulnerable groups, Informative advice - Alarm – local governments lead their crisis plan - Intervention - local governments interfer and operate telephone assistance for 24 hours a day - Implementation – intervention of media, army, ambulance in case of threatening the public.
Heat-wave communication in Hungary University in Bermingham PHEWE website – warning system by email National Institute of Environmental Health National Meteorological Service in Hungary NPHMOS in Budapest, Hungary Decision - Warning NIEH, National Centre for Public Health, Communication Department Measurement based on 179/1999 (XI.10), NCPH Havaria Press
Heat-wave communication in Hungary Heat health watch warning system Three levels Attention (1. level) for internal use: temperature is 25 Celsius degree or more daily Readiness (2. level) for the public: temperature is 25 Celsius degree or more after three consecutive days and 27 Celsius degree for one day, at least. Alarm (3. level): temperature is 27 Celsius degree after 3 consecutive days=> equal to the 179/1999 (XI.10) EXTREME WEATHER CONDITION
Heat-wave communication in Hungary Leaflets, posters for local authorities, GP’s, pharmacies, public schools Young – sun cream, liquid and white-coloured clothes during sport activities
Elder – drink 2 litres a day special attention who takes diuretics medicine, be cool places
Mother and small children – drink 2 litres a days, suncream, don’t walk children in heat
Heat-wave communication in Hungary NETWORK which 1., inform the local authorities to take care of the patients having increased social risk 2., warn GP’s to pay more attention to vulnerable groups 3., hold informative presentations about heat stress taking into consideration teachers 4., keep media interested by informative articles on heat wave for the daily, monthly newspapers read most frequent 5., start campaign at the beginning of the season each year 6., Free green line in Budapest and in the counties