Chicago Heatwave Flashcards

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1
Q

Disaster makes visible______

A

The social distribution of vulnerability

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2
Q

When was the Chicago heatwave?

A

July 12, 1995

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3
Q

What was the Chicago heatwave?

A

The heat came announced
The NWS forecasts were correct and the onset was recognized several days in advance
on July 12, 1995, the NWS predicted a maximum heat index of greater than 100˚F for the following day and issued a Heat Advisory, few people considered it a potential medical emergency.
“the Chicago Department of Health, which had been monitoring the weather and had recommended that people modify their behavior because of the heat, expected that only a few people would experience anything more than is comfort as a result of the hot weather.”

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4
Q

Why were people in Chicago not prepared for the heatwave?

A

Many Chicagoans were not prepared
“heat waves are easier to predict than more short-lived and highly localized weather events like tornadoes.”
“Unfortunately, a heat wave connotes discomfort, not violence; inconvenience, not alarm.”
Places like Chicago and Milwaukee “had extensive disaster preparedness plans for other weather events like floods or blizzards, but neither had an official plan for responding to heat emergencies.”
The City’s power supply was heavily taxed

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5
Q

Extreme heat may be one of the most least understand of the deadly weather phenomena. Why?

A

In contrast to the visible, destructive, and violent nature associated with “deadly weather”, like floods, hurricanes, and tornadoes, a heat wave is a “silent disaster.” Unlike violent weather events that cause extensive physical destruction and whose victims are easily discernible, the hazards of extreme heat are dramatically less apparent, especially at the onset. Often heat waves are not clearly recognized as public health emergencies.

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6
Q

The temperature forecasts in Chicago were often taken from O’Hare Airport. Why is this significant?

A

It’s hotter in the city than in the county. The temperatures were lower at the Airport. Urbanization created a “heat island” in the city.

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7
Q

“During the 3-day period from July 13-15, 1995, approximately _____ daily maximum temperature records were set at locations from the central and northern Great Plains to the Atlantic coast.” (NOAA)

A

70

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8
Q

What was July 14th called?

A

A parade of death. The heat began to break people down by heat cramps, heat syncope or fainting, heat exhaustion, and heatstroke.

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9
Q

It is reported that the baseline death rate per day in Chicago is 72. On Friday July 14th, ___ Chicagoans died. This was followed on Saturday by another ____, on Sunday 241, Monday ____, and Tuesday 106.

A

188
365
193

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10
Q

How do you define a heat-related death.

A

“One of the difficulties in measuring the mortality associated with a heat emergency is the lack of definition for heat-related death that is both standardized and practical.

Using the strict definition of hyperthermia as the basis for classifying deaths requires that a core body temperature of 105˚F or above be measured at the time of, or immediately following, death.

However, deaths frequently occur that, judging by the circumstances of death, are clearly heat related but a core body temperature is either unavailable or not meaningful (because the body was not discovered until hours or days after death) and which, thus, cannot be strictly called hyperthermia deaths.” (NOAA)

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11
Q

What happened to hospitals during this heatwave?

A

“At the same time that bodies were beginning to accumulate in the city morgue, hospitals were also being inundated with people who had been affected by the heat. Some hospital emergency departments began to turn away ambulances on July 12 because they had insufficient capacity to accept additional patients; by July 14th, 18 hospitals were on “bypass status“.” (NOAA)

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12
Q

What did Chicago’s mayor say about this issue?

A

“It’s hot. It’s very hot. We all have our little problems but let’s not blow it out of proportion… We go to extremes in Chicago. And that’s why people like Chicago. We go to extremes.”

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13
Q

What happened July 15th? What was the result?

A

The city finally issues a heat emergency warning

The city’s heat emergency plan called for declaring a heat emergency when air or apparent temperatures were expected to exceed 40.5˚C for two consecutive days

The result was a very high rate of preventable death.

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14
Q

What are the four contributors to the production of social isolation?

A

1) An increasing number of vulnerable seniors living alone
2) A culture of fear that prevents many seniors from interacting with their immediate neighborhood
3) The degradation/fortification of public spaces and housing, making seniors feel trapped
4) The phenomenon of increasingly isolated men as they age

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15
Q

How is geography linked to destiny?

A
At risk populations in Chicago
Low income
African-American
Elderly
Neighborhoods of exclusion
  1. 73% of the 525 deaths that were medically confirmed as heat related were over the age of 65
  2. The death rate for seniors over 65 was 16 times higher than those under 65
  3. Although African Americans make up only 39% of the city’s population and African American seniors represent less than 1/3 of 4. Chicago’s residents over 65, Black seniors constituted 45% of the deaths for Chicagoans 65 and over
  4. Men were 2.5 times more likely than women to die
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16
Q

“Of the fifteen community areas with the highest death rates during the heat wave, eleven contained unusually high proportions of people living ______of the official poverty line, and ten are home to populations between ______ percent black”

A

below half

94 and 99

17
Q

How was Chicago blamed and criticized for these deaths?

A
Inadequate local heat wave warning system
Power failures
Questionable death assessments
Inadequate ambulance service and hospital facilities
Heat island
An Aging population
The inability (unwillingness) of many persons to properly ventilate their residences due to fear of crime or lack of resources for fans or air conditioning
Departmental splintering
Jurisdictional overlaps
Privatization
Logic of Consumerism
A shift towards entrepreneurialism
18
Q

Was it the local government’s failure?

A
  1. The city didn’t have a plan… it neglected to design a plan for protecting residents during a heat wave
  2. Chicago’s political machinery all but broke down during the heat wave
  3. Privatization of some services, oversight, sub-contracting, treating citizens as consumers
  4. Several city departments failed to provide services, they were unable to mobilize.
  5. Some agencies neglected to take emergency measures.
  6. The department of human services did little to contact isolated seniors to warn them of the dangers.
  7. Transportation for seniors to public cooling centers was not adequate.
  8. The department of public health had no mechanism for coordinating emergency services
  9. Public agencies rejected offers from public volunteers because they had no idea of what to do with them.

In short, fragmented/ uncoordinated/ inappropriate emergency response and health systems and an entrepreneurial stance that ignores those most needy

19
Q

Is what happened in Chicago the only story of this happening in the world?

A

No. In August 2003 well over 15,000 people died in the European heat (mostly in France) – it is reported that the isolation of seniors and slow response were again contributing factors.

A record heat wave scorched Europe in August 2003, claiming an estimated 35,000 lives. In France alone, 14,802 people died from the searing temperatures—more than 19 times the death toll from the SARS epidemic worldwide.

20
Q

How could we have prevented such needless death?

A
  1. Creation of a Heat Health Warning Systems (HHWS): a system that uses meteorological forecasts to initiate acute public health interventions designed to reduce heat-related impacts on human health during atypically hot weather
  2. Getting the word/ threat out (media announcements, bulletin or webpage, leaflets, telephone help-line, opening of cooling centers, alert to hospital emergency rooms and ambulance services, etc)
21
Q

What would be the requirements of the Heat Health Warning System?

A
  1. Reliable meteorological forecasts for the population or region of interest
  2. Robust understanding of the cause-and-effect relationships between the thermal environment and health outcomes at the population level, including the evidence-based identification of ‘high risk’ meteorological conditions to activate and deactivate response activities.
  3. Effective response measures to implement within the window of lead-time provided by the warning (1–3 days, approximately)
  4. The involvement of institutions and civil society that have sufficient resources, capacity, knowledge, and political ability
22
Q

What does being prepared mean?

A
  • Officially designated Cooling Centres
  • transport to Cooling Centres
  • vulnerable person’s lists
  • direct contact and visit system to the homeless, poor and elderly
  • heatwave help/advice lines
  • community preparedness groups
  • heatwave community safety programs
  • Community Emergency Response Teams
  • disabled persons contact/follow-ups
  • overnight shelters in cool locations for vulnerable people
  • mobile field teams that make inspection visits to homes for the elderly
  • mobile treatment teams of doctors and nurses
  • Seniors Well-Being Task Force;
  • effective use of police to follow-up and assist elderly, homeless and vulnerable
  • Cool Homes Program
  • live feedback from GPs and other health care workers on the status of heat/health.
23
Q

In 2003, only two cities in Europe had operational HHWS. What’s happened to change this?

A

Following the 2003, heatwave, France, Italy, Germany, Spain, and the UK all developed and launched
heatwave plans in 2004.”

24
Q

Is a HHWS worth it?

A

Costs of setting up system (initial costs)
Cost per year of maintaining system
Estimate cost per warning (direct, and indirect)
Estimate benefits per warning in terms of years of life saved

25
Q

Are heatwaves more then just about preventing death?

A

Yes. Increased energy use (blackouts/ rolling brown outs)
Increased electric bills (a problem for low income families)
Highway and rail damage (buckling)
Reduced work efficiency
Decline in shopping
Livestock loss
Reduction of milk production from cows