Hurricane sandy increased incidents of heart attacks, stroke in hardest hit New Jersey counties

Heart attacks and strokes are more likely to occur during extreme weather and natural disasters such as earthquakes and floods. Researchers at the Cardiovascular Institute of New Jersey at Rutgers Robert Wood Johnson Medical School have found evidence that Hurricane Sandy, commonly referred to as a superstorm, had a significant effect on cardiovascular events, including myocardial infarction (heart attack) and stroke, in the high-impact areas of New Jersey two weeks following the 2012 storm. The study, led by Joel N. Swerdel, MS, MPH, an epidemiologist at the Cardiovascular Institute and the Rutgers School of Public Health, was published in the Journal of the American Heart Association.

Utilizing the Myocardial Infarction Data Acquisition System (MIDAS), the researchers examined changes in the incidence of and mortality from myocardial infarctions and strokes from 2007 to 2012 for two weeks prior to and two weeks after October 29, the date of Hurricane Sandy. MIDAS is an administrative database containing hospital records of all patients discharged from non-federal hospitals in New Jersey with a cardiovascular disease diagnosis or invasive cardiovascular procedure.

In the two weeks following Hurricane Sandy, the researchers found that in the eight counties determined to be high-impact areas, there was a 22 percent increase in heart attacks as compared with the same time period in the previous five years. In the low impact areas (the remaining 13 counties), the increase was less than one percent. 30-day mortality from heart attacks also increased by 31 percent in the high-impact area.

"We estimate that there were 69 more deaths from myocardial infarction during the two weeks following Sandy than would have been expected. This is a significant increase over typical non-emergency periods," said Swerdel. "Our hope is that the research may be used by the medical community, particularly emergency medical services, to prepare for the change in volume and severity of health incidents during extreme weather events."

In regard to stroke, the investigators found an increase of 7 percent compared to the same time period in the prior five years in areas of the state impacted the most. There was no change in the incidence of stroke in low-impact areas. There also was no change in the rate of 30-day mortality due to stroke in either the high- or low-impact areas.

"Hurricane Sandy had unprecedented environmental, financial and health consequences on New Jersey and its residents, all factors that can increase the risk of cardiovascular events," said John B. Kostis, MD, director of the Cardiovascular Institute of New Jersey and associate dean for cardiovascular research at Rutgers Robert Wood Johnson Medical School. "Increased stress and physical activity, dehydration and a decreased attention or ability to manage one's own medical needs probably caused cardiovascular events during natural disasters or extreme weather. Also, the disruption of communication services, power outages, gas shortages, and road closures, also were contributing factors to efficiently obtaining medical care."

Journal Reference:

J. N. Swerdel, T. M. Janevic, N. M. Cosgrove, J. B. Kostis. The Effect of Hurricane Sandy on Cardiovascular Events in New Jersey. Journal of the American Heart Association, 2014; 3 (6): e001354 DOI: 10.1161/JAHA.114.001354

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Appearance of night-shining clouds has increased

First spotted in 1885, silvery blue clouds sometimes hover in the night sky near the poles, appearing to give off their own glowing light. Known as noctilucent clouds, this phenomenon began to be sighted at lower and lower latitudes -- between the 40th and 50th parallel -- during the 20th century, causing scientists to wonder if the region these clouds inhabit had indeed changed -- information that would tie in with understanding the weather and climate of all Earth.

A NASA mission called Aeronomy of Ice in the Mesosphere, or AIM, was launched in 2007 to observe noctilucent clouds, but it currently only has a view of the clouds near the poles. Now scientists have gathered information from several other missions, past and present, and combined it with computer simulations to systematically show that the presence of these bright shining clouds have indeed increased in areas between 40 and 50 degrees north latitude, a region which covers the northern third of the United Sates and the lowest parts of Canada. The research was published online in the Journal of Geophysical Research: Atmospheres on March 18, 2014.

"Noctilucent clouds occur at altitudes of 50 miles above the surface -- so high that they can reflect light from the sun back down to Earth," said James Russell, an atmospheric and planetary scientist at Hampton University in Hampton, Va., and first author on the paper. "AIM and other research has shown that in order for the clouds to form, three things are needed: very cold temperatures, water vapor and meteoric dust. The meteoric dust provides sites that the water vapor can cling to until the cold temperatures cause water ice to form."

To study long-term changes in noctilucent clouds, Russell and his colleagues used historical temperature and water vapor records and a validated model to translate this data into information on the presence of the clouds. They used temperature data from 2002 to 2011 from NASA's Thermosphere Ionosphere Mesosphere Energetics and Dynamics, or TIMED, mission and water vapor data from NASA's Aura mission from 2005 to 2011. They used a model previously developed by Mark Hervig, a co-author on the paper at GATS, Inc., in Driggs, Idaho.

The team tested the model by comparing its output to observations from the Osiris instrument on the Swedish Odin satellite, which launched in 2001, and the SHIMMER instrument on the U.S. Department of Defense STPSat-1 mission, both of which observed low level noctilucent clouds over various time periods during their flights. The output correlated extremely well to the actual observations, giving the team confidence in their model.

The model showed that the occurrence of noctilucent clouds had indeed increased from 2002 to 2011. These changes correlate to a decrease in temperature at the peak height where noctilucent clouds exist in the atmosphere. Temperatures at this height do not match temperatures at lower levels -- indeed, the coldest place in the atmosphere is at this height during summertime over the poles -- but a change there certainly does raise questions about change in the overall climate system.

Russell and his team will research further to determine if the noctilucent cloud frequency increase and accompanying temperature decrease over the 10 years could be due to a reduction in the sun's energy and heat, which naturally occurred as the solar output went from solar maximum in 2002 to solar minimum in 2009.

"As the sun goes to solar minimum, the solar heating of the atmosphere decreases, and a cooling trend would be expected," said Russell.

NASA's Goddard Space Flight Center in Greenbelt, Md. manages the TIMED mission for the agency's Science Mission Directorate at NASA Headquarters in Washington. The spacecraft was built by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.

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