Int J Health Geogr - An open source web application for the surveillance and prevention of the impacts on public health of extreme meteorological events: the SUPREME system.

Tópicos

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Resumo

CKGROUND: Every year, many deaths or health problems are directly linked to heat waves. Consequently, numerous jurisdictions around the world have developed intervention plans that are employed during extreme heat events; beyond their emergency sections, these plans generally include preventive measures to be implemented each year. Over the last five years, local and regional information systems have been implemented in a few Canadian cities for surveillance purposes. However, until recently, no such systems existed at the provincial level. In the context of the Government of Quebec's 2006-2012 Action Plan on Climate Change, a real-time integrated system for the surveillance and monitoring of extreme heat events has been implemented on a provincial level. The system is a component of a broader approach that would also monitor the public health impacts of all types of extreme meteorological events.RESULTS: After conducting a detailed needs analysis, the Quebec National Institute for Public Health developed and implemented an integrated web application leveraging open source software for the real-time Surveillance and Prevention of the impacts of Extreme Meteorological Events on public health, called the SUPREME system. Its first field use involved heat waves. This decision-support system is based on open source software and is composed of four modules: (1) data acquisition and integration, (2) risk analysis and alerts, (3), cartographic application, and (4) information dissemination - climate change and health portal. The system is available to health specialists through a secure web information portal and provides access to weather forecasts, historic and real-time indicators (including deaths and hospital admissions), alerts and various cartographic data used for conducting prevention activities and launching emergency measures.CONCLUSIONS: The SUPREME system was implemented and used during the summer of 2010. It served as an important decision-making tool during the July 2010 heat wave in the province of Quebec, Canada. Planned improvements for 2011 include the integration of data related to other risk factors for other extreme events to the system. The next steps will be to provide access to the application to other groups of specialists that are involved in the prevention, monitoring, or analysis of extreme meteorological events and their effects on community health and well-being.

Resumo Limpo

ckground everi year mani death health problem direct link heat wave consequ numer jurisdict around world develop intervent plan employ extrem heat event beyond emerg section plan general includ prevent measur implement year last five year local region inform system implement canadian citi surveil purpos howev recent system exist provinci level context govern quebec action plan climat chang realtim integr system surveil monitor extrem heat event implement provinci level system compon broader approach also monitor public health impact type extrem meteorolog eventsresult conduct detail need analysi quebec nation institut public health develop implement integr web applic leverag open sourc softwar realtim surveil prevent impact extrem meteorolog event public health call suprem system first field use involv heat wave decisionsupport system base open sourc softwar compos four modul data acquisit integr risk analysi alert cartograph applic inform dissemin climat chang health portal system avail health specialist secur web inform portal provid access weather forecast histor realtim indic includ death hospit admiss alert various cartograph data use conduct prevent activ launch emerg measuresconclus suprem system implement use summer serv import decisionmak tool juli heat wave provinc quebec canada plan improv includ integr data relat risk factor extrem event system next step will provid access applic group specialist involv prevent monitor analysi extrem meteorolog event effect communiti health wellb

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