The link between climate change and health outcomes would be direct, but there would be steps where climate change gradually affects health outcomes. A problem is to operationalize/define a proxy of variables that are described in high-level (or vague) language, for example, "significant impact." This factor can either be a moderator or simply dichotomized meteorological variable(s).
What is the existing mechanism for mediators between climate change to health outcomes?
How is actual "hazard" of extreme weather measured?
FEMA hazard declaration and individual assistance
Emergency fund spent at jurisdiction level (e.g., county)
FEMA data: Ripple or spatial spillover effect of a local impact of extreme weather events
NOAA HMS smoke data: actual spatial extent and its duration of wildfire events
Combined: three-level climate effect -- frequency and duration of observable events, actual damage in immediate neighborhood (circular buffer or census tract), and in distant neighborhood (e.g., large circular buffer, nth order neighboring county)
TODO
FEMA data cleaning: point-census tract-county level summaries by hazard types
NOAA HMS data conversion: vector to 500m or 1km raster (keeping spatial and temporal information intact)
Smoke exposure has low variability in North Carolina, where most of the participants reside
FEMA data include details of damage, housing type, insurance coverage status, etc.; however, records are meaningfully available in hurricane and severe storm (esp. 2010-2015) categories
NOAA storm damage dataset includes start-end location and time, type of storm events, and spatial range of storm events (for example, a figure below on all storm events with >0 mi. radius in 2019).
First Street Foundation data reflects potential risk; will be included in the main model but will not serve as a primary variable in hypothesis tests
Literature often selected remarkable extreme weather events then operationalized exposures as frequency (i.e., event-based; once, twice, ...). It is viable to use spatiotemporal change in frequency and severity of storms.
TODO
Classifying preexisting negative mental health status from PEGS cohort
Storms are the most common and pronounced extreme weather events in NC; will focus on these
Hurricane as a separate binary variable or inclusive of all storm exposures?