Skip to main content

Advertisement

Log in

Climate Change and Heat-Related Excess Mortality in the Eastern USA

  • Original Contribution
  • Published:
EcoHealth Aims and scope Submit manuscript

Abstract

Climate change will increase extreme heat-related health risks. To quantify the health impacts of mid-century climate change, we assess heat-related excess mortality across the eastern USA. Health risks are estimated using the US Environmental Protection Agency’s Environmental Benefits Mapping and Analysis Program (BenMAP). Mid-century temperature estimates, downscaled using the Weather Research and Forecasting model, are compared to 2007 temperatures at 36 km and 12 km resolutions. Models indicate the average apparent and actual summer temperatures rise by 4.5° and 3.3° C, respectively. Warmer average apparent temperatures could cause 11,562 additional annual deaths (95% confidence interval, CI: 2641–20,095) due to cardiovascular stress in the population aged 65 years and above, while higher minimum temperatures could cause 8767 (95% CI: 5030–12,475) additional deaths each year. Modeled future climate data available at both coarse (36 km) and fine (12 km) resolutions predict significant human health impacts from warmer climates. The findings suggest that currently available information on future climates is sufficient to guide regional planning for the protection of public health. Higher resolution climate and demographic data are still needed to inform more targeted interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  • Abel DW, Holloway T, Harkey M, Meier P, Ahl D, Limaye VS, Patz JA (2018) Air-quality-related health impacts from climate change and from adaptation of cooling demand for buildings in the Eastern United States: an interdisciplinary modeling study. PLoS Medicine 15 (7): 27. https://doi.org/10.1371/journal.pmed.1002599

    Article  Google Scholar 

  • Abt Associates (2010) BenMAP manual appendices. http://www.epa.gov/oaqps001/benmap/models/BenMAPAppendicesOct2012.pdf

  • Anderson G. Brooke, and Michelle L. Bell 2011. “Heat Waves in the United States: Mortality Risk during Heat Waves and Effect Modification by Heat Wave Characteristics in 43 US communities.” Environmental Health Perspectives 119 (2): 210.

    Article  Google Scholar 

  • Basu, R. 2002. “Relation between Elevated Ambient Temperature and Mortality: A Review of the Epidemiologic Evidence.” Epidemiologic Reviews 24 (2): 190–202.

    Article  Google Scholar 

  • Basu R (2008) Characterizing temperature and mortality in nine California counties, 1999–2003

    Article  Google Scholar 

  • Basu, Rupa. 2009. “High Ambient Temperature and Mortality: A Review of Epidemiologic Studies from 2001 to 2008.” Environmental Health 8 (1): 40. https://doi.org/10.1186/1476-069X-8-40.

    Article  PubMed  PubMed Central  Google Scholar 

  • Basu, R., and B. D. Ostro. 2008. “A Multicounty Analysis Identifying the Populations Vulnerable to Mortality Associated with High Ambient Temperature in California.” American Journal of Epidemiology 168 (6): 632–637.

    Article  Google Scholar 

  • Basu, Rupa, Francesca Domini, and Jonathan M. Samet. 2005. “Temperature and Mortality among the Elderly in the United States: A Comparison of Epidemiologic Methods.” Epidemiology 16 (1): 58–66.

    Article  Google Scholar 

  • Bateson, Thomas F., and Joel Schwartz. 2001. “Selection Bias and Confounding in Case-Crossover Analyses of Environmental Time-Series Data.” Epidemiology 12 (6): 654–661.

    Article  CAS  Google Scholar 

  • Braga, Alfésio Luís Ferreira, Antonella Zanobetti, and Joel Schwartz. 2001. “The Time Course of Weather-Related Deaths.” Epidemiology 12 (6): 662–667.

    Article  CAS  Google Scholar 

  • Centers for Disease Control and Prevention (2013) Heat-related deaths after an extreme heat event—four states, 2012, and United States, 1999–2009. MMWR Weekly. http://www.cdc.gov/mmwr/pdf/wk/mm6222.pdf

  • Centers for Disease Control and Prevention (2014) NCHS urban-rural classification scheme for counties. Accessed March 8, 2014. http://www.cdc.gov/nchs/data_access/urban_rural.htm

  • Deschênes O, Greenstone M (2007) Climate Change, Mortality, and Adaptation: Evidence from Annual Fluctuations in Weather in the US. Working Paper 07-19. Cambridge, MA: Massachusetts Institute of Technology

  • Diffenbaugh NS (2005) Fine-Scale Processes Regulate the Response of Extreme Events to Global Climate Change.” Proceedings of the National Academy of Sciences 102 (44): 15774–78. https://doi.org/10.1073/pnas.0506042102.

    Article  CAS  Google Scholar 

  • Donoghue ER, Graham MA, Jentzen JM, Lifschultz BD, Luke JL, Mirchandani HG, National Association of Medical Examiners Ad Hoc Committee on the Definition of Heat-Related Fatalities (1997) Criteria for the diagnosis of heat-related deaths: national association of medical examiners: position paper. The American Journal of Forensic Medicine and Pathology 18 (1). http://journals.lww.com/amjforensicmedicine/Fulltext/1997/03000/Criteria_for_the_Diagnosis_of_Heat_Related_Deaths_.2.aspx

  • Doyon D, Belanger O, Grosselin P (2008) The potential impact of climate change on annual and seasonal mortals to three cities in Qwebec, Canada. International Journal of Health Geographics 7(1):23

    Article  Google Scholar 

  • Fann N, Lamson AD, Anenberg SC, Wesson K, Risley D, Hubbell BJ (2012) Estimating the national public health burden associated with exposure to ambient PM2.5 and Ozone: U.S. Public Health Burden of PM2.5 and Ozone.” Risk Analysis 32 (1): 81–95. https://doi.org/10.1111/j.1539-6924.2011.01630.x.

    Article  PubMed  Google Scholar 

  • Filleul, Laurent, Sylvie Cassadou, Sylvia Médina, Pascal Fabres, Agnés Lefranc, Daniel Eilstein, Alain Le Tertre, et al. 2006. “The Relation Between Temperature, Ozone, and Mortality in Nine French Cities During the Heat Wave of 2003.” Environmental Health Perspectives 114 (9): 1344–47. https://doi.org/10.1289/ehp.8328.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodess, Clare M. 2013. “How Is the Frequency, Location and Severity of Extreme Events Likely to Change up to 2060?” Environmental Science & Policy 27 (March): S4–14. https://doi.org/10.1016/j.envsci.2012.04.001.

    Article  Google Scholar 

  • Grabow, Maggie L, Scott N Spak, Tracey Holloway, Brian Stone Jr, Adam C Mednick, and Jonathan A Patz. 2012. “Air Quality and Exercise-Related Health Benefits from Reduced Car Travel in the Midwestern United States.” Environmental Health Perspectives 120 (1): 68.

    Article  CAS  Google Scholar 

  • Greene, Scott, Laurence S. Kalkstein, David M. Mills, and Jason Samenow. 2011. “An Examination of Climate Change on Extreme Heat Events and Climate–Mortality Relationships in Large U.S. Cities.” Weather, Climate, and Society 3 (4): 281–92. https://doi.org/10.1175/WCAS-D-11-00055.1.

    Article  Google Scholar 

  • Hajat, Shakoor, R Sari Kovats, Richard W Atkinson, and Andy Haines. 2002. “Impact of Hot Temperatures on Death in London: A Time Series Approach.” Journal of Epidemiology & Community Health 56 (5): 367–72.

    Article  CAS  Google Scholar 

  • Hajat, Shakoor, Madeline O’Connor, and Tom Kosatsky. 2010. “Health Effects of Hot Weather: From Awareness of Risk Factors to Effective Health Protection.” The Lancet 375 (9717): 856–863.

    Article  Google Scholar 

  • Harkey, M., and T. Holloway. 2013. “Constrained Dynamical Downscaling for Assessment of Climate Impacts.” Journal of Geophysical Research: Atmospheres 118 (5): 2136–48.

    Google Scholar 

  • Harlan, Sharon L., Anthony J. Brazel, Lela Prashad, William L. Stefanov, and Larissa Larsen. 2006. “Neighborhood Microclimates and Vulnerability to Heat Stress.” Social Science & Medicine 63 (11): 2847–63. https://doi.org/10.1016/j.socscimed.2006.07.030.

    Article  Google Scholar 

  • Kinney, Patrick L., Marie S. O’Neill, Michelle L. Bell, and Joel Schwartz. 2008. “Approaches for Estimating Effects of Climate Change on Heat-Related Deaths: Challenges and Opportunities.” Environmental Science & Policy 11 (1): 87–96. https://doi.org/10.1016/j.envsci.2007.08.001.

    Article  Google Scholar 

  • Kloog, Itai, Alexandra Chudnovsky, Petros Koutrakis, and Joel Schwartz. 2012. “Temporal and Spatial Assessments of Minimum Air Temperature Using Satellite Surface Temperature Measurements in Massachusetts, USA.” Science of The Total Environment 432 (August): 85–92. https://doi.org/10.1016/j.scitotenv.2012.05.095.

    Article  CAS  PubMed  Google Scholar 

  • Kovats, R. Sari, and Shakoor Hajat. 2008. “Heat Stress and Public Health: A Critical Review.” Annual Review of Public Health 29 (1): 41–55. https://doi.org/10.1146/annurev.publhealth.29.020907.090843.

    Article  PubMed  Google Scholar 

  • Li, Tiantian, Radley M. Horton, and Patrick L. Kinney. 2013. “Projections of Seasonal Patterns in Temperature- Related Deaths for Manhattan, New York.” Nature Climate Change, 3(8), 717. https://doi.org/10.1038/nclimate1902.

    Article  Google Scholar 

  • Luber, George, and Michael McGeehin. 2008. “Climate Change and Extreme Heat Events.” American Journal of Preventive Medicine 35 (5): 429–35. https://doi.org/10.1016/j.amepre.2008.08.021.

    Article  PubMed  Google Scholar 

  • Maclure, M. 1991. “The Case-Crossover Design: A Method for Studying Transient Effects on the Risk of Acute Events.” American Journal of Epidemiology 133 (2): 144–53.

    Article  CAS  Google Scholar 

  • Matsueda M (2011) Predictability of Euro-Russian blocking in summer of 2010. Geophysical Research Letters 38(6). https://doi.org/10.1029/2010GL046557

    Article  Google Scholar 

  • McGeehin, Michael A., and Maria Mirabelli. 2001. “The Potential Impacts of Climate Variability and Change on Temperature-Related Morbidity and Mortality in the United States.” Environmental Health Perspectives 109 (Suppl 2): 185.

    Article  Google Scholar 

  • McMichael, Anthony J., Rosalie E. Woodruff, and Simon Hales. 2006. “Climate Change and Human Health: Present and Future Risks.” The Lancet 367 (9513): 859–869.

    Article  Google Scholar 

  • Mearns, Linda O., William Gutowski, Richard Jones, Ruby Leung, Seth McGinnis, Ana Nunes, and Yun Qian. 2009. “A Regional Climate Change Assessment Program for North America.” Eos, Transactions American Geophysical Union 90 (36): 311.

    Article  Google Scholar 

  • Medina-Ramón, M., and J. Schwartz. 2007. “Temperature, Temperature Extremes, and Mortality: A Study of Acclimatisation and Effect Modification in 50 US Cities.” Occupational and Environmental Medicine 64 (12): 827–833.

    Article  Google Scholar 

  • Meehl GA (2004) More intense, more frequent, and longer lasting heat waves in the 21st Century. Science 305 (5686): 994–97. https://doi.org/10.1126/science.1098704

    Article  CAS  Google Scholar 

  • Mesinger, Fedor, Geoff DiMego, Eugenia Kalnay, Kenneth Mitchell, Perry C. Shafran, Wesley Ebisuzaki, Dušan Jović, et al. 2006. “North American Regional Reanalysis.” Bulletin of the American Meteorological Society 87 (3): 343–60. https://doi.org/10.1175/BAMS-87-3-343.

    Article  Google Scholar 

  • Nakicenovic, Nebojsa, Joseph Alcamo, Gerald Davis, Bert de Vries, Joergen Fenhann, Stuart Gaffin, Kenneth Gregory, Arnulf Grubler, Tae Yong Jung, and Tom Kram. 2000. “Special Report on Emissions Scenarios: A Special Report of Working Group III of the Intergovernmental Panel on Climate Change.” Pacific Northwest National Laboratory, Richland, WA (US), Environmental Molecular Sciences Laboratory (US).

    Google Scholar 

  • O’Neill, M. S. 2005. “Disparities by Race in Heat-Related Mortality in Four US Cities: The Role of Air Conditioning Prevalence.” Journal of Urban Health: Bulletin of the New York Academy of Medicine 82 (2): 191–97. https://doi.org/10.1093/jurban/jti043.

    Article  Google Scholar 

  • Semenza, Jan C., Carol H. Rubin, Kenneth H. Falter, Joel D. Selanikio, W. Dana Flanders, Holly L. Howe, and John L. Wilhelm. 1996. “Heat-Related Deaths during the July 1995 Heat Wave in Chicago.” New England Journal of Medicine 335 (2): 84–90.

    Article  CAS  Google Scholar 

  • Skamarock WC, Klemp JB, Dudhia J, Gill DO, Barker DM, Wang W, Powers JG (2005) A description of the advanced research WRF Version 2. DTIC Document

  • Steadman, Robert G. 1984. “A Universal Scale of Apparent Temperature.” J. Climate Appl. Meteor. 23: 1674–1687. http://dx.doi.org/10.1175/1520-0450(1984)023<1674:AUSOAT>2.0.CO;2.

    Article  Google Scholar 

  • Stone Jr, Brian, Jason Vargo, Peng Liu, Dana Habeeb, Anthony DeLucia, Marcus Trail, Yongtao Hu, and Armistead Russell. 2014. “Avoided Heat-Related Mortality through Climate Adaptation Strategies in Three US Cities.” PLoS One 9 (6): e100852.

    Article  Google Scholar 

  • Thompson, T. M., R. K. Saari, and N. E. Selin. 2014. “Air Quality Resolution for Health Impact Assessment: Influence of Regional Characteristics.” Atmospheric Chemistry and Physics 14 (2): 969–78. https://doi.org/10.5194/acp-14-969-2014.

    Article  CAS  Google Scholar 

  • US Environmental Protection Agency. 2010. “BenMAP: Environmental Benefits Mapping and Analysis Program.” User’s Manual. Research Triangle Park, NC: Office of Air Quality Planning and Standards

    Google Scholar 

  • Vandentorren, S., P. Bretin, A Zeghnoun, L. Mandereau-Bruno, A. Croisier, C. Cochet, J. Riberon, I. Siberan, B. Declercq, and M. Ledrans. 2006. “August 2003 Heat Wave in France: Risk Factors for Death of Elderly People Living at Home.” The European Journal of Public Health 16 (6): 583–91. https://doi.org/10.1093/eurpub/ckl063.

    Article  CAS  PubMed  Google Scholar 

  • Vargo, Jason, Brian Stone, Dana Habeeb, Peng Liu, and Armistead Russell. 2016. “The Social and Spatial Distribution of Temperature-Related Health Impacts from Urban Heat Island Reduction Policies.” Environmental Science & Policy 66: 366–74.

    Article  Google Scholar 

  • Voorhees, A. Scott, Neal Fann, Charles Fulcher, Patrick Dolwick, Bryan Hubbell, Britta Bierwagen, and Philip Morefield. 2011. “Climate Change-Related Temperature Impacts on Warm Season Heat Mortality: A Proof-of-Concept Methodology Using BenMAP.” Environmental Science & Technology 45 (4): 1450–57. https://doi.org/10.1021/es102820y.

    Article  CAS  Google Scholar 

  • Woods and Poole Economics, Inc. 2001. “Population by Single Year of Age.” Washington D.C.: Woods and Poole Economics, Inc.

    Google Scholar 

  • Yardley, Jane, Ronald J. Sigal, and Glen P. Kenny. 2011. “Heat Health Planning: The Importance of Social and Community Factors.” Global Environmental Change 21 (2): 670–79. https://doi.org/10.1016/j.gloenvcha.2010.11.010.

    Article  Google Scholar 

  • Zanobetti A, Schwartz J (2008) Temperature and mortality in nine U.S. cities. California Energy Commission, PIER Energy-Related Environmental Research, no. CEC‐500‐2007‐094

Download references

Acknowledgements

Research was supported by the U.S. National Institute of Environmental Health Sciences (NIEHS) Grant 1R21ES020232-01. V.L. was also supported by NSF Grant DGE-0549407, an Integrative Graduate Education and Research Traineeship (IGERT) titled “Vulnerability and Sustainability in Coupled Human-Natural Systems.” TH and MH were also supported by the NASA Air Quality Applied Sciences Team (AQAST). We acknowledge the North American Regional Climate Change Assessment Program (NARCCAP) and the National Climatic Data Center (NCDC) for providing the data used in this paper. NARCCAP is funded by the National Science Foundation, the U.S. Department of Energy, the National Oceanic and Atmospheric Administration, and the U.S. Environmental Protection Agency Office of Research and Development. The NCDC provided North American Regional Reanalysis (NARR) data from the National Centers for Environmental Prediction (NCEP), a division of NOAA/National Weather Service.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vijay S. Limaye.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Limaye, V.S., Vargo, J., Harkey, M. et al. Climate Change and Heat-Related Excess Mortality in the Eastern USA. EcoHealth 15, 485–496 (2018). https://doi.org/10.1007/s10393-018-1363-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10393-018-1363-0

Keywords

Navigation