{"id":17227,"date":"2021-01-19T10:30:11","date_gmt":"2021-01-19T10:30:11","guid":{"rendered":"https:\/\/publicintegrity.org\/?p=98177"},"modified":"2021-01-19T10:30:11","modified_gmt":"2021-01-19T10:30:11","slug":"in-florida-worsening-heat-puts-more-people-at-risk","status":"publish","type":"post","link":"https:\/\/radiofree.asia\/2021\/01\/19\/in-florida-worsening-heat-puts-more-people-at-risk\/","title":{"rendered":"In Florida, worsening heat puts more people at risk"},"content":{"rendered":"\n<p>For more than two decades now, Jeannie Economos has been advocating for farmworkers\u2019 health. Pesticide exposure was her first focus. But for half that time, she\u2019s also zeroed in on deadly heat.<\/p>\n\n\n\n<p>\u201cIt gets hotter every summer,\u201d said Economos, coordinator of pesticide safety and environmental health at Farmworker Association of Florida. \u201cThis past summer was one of the hottest on the record and the number of hot days are getting more and more every year.\u201d<\/p>\n\n\n<aside class=\"article-email-signup\">\n\n    <div class=\"article-email-signup__inner\">\n\n                    <h4 class=\"article-email-signup__head\">Investigations in your inbox<\/h3>\n        \n        <div class=\"article-email-signup__row\">\n                            <p class=\"article-email-signup__text\">A quick dive each week into our reporting on race, power and privilege.<\/p>\n            \n            <div class=\"article-email-signup__form\">\n                <!-- Begin Mailchimp Signup Form -->\n<div id=\"mc_embed_signup\">\n    <form action=\"https:\/\/publicintegrity.us4.list-manage.com\/subscribe\/post?u=8dc6eceed67f7f012462d0b12&amp;id=ffd1d0160d\" method=\"post\" id=\"mc-embedded-subscribe-form\" name=\"mc-embedded-subscribe-form\" >\n        <div id=\"mc_embed_signup_scroll\">\n\n            <div class=\"mc-field-group\">\n                <label for=\"mce-EMAIL\">Email address<\/label>\n                <input required=\"required\" type=\"email\" value=\"\" placeholder=\"you@example.com\" name=\"EMAIL\" class=\"required email\" id=\"mce-EMAIL\">\n            <\/div>\n            <div id=\"mce-responses\" class=\"clear\">\n                <div class=\"response\" id=\"mce-error-response\" style=\"display:none\"><\/div>\n                <div class=\"response\" id=\"mce-success-response\" style=\"display:none\"><\/div>\n            <\/div>\n            <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->\n            <div style=\"position: absolute; left: -5000px;\" aria-hidden=\"true\"><input type=\"text\" name=\"b_8dc6eceed67f7f012462d0b12_ffd1d0160d\" tabindex=\"-1\" value=\"\"><\/div>\n            <div class=\"clear\"><input type=\"submit\" value=\"Join\" name=\"subscribe\" id=\"mc-embedded-subscribe\" class=\"btn\"><\/div>\n        <\/div>\n        \n        <!-- The Watchdog group -->\n        <input type=\"hidden\" value=\"4294967296\" name=\"group[16933][4294967296]\" id=\"mce-group[16933]-16933-0\">\n        <!-- The Moment group -->\n        <input type=\"hidden\" value=\"8589934592\" name=\"group[16933][8589934592]\" id=\"mce-group[16933]-16933-1\">\n        \n    <\/form>\n<\/div>\n<!--End mc_embed_signup-->\n            <\/div>\n\n        <\/div>\n    <\/div>\n<\/aside>\n\n\n\n<p>There are&nbsp;<a href=\"https:\/\/www.fdacs.gov\/Agriculture-Industry\/Florida-Agriculture-Overview-and-Statistics\">47,000 farms<\/a>&nbsp;in Florida, making up a more-than-$7 billion industry, yet farmworkers remain invisible and are among the most vulnerable to illness from constant exposure to heat. Some who have not acclimated to Florida\u2019s hot summer days are at risk of acute heat illnesses like heat stroke. Others face dangers because of chronic dehydration that can eventually lead to irreversible diseases like kidney failure.<\/p>\n\n\n\n<p>Although winter has arrived in Florida, the warming planet will continue to make summers hotter and more deadly. Temperatures are not only hotter in Florida today but there are more extreme heat days lasting longer.<\/p>\n\n\n\n<p>And as temperatures rise, more Floridians \u2014 especially children, older adults and outdoor workers \u2014 face risks of heat-related illnesses like heat exhaustion and heat stroke.<\/p>\n\n\n\n<iframe title=\"Zip codes with heat-related hospitalizations, ER visits\" aria-label=\"Map\" id=\"datawrapper-chart-nszLg\" src=\"https:\/\/datawrapper.dwcdn.net\/nszLg\/1\/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"834\"><\/iframe><script type=\"text\/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"])for(var e in a.data[\"datawrapper-height\"]){var t=document.getElementById(\"datawrapper-chart-\"+e)||document.querySelector(\"iframe[src*='\"+e+\"']\");t&&(t.style.height=a.data[\"datawrapper-height\"][e]+\"px\")}}))}();<\/script><br><br>\n\n\n\n<p>Heat sickens when the body can\u2019t effectively cool itself. Left untreated, this unhealthy rise in internal body temperature can lead to organ damage and in extreme cases, death.<\/p>\n\n\n\n<p>Warning signs include hot, red, or damp skin, fast pulse, dizziness, nausea or vomiting, headache or fainting.<\/p>\n\n\n\n<p>\u201cWe definitely have to start acting now, and especially for the children,\u201d said Dr. Cheryl Holder, a primary care physician and co-chair of Florida Clinicians for Climate Action. \u201cThe children are going to pay the biggest price, because physiologically they really cannot handle heat.\u201d<\/p>\n\n\n\n<p>The full scope of heat-related illnesses in Florida, or nationwide for that matter, is unclear.<\/p>\n\n\n\n<p>\u201cAcademic literature has been pretty convincing that heat-related deaths and illnesses are notably much more common than are being reported. So I think our metrics are incomplete,\u201d said Chris Uejio, an assistant professor at Florida State University and co-author of the Centers for Disease Control and Prevention\u2019s Building Resilience Against Climate Effects (BRACE) Framework.<\/p>\n\n\n\n<p>For one, heat-related illnesses are not a reportable condition at the state or federal level, unlike food-borne illnesses, lead poisoning or measles.<\/p>\n\n\n\n<p>Also, when patients seek care due to less obvious effects of chronic heat exposure, doctors may not assign them one of the few health illness medical codes that can help researchers track the extent of the problem.<\/p>\n\n\n\n<p>\u201cIf a farmworker comes in and their kidney function suddenly declines and they have high blood pressure, the connection may not be made because they didn\u2019t come in with symptoms like heat exhaustion, heat rash or heat stroke,\u201d said Holder, interim associate dean for diversity, equity, inclusivity and community initiative at Herbert Wertheim College of Medicine at Florida International University.<\/p>\n\n\n\n<p>There\u2019s a general lack of awareness in the medical community about heat\u2019s wide-ranging impact on health.<\/p>\n\n\n\n<p>\u201cThe medical community is not doing the linking,\u201d Holder said. \u201cDoctors don\u2019t ask if the elderly person lives in a manufactured home that was overheated.\u201d<\/p>\n\n\n\n<p>Complicating the matter: No one area of Florida is more prone to \u2014 or immune from \u2014 heat illnesses than another, although lower-income communities tend to be at higher risk, according to a ZIP-code-level analysis of federal data by Columbia Journalism Investigations and the Center for Public Integrity. The data, never before made public at the ZIP code level, also shows higher heat-related illnesses in more rural areas.<\/p>\n\n\n\n<iframe title=\"Is your ZIP code susceptible to heat-related illness?\" aria-label=\"chart\" id=\"datawrapper-chart-syL29\" src=\"https:\/\/datawrapper.dwcdn.net\/syL29\/1\/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"890\"><\/iframe><script type=\"text\/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"])for(var e in a.data[\"datawrapper-height\"]){var t=document.getElementById(\"datawrapper-chart-\"+e)||document.querySelector(\"iframe[src*='\"+e+\"']\");t&&(t.style.height=a.data[\"datawrapper-height\"][e]+\"px\")}}))}();<\/script><br><br>\n\n\n\n<p>In Florida, ZIP code 34950 in Fort Pierce in St. Lucie County has the highest rate of heat illnesses. The area is about 17% white, non-rural and low income. In contrast, ZIP code 33982 in Punta Gorda in Charlotte County, which has the second highest heat illness rate, is 87% white, less populated, with a median household income of $47,000, almost twice that of Fort Pierce.<\/p>\n\n\n\n<p>Two ZIP codes in Polk County \u2014 in Lakeland and Fort Meade \u2014 have the fifth- and sixth-highest heat illness rates in the states. In those areas, about half the population is white and the median income is below the state average of $60,000. But one is more rural than the other.<\/p>\n\n\n\n<p>Meanwhile, the two main ZIP codes that make up The Villages retirement community are much further down the list, with heat illness rates at or below the state average, highlighting the role that income and access to air conditioning plays in heat-related illnesses among the elderly.<\/p>\n\n\n\n<p>\u201cIt\u2019s usually seniors who live alone and don\u2019t have access to a support system,\u201d said Holder. \u201cAnd the poorer you are, the worse housing conditions you live under.\u201d<\/p>\n\n\n\n<p>In Central Florida \u2014 among Lake, Orange, Osceola and Seminole counties \u2014 Tavares, Eustis, Mount Dora and Leesburg in Lake County have the highest rates of heat illness per capita at about two to three times the state average. Apopka in Orange County, where several farms are located, has the fifth-highest heat illness rate in the region, followed by Sanford in Seminole County.<\/p>\n\n\n\n<p>To be sure, the heat illness rates in Central Florida counties are half that of Fort Pierce, which has the highest per capita rate in the state.<\/p>\n\n\n\n<p>In 2016, Holder, who cares for uninsured patients at a clinic at Jackson Memorial Hospital in Miami, started noticing that her patients couldn\u2019t pay their power bill in the summer. It was so hot at night, they couldn\u2019t sleep. That worsened their other health conditions.<\/p>\n\n\n\n<iframe title=\"Households with less income are impacted more by heat\" aria-label=\"chart\" id=\"datawrapper-chart-GETIz\" src=\"https:\/\/datawrapper.dwcdn.net\/GETIz\/4\/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"489\"><\/iframe><script type=\"text\/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"])for(var e in a.data[\"datawrapper-height\"]){var t=document.getElementById(\"datawrapper-chart-\"+e)||document.querySelector(\"iframe[src*='\"+e+\"']\");t&&(t.style.height=a.data[\"datawrapper-height\"][e]+\"px\")}}))}();\n<\/script><br><br>\n\n\n\n<p>\u201cI started seeing some of the kidney changes,\u201d said Holder. \u201cAnd between 2016 and 2018, we had more and more hot days and I saw the kidneys declining more in outdoor workers.\u201d<\/p>\n\n\n\n<p>Temperatures are rising across the globe and the number of extreme heat days is increasing. Florida currently has an average of 25 dangerous heat days, when the temperatures reach&nbsp;<a href=\"https:\/\/www.climatecentral.org\/news\/extreme-heat-when-outdoor-sports-become-risky-2019\">103 degrees Fahrenheit&nbsp;<\/a>or more, each year. By 2050, it is projected to see 130 such days each year, more than any other state, according to&nbsp;<a href=\"https:\/\/statesatrisk.org\/florida\/extreme-heat#:~:text=Florida%20currently%20has%20an%20average,more%20than%20any%20other%20state.\">Climate Central<\/a>.<\/p>\n\n\n\n<p>Between 2005 to 2019, 37 counties have seen a statistically significant increase in heat-related illness emergency room visits, according to Florida Department of Health data. No counties had a significant decrease in such ER visits.<\/p>\n\n\n\n    <div class=\"related-articles\">\n        <div class=\"related-articles__inner\">\n            \n                <h3 class=\"related-articles__head\">Related Articles<\/h3>\n                        <ul class=\"related-articles__items\">\n                                    <li class=\"tz-related\">\n\n                        <div class=\"tz-related__text\">\n\n                                                            <h4 class=\"tz-related__topic\">\n                                    <a class=\"tz-related__topic-link\" href=\"https:\/\/publicintegrity.org\/topics\/environment\/hidden-epidemics\/\">Hidden Epidemics<\/a>\n                                <\/h4>\n                            \n                            <h3 class=\"tz-related__title\">\n                                <a class=\"tz-related__title-link\" 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Health departments aren\u2019t equipped to respond<\/a>\n                            <\/h3>\n\n                            <p class=\"tz-related__read\">\n                                <a class=\"tz-related__read-link\" href=\"https:\/\/publicintegrity.org\/environment\/hidden-epidemics\/underfunded-unprepared-cdc-fight-against-climate-change-public-health-heat-death\/\">Read\n                                    <svg>\n                                        <use xlink:href=\"#arrow-small\"><\/use>\n                                    <\/svg>\n                                <\/a>\n                            <\/p>\n                        <\/div>\n\n                        <div class=\"tz-related__image\">\n                            <a class=\"tz-related__image-link\" href=\"https:\/\/publicintegrity.org\/environment\/hidden-epidemics\/underfunded-unprepared-cdc-fight-against-climate-change-public-health-heat-death\/\">\n                                                                    <img src=\"https:\/\/publicintegrity.org\/wp-content\/uploads\/2020\/05\/AP_16172517874231-100x100-c-default.jpg\" alt=\"A home builder works in the heat\"\/>\n                                                            <\/a>\n                        <\/div>\n\n                    <\/li>\n                            <\/ul>\n        <\/div>\n    <\/div>\n\n\n\n<p>Economos and her team work to educate farmworkers about heat illnesses and how to prevent them. They\u2019ve conducted studies in collaboration with Emory University to show the chronic impact of heat exposure on farmworkers\u2019 health and the possible correlation with kidney failure. They\u2019ve pushed for legislation to give more protection to this invisible, yet essential group, but no bills have made it beyond committees.<\/p>\n\n\n\n<p>\u201cAt a minimum, what we\u2019re asking for in legislation is plenty of drinking water and access to it. Plenty of breaks to drink water. Access to shade. And rest breaks,\u201d said Economos.<\/p>\n\n\n\n<p>There has been incremental progress for other at-risk groups &#8212; mostly after tragedies.<\/p>\n\n\n\n<p>In June, Florida passed the&nbsp;<a href=\"https:\/\/www.orlandosentinel.com\/sports\/highschool\/os-sp-hs-zach-martin-act-0626-20200626-7uplxzxl2bf2pbmwjz23jsy6ji-story.html\">Zachary Martin Act<\/a>, after the Fort Myers Riverdale High football player died of heatstroke in 2017. The law now requires schools to have cooling tubs to lower the body temperature of athletes in crisis.<\/p>\n\n\n\n<p>And after Hurricane Irma in 2017, the state began requiring nursing homes to&nbsp;<a href=\"http:\/\/fl-generator.com\/\">have generators<\/a>&nbsp;that can keep the temperature at 81 degrees for 96 hours after a power outage.<\/p>\n\n\n\n<p>In the meantime, advocates like Economos and Holder push for more awareness and change, because the planet continues to get hotter.<\/p>\n\n\n\n<p>The past 100 years have been the warmest in the history of modern civilizations, and the last three years have been the warmest on record for the globe, according to the&nbsp;<a href=\"https:\/\/science2017.globalchange.gov\/chapter\/executive-summary\/\">Climate Science Special Report<\/a>. Human activities, especially the emission of greenhouse gases, are the main drivers of this change.<\/p>\n\n\n\n<p>\u201cAnd it\u2019s only going to get worse. So that\u2019s why we\u2019re sounding the alarm,\u201d said Holder.<\/p>\n<p>The post <a rel=\"nofollow\" href=\"https:\/\/publicintegrity.org\/environment\/hidden-epidemics\/florida-heat-illness-health-risks-farmworkers-elderly\/\">In Florida, worsening heat puts more people at risk<\/a> appeared first on <a rel=\"nofollow\" href=\"https:\/\/publicintegrity.org\/\">Center for Public Integrity<\/a>.<\/p>\n\n<p class=\"syndicated-attribution\">This post was originally published on <a href=\"https:\/\/publicintegrity.org\/environment\/hidden-epidemics\/florida-heat-illness-health-risks-farmworkers-elderly\/\">Center for Public Integrity<\/a>. <\/p>","protected":false},"excerpt":{"rendered":"<p>For more than two decades now, Jeannie Economos has been advocating for farmworkers\u2019 health. Pesticide exposure was her first focus. But for half that time, she\u2019s also zeroed in on deadly heat. \u201cIt gets hotter every summer,\u201d said Economos, coordinator of pesticide safety and environmental health at Farmworker Association of Florida. \u201cThis past summer was [\u2026]<\/p>\n<p>The post <a rel=\"nofollow\" href=\"https:\/\/publicintegrity.org\/environment\/hidden-epidemics\/florida-heat-illness-health-risks-farmworkers-elderly\/\">In Florida, worsening heat puts more people at risk<\/a> appeared first on <a rel=\"nofollow\" href=\"https:\/\/publicintegrity.org\/\">Center for Public Integrity<\/a>.<\/p>\n","protected":false},"author":1370,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3502],"tags":[],"_links":{"self":[{"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/posts\/17227"}],"collection":[{"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/users\/1370"}],"replies":[{"embeddable":true,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/comments?post=17227"}],"version-history":[{"count":1,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/posts\/17227\/revisions"}],"predecessor-version":[{"id":17228,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/posts\/17227\/revisions\/17228"}],"wp:attachment":[{"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/media?parent=17227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/categories?post=17227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiofree.asia\/wp-json\/wp\/v2\/tags?post=17227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}