1. Developing a harmonized heat warning and information system for Ontario: a case study in collaboration
- Author
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Carol Mee, Helen Doyle, Abderrahmane Yagouti, Stephanie Gower, Anna Yusa, Melissa MacDonald, Kevin Behan, Hong Chen, Dave Henderson, Greg Rochon, Jay Storfer, Louise Aubin, Mira Shnabel, and Gregory R.A. Richardson
- Subjects
medicine.medical_specialty ,010504 meteorology & atmospheric sciences ,Process (engineering) ,Innovations in Policy and Practice ,Intervention en santé publique ,Harmonization ,01 natural sciences ,Public health intervention ,Système d’avertissement météorologique ,Extreme heat ,03 medical and health sciences ,0302 clinical medicine ,Information system ,medicine ,Chaleur extrême ,Humans ,030212 general & internal medicine ,Cooperative Behavior ,0105 earth and related environmental sciences ,Ontario ,Government ,Warning system ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Extreme Heat ,General Medicine ,Public relations ,Collaboration ,Organizational Case Studies ,Public Health Practice ,Christian ministry ,business ,Weather warning system ,Information Systems - Abstract
Background Heat wave early warning systems help alert decision-makers and the public to prepare for hot weather and implement preventive actions to protect health. Prior to harmonization, public health units across Ontario either used independent systems with varying methodologies for triggering and issuing public heat warnings or did not use any system. The federal government also issued heat warnings based on different criteria. During heat events, adjacent public health units in Ontario and the federal government would routinely call heat warnings at different times with separate public messages, leading to confusion. This article describes the collaborative process and key steps in developing a harmonized Heat Warning and Information System (HWIS) for Ontario. Setting Public health units across Ontario, Canada, collaborated with the federal and provincial government to develop the harmonized HWIS for Ontario. Intervention In 2011, stakeholders identified the need to develop a harmonized system across Ontario to improve heat warning services, warning criteria, and health messaging. Through a 5-year process facilitated by a non-governmental organization, the three levels of government collaborated to establish the Ontario HWIS. Outcomes The province-wide HWIS was implemented in 2016 with the Ontario Ministry of Health and Long-Term Care’s release of the harmonized HWIS Standard Operating Practice, which outlined the notification and warning process. Implications The lessons learned could help spur action in other provinces and jurisdictions internationally in the development of similar health evidence-based warning systems, including in particular those for protecting public health during extreme heat events.
- Published
- 2019