An Integrated Information System ……..Informs early warning to early action

1. US GEO Proposal for Integrated Information Systems for Health An Integrated Information System ……..Informs early warning to early action The systematic collection and analysis of relevant information about and coming from areas of impending risk that:  • Inform the development of strategic responses to anticipate risks and opportunities and their evolution; and • Communicate options to critical actors for the purposes of decision-making and response

2. An Integrated Information System Mutual priorities, resource dependencies and responsibilities Observations, Monitoring & Prediction: Interdisciplinary research, applications, and assessments: Integrated Information Systems: Preparedness and Resilience Engaging Preparedness & Adaptation Communities: Communication and Outreach:

3. Components of a Cholera Early Warning System Population Demographics, Transportation and Migration Risk Analysis, Vulnerability Assessment Additional Sampling, Sensing Expert Assessment Epidemiological Surveillance Disease Watch Early Warning Response Strategy Predictive Models Ocean, Climate and Environmental Observation, Monitoring and Forecasts Communication and Action Evaluation and Feedback Social and Behavioral Factors Trtanj, J., J Davis and T. Collier 2013

4. Building Integrated Health Health Information Systems To provide a suite of decision support services that better serve public health needs to prepare and respond • Extreme heat events will be more frequent and more intense in the future (IPCC) • Collaboration among climate and public health communities defines demand and enables use of Heat Health forecasts and other information • research, earth observations, prediction, and communication capabilities underpin NIHHIS – from weather to climate time scales • In the US, NOAA CPO, NWS, NCEI-Partnering with Centers for Disease Control (NIH, USDA) • Summit held in October 2014, International Workshop July 2015 The US is starting to build the National Integrated Heat Health Information System—weaving together existing pieces, identifying gaps and filling them

5. Components of a National Integrated Heat Health Information System Integrated Information Impacts and Assessments Monitoring, Observation, and Forecasting INTEGRATED INFORMATION Communication and Outreach Planning and Preparedness

6. A National Integrated Heat Health Information System NOAA’s research programs and expertise help the nation understand, anticipate and respond to increased heat waves and heat-related events Define Demand Improve Forecasts Observe & Monitor NOAA sustains engagement between climate and public health communities to identify needs, develop solutions, and inform decisions. • RISA and Heat Health In New York City: www.CCRUN.org In North Carolina: www.CISA.SC.edu In Arizona: www.CLIMAS.arizona.edu • CDC Climate and Health Program: www.CDC.gov/climateandhealth NOAA works to sustain observations that support improved understanding of the role of climate on extreme heat and enhance operational efforts. NOAA works to improve current heat forecasts based on user need and to extend heat projections from weeks to months and beyond. Crafting an integrated information system • Climate Variability & Predictability Program (CVP): bit.ly/AboutCVP • Modeling, Analysis, Predictions, & Projections Program (MAPP): bit.ly/MAPPprojects • Madden-Julian Oscillation: bit.ly/MJOandTemp • Climate Prediction Center Temperature Outlooks: www.CPC.NCEP.NOAA.gov • Climate Observations and Monitoring (COM): bit.ly/ClimateObs • CDC National Environmental Public Health Tracking Program: bit.ly/CDC-NEHTP Monitoring, Observation, and Forecasting Impacts and Assessments INTEGRATED INFORMATION Understand & Communicate Communication and Outreach Planning and Preparedness NOAA research enhances understanding and impact of extreme heat events across time scales, builds capacity across climate and public health communities, and develops timely and accessible communication tools to inform preparedness and adaptation. To make the best decisions, stakeholders need access to more than just one piece of the puzzle. Integrated Information Systems are designed to evolve over time, offer opportunities for diverse participation, and integrate what we learn through practice. • U.S. Climate Resilience Toolkit and Human Health:toolkit.climate.gov/topics/human-health • Regional Integrated Sciences and Assessment (RISA): bit.ly/CPORISA • Coastal and Ocean Climate Applications Program (COCA): bit.ly/CPO-COCA

7. GFCS Approach: Core Pillars and Initial Priority Areas Water Resources Food Security/Agriculture Human Health Disaster Risk Reduction

8. Workshop on the Development of Climate Services for Heat Health Information Systems: Assessing Knowledge, Needs and the Path Forward July 28-30, 2015 Chicago, Illinois • Goal: To explore lessons learned and best practices in order to develop a climate services pathway for Integrated Heat Health Information Systems • characterizing prediction parameters and effectiveness of existing heat health early warning systems; • understanding heat exposure outcomes across seasonal to decadal timescales; • identifying useful methodologies for producing, issuing and communicating warnings and alerts and their potential for use on climate time scales. • Deutscher Wetterdienst (DWD), NOAA (NWS/CSD, CPC, NESDIS/NCEI, OAR/CPO), CDC, WMO, Global Framework on Climate Services (GFCS)

9. Other Ideas for Health Focus Area • Stronger integration with Water team • Malaria Model Intercomparison • Links to Disaster community and be a resource for coordination for information during disasters—but not turning into Incident Command structure! • Facilitating climate training for health professionals with GFCS • Strengthen connections with SERVIR • Leverage GEOSS Americas for health • Reinvigorate CoP

10. NOAA-CDC Heat Health SummitSilver Spring, MD – October 28-30, 2014 Weather, climate and health communities benefit from sharing data, tools, and expertise that support our shared interest and missions in protecting life. • Participants • NOAA , CDC, OSHA, EPA, and DOE; state and local health departments; and NOAA funded cooperative science centers, Health Canada, Environment Canada, and the International Association for Urban Climate • Discussions • Understanding decision making contexts – health decisions on preparedness and response, and the Weather Forecast Office decision making process to issue a heat Watch, Warning or Advisory • Data availability and compatibility – need for better access to health data. • The need for consistency in—National application, local context • Methodologies for issuing heat forecasts • Common messaging and outreach efforts • Statistical methodology to examine the association of extreme heat and a broad range of health outcomes • Reporting of heat-related fatalities across federal, state and local agencies

11. NOAA-CDC Heat Health SummitSilver Spring, MD – October 28-30, 2014 • Outcomes & Next Steps • Commitment to move forward with a focus on collaborations and partnerships between the weather forecast and public health communities. • Joint outreach and communications plans • Collaborative research efforts to investigate the utility of extended heat forecasts • Pilot Projects to identify appropriate heat parameter for exposure and health outcome, and test forecast methodologies • Meeting with international partners to compare methods and lessons learned and extend to climate time scales