The Montreal heat response plan: evaluation of its implementation towards healthcare professionals and vulnerable populations

Price, Karine; Benmarhnia, Tarik; Gaudet, Judith; Kaiser, David; Sadoine, Margaux L.; Perron, Stéphane; Smargiassi, Audrey

doi:10.17269/s41997-018-0020-2

Cited by 18 publications

(9 citation statements)

References 11 publications

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“…These clients receive intensified interventions for health protection during heat events, such as more frequent phone calls and visits to check on well-being and uptake of preventive advice (Price et al 2013). In a follow-up assessment of the MHRP, data collated from reports, questionnaires, and focus groups found that increased contact with vulnerable clients was the most widely implemented recommendation, but that annual updating of vulnerability lists was the most widely cited challenge (Price et al 2018).…”

Section: Social Connection As Intervention During Extreme Heat Eventsmentioning

confidence: 99%

“…The guidelines include place-based interventions to address the intersection of heat and isolation, such as the establishment of a common “chill room” where residents can seek refuge while engaging socially with others. Enhanced social activity in air-conditioned spaces would address one of the major challenges identified by the MHRP review (Price et al 2018 ), and could also improve use of public cooling shelters by vulnerable individuals (Sampson et al 2013 ).…”

Section: Social Connection As Intervention During Extreme Heat Eventsmentioning

confidence: 99%

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Social connection as a public health adaptation to extreme heat events

Kafeety

Henderson

Lubik

et al. 2020

Can J Public Health

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Climate change is an increasingly important public health issue, reflected in morbidity and mortality outcomes during extreme heat events. At the same time, the harms of social isolation with respect to a wide range of health outcomes are becoming better understood. Given that older adults are at higher risk during hot weather and at higher risk of social isolation, they are among those at highest risk for adverse impacts of extreme heat events. While specific strategies to reduce heat exposure have been described in the literature and promoted in public health practice, these may not be readily available to socially isolated older adults. As such, it is crucial to identify key approaches to address risk due to social isolation in the aging population, and to acknowledge their limitations and barriers. Interventions rooted in social connection, a concept widely applied in interventions for public health and social well-being, should be applied as a tool for adaptation to extreme heat events. RésuméLe changement climatique est un problème de santé publique de plus en plus important, qui se reflète dans les résultats de la morbidité et de la mortalité lors des épisodes de chaleur extrême. Au même temps, les mals de l'isolement social en ce qui concerne un large éventail de résultats pour la santé sont de mieux en mieux compris. Étant donné que les personnes âgées sont plus à risque durant les temps chaud et à risque d'isolement social, elles font partie des personnes les plus exposées aux effets négatifs d'événements de chaleur extrême. Bien que des stratégies spécifiques pour réduire l'exposition à la chaleur aient été décrites dans la littérature et promues dans la pratique de la santé publique, elles peuvent ne pas être facilement accessibles aux personnes âgées socialement isolées. Comme tel, il est essentiel d'identifier les approches clés pour réduire les risques dus à l'isolement social de la population vieillissante et de reconnaître leurs limites et obstacles. Les interventions enracinées dans la connexion sociale, un concept largement appliqué dans les interventions pour la santé publique et le bien-être social, devraient être appliquées comme un outil d'adaptation aux événements de chaleur extreme.

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Section: Social Connection As Intervention During Extreme Heat Eventsmentioning

confidence: 99%

Section: Social Connection As Intervention During Extreme Heat Eventsmentioning

confidence: 99%

Social connection as a public health adaptation to extreme heat events

Kafeety

Henderson

Lubik

et al. 2020

Can J Public Health

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“…Altogether, 620 articles underwent further abstract screening and 30 articles were selected for full-text screening. Of these, one study examined nursing home residents only [31]; one study did not fulfil the minimum age limit of 65 [32]; one article discussed heat susceptibility and health promotion in general but did not conduct any studies or evaluation [33]; one study discussed health promotion but not related to heat health [34]; three studies assessed mortality/morbidity rates related to heat but not against any components of heat action plans [35,36,37]; five articles were not assessing heat health and/or older people specifically [38,39,40,41,42]—all twelve were excluded. A total of 18 articles remained for analysis (See Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Heat Health Prevention Measures and Adaptation in Older Populations—A Systematic Review

Rutherford

Phung

2019

IJERPH

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The population of older people is increasing at a rapid rate, with those 80 years and older set to triple by 2050. This systematic review aimed to examine older people’s perceptions and behaviours against existing heatwaves prevention measures and systematically categorize and analyse those measures using the Ottawa charter for health promotion framework. Peer-reviewed published literature between 22nd September 2006 and 24th April 2018 was retrieved, according to the PRISMA guidelines, from five different databases. Eighteen articles were finally included. There is a lack of published studies from developing countries. Results were categorized and analysed using the Ottawa charter five action areas. Mitigation strategies from current heat action plans are discussed and gaps are highlighted. A lack of systematic evaluation of heat action plans efficacy was identified. Older people are not demonstrating all recommended preventative measures during heatwaves. Support personnel and health professionals are not being pro-active enough in facilitating prevention of adverse effects from heatwaves. Governments are beginning to implement policy changes, but other recommended support measures outlined in the Ottawa charter are still lacking, and hence require further action. Linkage between specific components of heat action plans and outcomes cannot be ascertained; therefore, more systematic evaluation is needed.

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“…As part of a heat warning system, these measures could reduce complications and mortality on hot days. [ 64 65 ]…”

Section: Discussionmentioning

confidence: 99%

Heat wave adaptation paradigm and adaptation strategies of community: A qualitative phenomenological study in Iran

Amiresmaili

Kiarsi²,

Mahmoodi³

et al. 2022

J Edu Health Promot

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BACKGROUND: Heat wave adaptation is a new concept related to experiencing heat. The present study aims at investigating a conceptual definition, that is, the mental framework of heat wave adaptation and its strategies. MATERIALS AND METHODS: A phenomenological study was performed to explain the mental concept. At the same time with the data collection process, data analysis was also performed using Colaizzi method. Semi-structured interview method and purposeful sampling with maximum variety were used. Interviews were conducted with 23 different subjects in the community. The accuracy of the data was guaranteed using Lincoln & Guba scientific accuracy criteria. RESULTS: The two main themes of the adaptation paradigm as well as its strategies were divided into the main categories of theoretical and operational concepts, as well as personal care measures and government measures. Under the category of individual measures, we obtained “clothing, nutrition, building, place of residence and lifestyle,” and under the category of governance actions, the “managerial, research, health, organizational” subcategories were obtained. CONCLUSION: According to the results of the conceptual-operational definition, heat wave adaptation is an active process and an effort to reduce the adverse effects of heat waves on individual and social life, and striking a balance that will not only result in individual awareness and actions that will lead to lifestyle changes, but also mostly requires integrated and comprehensive planning in the community. On the one hand, heat waves could not only be regarded as a threat or danger, but can also become an opportunity for the development of a community through identification and smart measures, and for adaptation, the community must take it as a risk. The community should have a plan in advance, apply the necessary rules and training, and use the new facilities and rules where necessary. This practical concept definition includes the main features of heat wave adaptation.

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The Montreal heat response plan: evaluation of its implementation towards healthcare professionals and vulnerable populations

Abstract: The framework proposed in this study revealed valuable information that can be useful to improve plans aimed at reducing heat-related health effects in the population.

Cited by 18 publications

References 11 publications

Social connection as a public health adaptation to extreme heat events

Social connection as a public health adaptation to extreme heat events

Heat Health Prevention Measures and Adaptation in Older Populations—A Systematic Review

Heat wave adaptation paradigm and adaptation strategies of community: A qualitative phenomenological study in Iran

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