1. Heat health watch warning system and communication in Hungary Krisztina Kishonti Krisztina Kishonti, A. Páldy, J. Bobvos National Institute of Environmental Health National Public Health and Medical Officer’s Service

2. -3-year project (2003-2005) NIEHNPHMOS NMS - In Hungary: „József Fodor” National Centre for Public Health, National Institute of Environmental Health (NIEH), NPHMOS and the National Meteorological Service (NMS) assess the association provide information - Aim of the Project is to assess the association between weather and acute health effects (Daily mortality and hospital admission) during warm season in Europe and to provide information for public health policy on preventive and adaptive actions.PHEWE (EU/QLKA-CT-2001-00152 Sz)

6. Preparation of the meteorological data Analyse of the mortality data Analyse of the hospital admission data Disturbing effects of the air pollutants Heat warning system (London, Paris, Roma, Barcelona, Budapest Budapest) Application in public health

7. Heat-wave communication on abroad USA - Weather-health forecast system in the big cities - Hot Weather Response Plan in Toronto, Canada - “How to beat the heat” Uses likelihood method Emergency >90% Alert >65%

8. Heat-wave communication on abroad Rome, Italy Heat health watch warning system -“Heat health watch warning system” based on an Italian system, since 2002 - In eight Italian towns Communication - Alert publications for the local governments and health authorities - Advice for the public and people with special diseases -Telephone assistance service for 24 hours a day - Regular check in calls; home delivery of food and medicine, other servicesFuture HHWWS -Improve technical capacity of HHWWS -Strengthen prevention programs

9. Heat-wave communication on abroad France Heat wave plan - define the vulnerable groups and local governments who responsible for them - regular information for the public by Météo France - set up alert level based on the evaluation of the temperature (measured in the last 30 years), morbidity data then assess the most vulnerable groups. - high co-operation between the competent institutes

10. France Emergency – four levels - Alertness – check the accessibility of the vulnerable groups, Informative advice - Alarm – local governments lead their crisis plan - Intervention - local governments interfer and operate telephone assistance for 24 hours a day - Implementation – intervention of media, army, ambulance in case of threatening the public. Heat-wave communication on abroad

11. Heat-wave communication in Hungary University in Bermingham PHEWE website – warning system by email National Institute of Environmental Health National Meteorological Service in Hungary NPHMOS in Budapest, Hungary Decision - Warning NIEH, National Centre for Public Health, Communication Department Havaria Press Measurement based on 179/1999 (XI.10), NCPH

12. Heat-wave communication in Hungary Heat health watch warning system Three levels Attention (1. level) for internal use: temperature is 25 Celsius degree or more daily Readiness (2. level) for the public: temperature is 25 Celsius degree or more after three consecutive days and 27 Celsius degree for one day, at least. Alarm (3. level): temperature is 27 Celsius degree after 3 consecutive days=> equal to the 179/1999 (XI.10) EXTREME WEATHER CONDITION

13. Heat-wave communication in Hungary posters Leaflets, posters for local authorities, GP’s, pharmacies, public schools Young – sun cream, liquid and white-coloured clothes during sport activities

14. Elder – drink 2 litres a day special attention who takes diuretics medicine, be cool places

15. Mother and small children – drink 2 litres a days, sun cream, don’t walk children in heat

16. Heat-wave communication in Hungary NETWORK NETWORK which informtake care of the patients 1., inform the local authorities to take care of the patients having increased social risk pay more attention to vulnerable groups 2., warn GP’s to pay more attention to vulnerable groups informative presentations teachers 3., hold informative presentations about heat stress taking into consideration teachers keep media interested by articles on heat wave newspapers 4., keep media interested by informative articles on heat wave for the daily, monthly newspapers read most frequent 5., start campaign at the beginning of the season each year Free green line 6., Free green line in Budapest and in the counties

17. Thank you for your attention!