An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District

Table 4

Green River District Health Department proposed climate and health surveillance system.

Hazard	Exposure indicator; (surveillance trigger)	Reportable health outcome
Extreme heat	Max temperature greater than or equal to 95 for a minimum of 3 days; (Heat advisory issued by National Weather Service).	Number of heat-related deaths (ICD-10: X30); number of heat stress hospitalizations and emergency department visits (ICD-9: 992, E900.0, E900.9) from May to September.
Drought	County declared in D2 (severe), D3 (extreme), or D4 (exceptional) drought by US Drought Monitor; (Same).	In development.
Flooding	Number of days with precipitation over 2 inches reported by weather stations annually; (Flood warning issued by National Weather Service).	Number of unintentional drowning-related mortalities (ICD-10: W69, W70, and X38) and flooding-related hospitalizations and emergency department visits (ICD-9: E908.2, E908.9, E910.8, and E910.9).