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The Path Forward: Heat - Jeremy Hess Slides

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The Path Forward: Heat - Jeremy Hess Slides

  1. 1. Environment as a Determinant of Health Jeremy Hess, MD, MPH Professor, Emergency Medicine, Environ and Occup Health Sci, & Global Health Director, Center for Health and the Global Environment (CHanGE) University of Washington
  2. 2. Environment Attribution Small
  3. 3. Yet Environmental Influences Pervade
  4. 4. The Exposome Zota et al. 2021
  5. 5. Slide courtesy of Dr. George Luber, CDC
  6. 6. Changing Determinants of Health
  7. 7. Hsiang et al. 2017 Agricultural Yield and Mortality
  8. 8. Hsiang et al. 2017 Energy Expenditures and Low-Risk Labor
  9. 9. Hsiang et al. 2017 High-Risk Labor and Coastal Damages
  10. 10. Hsiang et al. 2017 Property and Violent Crime
  11. 11. Overall Damages Hsiang et al. 2017
  12. 12. Changing our Risk Calculus
  13. 13. Challenge: Operate At Multiple Levels Kolak et al. 2020
  14. 14. WA Environmental Health Disparities
  15. 15. The Goal – Health in All Policies > “A collaborative approach to improving the health of all people by incorporating health considerations into decision-making across sectors and policy areas.” > Many historical examples of successful efforts – Immunization – Anti-smoking programs – Exercise programs – Water fluoridation – Air pollution control – Seatbelts and child car seats
  16. 16. Hallmarks of Effective Policies > Structural interventions > Themes – Context – Authentic engagement – Disease-agnostic – Optimal timing and location – Unintended consequences Brown et al. 2019
  17. 17. Anchor Institutions > Core products / services > Purchaser > Employer > Workforce developer > Cluster anchor > Infrastructure builder > Real estate developer > Mapper and data analyst Koh et al. 2020
  18. 18. From Service to Individual Patients . . .
  19. 19. … To Local Data for Better Health
  20. 20. NOAA Heat Mapping 2020
  21. 21. Synthesizing Data for Action
  22. 22. Protecting Health Negev et al. 2020
  23. 23. Thank You! Jeremy Hess, MD, MPH jjhess@uw.edu

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