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Based on the health data from Zhejiang Emergency Command Center, combined with meteorological, air pollution, land use and socio-economic data of Zhejiang Province, distributional lag nonlinear models, grouped weighted quantile and regression and Bayesian spatial models were used to explore the independent and interactive effects of the association between meteorological factors and air pollution and the number of first-aiders, to identify the related characteristics of the vulnerable populations, the types of sensitive diseases and the high-risk areas, and to elucidate the driving factors of the association between meteorological factors and air pollution and the number of first-aiders. It also clarifies the drivers of the association between meteorological factors and air pollution and the number of emergencies, so as to provide a reference for the government to take targeted measures to reduce the burden of related healthcare services.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meteorological conditions and air pollution | Other | Climate change e.g. global surface temperature rise; extreme weather events e.g. heat waves, floods |
| Measure | Description | Time Frame |
|---|---|---|
| Number of first aiders per hour as assessed by R4.4.0 | 6 months | |
| Vulnerable population characteristics as assessed by R4.4.0 | 6 Months | |
| Types of Sensitive Diseases as assessed by R4.4.0 | 6 Month | |
| High-risk areas as assessed by R4.4.0 | 6 months |
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Inclusion Criteria:
-Emergency data of Zhejiang Emergency Command Center in the past 5 years
Exclusion Criteria:
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Number of emergency patients per hour at the emergency command center of Zhejiang Province
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhejiang Provincial People's Hospital | Hangzhou | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| 24780880 |
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| Bobb JF, Peng RD, Bell ML, Dominici F. Heat-related mortality and adaptation to heat in the United States. Environ Health Perspect. 2014 Aug;122(8):811-6. doi: 10.1289/ehp.1307392. Epub 2014 Apr 29. |
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| 26003380 | Background | Gasparrini A, Guo Y, Hashizume M, Lavigne E, Zanobetti A, Schwartz J, Tobias A, Tong S, Rocklov J, Forsberg B, Leone M, De Sario M, Bell ML, Guo YL, Wu CF, Kan H, Yi SM, de Sousa Zanotti Stagliorio Coelho M, Saldiva PH, Honda Y, Kim H, Armstrong B. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015 Jul 25;386(9991):369-75. doi: 10.1016/S0140-6736(14)62114-0. Epub 2015 May 20. |
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| 22868337 | Background | Fiore AM, Naik V, Spracklen DV, Steiner A, Unger N, Prather M, Bergmann D, Cameron-Smith PJ, Cionni I, Collins WJ, Dalsoren S, Eyring V, Folberth GA, Ginoux P, Horowitz LW, Josse B, Lamarque JF, MacKenzie IA, Nagashima T, O'Connor FM, Righi M, Rumbold ST, Shindell DT, Skeie RB, Sudo K, Szopa S, Takemura T, Zeng G. Global air quality and climate. Chem Soc Rev. 2012 Oct 7;41(19):6663-83. doi: 10.1039/c2cs35095e. Epub 2012 Aug 6. |
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| ID | Term |
|---|---|
| D000397 | Air Pollution |
| ID | Term |
|---|---|
| D004787 | Environmental Pollution |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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