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Background More intense tropical cyclones (TCs) are expected in the future under a warming climate scenario, but little is known about their mortality effect pattern across countries and over decades. We aim to evaluate the TC-specific mortality risks, periods of concern (POC) and characterize the spatiotemporal pattern and exposure-response (ER) relationships on a multicountry scale. Methods and findings Daily all-cause, cardiovascular, and respiratory mortality among the general population were collected from 494 locations in 18 countries or territories during 1980 to 2019. Daily TC exposures were defined when the maximum sustained windspeed associated with a TC was [greater than or equal to]34 knots using a parametric wind field model at a 0.5° x 0.5° resolution. We first estimated the TC-specific mortality risks and POC using an advanced flexible statistical framework of mixed Poisson model, accounting for the population changes, natural variation, seasonal and day of the week effects. Then, a mixed meta-regression model was used to pool the TC-specific mortality risks to estimate the overall and country-specific ER relationships of TC characteristics (windspeed, rainfall, and year) with mortality. Overall, 47.7 million all-cause, 15.5 million cardiovascular, and 4.9 million respiratory deaths and 382 TCs were included in our analyses. An overall average POC of around 20 days was observed for TC-related all-cause and cardiopulmonary mortality, with relatively longer POC for the United States of America, Brazil, and Taiwan (>30 days). The TC-specific relative risks (RR) varied substantially, ranging from 1.04 to 1.42, 1.07 to 1.77, and 1.12 to 1.92 among the top 100 TCs with highest RRs for all-cause, cardiovascular, and respiratory mortality, respectively. At country level, relatively higher TC-related mortality risks were observed in Guatemala, Brazil, and New Zealand for all-cause, cardiovascular, and respiratory mortality, respectively. We found an overall monotonically increasing and approximately linear ER curve of TC-related maximum sustained windspeed and cumulative rainfall with mortality, with heterogeneous patterns across countries and regions. The TC-related mortality risks were generally decreasing from 1980 to 2019, especially for the Philippines, Taiwan, and the USA, whereas potentially increasing trends in TC-related all-cause and cardiovascular mortality risks were observed for Japan. Conclusions The TC mortality risks and POC varied greatly across TC events, locations, and countries. To minimize the TC-related health burdens, targeted strategies are particularly needed for different countries and regions, integrating epidemiological evidence on region-specific POC and ER curves that consider across-TC variability., Author(s): Wenzhong Huang 1, Zhengyu Yang 1, Yiwen Zhang 1, Thomas Vogt 2, Ben Armstrong 3, Wenhua Yu 1, Rongbin Xu 1, Pei Yu 1, Yanming Liu 1, Antonio Gasparrini [...]

Improving the nutritional content of public school meals is a topic of intense policy interest. A main motivation is the health of school children, and, in particular, the rising childhood obesity rate. Medical and nutrition literature has long argued that a healthy diet can have a second important impact: improved cognitive function. In this paper, we test whether offering healthier meals affects student achievement as measured by test scores. Our sample includes all California (CA) public schools over a five-year period. We estimate difference-in-differences style regressions using variation that takes advantage of frequent meal-vendor contract turnover. Students at schools that contract with a healthy school-meal vendor score higher on CA state achievement tests. We do not find any evidence that healthier school meals lead to a decrease in obesity rates. The test score gains, while modest in magnitude, come at very low cost.

BACKGROUND: More intense cyclones are expected in the future as a result of climate change. A comprehensive review is urgently needed to summarize and update the evidence on the health effects of cyclones. OBJECTIVES: We aimed to provide a systematic review with meta-analysis of current evidence on the risks of all reported health outcomes related to cyclones and to identify research gaps and make recommendations for further research. METHODS: We systematically searched five electronic databases (MEDLINE, Embase, PubMed, Scopus, and Web of Science) for relevant studies in English published before 21 December 2022. Following the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines, we developed inclusion criteria, screened the literature, and included epidemiological studies with a quantitative risk assessment of any mortality or morbidity-related outcomes associated with cyclone exposures. We extracted key data and assessed study quality for these studies and applied meta-analyses to quantify the overall effect estimate and the heterogeneity of comparable studies. RESULTS: In total, 71 studies from eight countries (the United States, China, India, Japan, the Philippines, South Korea, Australia, Brazil), mostly the United States, were included in the review. These studies investigated the all-cause and cause-specific mortality, as well as morbidity related to injury, cardiovascular diseases (CVDs), respiratory diseases, infectious diseases, mental disorders, adverse birth outcomes, cancer, diabetes, and other outcomes (e.g., suicide rates, gender-based violence). Studies mostly included only one high-amplitude cyclone (cyclones with a Saffir–Simpson category of 4 or 5, i.e., Hurricanes Katrina or Sandy) and focused on mental disorders morbidity and all-cause mortality and hospitalizations. Consistently elevated risks of overall mental health morbidity, post-traumatic stress disorder (PTSD), as well as all-cause mortality or hospitalizations, were found to be associated with cyclones. However, the results for other outcomes were generally mixed or limited. A statistically significant overall relative risk of 1.09 [95% confidence interval (CI): 1.04, 1.13], 1.18 (95% CI: 1.12, 1.25), 1.15 (95% CI: 1.13, 1.18), 1.26 (95% CI: 1.05, 1.50) was observed for all-cause mortality, all-cause hospitalizations, respiratory disease, and chronic obstructive pulmonary disease hospitalizations, respectively, after cyclone exposures, whereas no statistically significant risks were identified for diabetes mortality, heart disease mortality, and preterm birth. High between-study heterogeneity was observed. CONCLUSIONS: There is generally consistent evidence supporting the notion that high-amplitude cyclones could significantly increase risks of mental disorders, especially for PTSD, as well as mortality and hospitalizations, but the evidence for other health outcomes, such as chronic diseases (e.g., CVDs, cancer, diabetes), and adverse birth outcomes remains limited or inconsistent. More studies with rigorous exposure assessment, of larger spatial and temporal scales, and using advanced modeling strategy are warranted in the future, especially for those small cyclone-prone countries or regions with low and middle incomes. [ABSTRACT FROM AUTHOR]

An objective technique for obtaining features associated with the shape and dynamics of cloud structures embedded in tropical cyclones from satellite infrared images is described. As the tropical cyclone develops from an unstructured cloud cluster and intensifies, the cloud structures become more axisymmetric about an identified reference point. Using variables derived from remotely sensed data, the technique calculates the gradient of the brightness temperatures to measure the level of symmetry of each structure, which characterizes the degree of cloud organization of the tropical cyclone. The results presented show that the technique provides an objective measure of both the structure and the intensity of the tropical cyclone from early stages, through intensification, maturity, and dissipation. Index Terms--Image processing, meteorology, remote sensing.

A multistage projection pursuit (PP) approach is applied to the classification of tropical cyclones (TCs) during extratropical transition (ET) using 500-hPa Navy Operational Global Atmospheric Prediction System (NOGAPS) geopotential height analyses. PP algorithms reduce the dimensionality of the high-dimensional data while minimizing the loss of information that discriminates among classes of ET types. In this paper, a prediction system is developed for ET TC classification and is applied to 85 western North Pacific storms during 1997-2004 using NOGAPS geopotential height analyses to group them as either intensifiers or dissipators. A classification is developed based on the 1997-2002 analyses, and the forecasting performance of the technique is tested on the storms from 2003 and 2004 in two different ways. In the first, the technique is applied at individual times utilizing just spatial information. In the second, the change in spatial patterns with time is taken into account with spatiotemporal algorithms. The preliminary classification results are slightly less accurate than those of NOGAPS but are found to be promising, and further possible improvements are discussed. Index Terms--Extratropical transition (ET), projection pursuit (PP), tropical cyclones (TCs).