Temporal changes in temperature-related mortality in Spain and effect of the implementation of a Heat Health Prevention Plan

Martínez-Solanas, Èrica; Basagaña, Xavier

doi:10.1016/j.envres.2018.11.006

Cited by 49 publications

(33 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results are consistent with published epidemiological investigations that have reported a substantial attenuation of heat-related health risk. 1,2,19 In particular, similar declining trends were observed in the US 6,7,10,16,20-24 , Japan 8,9,25 , Spain 26 , and Canada 16 . Similar declining trends were also observed in Sweden 27 , Austria 28 , UK 29,30 , Netherlands 31 , nine European cities 32 , and Korea 33,34 , but not in China.…”

Section: Discussionsupporting

confidence: 64%

Air Conditioning and Heat-related Mortality

et al. 2020

View full text Add to dashboard Cite

BackgroundAir conditioning has been proposed as one of the key factors explaining reductions of heatrelated mortality risks observed in the last decades. However, direct evidence is still limited. MethodsWe used a multi-country, multi-city, longitudinal design to quantify the independent role of air conditioning in reported attenuation in risk. We collected daily time series of mortality, mean temperature, and yearly air conditioning prevalence for 311 locations in Canada, Japan, Spain, and the USA between 1972 and 2009. For each city and sub-period, we fitted a quasi-Poisson regression combined with distributed lag non-linear models to estimate summer-only temperature-mortality associations. At the second stage, we used a novel multilevel, multivariate spatio-temporal meta-regression model to evaluate effect modification of air conditioning on heat-mortality associations. We computed relative risks and fractions of heat-attributable excess deaths under observed and fixed air conditioning prevalences. ResultsResults show an independent association between increased air conditioning prevalence and lower heat-related mortality risk. Excess deaths due to heat decreased during the study periods from 1.40% to 0.80% in Canada, 3.57% to 1.10% in Japan, 3.54% to 2.78% in Spain, and 1.70% to 0.53% in the US. However, increased air conditioning explains only part of the observed attenuation, corresponding to 16.7% in Canada, 20.0% in Japan, 14.3% in Spain, and 16.7% in the US. ConclusionsOur findings are consistent with the hypothesis that air conditioning represents an effective heat adaptation strategy, but suggests that other factors have played an equal or more important role in increasing the resilience of populations.

show abstract

Section: Discussionsupporting

confidence: 64%

Air Conditioning and Heat-related Mortality

et al. 2020

View full text Add to dashboard Cite

show abstract

“…We observed a significant decline for cold-related respiratory admissions in period 2, while the risk of cold-related hospitalizations for cardiovascular and cerebrovascular diseases increased in period 2. Even though there is no scientific evidence on the temporal changes of cold effects on morbidity, different recent studies in Spain have documented a decrease in cold-related mortality for all causes over the last decades [30], one of them using the same study period 2 [35]. Another study in Spain claimed for the need for a prevention plan for the effects of cold in Spain, which at the moment does not exist [55].…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review, including articles from Europe, Canada, United States and Australia, concluded that the effects of heat on mortality reduced after the introduction of adaptive measures [33]. Recently, our group conducted a study assessing temporal changes in temperature-related mortality in Spain using the same period 2 (2004–2013) [35]. In this study, we found a small decrease in mortality attributable to extreme heat in the period after the implementation of the Spanish HHPP.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of existing studies compare the effects of heat before and after the implementation of these plans, focusing mainly on changes in temperature-related mortality. In general, studies observed a reduction of the effect of high temperatures on mortality after the implementation of prevention programs [35–37]. However, there are only a very few studies assessing the impact of these public interventions in reducing morbidity effects.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Temporal changes in the effects of ambient temperatures on hospital admissions in Spain

Martínez-Solanas

Basagaña

2019

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background The exposure to extreme ambient temperatures has been reported to increase mortality, although less is known about its impact on morbidity. The analysis of temporal changes in temperature-health associations has also focused on mortality with no studies on hospitalizations worldwide. Studies on temporal variations can provide insights on changes in susceptibility or on effectiveness of public health interventions. We aimed to analyse the effects of temperature on cause-specific hospital admissions in Spain and assess temporal changes using two periods, the second one characterized by the introduction of a heat health prevention plan. Methods Daily counts of non-scheduled hospital admissions for cardiovascular, cerebrovascular and respiratory diseases and daily maximum temperature were obtained for each Spanish province for the period 1997–2013. The relationship between temperature and hospitalizations was estimated using distributed lag non-linear models. We compared the risk of hospitalization due to temperatures (cold, heat and extreme heat) in two periods (1997–2002 and 2004–2013). Results Cold temperatures were associated with increased risk of cardiovascular, cerebrovascular and respiratory hospital admissions. Hot temperatures were only associated with higher hospital admissions for respiratory causes while hospitalizations for cardiovascular and cerebrovascular diseases did not increase with heat. There was a small reduction in heat-related respiratory admissions in period 2. Whereas cold-related hospitalizations for cardiovascular and cerebrovascular diseases increased in period 2, a significant reduction for respiratory hospitalizations was reported. Conclusions Our results suggested that heat had an adverse impact on hospital admissions for respiratory diseases, while cold increased the risk of the three studied cause-specific hospitalizations. Public health interventions should also focus on morbidity effects of temperature.

show abstract

“…Some studies suggest that the effects of extreme temperatures can be reduced when preventive measures are implemented [39][40][41]. According to a study in Spain [40], provinces that implemented more actions from their Heat Health Prevention Plan showed stronger decreases in mortality attributable to extreme heat. Evidence from Montreal, Canada, suggests that the heat action plan implemented in 2004 reduced mortality overall on hot days between 2004 and 2007 [41].…”

Section: Discussionmentioning

confidence: 99%

Projections of Temperature-Attributable Deaths in Portuguese Metropolitan Areas: A Time-Series Modelling Approach

Rodrigues

Santana

2019

Atmosphere

View full text Add to dashboard Cite

Climate change is now widely recognised as the greatest global threat over the coming decades. This study aimed to quantify and project the effects of climate change on future temperature-attributable mortality due to circulatory system diseases (CSD) in Lisbon metropolitan area (LMA) and in Porto metropolitan area (PMA). The future time slices of Representative Concentration Pathway (RCP 8.5), mid-term (2046–2065) and long-term (2080–2099) were compared with the reference period (1986–2005). There is a significant decreasing trend in proportion to the overall extreme cold temperature-attributable mortality due to CSD in the future periods (2045–2065 and 2081–2099) in LMA, −0.63% and −0.73%, respectively, and in PMA, −0.62% for 2045–2065 and −0.69% for 2081–2099, compared to the historical period. The fraction attributable to extreme hot temperature in the summer months increased by 0.08% and 0.23%, from 0.04% in the historical period to 0.11% during 2046–2065, and to 0.27% during 2081–2099 in LMA. While there were no noticeable changes due to extreme hot temperature during the summer in PMA, significant increases were observed with warmer winter temperatures: 1.27% and 2.80%. The projections of future temperature-attributable mortality may provide valuable information to support climate policy decision making and temperature-related risk management.

show abstract

Temporal changes in temperature-related mortality in Spain and effect of the implementation of a Heat Health Prevention Plan

Cited by 49 publications

References 32 publications

Air Conditioning and Heat-related Mortality

Air Conditioning and Heat-related Mortality

Temporal changes in the effects of ambient temperatures on hospital admissions in Spain

Projections of Temperature-Attributable Deaths in Portuguese Metropolitan Areas: A Time-Series Modelling Approach

Contact Info

Product

Resources

About