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RS Kovats  - - - 
Top co-authors See all
D Cooper

248 shared publications

Health Protection Agency West Midlands

Hans Stenlund

208 shared publications

David Stone

191 shared publications

Clare E. Gilbert

165 shared publications

International Centre of Eye Health (ICEH), Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom

Virginia Murray

163 shared publications

Publication Record
Distribution of Articles published per year 
(1997 - 2017)
Total number of journals
published in
Publications See all
Article 0 Reads 7 Citations Effect of evacuation and displacement on the association between flooding and mental health outcomes: a cross-sectional ... Alice Munro, Thomas David Waite, Charles R Beck, Angie Bone,... Published: 01 July 2017
The Lancet Planetary Health, doi: 10.1016/S2542-5196(17)30047-5
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Article 2 Reads 0 Citations Socioenvironmental factors associated with heat and cold-related mortality in Vadu HDSS, western India: a population-bas... Vijendra Ingole, Barbara Schumann, Shakoor Hajat, Joacim Roc... Published: 19 May 2017
International Journal of Biometeorology, doi: 10.1007/s00484-017-1363-8
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Ambient temperatures (heat and cold) are associated with mortality, but limited research is available about groups most vulnerable to these effects in rural populations. We estimated the effects of heat and cold on daily mortality among different sociodemographic groups in the Vadu HDSS area, western India. We studied all deaths in the Vadu HDSS area during 2004-2013. A conditional logistic regression model in a case-crossover design was used. Separate analyses were carried out for summer and winter season. Odds ratios (OR) and 95% confidence intervals (CI) were estimated for total mortality and population subgroups. Temperature above a threshold of 31 °C was associated with total mortality (OR 1.48, CI = 1.05-2.09) per 1 °C increase in daily mean temperature. Odds ratios were higher among females (OR 1.93; CI = 1.07-3.47), those with low education (OR 1.65; CI = 1.00-2.75), those owing larger agricultural land (OR 2.18; CI = 0.99-4.79), and farmers (OR 1.70; CI = 1.02-2.81). In winter, per 1 °C decrease in mean temperature, OR for total mortality was 1.06 (CI = 1.00-1.12) in lag 0-13 days. High risk of cold-related mortality was observed among people occupied in housework (OR = 1.09; CI = 1.00-1.19). Our study suggests that both heat and cold have an impact on mortality particularly heat, but also, to a smaller degree, cold have an impact. The effects may differ partly by sex, education, and occupation. These findings might have important policy implications in preventing heat and cold effects on particularly vulnerable groups of the rural populations in low and middle-income countries with hot semi-arid climate.
Article 2 Reads 9 Citations Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance Sue Smith, Alex J Elliot, Shakoor Hajat, Angie Bone, Sari Ko... Published: 12 February 2016
Journal of Epidemiology and Community Health, doi: 10.1136/jech-2015-206079
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Background The burden of heat illness on health systems is not well described in the UK. Although the UK generally experiences mild summers, the frequency and intensity of hot weather is likely to increase due to climate change, particularly in Southern England. We investigated the impact of the moderate heatwave in 2013 on primary care and emergency department (ED) visits using syndromic surveillance data in England. Methods General practitioner in hours (GPIH), GP out of hours (GPOOH) and ED syndromic surveillance systems were used to monitor the health impact of heat/sun stroke symptoms (heat illness). Data were stratified by age group and compared between heatwave and non-heatwave years. Incidence rate ratios were calculated for GPIH heat illness consultations. Results GP consultations and ED attendances for heat illness increased during the heatwave period; GPIH consultations increased across all age groups, but the highest rates were in school children and those aged ≥75 years, with the latter persisting beyond the end of the heatwave. Extrapolating to the English population, we estimated that the number of GPIH consultations for heat illness during the whole summer (May to September) 2013 was 1166 (95% CI 1064 to 1268). This was double the rate observed during non-heatwave years. Conclusions These findings support the monitoring of heat illness (symptoms of heat/sun stroke) as part of the Heatwave Plan for England, but also suggest that specifically monitoring heat illness in children, especially those of school age, would provide additional early warning of, and situation awareness during heatwaves.
Article 0 Reads 3 Citations Impact of high ambient temperature on unintentional injuries in high-income countries: a narrative systematic literature... Eveline Otte im Kampe, Sari Kovats, Shakoor Hajat Published: 01 February 2016
BMJ Open, doi: 10.1136/bmjopen-2015-010399
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Objectives Given the likelihood of increased hot weather due to climate change, it is crucial to have prevention measures in place to reduce the health burden of high temperatures and heat waves. The aim of this review is to summarise and evaluate the evidence on the effects of summertime weather on unintentional injuries in high-income countries. Design 3 databases (Global Public Health, EMBASE and MEDLINE) were searched by using related keywords and their truncations in the title and , and reference lists of key studies were scanned. Studies reporting heatstroke and intentional injuries were excluded. Results 13 studies met our inclusion criteria. 11 out of 13 studies showed that the risk of unintentional injuries increases with increasing ambient temperatures. On days with moderate temperatures, the increased risk varied between 0.4% and 5.3% for each 1°C increase in ambient temperature. On extreme temperature days, the risk of injuries decreased. 2 out of 3 studies on occupational accidents found an increase in work-related accidents during high temperatures. For trauma hospital admissions, 6 studies reported an increase during hot weather, whereas 1 study found no association. The evidence for impacts on injuries by subgroups such as children, the elderly and drug users was limited and inconsistent. Conclusions The present review describes a broader range of types of unintentional fatal and non-fatal injuries (occupational, trauma hospital admissions, traffic, fire entrapments, poisoning and drug overdose) than has previously been reported. Our review confirms that hot weather can increase the risk of unintentional injuries and accidents in high-income countries. The results are useful for injury prevention strategies.
Article 2 Reads 1 Citation The impact of climate on the abundance of Musca sorbens, the vector of trachoma Anita Ramesh, Julie Bristow, Sari Kovats, Steven W. Lindsay,... Published: 27 January 2016
Parasites & Vectors, doi: 10.1186/s13071-016-1330-y
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Background To assess the extent to which climate may affect the abundance of Musca sorbens, a putative vector of trachoma. Data sources Studies were identified by systematically searching online databases including CAB s, Embase, Global Health, Medline, Web of Science and BIOS Online, references from key articles, and the websites of relevant international agencies. Methods A systematic literature review was conducted of field and laboratory studies that reported the impact of climate factors (e.g., temperature, humidity) on the synanthropic fly Musca sorbens. Data were systematically extracted and studies assessed for quality by two readers. Study results were reported narratively. Results A total of 16 studies met the inclusion criteria but only three evaluated associations between climatic/abiotic factors and M. sorbens. Limited evidence indicates that M. sorbens abundance has an optimal temperature and humidity range. Thirteen studies reported seasonal patterns but no consistent pattern was found between season and the abundance of M. sorbens. Conclusions The evidence base regarding the effect of climatic factors on M. sorbens is limited, so it is difficult to construct a biological model driven by climate for this species. A multivariate statistical approach based on the climate of sites where M. sorbens is found may better capture its complex relationship with climatic factors as well as aid in mapping the global range of M. sorbens. Keywords Musca sorbens Diptera Flies Climate Temperature Rainfall Humidity Trachoma Transmission
Article 0 Reads 4 Citations Promoting Protection Against a Threat That Evokes Positive Affect: The Case of Heat Waves in the United Kingdom. Wändi Bruine de Bruin, Carmen E. Lefevre, Andrea L. Taylor, ... Published: 01 January 2016
Journal of Experimental Psychology: Applied, doi: 10.1037/xap0000083
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Heat waves can cause death, illness, and discomfort, and are expected to become more frequent as a result of climate change. Yet, United Kingdom residents have positive feelings about hot summers that may undermine their willingness to protect themselves against heat. We randomly assigned United Kingdom participants to 1 of 3 intervention strategies intended to promote heat protection, or to a control group. The first strategy aimed to build on the availability heuristic by asking participants to remember high summer temperatures, but it elicited thoughts of pleasantly hot summer weather. The second strategy aimed to build on the affect heuristic by evoking negative affect about summer temperatures, but it evoked thoughts of unpleasantly cold summer weather. The third strategy combined these 2 approaches and succeeded in evoking thoughts of unpleasantly hot summer weather. Across 2 experiments, the third (combined) strategy increased participants' expressed intentions to protect against heat compared with the control group, while performing at least as well as the 2 component strategies. We discuss implications for developing interventions about other "pleasant hazards." (PsycINFO Database Record