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      Looking at the gaps and program needs to address the impact on children of agricultural workers in Puerto Rico during and after public health emergencies

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          Recent increases in tropical cyclone intensification rates

          Tropical cyclones that rapidly intensify are typically associated with the highest forecast errors and cause a disproportionate amount of human and financial losses. Therefore, it is crucial to understand if, and why, there are observed upward trends in tropical cyclone intensification rates. Here, we utilize two observational datasets to calculate 24-hour wind speed changes over the period 1982–2009. We compare the observed trends to natural variability in bias-corrected, high-resolution, global coupled model experiments that accurately simulate the climatological distribution of tropical cyclone intensification. Both observed datasets show significant increases in tropical cyclone intensification rates in the Atlantic basin that are highly unusual compared to model-based estimates of internal climate variations. Our results suggest a detectable increase of Atlantic intensification rates with a positive contribution from anthropogenic forcing and reveal a need for more reliable data before detecting a robust trend at the global scale.
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            Social determinants of COVID-19 mortality at the county level

            As of August 2020, the United States is the global epicenter of the COVID-19 pandemic. Emerging data suggests that “essential” workers, who are disproportionately more likely to be racial/ethnic minorities and immigrants, bear a disproportionate degree of risk. We used publicly available data to build a series of spatial autoregressive models assessing county level associations between COVID-19 mortality and (1) percentage of individuals engaged in farm work, (2) percentage of households without a fluent, adult English-speaker, (3) percentage of uninsured individuals under the age of 65, and (4) percentage of individuals living at or below the federal poverty line. We further adjusted these models for total population, population density, and number of days since the first reported case in a given county. We found that across all counties that had reported a case of COVID-19 as of July 12, 2020 (n = 3024), a higher percentage of farmworkers, a higher percentage of residents living in poverty, higher density, higher population, and a higher percentage of residents over the age of 65 were all independently and significantly associated with a higher number of deaths in a county. In urban counties (n = 115), a higher percentage of farmworkers, higher density, and larger population were all associated with a higher number of deaths, while lower rates of insurance coverage in a county was independently associated with fewer deaths. In non-urban counties (n = 2909), these same patterns held true, with higher percentages of residents living in poverty and senior residents also significantly associated with more deaths. Taken together, our findings suggest that farm workers may face unique risks of contracting and dying from COVID-19, and that these risks are independent of poverty, insurance, or linguistic accessibility of COVID-19 health campaigns.
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              The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment

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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                07 November 2022
                2022
                : 10
                : 1046701
                Affiliations
                [1] 1Migrant Clinicians Network, Puerto Rico Office , San Juan, PR, United States
                [2] 2Migrant Clinicians Network, Environmental and Occupational Health , Salisbury, MD, United States
                Author notes

                Edited by: Bryan Weichelt, Marshfield Clinic Research Institute, United States

                Reviewed by: Joel Henrique Ellwanger, Federal University of Rio Grande do Sul, Brazil

                *Correspondence: Marysel Pagán-Santana mpagan@ 123456migrantclinician.org

                This article was submitted to Children and Health, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2022.1046701
                9677091
                36419994
                50387886-a29a-423a-8a44-2303153d983f
                Copyright © 2022 Pagán-Santana, Liebman and López-Correa.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 September 2022
                : 19 October 2022
                Page count
                Figures: 0, Tables: 1, Equations: 0, References: 21, Pages: 4, Words: 2674
                Funding
                Funded by: National Institute for Occupational Safety and Health, doi 10.13039/100000125;
                Award ID: U54OH009568
                Categories
                Public Health
                Opinion

                puerto rico,farmworkers,children,climate,emergencies
                puerto rico, farmworkers, children, climate, emergencies

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