earth, wind, and fire: public health preparedness in …...earth, wind, and fire: public health...

EARTH, WIND, AND FIRE: PUBLIC HEALTH PREPAREDNESS IN A CHANGING CLIMATE

Meredith A. Jagger, MS, MPH

All Hazards Epidemiologist

Oregon Public Health Division

[email protected]

IT'S NOT YOUR IMAGINATION: PORTLAND SETS WINTER RAINFALL RECORD

http://www.oregonlive.com/wea

ther/index.ssf/2016/02/oh_its_

not_your_imagination_it.html

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8

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Sep

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-Oct

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Oct

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Oct

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Dec

6-1

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Dec

13

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Dec

20

-26

Dec

27

-Jan

2

Jan

3-9

Jan

10

-16

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-23

Jan

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-30

Jan

31

-Feb

6

Feb

7-1

3

Feb

14

-20

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-27

Feb

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-Mar

5

Mar

6-1

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Mar

13

-19

Mar

20

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Mar

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Week of Symptom Onset

Shigella sonnei Outbreak Cases by Homelessness Status ― Oregon 2015─2016

Homeless

Not homeless

Precipitation

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8

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Jul 1

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0-S

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5

Sep

6-1

2

Sep

13

-19

Sep

20

-26

Sep

27

-Oct

3

Oct

4-1

0

Oct

11

-17

Oct

18

-24

Oct

25

-31

No

v 1

-7

No

v 8

-14

No

v 1

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1

No

v 2

2-2

8

No

v 2

9-D

ec 5

Dec

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2

Dec

13

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Dec

20

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Dec

27

-Jan

2

Jan

3-9

Jan

10

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Jan

17

-23

Jan

24

-30

Jan

31

-Feb

6

Feb

7-1

3

Feb

14

-20

Feb

21

-27

Feb

28

-Mar

5

Mar

6-1

2

Mar

13

-19

Mar

20

-26

Mar

27

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r 2

Cas

e C

ou

nt


Not Homeless Cases― Oregon 2015−2016

Not homeless

Precipitation

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5

Sep

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Sep

13

-19

Sep

20

-26

Sep

27

-Oct

3

Oct

4-1

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Oct

11

-17

Oct

18

-24

Oct

25

-31

No

v 1

-7

No

v 8

-14

No

v 1

5-2

1

No

v 2

2-2

8

No

v 2

9-D

ec 5

Dec

6-1

2

Dec

13

-19

Dec

20

-26

Dec

27

-Jan

2

Jan

3-9

Jan

10

-16

Jan

17

-23

Jan

24

-30

Jan

31

-Feb

6

Feb

7-1

3

Feb

14

-20

Feb

21

-27

Feb

28

-Mar

5

Mar

6-1

2

Mar

13

-19

Mar

20

-26

Mar

27

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Homeless Cases― Oregon 2015─2016

Homeless

Precipitation

http://www.floridahealth.gov/environmental-health/climate-and-health/brace/index.html

Climate Science

Disaster Management

Epidemiology

Attribution of

Extreme Weather

Events in the

Context of Climate

Change

http://www.nap.edu/cat

alog/21852/attribution-

of-extreme-weather-

events-in-the-context-of-

climate-change

SOUTHEAST AND THE CARIBBEANhttp://nca2014.globalchang

e.gov/report/regions/southe

ast

“Sea level rise poses widespread and continuing threats to

the region’s economy and environment. Extreme heat will

affect health, energy, agriculture, and more. Decreased

water availability will have economic and environmental

impacts.”

FLORIDA BUILDING RESILIENCE AGAINST CLIMATE EFFECTS (BRACE) PROGRAM

Priorities: Vulnerability assessment, Florida-specific analysis (retrospective and prospective)

Hazards: Extreme heat, drought, sea-level rise, flooding, wildlandfire, tropical cyclones

Partners: Scientific and planning colleagues, county health departments

FLORIDA BRACE

Climate

Science

Disaster Management Epidemiology

DROUGHT HAZARD, TWO WAYS

12

Florida Division of Emergency Management

Florida Department of Health

NORTHWESThttp://nca2014.globalchang

e.gov/report/regions/northw

est

“Changes in the timing of streamflow reduce water supplies

for competing demands. Sea level rise, erosion, inundation,

risks to infrastructure, and increasing ocean acidity pose

major threats. Increasing wildfire, insect outbreaks, and tree

diseases are causing widespread tree die-off.”

OREGON PREPAREDNESS SURVEILLANCE AND EPIDEMIOLOGY TEAM (PSET)

Priorities: Robust passive surveillance systems, knowledge of active surveillance techniques, continuity of operations

Hazards: Wildfire, winter storms, flooding, extreme heat, earthquakes

Partners: Local public health agencies, healthcare providers

OREGON PSET Climate Science

Disaster Management

Epidemiology

HAZARD VULNERABILITY ASSESSMENT

https://public.health.oregon.gov/Preparedness/Partners/Documents/OHA%208584%20PH%20Hazard%20Vulnerability.pdf

DISCUSSION

Climate Science

Disaster Management

Epidemiology

Meredith A. Jagger, MS, MPH

All Hazards Epidemiologist

Oregon Public Health Division

[email protected]