Optimizing Heat Alert Issuance with Reinforcement Learning
This work addresses improving public health adaptation to climate change through better alert systems, but it is incremental as it builds on existing RL methods with domain-specific modifications.
The paper tackled optimizing heat alert issuance to reduce heat-related hospitalizations using reinforcement learning, resulting in a new RL environment and showing that policy constraints improve RL performance with scenario-specific gains/losses over current policies.
A key strategy in societal adaptation to climate change is using alert systems to prompt preventative action and reduce the adverse health impacts of extreme heat events. This paper implements and evaluates reinforcement learning (RL) as a tool to optimize the effectiveness of such systems. Our contributions are threefold. First, we introduce a new publicly available RL environment enabling the evaluation of the effectiveness of heat alert policies to reduce heat-related hospitalizations. The rewards model is trained from a comprehensive dataset of historical weather, Medicare health records, and socioeconomic/geographic features. We use scalable Bayesian techniques tailored to the low-signal effects and spatial heterogeneity present in the data. The transition model uses real historical weather patterns enriched by a data augmentation mechanism based on climate region similarity. Second, we use this environment to evaluate standard RL algorithms in the context of heat alert issuance. Our analysis shows that policy constraints are needed to improve RL's initially poor performance. Third, a post-hoc contrastive analysis provides insight into scenarios where our modified heat alert-RL policies yield significant gains/losses over the current National Weather Service alert policy in the United States.