YOUR LOCAL EPIDEMIOLOGIST ON THE HEAT

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Changes in heat-related illnesses?

(REPRINTED WITH PERMISSION)

Um, it’s hot out there. Heat records are breaking all across the globe this summer.

I just spent a week in Texas, and one of my girls got sick really fast. So, naturally, I went down the epi rabbit hole of curiosity: if heat records are breaking, have heat-related illnesses (HRI) increased, too? This may seem intuitive, but some factors are decreasing risk now, too.

This is what I found.

United States

Like many things in public health, the HRI surveillance is a suboptimal patchwork of data, and only some states are reporting, creating a fragmented picture. It seems to have improved over time, which is great.

Among states reporting, in 2021, Louisiana had the highest age-adjusted rate of emergency department visits for HRI (~50 per 100,000 per year). There are substantial year-to-year fluctuations, but rates have remained relatively stable from 2006-2021.

While state data is lagged (last update was 2021), data by region is impressively available in almost real-time. 2023 is shaping up to be unique in the Midwest, with higher rates of HRI than in previous years.

Before 2021, hospitalization rates were lower than ED visits (as expected) and have remained relatively stable since 2000. However, one state stands out: Arizona.

The largest county in Arizona—Maricopa County (i.e., Phoenix)—provides a beautiful annual heat-related death report. In Maricopa County, heat deaths increased fivefold since 2015.

An increase in outside deaths largely drives this pattern. And indoor deaths are mostly among those without a working AC.

International surveillance

Last year nearly 62,000 Europeans died due to HRI. Italy, Spain, and Greece had the highest heat deaths per capita. As Nature Medicine shows below, as temperatures rose (and fell) in Europe, so did the risk of death, particularly among older populations.

(Figure from Nature Medicine, Source here).

But, when looking at heat-related excess death, the Lancet found that the global leader is Eastern Europe and sub-Saharan Africa. (It’s important to note that cold-related excess deaths have increased the most recently, though.)

What’s explaining these patterns?

Like anything in public health, several factors are increasing and decreasing HRI:

Factors increasing risk

  • Heat waves. 35% of heat-related deaths are during heat waves. The frequency of heat waves is increasing over time.
    (EPA)
  • Increased social vulnerability. In 2016, scientists attributed an unexpected increase in Arizona heat illness to a rise in homelessness. Since 2016, homelessness has steadily increased in Maricopa County, for example.
  • Power outages have increased. California had a 28% increase in blackouts from 2018 to 2019. (Unclear if these were planned for wildfires or unplanned.) Texas was the state with the second more power outages. Power outages are linked to an increase in excess deaths.

Factors decreasing risk

  • Better forecasting and early warning systems allow businesses, schools, and individuals to take action sooner.
  • Increased air conditioning. AC use has crept up in the United States but dramatically increased around the globe. And researchers found that broader use of AC saves lives but disproportionately benefits those with higher incomes.

Unknown impact

  • Reporting behavior. If more physicians are aware of HRI, they are more likely to categorize it as such in a patient’s chart. Over time, it will look like more HRI when, in reality, it’s a product of increased reporting. But how much this contributes to patterns we’re currently seeing is unclear.

Bottom line

A change in weather impacts population-level health. Before 2021, increases in heat-related illnesses were strikingly apparent in Arizona. But changes are becoming more apparent in other regions now. We must better adapt communities, as these illnesses and deaths are preventable.

Love, YLE


“Your Local Epidemiologist (YLE)” is written by Dr. Katelyn Jetelina, MPH Ph.D.—an epidemiologist, wife, and mom of two little girls. During the day, she is a senior scientific consultant to several organizations. At night she writes this newsletter. Her main goal is to “translate” the ever-evolving public health world so that people will be well-equipped to make evidence-based decisions. This newsletter is free, thanks to the generous support of fellow YLE community members. To support this effort, subscribe below:

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SUMMER MEALS FOR KIDS/TEENS 18 AND UNDER AT THE WHITE PLAINS LIBRARY

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July 26, 2023

Summer Meals at the Library

Starting today through Friday, August 18th, kids and teens ages 18 and under can get free, healthy meals at the Library. There is no need to sign up. Just show up! Meals are limited, while supplies last. Food must be eaten on-site when picked up.Monday through Friday
11:30 a.m. – 1:00 p.m.
In the Gallery, Second Floor

This program is made possible by the White Plains City School District, local sponsor of the Summer Food Service Program, administered by NY State Dept. of Ed.

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HEADS UP FROM HOCHUL, WHITE PLAINS NY USA FROM $200 MILLION IN GRANTS DEADLINE TO APPLY SEPT 29 UP FOR GRABS FOR DOWNTOWN REVITALIZATION

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Governor Kathy Hochul today announced that $200 million in funding is available through the State’s two signature downtown revitalization and economic development programs — $100 million each for Round 7 of the Downtown Revitalization Initiative and Round 2 of the NY Forward program, which focuses on revitalizing smaller and rural downtowns. This year’s funding brings the total amount of State investment across all rounds of the programs to $1 billion since 2016. Together, the two programs have awarded $800 million in funding to 93 communities across every region of the state. Applications are available on the Downtown Revitalization Initiative and NY Forward websites. The deadline to apply is September 29 at 4 p.m.   

“These two programs have created a wave of revitalization that is sweeping across the state with no signs of slowing,” Governor Hochul said. “The programs are not only reinvigorating downtowns, but they are also making our regions and the state as a whole a world-class destination for businesses, families and tourists. The programs are fulfilling the original vision for the DRI of creating a critical mass of vibrant downtowns of all shapes, sizes and characters in each region to entice businesses to invest and locate in New York State.” 

Governor Hochul also hosted the state’s first-ever forum in Syracuse on the past, present and future of the Downtown Revitalization Initiative (DRI) and NY Forward programs. The forum, entitled “A Retrospective for the Future of the State’s DRI and NY Forward Communities,” featured mayors from communities selected in the first five rounds of the DRI, as well as private stakeholders engaged and invested in the DRIs, who will provide advice, insights, lessons-learned and recommendations to inform the future of the two programs and educate prospective applicants on the benefits of participating.  

  

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“OPPENHEIMER” : WHAT DOES IT MEAN TODAY? YOUR LOCAL EPIDEMIOLOGIST PERSPECTIVE

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Oppenheimer: What does it mean today?

Over the weekend, the Oppenheimer family invited me to San Francisco for the big film debut!

If you haven’t seen the movie, you should: It’s big. With big ideas. A portrayal of the challenges faced by humanity during a tumultuous period in history.

I think it was particularly heavy because it was released in 2023: On the heels of a pandemic, in the face of AI discovery, gene editing, space exploration, and during ongoing conversations around power, trust, and responsibility.

Before the screening, I joined a colloquium of 150 physicists, government officials, and technology leaders discussing this movie’s meaning in today’s landscape. I was certainly out of my element, but the conversations were eerily familiar to public health.

Here are some themes I jotted down:

  • It takes a crisis to perform in this nation. The spirit and power of institutions can be grand when we put our minds to it. But do we always have to be reactive? We can proactively move at the speed and scale, too.
  • Complex vs. complicated problems. A car engine is complicated; traffic is complex. Each requires unique approaches. Big science problems are complex, complicated, or both.
  • Ethical dilemmas and moral responsibility in scientific advancements. Tread carefully. Ensure that our pursuit of innovation does not compromise our moral compass.
  • What is public investment in science for? To improve human connectedness. To seek to inform, not control. This can conflict with private interests and politics.
  • Big science includes international cooperation, knowledge sharing, and unity.
  • What happens when a scientist changes their mind? It’s often villainized. But, typically, where one stands on a topic isn’t so black and white.
  • Science and technology can create an opportunity to talk, just like the end of the pandemic. But followed by a frustrating pattern: Our institutions don’t match the conversations with systematic change.
Oppenheimer November 2, 1945

Bottom line

The movie is a striking reminder of today’s challenges and how these problems have been with us for a long time. With great power comes great responsibility, and the intersection of science and technology is notwithstanding.

Next up: Barbie! I bet we can also find public health themes in there, too :).

Love, YLE


“Your Local Epidemiologist (YLE)” is written by Dr. Katelyn Jetelina, MPH Ph.D.—an epidemiologist, wife. During the day, she is a senior scientific consultant to several organizations. At night she writes this newsletter. Her main goal is to “translate” the ever-evolving public health world so that people will be well-equipped to make evidence-based decisions. This newsletter is free, thanks to the generous support of fellow YLE community members. To support this effort, subscribe below:

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ECONOMY SLUGGISH. WHITE PLAINS, WESTCHESTER SALES TAX RECEIPTS EVEN WITH LAST YEAR AFTER FIRST 6 MONTHS. SALES LAG BEHIND INFLATION RATE

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WPCNR QUILL & EYESHADE. THE SALES TAX RECEIPTS REPORT AT MIDYEAR.  FROM NY DEPARTMENT OF TAXATION & FINANCE.OBSERVATION & ANALYSIS BY JOHN F. BAILEY JULY 25, 2028:

THE FIRST 6 MONTHS SALES TAX RECEIPTS ARE IN.

WHITE PLAINS AND WESTCHESTER ARE APPROXIMATELY EVEN IN SALES TAX COLLECTION RECEIPTS COMPARED TO LAST YEAR. WHITE PLAINS HAS GONE UP 1% AFTER THE FIRST 6 MONTHS OF 2023. WHITE PLAINS HAS  $27.5 MILLION  –1% AHEAD OF THE FIRST 6 MONTHS OF 2022.

IF THE CITY CONTINUES THE PACE OF LAST YEAR THE CITY WILL SET A SALES TAX RECEIPTS RECORD OF  55.9 MILLION.

WESTCHESTER COUNTY HAS BROUGHT IN $429 MILLION IN 6 MONTHS…DOWN 1% IF THAT TREND DOES NOT SWING UP AND REMAINS THE SAME THE COUNTY WILL BANK  $882.5  MILLION BELOW THE OVER 900 MILLION THEY HAVE BUDGETED.

THE QUESTION IS WHY ARE SALES TAX RECEIPTS ONLY EVEN WHEN WE ARE TOLD INFLATION IS AROUND 4%.

PERHAPS THE HIGHER INTEREST RATES ARE HURTING LOANS ON MAJOR PERCHASES AND CREDIT CARD DEBT IS HURTING THE CONSUMER  THE ECONOMY IS SLOW.

 

 

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YONKERS POLICE CAPTURE PRISONER WHO ESCAPED WHILE BEING TRANSFERRED TO COUNTY JAIL SUNDAY

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WPCNR POLICE GAZETTE. Special to WPCNR from Yonkers Police Department. July 24, 2023:

The Yonkers Police Department has successfully captured Geraldo ROJAS, the
escaped prisoner on the run since yesterday morning.

After approximately twenty-nine hours of intensive search efforts, our Yonkers Police
Detectives assigned to the Major Case Squad and Field Intelligence Division, along with
Agents and Task Force Officers assigned to the FBI Westchester Safe Streets Task Force,
located ROJAS after he escaped from Saint Joseph’s Hospital.

During the operation, ROJAS was located in the Bronx, NY, , taken into custody without incident.

The swift response from law enforcement personnel ensured the escapee could not flee further.

ROJAS was arrested and booked on July 21st, 2023, by members of the Yonkers Police
Department for multiple robberies that occurred in Yonkers. On July 22nd, 2023, before
ROJAS could appear in court, he suffered a medical event that required Yonkers Police
Officers to transport him to Saint Joseph’s Hospital.

ROJAS was arraigned by a Judge in theh ospital during the early afternoon hours July 22nd, 2023.

He was remanded to the County Jail awaiting trial. However, because he was not medically discharged from the hospital, custody of ROJAS was transferred to the Westchester County Department of Correction.
Correction Officers were sent to assume the prisoner watch of Rojas at Saint Joseph’s
Hospital, beginning at approximately 6:00 PM on July 22nd, 2023.

At around 4:30 AM on July 23rd, 2023, ROJAS managed to escape from the custody of Westchester County
Department of Correction Officers.

From the onset, Yonkers Police Major Case Detectives
and Officers assigned to the Yonkers Police AWARE Room reviewed hours of surveillance
video around the City, tracking ROJAS’ escape route to lead the investigation in the right
direction.

Escape from custody, in ROJAS’ case, is a crime punishable as a felony in the State of New
York; therefore, the Yonkers Police Department then assumed the primary investigative
role of ROJAS’ crime of escape. Westchester County Department of Correction is the
primary investigative agency of the internal investigation into the details of ROJAS’ escape
at Saint Joseph’s Hospital.

City of Yonkers Mayor Mike Spano stated, “The apprehension of this felon speaks to the
great Police work and collaboration among our Yonkers Police Detective Division and FBI.
In just 29 hours, this individual is off the streets and in custody, ensuring the safety of our
residents. Congratulations on a job well done.”

“We are relieved that Geraldo Rojas is back in custody,” said Yonkers Police
Commissioner Christopher Sapienza. “Our dedicated Detectives and Task Force Officers
worked tirelessly to locate and apprehend Rojas to ensure the safety of our citizens. Their
unwavering commitment to upholding the law serves as a powerful reminder that fugitives
will not evade justice in Yonkers and that public safety remains a top priority for our city.”
ROJAS is now lodged in the City of Yonkers Jail, awaiting transport to the Westchester
County Jail. This successful capture stands as a testament to the diligence and expertise of
our local law enforcement professionals in collaboration with our top-tier investigative
partners in the FBI.

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District 92 | News You Can Use

 

 

Flexible Loans for New York’s Small Businesses

Governor Kathy Hochul has announced the New York Forward Loan Fund 2 program for qualifying small businesses and nonprofits. After broadening criteria for qualifications, and with even greater resources allocated for the program, the enhanced fund represents an expanded commitment to New York State’s small businesses. Qualified recipients with fewer than 100 employees and less than $5 million in gross annual revenue can apply for loans up to $150,000 with affordable, fixed-rate interest rates.

Part of New York’s State Small Business Credit Initiative efforts led by Empire State Development, the fund will be in place for the next eight years and will focus on helping small businesses and nonprofits, particularly those in low-income and historically underbanked communities and rural areas access flexible working capital to cover a wide range of expenses, from payroll and marketing to facility renovations. Additionally, free support services from experts will work with businesses throughout the life of the loan.

Interested businesses can pre-apply here.

 


 

Veterans’ Services Benefits Advisors

The New York State Department of Veterans’ Services has experienced Veterans’ Services Benefit Advisors ready to help complete applications, obtain necessary documentation, file claims for veterans’ benefits and more. To schedule an appointment with a Veterans’ Services Benefit Advisor, visit https://veterans.ny.gov/.

 


 

Home & Business Damage Self-Reporting

In collaboration with affected counties, New York State has developed an online form allowing residents to self-report damages to their homes and/or businesses. The purpose of this form is solely to collect information that may help State and local officials identify supplemental damages to develop and augment potential requests for available federal assistance programs. Please note that this form is not an application for relief programs.

If you experienced storm damage due to the recent heavy rainfall, I encourage you to respond to the survey. You can access the online form here.

 


 

 

Kingsland Point Park Public Hearing

Representatives from Westchester County and the Village of Sleepy Hollow will be holding a public forum to discuss the future of Kingsland Point Park. You can share your views with them by email to communications@westchestercountyny.gov. More information is available here.

 


 

 

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SATURDAY AT 8:30 A.M. COFFEE WITH WHITE PLAINS WEEK–JULY 21 REPORT– FIOS COUNTYWIDE CH 45. WP OPTIMUM CH 76 AND www.wpcommunitymedia.org

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EXCLUSIVE VIDEO OF STATE SENATOR SHELLEY MEYER’S FORUM ON DISCRIMINATION AND HATE IN WHITE PLAINS AND WESTCHESTER WHITE PLAINS WEEK WAS THERE

WHAT HIGH SCHOOL STUDENTS FACE IN BULLYING, RACIAL BIAS IN SCHOOLS

JULY SO FAR IN COVID “THE INVISIBLE POSITIVES” THIRD WEEK OF INCREASE CASES HEADED FOR 4TH

WHERE THE JOBS ARE IN WESTCHESTER NY USA- IMPRESSIVE COUNTY OUTREACH

STATE GIVES 4% RAISE  TO WORKERS SERVING THE DISABLED IN FACE OF 8% INFLATION

EXCLUSIVE VIDEO HEAD OF NEW YORK NEW JERSEY ANTI DEFAMATION LEAGUE ON SPREAD OF HATE CRIMES, ANTI-SEMITISM HIGHEST IN 20 YEARS AND HOW TO COUNTER IT.

SCHOOL SUMMIT COMING UP AUGUST 15 PARENTS CITIZENS LET SUPERINTENDENT KNOW YOUR CONCERNS ISSUES

WITH JOHN BAILEY REPORTING ON WHITE PLAINS WEEKS EVERY WEEK FOR 23 YEARS

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SENATOR GILLEBRAND BRINGS BIDEN’S SENIOR ADVISER TO MT. VERNON TO FOCUS ON HUDSON VALLEY INFRASTRUCTURE RECOVERY

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WPCNR WASHINGTON REPORT. From Senator Kirsten Gillebrand. july 22, 2023:

In the wake of severe flooding that devastated the Hudson Valley, U.S. Senator Kirsten Gillibrand brought Senior Advisor to President Biden and White House Infrastructure Coordinator Mitch Landrieu to Mount Vernon for a roundtable discussion with state and local leaders on federal investments in resilient infrastructure. Senator Gillibrand is committed to helping the Hudson Valley recover from the flooding and her visit with Mitch Landrieu will help support infrastructure investment throughout the region.

Senator Gillibrand and Mitch Landrieu were joined by Mount Vernon Mayor Shawyn Patterson-Howard, Majority Leader Andrea Stewart-Cousins, State Senator Shelley Mayer, State Senator Nathalia Fernandez, State Senator Jamaal Bailey, Assemblymember J. Gary Pretlow, Assemblymember MaryJane Shimsky, Assemblymember Chris Burdick, Putnam County Executive Kevin Byrne and Westchester County Executive George Latimer.

This week, I had the opportunity to see firsthand the devastation from the recent flooding in the Hudson Valley,” said Senator Gillibrand.

As climate change makes severe storms like this one more frequent, we have to rebuild smarter – that means investing in climate resilient infrastructure that can weather floods, hurricanes, blizzards, and other extreme weather events. I’m proud to have delivered millions in federal funding to upgrade New York’s roads and bridges, but there is still more to do. This roundtable was an opportunity for me and for Coordinator Landrieu to hear directly from local leaders about the most pressing needs facing their communities, and I look forward to continuing to work with all leaders present today to build stronger, more resilient infrastructure in the Hudson Valley and beyond.” 

 

“As the former Mayor of New Orleans, I know all too well the devastation that can follow a severe storm and flooding, and I know the tireless work it takes to rebuild communities back better than ever before,” said Senior Advisor to President Biden and White House Infrastructure Implementation Coordinator Mitch Landrieu. “Thanks to President Biden’s Investing in America agenda as well as the leadership of Senator Gillibrand and Mayor Shawyn Patterson Howard, we are making historic investments in resilience across the Hudson Valley. The Biden-Harris Administration is committed to continuing our efforts to ensure that when extreme weather hits, our infrastructure stands strong.”

 

“Resilient infrastructure is the backbone of a thriving society, weathering the storms of uncertainty and adversity. It forms the bedrock of progress, safeguarding communities, and empowering economies to withstand challenges and emerge stronger than before. In an ever-changing world, investing in resilient infrastructure is a testament to our commitment to a sustainable and secure future. I am grateful to Senator Gillibrand for bringing together such a powerful and committed group of leaders to ensure local, county, state, and federal governments are moving in lockstep toward strengthening our infrastructure now and for the future.” State Senator Nathalia Fernandez.

 

“New York State has some of the oldest infrastructure in the county, which is why the need for repair here is so great. President Biden’s Bipartisan Infrastructure Law gives us an important opportunity to make the lives of our residents better in the day-to-day ways that people expect of their government. Our roads, trains, broadband, and sewers need to be in good working order, and they need to function despite the heavier rainfalls and extended heatwaves that are becoming commonplace in our region. The people of Mount Vernon, or anywhere else, should never again have to encounter raw sewage in their basements due to a lack of funding for infrastructure maintenance. I thank Senator Gillibrand for her leadership in seeing that New York receives its fair share if infrastructure investment, while also seeking to address the disparities that have plagued our most impacted communities.” Assemblymember MaryJane Shimsky.

“I am delighted that Senator Gillibrand and White House Senior Advisor & Infrastructure Coordinator Mitch Landrieu were here in Westchester to address our pressing infrastructure needs. Top amongst those needs in my district is the implementation of the key I 684/84 Department of Transportation study, which identifies a means of solving the severe congestion at the 684/84 interchange that is leading to traffic overflowing onto local roads. We also have recently seen our share of flooding and storm damage, which will only increase due to climate change. I was glad to participate in a fruitful discussion on the growing infrastructure needs of Westchester.” Assemblymember Chris Burdick.

“Westchester County is home to many thoroughfares that are named after bodies of water – so when it rains, we are always susceptible to major flooding. The same can be said for many of our municipalities, even if they aren’t named after bodies of water. Events like this bring even greater attention to our need for federal dollars to combat the rising tide of climate change impacting our County. I thank Mitch Landrieu, Senator Gillibrand, Senator Schumer and our entire Congressional delegation for their attention to Westchester’s needs and efforts to remedy them.” Westchester County Executive George Latimer.

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