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Developing a Healthy Environment Assessment Tool (HEAT) to Address Heat-Health Vulnerability in South African Towns in a Warming World.


ABSTRACT: Prolonged exposure to high temperatures can cause heat-related illnesses and accelerate death, especially in the elderly. We developed a locally-appropriate Healthy Environment Assessment Tool, or 'HEAT' tool, to assess heat-health risks among communities. HEAT was co-developed with stakeholders and practitioners/professionals from the Rustenburg Local Municipality (RLM), a setting in which heat was identified as a risk in an earlier study. Feedback was used to identify vulnerable groups and settings in RLM, consider opportunities and barriers for interventions, and conceptualize a heat-health vulnerability assessment tool for a heat-resilient town. Using information provided by the RLM Integrated Development Plan, the HEAT tool was applied in the form of eight indicators relating to heat-health vulnerability and resilience and areas were evaluated at the ward level. Indicators included population, poverty, education, access to medical facilities, sanitation and basic services, public transport, recreation/community centres, and green spaces. Out of 45 wards situated in the municipality, three were identified as critical risk (red), twenty-eight as medium-high risk (yellow), and six as low risk (green) in relation to heat-health vulnerability. Short-term actions to improve heat health resilience in the community were proposed and partnerships between local government and the community to build heat health resilience were identified.

SUBMITTER: Wright CY 

PROVIDER: S-EPMC9957206 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Developing a Healthy Environment Assessment Tool (HEAT) to Address Heat-Health Vulnerability in South African Towns in a Warming World.

Wright Caradee Y CY   Mathee Angela A   Goldstone Cheryl C   Naidoo Natasha N   Kapwata Thandi T   Wernecke Bianca B   Kunene Zamantimande Z   Millar Danielle A DA  

International journal of environmental research and public health 20230206 4


Prolonged exposure to high temperatures can cause heat-related illnesses and accelerate death, especially in the elderly. We developed a locally-appropriate Healthy Environment Assessment Tool, or 'HEAT' tool, to assess heat-health risks among communities. HEAT was co-developed with stakeholders and practitioners/professionals from the Rustenburg Local Municipality (RLM), a setting in which heat was identified as a risk in an earlier study. Feedback was used to identify vulnerable groups and set  ...[more]

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