{"id":10530,"date":"2015-05-04T11:02:16","date_gmt":"2015-05-04T16:02:16","guid":{"rendered":"https:\/\/college.unc.edu\/?p=10530"},"modified":"2024-07-02T16:07:27","modified_gmt":"2024-07-02T16:07:27","slug":"beattheheat","status":"publish","type":"post","link":"https:\/\/collegearchive.unc.edu\/?p=10530","title":{"rendered":"Doctoral student&#8217;s research is helping people beat the heat"},"content":{"rendered":"<figure id=\"attachment_10536\" aria-describedby=\"caption-attachment-10536\" style=\"width: 199px\" class=\"wp-caption alignright\"><a href=\"\/\/casdev.unc.edu\/collegearchive\/wp-content\/uploads\/sites\/44\/2015\/05\/maggiekovach.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10536\" src=\"\/\/casdev.unc.edu\/collegearchive\/wp-content\/uploads\/sites\/44\/2015\/05\/maggiekovach-199x300.jpg\" alt=\"Maggie Kovach\" width=\"199\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-10536\" class=\"wp-caption-text\">Maggie Kovach<\/figcaption><\/figure>\n<p>Every summer, thousands of North Carolinians rush to emergency departments with cramping, fainting, and severe dehydration caused by heat illnesses. To combat the number of people getting sick, <span class=\"caps\">UNC<\/span> researchers are improving\u00a0advice on how to cope with\u00a0heat.<\/p>\n<p>Research by Maggie Kovach, a geography PhD student at <span class=\"caps\">UNC<\/span>, and her advisor Charles Konrad, found that North Carolina\u2019s heat-illness patterns do not fit with the national understanding of heat illnesses, or recommendations on how to avoid getting\u00a0sick.<\/p>\n<p>Current National Weather Service advisories suggest high heat is more dangerous to the young and elderly in cities at extremely high temperatures. Kovach says what she found in North Carolina is different, and it is changing the way we think about heat\u00a0illnesses.<\/p>\n<p>In North Carolina, she says that middle-aged, rural people are at higher risk for getting sick at lower\u00a0temperatures.<\/p>\n<p>In response to her groundbreaking findings, Kovach is in the process of developing a website that will estimate the number of heat-related emergency department visits in North Carolina based on forecasted temperatures. This tool will give local public health officials the data they need to issue accurate advice on how to stay safe in the\u00a0heat.<\/p>\n<p>Heat illnesses include heat syncope, or fainting due to overheating, and heatstroke, when body temperature goes to dangerously high levels. Other illnesses, like diabetes, can also be made worse by high body\u00a0temperatures.<\/p>\n<p>Kovach says most heat-illness research comes from large, northern cities like Chicago that are not relevant to North Carolina\u2019s\u00a0geography.<\/p>\n<p>\u201cVulnerability changes depending on location,\u201d she says. \u201cYou need to look at a specific place to really understand what\u2019s going\u00a0on.\u201d<\/p>\n<p>Because of the urban <a href=\"http:\/\/www.epa.gov\/heatisland\/\">heat island effect<\/a>, heat advisories warn that people living in cities are at higher risk for heat illnesses. In North Carolina, however, Kovach\u2019s research shows that rural locations tend to have more cases of heat-related\u00a0illnesses.<\/p>\n<div id=\"main-inner\" class=\"main-inner inner clearfix\">\n<div id=\"main-group\" class=\"main-group row nested grid16-13\">\n<div id=\"main-group-inner\" class=\"main-group-inner inner\">\n<div id=\"main-content\" class=\"main-content row nested\">\n<div id=\"main-content-inner\" class=\"main-content-inner inner\">\n<div id=\"content-group\" class=\"content-group row nested grid16-8\">\n<div id=\"content-group-inner\" class=\"content-group-inner inner\">\n<div id=\"content-region\" class=\"content-region row nested\">\n<div id=\"content-region-inner\" class=\"content-region-inner inner\">\n<div id=\"content-inner\" class=\"content-inner block\">\n<div id=\"content-inner-inner\" class=\"content-inner-inner inner\">\n<div id=\"content-content\" class=\"content-content\">\n<div id=\"node-4176\" class=\"node odd full-node node-type-story\">\n<div class=\"inner\">\n<div class=\"content clearfix\">\n<p>Her research using data from North Carolina revealed that not only are rural communities at far more risk for heat-illnesses, but that unlikely demographics are at high risk\u00a0too.<\/p>\n<p>The <a href=\"http:\/\/www.weather.gov\/bgm\/heat\">National Weather Service<\/a> says that the elderly and infants are at higher risk for heat-illnesses. However, Kovach discovered that people in the 18 to 44 age range were the ones experiencing heat illness in North\u00a0Carolina.<\/p>\n<p>\u201cIn <span class=\"caps\">NC<\/span>, it\u2019s not the elderly or the young,\u201d she says. \u201cIt\u2019s people who work outside, it\u2019s people who are engaging in strenuous\u00a0activities.\u201d<\/p>\n<p>These were not the only abnormalities she found in North Carolina. Using temperature data from the respective dates, she found that after the temperature crossed 100 degrees, the number of heat-related emergency department visits\u00a0declined.<\/p>\n<p>\u201cWhen I first saw the decline,\u201d she says, \u201cI thought there was a problem with my program, and I spent a whole week going through the code trying to figure out where I went\u00a0wrong.\u201d<\/p>\n<p>Kovach thinks this trend may be because North Carolinians take extra precautions in extremely high temperatures, but not in slightly lower\u00a0temperatures.<\/p>\n<p>\u201cThis is really unusual,\u201d she says, \u201cbecause if you look at previous literature, every other study shows increases. North Carolina is different in that we have decline at the highest\u00a0temperatures.\u201d<\/p>\n<p>Kovach discovered the groundbreaking trends after she charted nearly 14,000 heat illnesses cases between 2007 and 2012 from <span class=\"caps\">NC<\/span> <span class=\"caps\">DETECT<\/span>, an <span class=\"caps\">NC<\/span> program that provides data on hospital emergency department visits from across the\u00a0state.<\/p>\n<p>Kovach says it would be difficult to recreate this research in another state, as getting hands on a comprehensive dataset like <span class=\"caps\">NC<\/span> <span class=\"caps\">DETECT<\/span>\u2019s is almost impossible anywhere\u00a0else.<\/p>\n<p>For Kovach, <span class=\"caps\">NC<\/span> <span class=\"caps\">DETECT<\/span> has allowed her to take her research to the next\u00a0level.<\/p>\n<p>She is creating a website for local public health officials that will predict how many heat-related illnesses North Carolina counties should expect. This summer, Kovach will be having conversations with public health officials about the\u00a0tool.<\/p>\n<p>So far, the program has been developed for Bladen County. Kovach\u2019s goal is to one day predict heat illness in all counties based on the\u00a0weather.<\/p>\n<p>\u201cThey can click on it and look at the temperatures for the next three or four days,\u201d Kovach says, \u201cand see if there\u2019s going to be an increase in heat illness or a decrease in heat\u00a0illness.\u201d<\/p>\n<p>Kovach says this knowledge is important because heat illness can be easily avoided by staying hydrated and cooling down often. There has already been a discussion about changing the National Weather Service\u2019s heat advisories to target younger, more active individuals. In North Carolina, heat advisories could be sent out at lower temperatures more often in rural\u00a0locations.<\/p>\n<p>In the future, Kovach is interested in focusing her research on migrant workers, who have a higher risk of dying from prolonged heat exposure. She hopes to secure funding for thermocons, small devices people can wear all day to collect their body temperature data.<\/p>\n<p>Migrant workers in fields, she says, are in particular danger because crop fields tend to have their own hotter microclimate. Some workers also sleep in hot barracks at night. Kovach says this continuous heat exposure can cause problems the following\u00a0day.<\/p>\n<p>In the fall, Kovach will continue research on climatic patterns on human health at Appalachian State University, where she will be a faculty member. There, she hopes to continue studying heat illnesses, as well as water-borne diseases and vector-borne diseases like Lyme\u00a0disease.<\/p>\n<p>Kovach\u2019s research has reshaped current thought about heat and health, and she says she enjoys using geography to understand topics like heat\u00a0illness.<\/p>\n<p>\u201cI like looking at all the different players,\u201d she says. \u201cI like looking at things at different scales\u2014a more realistic interpretation of the\u00a0world.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"content-bottom\" class=\"content-bottom row nested \">\n<div id=\"content-bottom-inner\" class=\"content-bottom-inner inner clearfix\">\n<div id=\"block-views-boilerplate-block_2\" class=\"block block-views even  grid16-8\"><em>Maggie Kovach is a geography PhD candidate in the College of Arts and Sciences. She is a <span class=\"caps\">UNC<\/span> Graduate School Impact Award winner and a recipient of an <span class=\"caps\">EPA<\/span> <span class=\"caps\">STAR<\/span> grant. She will be a faculty member at Appalachian State University in the\u00a0fall.<\/em><\/div>\n<div id=\"block-views-boilerplate-block_1\" class=\"block block-views odd  grid16-8\">\n<div class=\"inner clearfix\">\n<div class=\"content clearfix\">\n<div class=\"view view-boilerplate view-id-boilerplate view-display-id-block_1 boilerplate view-dom-id-c921bd272c72fcb29cff1da075fb2776\">\n<div class=\"view-content\">\n<div class=\"views-row views-row-1 views-row-odd views-row-first views-row-last\">\n<div class=\"views-field views-field-field-boilerplate-value\">\n<div class=\"field-content\">\n<p><em>Charles Konrad is a professor in the <span class=\"caps\">UNC<\/span> Geography Department in the College of Arts and\u00a0Sciences.\u00a0<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"sidebar-last\" class=\"sidebar-last row nested grid16-5\">\n<div id=\"sidebar-last-inner\" class=\"sidebar-last-inner inner clearfix\">\n<div id=\"block-views-layout-block_2\" class=\"block block-views odd first grid16-5 producer-layout\">\n<div class=\"inner clearfix\">\n<div class=\"content clearfix\">\n<div class=\"view view-layout view-id-layout view-display-id-block_2 view-dom-id-7491a3cf52876d707585678fff445413\">\n<div class=\"view-content\">\n<div class=\"views-row views-row-1 views-row-odd views-row-first views-row-last\">\n<div class=\"views-field views-field-field-layout-right-value\">\n<div class=\"field-content\">\n<div>\n<h2 class=\"writer\"><a href=\"http:\/\/endeavors.unc.edu\/beat_the_heat\"><em>By Ashita Gona, Endeavors magazine<\/em><\/a><\/h2>\n<\/div>\n<div class=\"view view-sidebars view-id-sidebars view-display-id-block_1 view-dom-id-9de63607c6bea4bfcda1f1a79f91e4da\">\n<div class=\"view-content\">\n<div class=\"views-row views-row-1 views-row-odd views-row-first views-row-last\">\n<div class=\"views-field views-field-title\">\n<h3><strong><span class=\"caps\">NC<\/span>\u00a0<span class=\"caps\">DETECT<\/span><\/strong><\/h3>\n<\/div>\n<div class=\"views-field views-field-field-kicker-value\"><\/div>\n<div class=\"views-field views-field-body\">\n<div class=\"field-content\">\n<ul>\n<li>The North Carolina Disease Event Tracking and Epidemiological Tool is housed here at <span class=\"caps\">UNC<\/span> and collects data from 122 <span class=\"caps\">NC<\/span>\u00a0hospitals.<\/li>\n<li>The program is managed by the <span class=\"caps\">UNC<\/span> Department of Emergency Medicine and the <span class=\"caps\">NC<\/span> Department of\u00a0Public\u00a0Health.<\/li>\n<li><span class=\"caps\">NC<\/span> <span class=\"caps\">DETECT<\/span> was created to protect against bioterrorism, but also serves rich dataset\u00a0for\u00a0researchers.<\/li>\n<li>The dataset includes the age, gender, diagnostic codes, zip code, and insurance information of patients, as well as the date and time of\u00a0their\u00a0visit.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"views-field views-field-field-boilerplate-value\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"view view-insert-audio view-id-insert_audio view-display-id-block_1 view-sidebars view-dom-id-2417ee72e416670e0dab70a876bce972\"><\/div>\n<div class=\"view view-insert-audio view-id-insert_audio view-display-id-block_2 view-sidebars view-dom-id-1c30812ec73b1bd2348e1e418619e9bf\"><\/div>\n<div class=\"view view-insert-audio view-id-insert_audio view-display-id-block_3 view-sidebars view-dom-id-33ed314e6338384f8f60062c579cdce5\"><\/div>\n<div class=\"view view-insert-audio view-id-insert_audio view-display-id-block_4 view-sidebars view-dom-id-84b5b749795dbcb906b0fbf9edd57e4f\"><\/div>\n<div class=\"view view-insert-audio view-id-insert_audio view-display-id-block_5 view-sidebars view-dom-id-cfb1fee57c3a0e2f3b2b5b57c64f5849\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"block-block-22\" class=\"block block-block even  last grid16-5 equal-heights\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>As  summer approaches, geography doctoral student Maggie Kovach is finding ways for North Carolinians to avoid getting sick from the sun.<\/p>\n","protected":false},"author":4,"featured_media":10538,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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