Institut national de santé publique du Québec, 945 Wolfe, Quebec (Quebec), G1V 5B3, Canada.
Int J Health Geogr. 2011 May 25;10:39. doi: 10.1186/1476-072X-10-39.
Every year, many deaths or health problems are directly linked to heat waves. Consequently, numerous jurisdictions around the world have developed intervention plans that are employed during extreme heat events; beyond their emergency sections, these plans generally include preventive measures to be implemented each year. Over the last five years, local and regional information systems have been implemented in a few Canadian cities for surveillance purposes. However, until recently, no such systems existed at the provincial level. In the context of the Government of Quebec's 2006-2012 Action Plan on Climate Change, a real-time integrated system for the surveillance and monitoring of extreme heat events has been implemented on a provincial level. The system is a component of a broader approach that would also monitor the public health impacts of all types of extreme meteorological events.
After conducting a detailed needs analysis, the Quebec National Institute for Public Health developed and implemented an integrated web application leveraging open source software for the real-time Surveillance and Prevention of the impacts of Extreme Meteorological Events on public health, called the SUPREME system. Its first field use involved heat waves. This decision-support system is based on open source software and is composed of four modules: (1) data acquisition and integration, (2) risk analysis and alerts, (3), cartographic application, and (4) information dissemination - climate change and health portal. The system is available to health specialists through a secure web information portal and provides access to weather forecasts, historic and real-time indicators (including deaths and hospital admissions), alerts and various cartographic data used for conducting prevention activities and launching emergency measures.
The SUPREME system was implemented and used during the summer of 2010. It served as an important decision-making tool during the July 2010 heat wave in the province of Quebec, Canada. Planned improvements for 2011 include the integration of data related to other risk factors for other extreme events to the system. The next steps will be to provide access to the application to other groups of specialists that are involved in the prevention, monitoring, or analysis of extreme meteorological events and their effects on community health and well-being.
每年，许多死亡或健康问题都直接与热浪有关。因此，世界上许多司法管辖区都制定了在极端高温事件中使用的干预计划；除了紧急部分外，这些计划通常还包括每年实施的预防措施。在过去五年中，加拿大的一些城市已经实施了当地和区域信息系统，用于监测目的。然而，直到最近，省级层面还没有这样的系统。在魁北克省政府 2006-2012 年气候变化行动计划的背景下，一个省级实时综合系统已经被用于监测和监测极端高温事件。该系统是更广泛方法的一个组成部分，还将监测所有类型极端气象事件对公共健康的影响。
在进行详细的需求分析后，魁北克国家公共卫生研究所开发并实施了一个基于开源软件的实时集成网络应用程序，用于监测和预防极端气象事件对公共健康的影响，称为 SUPREME 系统。该系统的首次实地应用涉及热浪。这个决策支持系统基于开源软件，由四个模块组成：（1）数据采集和集成，（2）风险分析和警报，（3）制图应用，以及（4）信息传播-气候变化与健康门户。该系统通过安全的网络信息门户提供给卫生专家使用，提供天气预测、历史和实时指标（包括死亡和住院）、警报和各种制图数据，用于开展预防活动和启动紧急措施。
SUPREME 系统于 2010 年夏季实施并使用。在 2010 年 7 月加拿大魁北克省的热浪期间，它是一个重要的决策工具。2011 年计划的改进包括将与其他极端事件风险因素相关的数据集成到系统中。下一步将是向参与预防、监测或分析极端气象事件及其对社区健康和福祉影响的其他专家组提供对该应用程序的访问。
