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Optimizing Heat Alert Issuance with Reinforcement Learning

AAAI 2025 · Reinforcement learning › Visual and representation RL · approach: In-context and adaptive RL · 1 citations (OpenAlex)

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Builds BROACH, a Bayesian-reward RL environment for heat alert issuance from Medicare hospitalizations and NWS alerts, and shows standard RL (DQN, QR-DQN, TRPO, A2C) only beats the NWS policy when alerts are restricted to very hot days.

Problem

Optimizing when to issue heat alerts under a fixed alert budget to reduce heat-related hospitalizations, where health effects are low-signal, spatially heterogeneous, and confounded in observational data.

Approach

A county-level RL environment whose reward comes from a variational Bayesian hierarchical hospitalization model with data-driven priors, and whose transitions replay real observed weather trajectories augmented with weather from same-climate-region counties; RL policies are restricted to days above a per-county quantile heat index threshold.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Restrict alerts to days above a county-specific QHI threshold (ablation)DQN, QR-DQN, TRPO, and A2C · Evaluation years 2007, 2011, 2015Median difference in average return vs NWS: DQN: -0.123 -> 0.03; QR-DQN: -0.117 -> 0.035; TRPO: -0.065 -> 0.038; A2C: -0.063 -> 0.042Helped
Add perfect future information to the state (ablation)DQN and QR-DQN · Evaluation years 2007, 2011, 2015Median difference in average return vs NWS: DQN: -0.123 -> -0.417; QR-DQN: -0.117 -> -0.42Hurt
Add perfect future information to the state (ablation)TRPO with QHI restriction · Evaluation years 2007, 2011, 2015Median difference in average return vs NWS: 0.038 -> 0.046Helped
Add perfect future information to the state (ablation)A2C with QHI restriction · Evaluation years 2007, 2011, 2015Median difference in average return vs NWS: 0.042 -> 0.036Hurt
Evaluate the stochastic policy deterministically (ablation)TRPO and A2C with QHI restriction · Evaluation years 2007, 2011, 2015Median difference in average return vs NWS: TRPO: 0.038 -> -0.662; A2C: 0.042 -> -0.886Hurt
Use 10 rather than 20 quantiles (ablation)QR-DQN · Heat-alert policy optimizationAverage returnHelped
Use the QHI-restricted A2C policy instead of NWSA2C · Evaluation years 2007, 2011, 2015Median difference in average return: 0.042Helped
Use random alert-day selection instead of NWSRandom baseline · Evaluation years 2007, 2011, 2015Median difference in average return: -0.015No clear effect
Use the basic NWS heat-index guidelines instead of NWSbasic.nws · Evaluation years 2007, 2011, 2015Median difference in average return: -0.286Hurt
Issue alerts on the b hottest days of the summertopk oracle baseline · Evaluation years 2007, 2011, 2015Median difference in average return: 0.022Helped
Issue alerts above an optimized county-specific QHI threshold until budget runs outaa.qhi baseline · Evaluation years 2007, 2011, 2015Median difference in average return: 0.03Helped

Surprising findings

Limitations

Experimental setup

Datasets: NWS heat alerts (2006-2016) heat index weather data Medicare Part A hospitalization claims county covariates (population density, median household income, broadband, election returns, PM2.5)

Benchmarks: BROACH heat alert environment (30 counties, evaluation years 2007, 2011, 2015)

Metrics: average return per episode median difference in return vs NWS Wilcoxon-Mann-Whitney statistic and p-value

Baselines: NWS policy random basic.nws aa.qhi topk DQN QR-DQN TRPO A2C

Builds on: Stable-Baselines3 Pyro Gymnasium Deep Q-learning TRPO

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