RT Journal Article SR Electronic T1 The relationship between temperature and ambulance response calls for heat-related illness in Toronto, Ontario, 2005 JF Journal of Epidemiology and Community Health JO J Epidemiol Community Health FD BMJ Publishing Group Ltd SP jech.2009.101485 DO 10.1136/jech.2009.101485 A1 Kate L Bassil A1 Donald C Cole A1 Rahim Moineddin A1 Wendy Lou A1 Alan M Craig A1 Brian Schwartz A1 Elizabeth Rea YR 2010 UL http://jech.bmj.com/content/early/2010/11/21/jech.2009.101485.abstract AB Background Concern over the adverse effects of heat on human health has led to numerous studies assessing the relationship between heat and mortality. Few studies have quantified the impact of heat on morbidity, including ambulance response calls. This study describes the association between temperature and ambulance response calls for heat-related illness (HRI) in Toronto, Ontario, Canada during the summer of 2005.Methods Data sources included daily temperature, relative humidity and humidex information from Environment Canada, and Medical Priority Dispatch System data from Toronto Emergency Medical Services. Time series and regression analyses were used to examine the relationship between daily temperature and ambulance response calls for HRI during the summer (1 June to 31 August) of 2005.Results In 2005, there were 201 ambulance response calls for HRI. On average, for every one degree increase in maximum temperature (°C) there was a 29% increase in ambulance response calls for HRI (p<0.0001). For every one degree increase in mean temperature (°C) there was a 32% increase in ambulance response calls for HRI (p<0.0001).Conclusions Given these associations, we urge further exploration of ambulance response calls as a source of HRI morbidity data particularly given the increasing health concerns associated with climate change.