News release

From: Public Health Association of Australia

1 in 15 ACT Emergency Department visits linked to extreme weather

A new study published today shows extreme hot and cold temperatures are sending thousands of Canberrans to emergency departments each year, and experts warn climate change will only make things worse in the Australian Capital Territory (ACT).

The research, led by the Australian National University (ANU) and published in the Australian and New Zealand Journal of Public Health, is the first to examine how extreme temperatures affect emergency department (ED) presentations in the territory, a region known for its cold winters and hot summers.

Researchers analysed historical weather and hospital emergency department data to determine how temperature has affected past ED visits, and used climate change scenarios to predict how future demand is likely to change.

They found that almost 36,000 ED presentations between 2000 and 2021 were linked to heat, representing 1 in 40 (2.5%) of all visits. That number is projected to increase up to 90,000 presentations (2.7% of all ED visits) between 2040 and 2061 as the climate continues to warm.

Cold weather in the ACT has typically caused more ED presentations. More than 57,600 ED presentations (4%) over the two decades analysed were associated with cold conditions. While the share of cold-related presentations is expected to fall as winters warm, cold exposure is still projected to drive over 81,000 visits between 2040 and 2061.

“Our research found that ED presentations in the ACT increased when temperatures were high, as well as when temperatures dropped below 14 degrees. Extreme weather accounted for about 1 in 15 ED visits,” says Dr Michael Tong from ANU, the study’s lead author.

Experts say that the study not only offers a warning about how climate change will impact Canberrans’ health and the need for the health system to adapt, but also a reminder for those at risk to take care.

“Our research showed that young people under 20 are significantly more likely to end up in hospital emergency department on hot days, usually on the day itself. Likewise, adults aged 20 – 60 were at increased risk on both extreme and moderate heat days.

“People aged over 60 were more likely to end up in hospital emergency department after extreme cold weather, but also are still vulnerable during heatwaves.”

Prof Hilary Bambrick, Director of ANU National Centre for Epidemiology and Population Health, reinforces warnings that climate change is presenting one of our biggest public health challenges.

“This study shows that even a small increase in local temperature can make people unwell, and this intensifies pressure on our hospitals.

“How we stay safe in a hotter climate and how we ensure our health systems can cope with additional load are now urgent priorities.”

During heat waves, ACT residents should:

- Stay hydrated – always make sure you have water with you

- Plan – schedule outdoor activities for the coolest part of the day (early morning and evening) when UV levels are also likely to be lower, also reducing the risk of sunburn

- Stay sun safe – wear loose, cool clothing made from natural fabrics, wear a broadbrim hat, use sunscreen, seek shade, and slide on sunglasses

- Stay cool – seek out air conditioning, take cool showers, and use a fan

- Beware of hot cars – never leave kids, adults, or pets in a parked car unattended

- Be heat aware – Watch out for heat related symptoms, and seek medical care if unwell

- Help others – check in on those most at risk including your friends, family and neighbours