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Environmental Health: Climate, Health & Equity Subcommittee

CSTE brought together a group of epidemiologists to establish the State Environmental Health Indicators Collaborative (SEHIC) in 2004 with the purpose of creating environmental public health indicators for surveillance. Current literature documents the potential adverse human health impacts presented by climate change. The climate change subcommittee was formed to develop climate change indicators for state health departments.

CSTE Climate, Health, & Equity Resources

Climate & Health Indicators

CSTE’s climate and health indicators support climate and health surveillance and assessment by utilizing relevant existing data sources to summarize the health effects of climatic conditions.


Cold-Related Illness Query: Guidance for Implementing Cold-Related Illness Syndromic Surveillance in Public Health Practice

In 2018, CSTE’s Climate, Health & Equity Subcommittee formed a workgroup to create a cold-related illness (CRI) standardized CRI syndrome definition (query) and implementation guidance. The CRI definition has been implemented in NSSP's ESSENCE and associated documentation is also available on the NSSP CoP Knowledge Repository. A success story on this work was published by the NSSP CoP and can be read here.


Syndromic Surveillance Climate and Health Guidance Document

In 2016, a workgroup came together to encourage surveillance of climate-related health impacts by developing a general instruction on how a jurisdiction may use their syndromic surveillance systems for climate and health surveillance. The guidance document provides instruction in five areas: (1) identifying a weather- or climate-related surveillance outcome, (2) developing a syndrome case definition, (3) combining, externally and internally, syndromic surveillance data with environmental data, (4) interpretation and display of data, and (5) engaging with partners. The final section of the document discusses the strengths and limitations of adding data from a syndromic surveillance system to climate and health surveillance.


Heat Syndrome Case Definition Guidance Document

In 2014, a workgroup convened develop guidance for implementing syndromic surveillance of illness associated with exposure to environmental (i.e., natural) heat. The report aims to (1) provide a novel syndromic surveillance query for heat related illness (HRI) and (2) provide guidance to public health professionals as they adapt the query and implement an HRI syndromic surveillance program in their own jurisdictions.


For more information about the Climate, Health, & Equity Subcommittee and its activities, please contact Alesha Thompson. Click here to view other environmental health activities.

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