Sabathia and his wife, Amber, have four children: a son Carsten Charles III (born 2003), a daughter Jaeden Arie (born 2005), a daughter, Cyia (born 2008), and a son Carter (born 2010). The family lived in Fairfield, California outside his hometown of Vallejo near San Francisco until he signed with the Yankees. Then the family moved to Alpine, New Jersey.[139] Nevertheless, Sabathia remains connected to his hometown. In January 2012, Vallejo High School honored Sabathia by declaring "CC Sabathia Day" and renaming the school's baseball field in his honor; Sabathia's PitCCh In Foundation had helped to renovate the field.[140] The PitCCh In Foundation is a charity that supports inner city children. In 2014, the foundation supported a team of runners in the 2014 New York City Marathon.[141]
On February 28, 2003, the United States entered into a settlement agreement with F & K Management, Inc., d/b/a Hard Times Cafes and Santa Fe Cue Clubs, to resolve a complaint brought to the attention of the Division's National Origin Working Group (NOWG) by the Sikh Coalition, a national Sikh advocacy group. The Coalition reported that on September 23, 2001, a young Indian-American Sikh was told by a manager to remove his turban or leave at its Springfield, Virginia club. The Division's investigation revealed that F & K had promulgated and posted a policy in its clubs prohibiting head coverings with the exception of cowboy hats and baseball caps. Pursuant to the agreement, F & K rescinded its head covering policy and replaced it with a dress code approved by the United States, posted nondiscrimination signs at the five (5) establishments it owns and/or operates, agreed to place periodic nondiscrimination ads in the Washington Post and local and national Sikh and Muslim publications over a 3-year period, and arranged for periodic training of its owners and employees by Sikh and Islamic organizations over the three-year term of the agreement. In addition, F & K's owner wrote a formal letter of apology to the complainant and provided free dinner and pool playing privileges for use by him, his family and friends.
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Extreme heat events (EHEs), more commonly known as heat waves,Reference a have affected health and resulted in a significant number of preventable deaths in recent years. Notably, in the summer of 2003, Europe experienced 70,000 deaths as a result of the extreme heat.Reference 1 Experts believe that climate change will significantly impact the frequency, duration and intensity of EHEs, resulting in an increased incidence of heat-related illness and fatality in Canada. For example, in the absence of effective mitigation and adaptation measures in Toronto, Windsor, London and Winnipeg, the number of days with a maximum temperature of 30C is projected to double by 2021-2040 and more than triple by 2081-2100, likely resulting in further heat-related mortality.Reference 2 Reference 3 As a result, decision makers need to make a concerted effort to address and adapt to these increased risks in order to protect populations considered at risk. The goal of the Health Canada Heat Resiliency Project is to facilitate these adaptations in particular at a local and regional level. The information within the Guidelines has been written with the goal that health care workers can adapt it for the needs of the populations they serve.
There are two forms of heat stroke: exertional and classic heat stroke, both of which are medical emergencies. Exertional heat stroke generally occurs in individuals who engage in strenuous physical activity for a prolonged period of time in a hot environment. Classic heat stroke more commonly affects sedentary older individuals, people who are chronically ill, and young children. Both types of heat stroke are associated with high morbidity and mortality, especially when body cooling is delayed.Reference 9
Both seasonal heat and extreme heat events (EHEs) pose a health risk to Canadians. The analysis of mortality curves relative to temperature indicates that relative death rates can begin to rise even at daily average temperature s as low as 20C (Figure 1.1).Reference 10 Reference 11 A review of heat threshold mortality curves in 64 locations in six continents indicates the temperature at which a rise in relative deaths is seen is related to the acclimatization of the population.Reference 12 This means that in regions where high temperatures are typical, the health risk to the population occurs at higher temperatures than in more temperate regions. It also means that extreme heat early in the spring is a greater risk than late in the summer when the population has acclimatized to the regional weather.Reference 12 During EHEs air conditioning is highly protective in averting illness and its use should be encouraged for at-risk populations.Reference 13 Communicating the importance of heat considerations remains a challenge, particularly since the ideal temperature at which to set indoor temperature depends on an individual's health and thermal comfort. For health care facilities, recommendations for summer indoor temperature may be outlined in occupational health and facility management guidelines.
The precise definition of an EHE varies, but always refers to unusually hot temperature and/or high Humidex readings as compared to the typical regional average for that season. EHEs are not new to Canada. Between 1900 and 2005, five major EHEs occurred in Canada - from Ontario to the Atlantic Ocean (1912), Western and Central Canada (1936), Toronto region (1953), Halifax region (1963), Prairie Provinces and Central and Southern Ontario (1988) - causing over 1,200 deaths and many heat-related illnesses.Reference 18 To protect the public, Environment Canada issues Heat and Humidex Advisories when temperatures are expected to reach or exceed 30C/ 86F and/or the Humidex value (a combination of humidity and temperature) is expected to reach or exceed 40 on the Humidex scale of perceived temperature.Reference 19 Environment Canada defines a heat wave as "a period with more than three consecutive days of maximum temperatures at or above 32C/ 90F."
These risk factors are further compounded by variables that affect exposure to heat itself. From a population standpoint, the environmental exposure to heat differs significantly among urban, suburban and rural environments. This is in part due to the increased thermal load from the urban heat island (UHI) effect,Reference 20 Reference 22 an effect that is dependent on city design. Canadian cities are built to withstand cold and retain heat. The cumulative effect of heat absorption by urban surfaces correlates to the absorptivity, density and emissivity of the built environment (e.g. asphalt and concrete) and leads to the UHI effect. These materials continue to radiate heat even as the air temperature is dropping (e.g. due to evening). This can lead to a difference of several degrees between urban and rural areas in the same region, as shown in Figure 1.2. Depending on local design suburban areas can also have a significant UHI effect. It is important to note that the environmental health risk of heat is not only due to high daytime temperatures, but also due to high nighttime temperatures, which prevent an evening reprieve from the heat.Reference 23Reference 3 This is particularly important when there are three or more sequential days of high daytime air temperature and/or humidity combined with high evening air temperature and/or humidity.Reference 24 The difference in the surface temperature of urban parks and industrial areas is largest in the daytime due to the cooling effect of the vegetation. The temperature difference between the urban and the rural environment is largest in the evening and demonstrates a relationship between night temperature and the density of the built environment.Reference 25 This is of particular interest because nighttime temperature is predicted to have the greatest differential increase as a result of climate change.
Convection: Refers to the bi-directional transfer of heat through contact with air or water molecules across the skin. The transfer of heat from the surface of the skin by air helps carry heat away from the body. It should be noted however that heat must first be conducted to the skin surface and then to the air and only after this is the heat finally carried away. In hot weather conditions when the air temperature is higher than skin temperature heat will be gained from the environment, by convection (skin temperature is normally around 35C, but can vary between 20C and 40C without harm to the bodyReference 36). 2ff7e9595c
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