General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy)

Conti, Susanna; Masocco, Maria; Meli, Paola; Minelli, Giada; Palummeri, E; Solimini, Renata; Toccaceli, Virgilia; Vichi, Monica

doi:10.1016/j.envres.2006.06.003

Cited by 95 publications

(64 citation statements)

References 17 publications

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“…Among the first articles to mention this association were Dr. Thomas Short's "On the Weather and Meteors" (1750) The relationship between ambient temperature and daily mortality continues to be a subject of interest for scientists, as well as the public, with many researchers quantifying the association or making comparisons between different regions or years. Within the current context of global warming, the importance of the effects of temperature on human health has been underscored by extreme events, such as the 2003 summer heat wave in Europe (Conti et al 2007;Garssen et al 2005;LeTertre et al 2006;Schar and Jendritzky 2004;Simon et al 2005;Vandentorren et al 2004) or the 1995 Chicago heat-wave (Cervantes 1996;Jones 1996;Kaiser et al 2007;Semenza et al 1996;Whitman et al 1997). …”

Section: The Temperature-mortality Relationshipmentioning

confidence: 99%

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Effects of diurnal variations in temperature on non-accidental mortality among the elderly population of Montreal, Québec, 1984–2007

2013

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The association between short-term changes in ambient temperature and daily mortality has been described widely in the literature. A few recent papers support the hypothesis that diurnal variations in temperature may also have an impact on mortality, independent of the effect of daily mean temperature. The objective of the thesis was to determine whether variations in diurnal temperature increased daily non-accidental mortality among the elderly population of Montreal, Quebec, during the 1984-2007 study period. We used distributed lag non-linear models constrained over a 30 day lag period, and adjusted for temporal trends, mean daily temperature, and mean daily concentrations of nitrogen dioxide and ozone. We found over the 30 day lag period a cumulative increase of 5.12% (95% confidence interval (CI): 0.02 to 10.49) in daily mortality for an increase of the diurnal temperature range from 6 °C to 11 °C and a 11.27% (95% CI: 2.08 to 21.29) increase in mortality associated with an increase of the diurnal temperature range from 11 to 16 °C. The results were relatively robust to adjustment for mean temperature.In conclusion, we found that in Montreal daily diurnal variations in temperature are associated with a small increase in mortality among the elderly population. More studies are needed in different geographical locations to confirm these effects.ii Résumé L'association entre les variations à court terme de la température ambiante et la mortalité quotidienne a été largement décrite dans la littérature. Quelques articles récents supportent l'hypothèse que les variations diurnes de la température peuvent également avoir un impact notable sur la mortalité, indépendamment de l'effet de la température moyenne. L'objectif de la thèse était de déterminer si les variations de température diurne provoquent une augmentation de la mortalité quotidienne non accidentelle chez les iii

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Section: The Temperature-mortality Relationshipmentioning

confidence: 99%

“…The effects of increasing temperatures on human health are underscored by extremely hot episodes that have occurred recently, such as during the summer of 2003 in Europe (Conti et al 2007;Garssen et al 2005;LeTertre et al 2006;Schar and Jendritzky 2004;Simon et al 2005;Vandentorren et al 2004) and during the summer of 1995 in…”

Section: Introductionmentioning

confidence: 99%

Effects of diurnal variations in temperature on non-accidental mortality among the elderly population of Montreal, Québec, 1984–2007

2013

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“…However, Kovats et al (2004) found that during the 2003 heat wave in London, which caused an increase in mortality, there was no significant increase in hospital admission. This could be attributed to the fact that people may die before they perceive the risk they are facing (Abrahamson et al 2009) or for some reason are not seeking help (Conti et al 2007;Wolf et al 2010). Of interest are the relative rates of change of risk for mortality and ambulance callout conditioned on the HVI and the elderly index.…”

Section: Discussionmentioning

confidence: 99%

Performance Assessment of a Heat Wave Vulnerability Index for Greater London, United Kingdom

Wolf

McGregor

Analitis

2014

Weather, Climate, and Society

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Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. ABSTRACTThis study reports on the assessment of a multivariate heat wave vulnerability index (HVI) developed for London, United Kingdom. The HVI is assessed in terms of its ability to predict whether mortality and ambulance callout attain above average levels during heat wave events. Three approaches to assessment were adopted: 1) calculation of categorical statistics and associated skill scores for the dichotomous situation that above average mortality or ambulance callout occurred or not, 2) the degree to which relative risk of the aforementioned health outcomes changed with an increase in heat vulnerability as established using Poisson regression analysis, and 3) an independent samples test of the difference of mean mortality and ambulance callout between census units with and without high heat exposure and high vulnerability. The assessment results reveal that the HVI and a simple single variable index that represents age as a heat risk factor (the elderly index) offer potential as a priori indicators of the level of ambulance callout and mortality for all summer days and heat wave events, respectively. Based on the assessment results the utility of the HVI for heat risk management is discussed.

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“…A study in Central Italy found that a 1 °C increase in temperature above a threshold was associated with an increase in mortality of up to 15.97% among people aged 75 years or more, over a lag period of 30 days [19]. A lag effect is evident for heat-and heatwave-related mortality and morbidity, with the maximum death rate and hospital emergency department presentations occurring two to three days after peak temperature [20][21][22].…”

Section: High Temperature and Heatwavesmentioning

confidence: 99%

“…Elderly people are more vulnerable to the effects of heatwaves, due in part to poorer physical health and the effects of cognitive impairment on the perception of heat-related health risk [22]. However, temperature-dependent mortality is also high among young populations, particularly in Eastern and Southern Mediterranean cities including Istanbul and Tel Aviv [18].…”

Section: High Temperature and Heatwavesmentioning

confidence: 99%

The Health Effects of Climate Change in the WHO European Region

Wolf

Lyne

Martínez

et al. 2015

Climate

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Abstract:The evidence of observed health effects as well as projections of future health risks from climate variability and climate change is growing. This article summarizes new knowledge on these health risks generated since the IPCC fourth assessment report (AR4) was published in 2007, with a specific focus on the 53 countries comprising the WHO European Region. Many studies on the effects of weather, climate variability, and climate change on health in the European Region have been published since 2007, increasing the level of certainty with regard to already known health threats. Exposures to temperature extremes, floods, storms, and wildfires have effects on cardiovascular and respiratory health. Climate-and weather-related health risks from worsening food and water safety and security, poor air quality, and ultraviolet radiation exposure as well as increasing allergic diseases, vector-and rodent-borne diseases, and other climate-sensitive health outcomes also warrant attention and policy action to protect human health.

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General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy)

Cited by 95 publications

References 17 publications

Effects of diurnal variations in temperature on non-accidental mortality among the elderly population of Montreal, Québec, 1984–2007

Effects of diurnal variations in temperature on non-accidental mortality among the elderly population of Montreal, Québec, 1984–2007

Performance Assessment of a Heat Wave Vulnerability Index for Greater London, United Kingdom

The Health Effects of Climate Change in the WHO European Region

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