Excess mortality attributed to heat and cold: a health impact assessment study in 854 cities in Europe

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68378289%3A_____%2F23%3A00573931" target="_blank" >RIV/68378289:_____/23:00573931 - isvavai.cz</a>

Alternative codes found

RIV/60460709:41330/23:97546

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S2542519623000232?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2542519623000232?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/S2542-5196(23)00023-2" target="_blank" >10.1016/S2542-5196(23)00023-2</a>

Result language

angličtina

Original language name

Excess mortality attributed to heat and cold: a health impact assessment study in 854 cities in Europe

Original language description

Background: Heat and cold are established environmental risk factors for human health. However, mapping the related health burden is a difficult task due to the complexity of the associations and the differences in vulnerability and demographic distributions. In this study, we did a comprehensive mortality impact assessment due to heat and cold in European urban areas, considering geographical differences and age-specific risks. Methods: We included urban areas across Europe between Jan 1, 2000, and Dec 12, 2019, using the Urban Audit dataset of Eurostat and adults aged 20 years and older living in these areas. Data were extracted from Eurostat, the Multi-country Multi-city Collaborative Research Network, Moderate Resolution Imaging Spectroradiometer, and Copernicus. We applied a three-stage method to estimate risks of temperature continuously across the age and space dimensions, identifying patterns of vulnerability on the basis of city-specific characteristics and demographic structures. These risks were used to derive minimum mortality temperatures and related percentiles and raw and standardised excess mortality rates for heat and cold aggregated at various geographical levels. Findings: Across the 854 urban areas in Europe, we estimated an annual excess of 203 620 (empirical 95% CI 180 882–224 613) deaths attributed to cold and 20 173 (17 261–22 934) attributed to heat. These corresponded to age-standardised rates of 129 (empirical 95% CI 114–142) and 13 (11–14) deaths per 100 000 person-years. Results differed across Europe and age groups, with the highest effects in eastern European cities for both cold and heat. Interpretation: Maps of mortality risks and excess deaths indicate geographical differences, such as a north–south gradient and increased vulnerability in eastern Europe, as well as local variations due to urban characteristics. The modelling framework and results are crucial for the design of national and local health and climate policies and for projecting the effects of cold and heat under future climatic and socioeconomic scenarios. Funding: Medical Research Council of UK, the Natural Environment Research Council UK, the EU's Horizon 2020, and the EU's Joint Research Center.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

10510 - Climatic research

Project

<a href="/en/project/GA22-24920S" target="_blank" >GA22-24920S: Links between weather, epidemics and seasonal mortality patterns</a><br>

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Lancet Planetary Health

ISSN

2542-5196

e-ISSN

2542-5196

Volume of the periodical

7

Issue of the periodical within the volume

4

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

11

Pages from-to

"e271"-"e281"

UT code for WoS article

000996530600001

EID of the result in the Scopus database

2-s2.0-85151426407