Open Syndrome Cold Exposure

{
   "category": "suspected",
   "definition_type": "case_definition",
   "description": "Case definition for suspected cold exposure in individuals with history of extreme cold exposure during Early Temperature Extreme Alert by National Meteorological Service, and clinical symptoms attributable to low body temperature (36°C or lower) and 2 or more of the following: shivering, altered consciousness, weak pulse, slow breathing, local tissue damage due to freezing.",
   "human_readable_definition": "Toda persona con antecedentes de\nexposición a frío extremo en circunstancia de Alerta Temprana por Temperatura\nExtrema (frío) del Servicio Meteorológico Nacional, y sintomatología clínica\natribuible. Temperatura corporal igual o menor a 36 ºC y 2 o más de los siguientes\nsíntomas, a saber:\nSignos y síntomas atribuibles: escalofríos, alteración del estado de conciencia, pulso\ndébil, bradipnea, daño tisular local causado por el enfriamiento. Piel fría y roja en\nbebés.",
   "inclusion_criteria": [
     {
       "logical_operator": "AND",
       "type": "criterion",
       "values": [
         {
           "attribute": "body_temperature",
           "name": "Low body temperature",
           "operator": "\u003c=",
           "type": "symptom",
           "unit": "celsius",
           "value": 36
         },
         {
           "logical_operator": "AT_LEAST",
           "logical_operator_arguments": [
             2
           ],
           "type": "criterion",
           "values": [
             {
               "name": "Shivering",
               "type": "symptom"
             },
             {
               "name": "Altered consciousness",
               "type": "symptom"
             },
             {
               "name": "Weak pulse",
               "type": "symptom"
             },
             {
               "name": "Slow breathing",
               "type": "symptom"
             },
             {
               "name": "Local tissue damage due to freezing",
               "type": "symptom"
             },
             {
               "name": "Cold, red skin in babies",
               "type": "symptom"
             }
           ]
         }
       ]
     }
   ],
   "keywords": [
     "Cold",
     "South America",
     "Climate-related"
   ],
   "language": "English",
   "location": "Argentina",
   "notes": [
     "ICD-10 code COLD: X31 (Exposure to excessive natural cold)"
   ],
   "open_syndrome_version": "1.0.0",
   "organization": "Ministerio de Salud",
   "published_at": "2025-02-08T12:20:55Z",
   "published_by": [
     "Open Syndrome Initiative"
   ],
   "published_in": "https://opensyndrome.org",
   "references": [
     {
       "url": "https://www.argentina.gob.ar/sites/default/files/2019/10/msal-manual_de_normas_y_procedimientos_de_vigilancia_y_control_de_eno_2022.pdf"
     }
   ],
   "scope": "specific",
   "status": "draft",
   "target_public_health_threats": [
     "Cold"
   ],
   "title": "Open Syndrome Cold Exposure",
   "version": "1.0.0"
 }