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Research ArticleArticles

Unveiling the Unseen Illness

Public Health Warnings and Heat Stroke

Lester Lusher and Tim Ruberg
Published online before print July 13, 2026, 1224-14012R2; DOI: https://doi.org/10.3368/jhr.1224-14012R2
Lester Lusher
Lester Lusher is Associate Professor at the University of Pittsburgh ().
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  • For correspondence: lesterlusher{at}pitt.edu
Tim Ruberg
Tim Ruberg is Project Assistant Professor at the Market Design Center, University of Tokyo.
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Abstract

We utilize region-day variation in actual vs. forecasted weather conditions (i.e. forecasting errors) to comprehensively investigate the effects of the first public warning system for extreme heat events on behavioral and health outcomes in Japan. We find that heat alerts led to a 16% increase in ambulance-related hospital visits. An analysis of mechanisms suggests this is primarily driven by increased awareness and thus reporting of heat strokes that would otherwise have gone undetected, as opposed to substitution in health diagnoses. We further document evidence of avoidance behaviors (e.g. electricity usage).

JEL Codes
  • D90
  • I12
  • I18
  • Q54

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Journal of Human Resources: 61 (4)
Journal of Human Resources
Vol. 61, Issue 4
1 Jul 2026
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Unveiling the Unseen Illness
Lester Lusher, Tim Ruberg
Journal of Human Resources Jul 2026, 1224-14012R2; DOI: 10.3368/jhr.1224-14012R2

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Unveiling the Unseen Illness
Lester Lusher, Tim Ruberg
Journal of Human Resources Jul 2026, 1224-14012R2; DOI: 10.3368/jhr.1224-14012R2
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Keywords

  • D90
  • I12
  • I18
  • Q54
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