{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:21:52Z","timestamp":1785410512082,"version":"3.56.0"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","award":["T42OH008434"],"award-info":[{"award-number":["T42OH008434"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325103005_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To prevent power lines from igniting wildfires, utility companies in California are authorized to conduct Public Safety Power Shutoffs (PSPS), de-energizing, or shutting off power to equipment during periods of high wildfire risk. This study assessed the association between PSPS and emergency department visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103005_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study quantified the extent to which counties in California experienced PSPS each day between September 15 and November 30, 2019. Linear mixed models were used to estimate the rate of emergency department encounters per 100,000 county residents based on quartiles of PSPS exposure, compared to no PSPS exposure at the county-day level. Analyses examined all emergency department encounters as well as age- and diagnosis-specific visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103005_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was an increase of 15 emergency department visits per 100,000 persons aged 65 years and older on days with the highest levels of PSPS exposure compared to days without PSPS. The highest level of PSPS exposure was associated with increased rates of emergency department visits for respiratory, cardiovascular, injury, and mental or behavioral diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325103005_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite advanced notification, PSPS events are associated with negative health consequences. Older adults are particularly vulnerable to the unintended adverse health effects of PSPS and should be prioritized in mitigation efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10300","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:50:56Z","timestamp":1768459856000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergency Department Visits During the Fall 2019 Public Safety Power Shutoff Events in California"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1171-9777","authenticated-orcid":false,"given":"Alyson B.","family":"Harding","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017zqws13","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Minnesota Twin Cities"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D.","family":"Berman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017zqws13","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Minnesota Twin Cities"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian A.M.","family":"Tarr","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017zqws13","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Minnesota Twin Cities"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darin J.","family":"Erickson","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017zqws13","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Minnesota Twin Cities"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marizen R.","family":"Ramirez","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017zqws13","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Minnesota Twin Cities"},{"id":[{"id":"https:\/\/ror.org\/04gyf1771","id-type":"ROR","asserted-by":"publisher"}],"name":"UC Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"S1935789325103005_r43","unstructured":"43. Vespa, J , Medina, L , Armstrong, DM . Demographic turning points for the United States: population projections for 2020 to 2060. US Census Bureau. 2020 Feb;(P25-1144)."},{"key":"S1935789325103005_r10","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00002259"},{"key":"S1935789325103005_r12","unstructured":"12. California Public Utilities Commission. Resolution Extending De-Energization Reasonableness, Notification, Mitigation and Reporting Requirements in Decision 12-04-024 to All Electric Investor Owned Utilities, Resolution ESRB-8 (2018)."},{"key":"S1935789325103005_r18","doi-asserted-by":"publisher","DOI":"10.1061\/NHREFO.NHENG-1979"},{"key":"S1935789325103005_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.01.006"},{"key":"S1935789325103005_r9","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e318183241f"},{"key":"S1935789325103005_r22","unstructured":"22. Southern California Edison. SCE Distribution Resources Plan External Portal. 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Updated 2021; Accessed November 17, 2021. https:\/\/www.cpuc.ca.gov\/psps\/."},{"key":"S1935789325103005_r33","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2025.179965"},{"key":"S1935789325103005_r5","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e318245c61c"},{"key":"S1935789325103005_r24","unstructured":"24. California Department of Health Care Access and Information. Request Data. HCAI. Accessed April 28, 2023. https:\/\/hcai.ca.gov\/data-and-reports\/requestdata\/."},{"key":"S1935789325103005_r31","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.061832"},{"key":"S1935789325103005_r21","unstructured":"21. Pacific Gas & Electric Company. Service Area Maps. 2014. 2014 Nov 17. Accessed January 03, 2022. https:\/\/www.pge.com\/tariffs\/assets\/pdf\/tariffbook\/ELEC_MAPS_Service%20Area%20Map.pdf"},{"key":"S1935789325103005_r19","unstructured":"19. California Public Utilities Commission, Safety Enforcement Division. Public Report on the Late 2019 Public Safety Power Shutoff Events. April 30, 2020. Accessed October 6, 2021. https:\/\/www.cpuc.ca.gov\/-\/media\/cpuc-website\/files\/uploadedfiles\/cpucwebsite\/content\/news_room\/newsupdates\/2020\/sed-publicreport-on-the-late-2019-psps-events.pdf."},{"key":"S1935789325103005_r39","first-page":"6","article-title":"Power outages, extreme events and health: a systematic review of the literature from 2011-2012","author":"Klinger","year":"2014","journal-title":"PLoS Curr."},{"key":"S1935789325103005_r4","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000150956.90030.23"},{"key":"S1935789325103005_r25","unstructured":"25. U. S. Census Bureau. U.S. Census Bureau QuickFacts. Accessed December 10, 2021. https:\/\/www.census.gov\/quickfacts\/fact\/table\/US\/PST045219."},{"key":"S1935789325103005_r15","unstructured":"15. CAL FIRE. CAL FIRE Investigators Determine Cause of the Camp Fire. 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