We thank Ann Lima at the Washington State Department of Health for providing the redacted hospitalization data for western Washington and three anonymous reviewers for their thoughtful comments that improved the manuscript. Assistance from Matthew Menne and Claude Williams of the National Climatic Data Center in providing the USHCN v2 monthly adjustments is also greatly appreciated. The U.S. Department of Energy's Office of Science Innovative and Novel Computational Impact on Theory and Experiment program, the Office of Biological and Environmental Research, and the NOAA/Climate Program Office provide support for the Twentieth Century Reanalysis Project dataset. Funding for this research was provided in part by the State of Washington through funding to the Office of the Washington State Climatologist. This publication is (partially) funded by the Joint Institute for the Study of the Atmosphere and Ocean (JISAO) under NOAA Cooperative Agreement NA10OAR4320148.
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