Hospital admission tendencies caused by day-to-day temperature changes during summer: a case study for the city of Novi Sad (Serbia).

Increased temperature risk in cities threatens the health and well-being of urban population and is fueled by climate change and intensive urbanization. Consequently, further steps must be taken for assessing temperature conditions in cities and their association with public health, in order to improve public health prevention at local or regional level. This study contributes to solving the problems by analyzing the connection between extreme temperatures and the tendencies of all-cause hospital admissions. The analyses used (a) 1-h air temperature data, and (b) daily data of all-cause hospital admissions. The datasets include the summer period (June, July, August) for the years 2016 and 2017. We tested the effects of two temperature indices, day-to-day change in maximum temperature - Tmax,c and daily temperature range - Tr, with all-cause hospital admission subgroups, such as all-cause cases - Ha, hospital admissions in the population below 65 - Ha<65, and hospital admissions in the population aged 65 and over - Ha≥65. The results show the highest values of Ha when Tmax,c is between 6 and 10 °C. Therefore, more intensive hospital admissions can be expected when Tmax increases from day-to-day (positive values of Tmax,c), and it is more visible for Ha and Ha<65 (1 °C = 1% increase in hospital admissions). Also, Tr values between 10 °C and 14 °C cause an increase in the number of hospital admissions, and it is more noticeable for Ha≥65.

[Hospital morbidity and mortality of adolescents in Vojvodina].

INTRODUCTION: The aim of this study was to analyze hospital morbidity and mortality of adolescents in Vojvodina in 2004. MATERIAL AND METHODS: The analyzed data for hospital morbidity were obtained from the Reports on diseases and conditions of hospitalized patients in the Service for stationary-hospital treatment. Hospital mortality was analyzed on the basis of Documentation tables of vital statistics of Republic of Serbia. In order to have better insight into the pathology, the adolescents were divided by sex and age (the younger ones from 10-14 years, and the older ones, from 15-19 years). RESULTS: The hospital morbidity of adolescents in Vojvodina in 2004 was 47/1,000 adolescents, while in 1983 it was 53/1,000 adolescents. The most frequent indications for hospitalization of the adolescents were respiratory, digestive diseases, and injuries, poisoning and consequences of an external factor influences. The overall mortality rate was 39.68/100,000 adolescents and in 1988 44.74/100,000 adolescents. Hospital mortality rate in Vojvodina in 2004 was 16.18/100,000 adolescents and in 1986 11.65/100,000 adolescents. The male adolescents most frequently died in hospitals because of tumors, and female ones because of injuries, poisoning and consequences of external factor influences. DISCUSSION AND CONCLUSION: Morbidity structure was not changed compared to the previous period. Older and female adolescents were more frequently hospitalized. There was a decrease in adolescent mortality for 15.5% compared to the previous 15 years. Hospital mortality rate was higher than before. Older adolescents had three times the death rate of younger. Mortality rates for male adolescents were three times rates for females. Programs for adolescents' health care must be implemented fully, with engagement of whole community services, in order to prevent and cure diseases adequately and to enhance quality of life.

[Health of the population of Vojvodina].

POPULATION CHARACTERISTICS: The Province of Vojvodina is a region with 16% of population aged 65 and over, average age of 38.1 years, and aging index 0.85%. Vital statistics show low birth rate, increased death rate and as a result - a negative population growth. MORBIDITY AND MORTALITY: The leading causes of death were cardiovascular diseases, malignant diseases and injuries, accounting for more than 2/3 of all deaths. The most common outpatient morbidity of adult population included respiratory diseases, but cardiovascular diseases were of greater public health concern, accounting for more than 1/5 of the total morbidity. The hospital morbidity data showed that malignant diseases, cardiovascular diseases and gastrointestinal diseases were the most frequent. HEALTH PROFESSIONALS: In 2005, a highly-developed network included 77 health-care institutions with 29.659 employees, out of which 20.960 were health professionals (4.577 doctors, 754 dentists and 423 pharmacists).