Preparing for a hotter climate: A systematic review and meta-analysis of heatwaves and ambulance callouts in Australia

Abstract

Abstract Objective: The objective of this study was to quantify the impact of heatwaves on likelihood of ambulance callouts for Australia. Methods: A systematic review and meta-analysis was conducted to retrieve and synthesise evidence published from 1 January 2011 to 31 May 2023 about the association between heatwaves and the likelihood of ambulance callouts in Australia. Different heatwave definitions were used ranging from excess heat factor to heatwave defined as a continuous period with temperatures above certain defined thresholds (which varied based on study locations). Results: We included nine papers which met the inclusion criteria for the review. Eight were eligible for the meta-analyses. The multilevel metaanalyses revealed that the likelihood of ambulance callouts for all causes and for cardiovascular diseases increased by 10% (95% confidence interval: 8%, 13%) and 5% (95% confidence interval: 1%, 3%), respectively, during heatwave days. Conclusions: Exposure to heatwaves is associated with an increased likelihood of ambulance callouts, and there is a dose–response association between heatwave severity and the likelihood of ambulance callouts. Implications for public health: The number of heatwave days are going to increase, and this will mean an increase in the likelihood of ambulance callouts, thereby, spotlighting the real burden that heatwaves place on our already stressed healthcare system. The findings of this study underscore the critical need for proactive measures, including the establishment of research initiatives and holistic heat health awareness campaigns, spanning from the individual and community levels to the healthcare system, in order to create a more resilient Australia in the face of heatwave-related challenges. Key words: excess heat factor, ambulance services, heatwave action