Skip to main content

Public Health Adaptation to Heat Waves in Response to Climate Change in China

  • Chapter
  • First Online:
Ambient Temperature and Health in China

Abstract

This chapter examines heat-related health effects and suggests public health adaptation strategies to heat waves in China. Due to climate change and urban heat island effects, a future increase in extreme heat events could lead to excess heat-related mortality and morbidity in urban populations. However, the risk of heat exposure is not evenly distributed. Some demographic groups are more prone to heat-related illnesses, such as outdoor workers, children, the elderly, and people with preexisting health conditions. Furthermore, population aging and acclimatization limits both present challenges for adapting to a warmer climate in China. Considering these challenges, this chapter identifies several adaptation strategies to address the health impacts of heat waves and discusses the issues of implementing these policies and measures. For example, heat-health action plans require the government to coordinate with supporting agencies for deciding the timing of activation and deactivation. Heat-health warning systems can also be developed based on temperature threshold, but this threshold varies in different cities. During heat waves, real-time surveillance data can provide early detection of heat-related health threats. In addition, the government can use heat vulnerability mapping to identify populations susceptible to heat waves and provide adequate healthcare and social services for these vulnerable groups. Identifying vulnerable populations alone is insufficient, as effective risk communication is also required for behavior change, including personal heat exposure reduction strategies. Finally, climate-sensitive urban planning such as optimizing building design and urban greening would alleviate the adverse health impacts of heat waves in China.

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

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Horton RM, Mankin JS, Lesk C, Coffel E, Raymond C. A review of recent advances in research on extreme heat events. Curr Clim Change Rep. 2016;2:242–59.

    Article  Google Scholar 

  2. Steadman RG. A universal scale of apparent temperature. J Clim Appl Meteorol. 1984;23:1674–87.

    Article  Google Scholar 

  3. IPCC. Climate change 2014: synthesis report. In: Contribution of working groups I, II and III to the fifth assessment report of the intergovernmental panel on climate change. Geneva: IPCC; 2014.

    Google Scholar 

  4. Fischer EM, Knutti R. Anthropogenic contribution to global occurrence of heavy-precipitation and high-temperature extremes. Nat Clim Chang. 2015;5:560.

    Article  Google Scholar 

  5. Vimal M, Auroop RG, Bart N, Dennis PL. Changes in observed climate extremes in global urban areas. Environ Res Lett. 2015;10:024005.

    Article  Google Scholar 

  6. Luo Y, Qin D, Zhang R, Wang S, Zhang D. Climatic and environmental changes in China. In: Qin D, Ding Y, Mu M, editors. Climatic and environmental change in China: 1951-2012. New York: Springer Environmental Science and Engineering; 2016.

    Chapter  Google Scholar 

  7. Bailey M, Esposito C, Clark B, Foster C, Goeken D, Hanel J, Johnson E, Schmitt S. Colorado’s climate and Colorado’s health examining the connection. Denver: Courtesy of the Colorado Health Institute; 2017.

    Google Scholar 

  8. Gasparrini A, Guo Y, Hashizume M, Lavigne E, Zanobetti A, Schwartz J, Tobias A, Tong S, Rocklöv J, Forsberg B, Leone M, De Sario M, Bell ML, YLL G, Wu CF, Kan H, Yi SM, de Sousa Zanotti Stagliorio Coelho M, PHN S, Honda Y, Kim H, Armstrong B. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015;386:369–75.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Gasparrini A, Guo Y, Hashizume M, Lavigne E, Zanobetti A, Schwartz J, Tobias A, Tong S, Rocklov J, Forsberg B, Leone M, De Sario M, Bell ML, Guo YL, Wu CF, Kan H, Yi SM, de Sousa Zanotti Stagliorio Coelho M, Saldiva PH, Honda Y, Kim H, Armstrong B. Mortality risk attributable to high and low ambient temperature: a multicountry observational study. Lancet. 2015;386:369–75.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Margolis HG. Heat waves and rising temperatures: human health impacts and the determinants of vulnerability. In: Pinkerton KE, Rom WN, editors. Global climate change and public health. New York: Springer; 2014. p. 85–120.

    Chapter  Google Scholar 

  11. Huang C, Barnett AG, Wang X, Tong S. Effects of extreme temperatures on years of life lost for cardiovascular deaths: a time series study in Brisbane, Australia. Circ Cardiovasc Qual Outcomes. 2012;5:609–14.

    Article  PubMed  Google Scholar 

  12. Kravchenko J, Abernethy AP, Fawzy M, Lyerly HK. Minimization of heatwave morbidity and mortality. Am J Prev Med. 2013;44:274–82.

    Article  PubMed  Google Scholar 

  13. Li M, Gu S, Bi P, Yang J, Liu Q. Heat waves and morbidity: current knowledge and further direction-a comprehensive literature review. Int J Environ Res Public Health. 2015;12:5256–83.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Basu R, Pearson D, Malig B, Broadwin R, Green R. The effect of high ambient temperature on emergency room visits. Epidemiology. 2012;23:813–20.

    Article  PubMed  Google Scholar 

  15. Kovats RS, Hajat S, Wilkinson P. Contrasting patterns of mortality and hospital admissions during hot weather and heat waves in greater London, UK. Occup Environ Med. 2004;61:893–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Ye X, Wolff R, Yu W, Vaneckova P, Pan X, Tong S. Ambient temperature and morbidity: a review of epidemiological evidence. Environ Health Perspect. 2012;120:19–28.

    Article  PubMed  Google Scholar 

  17. Gu S, Huang C, Bai L, Chu C, Liu Q. Heat-related illness in China, summer of 2013. Int J Biometeorol. 2016;60:131–7.

    Article  PubMed  Google Scholar 

  18. Kan H. Climate change and human health in China. Environ Health Perspect. 2011;119:A60–1.

    PubMed  PubMed Central  Google Scholar 

  19. Petkova EP, Morita H, Kinney PL. Health impacts of heat in a changing climate: how can emerging science inform urban adaptation planning? Curr Epidemiol Rep. 2014;1:67–74.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Gronlund CJ. Racial and socioeconomic disparities in heat-related health effects and their mechanisms: a review. Curr Epidemiol Rep. 2014;1:165–73.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kjellstrom T, Briggs D, Freyberg C, Lemke B, Otto M, Hyatt O. Heat, human performance, and occupational health: a key issue for the assessment of global climate change impacts. Annu Rev Public Health. 2016;37:97–112.

    Article  PubMed  Google Scholar 

  22. Charbotel B, Fervers B, Droz JP. Occupational exposures in rare cancers: a critical review of the literature. Crit Rev Oncol Hematol. 2014;90:99–134.

    Article  CAS  PubMed  Google Scholar 

  23. Beck N, Balanay JAG, Johnson T. Assessment of occupational exposure to heat stress and solar ultraviolet radiation among groundskeepers in an eastern North Carolina university setting. J Occup Environ Hyg. 2018;15:105–16.

    Article  CAS  PubMed  Google Scholar 

  24. Gubernot DM, Anderson GB, Hunting KL. Characterizing occupational heat-related mortality in the United States, 2000-2010: an analysis using the census of fatal occupational injuries database. Am J Ind Med. 2015;58:203–11.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Bartlett S, Larrieu S, Carcaillon L, Lefranc A, Helmer C, Dartigues J, Tavernier B, Ledrans M, Filleul L, Bonauto D, Anderson R, Rauser E, Burke B. Climate change and urban children: impacts and implications for adaptation in low- and middle-income countries factors associated with morbidity during the 2003 heat wave in two population-based cohorts of elderly subjects: Paquid and three city occupational heat illness in Washington state, 1995-2005. Environ Urban. 2008;20:501–19.

    Article  Google Scholar 

  26. Knowlton K, Rotkin-Ellman M, King G, Margolis HG, Smith D, Solomon G, Trent R, English P. The 2006 California heat wave: impacts on hospitalizations and emergency department visits. Environ Health Perspect. 2009;117:61–7.

    Article  PubMed  Google Scholar 

  27. Lee S, Lee H, Myung W, Kim EJ, Kim H. Mental disease-related emergency admissions attributable to hot temperatures. Sci Total Environ. 2018;616–617:688–94.

    Article  PubMed  CAS  Google Scholar 

  28. Thomas CL. Fatal isolation: the devastating Paris heat wave of 2003, by Richard C. Keller. Psychiatry. 2016;79:180–3.

    Article  Google Scholar 

  29. Sampson NR, Gronlund CJ, Buxton MA, Catalano L, White-Newsome JL, Conlon KC, O’Neill MS, McCormick S, Parker EA. Staying cool in a changing climate: reaching vulnerable populations during heat events. Glob Environ Chang. 2013;23:475–84.

    Article  Google Scholar 

  30. Crandall CG, Gonzalez-Alonso J. Cardiovascular function in the heat-stressed human. Acta Physiol (Oxf). 2010;199:407–23.

    Article  CAS  Google Scholar 

  31. Arbuthnott KG, Hajat S. The health effects of hotter summers and heat waves in the population of the United Kingdom: a review of the evidence. Environ Health. 2017;16:119.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Hopp S, Dominici F, Bobb JF. Medical diagnoses of heat wave-related hospital admissions in older adults. Prev Med. 2018;110:81–5.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Wang Q, Li C, Guo Y, Barnett AG, Tong S, Phung D, Chu C, Dear K, Wang X, Huang C. Environmental ambient temperature and blood pressure in adults: a systematic review and meta-analysis. Sci Total Environ. 2017;575:276–86.

    Article  CAS  PubMed  Google Scholar 

  34. Luber G, McGeehin M. Climate change and extreme heat events. Am J Prev Med. 2008;35:429–35.

    Article  PubMed  Google Scholar 

  35. Stollberger C, Lutz W, Finsterer J. Heat-related side-effects of neurological and non-neurological medication may increase heatwave fatalities. Eur J Neurol. 2009;16:879–82.

    Article  CAS  PubMed  Google Scholar 

  36. Sommet A, Durrieu G, Lapeyre-Mestre M, Montastruc JL, Ctr AFP. A comparative study of adverse drug reactions during two heat waves that occurred in France in 2003 and 2006. Pharmacoepidemiol Drug Saf. 2012;21:285–8.

    Article  PubMed  Google Scholar 

  37. Zhao L, Lee X, Smith RB, Oleson K. Strong contributions of local background climate to urban heat islands. Nature. 2014;511:216–9.

    Article  CAS  PubMed  Google Scholar 

  38. Laaidi K, Zeghnoun A, Dousset B, Bretin P, Vandentorren S, Giraudet E, Beaudeau P. The impact of heat islands on mortality in Paris during the august 2003 heat wave. Environ Health Perspect. 2012;120:254–9.

    Article  PubMed  Google Scholar 

  39. Madrigano J, Ito K, Johnson S, Kinney PL, Matte T, Parsons K. A case-only study of vulnerability to heat wave-related mortality in New York city (2000-2011) human thermal environments: the effects of hot, moderate, and cold environments on human health, comfort, and performance. Environ Health Perspect. 2015;123:672–8.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Sheng R, Li C, Wang Q, Yang L, Bao J, Wang K, Ma R, Gao C, Lin S, Zhang Y, Bi P, Fu C, Huang C, Liu X, Song Y, Yi W, Wang X, Zhu J. Does hot weather affect work-related injury? A case-crossover study in Guangzhou, China comparing the random forest with the generalized additive model to evaluate the impacts of outdoor ambient environmental factors on scaffolding construction productivity. Int J Hyg Environ Health. 2018;221:423–8.

    Article  PubMed  Google Scholar 

  41. Zhou L, Dickinson RE, Tian Y, Fang J, Li Q, Kaufmann RK, Tucker CJ, Myneni RB. Evidence for a significant urbanization effect on climate in China. Proc Natl Acad Sci U S A. 2004;101:9540–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Curriero FC, Heiner KS, Samet JM, Zeger SL, Strug L, Patz JA. Temperature and mortality in 11 cities of the eastern United States. Am J Epidemiol. 2002;155:80–7.

    Article  PubMed  Google Scholar 

  43. Chan EYY, Goggins WB, Kim JJ, Griffiths SM. A study of intracity variation of temperature-related mortality and socioeconomic status among the Chinese population in Hong Kong. J Epidemiol Community Health. 2012;66:322–7.

    Article  PubMed  Google Scholar 

  44. Zhang Y, Nitschke M, Krackowizer A, Dear K, Pisaniello D, Weinstein P, Tucker G, Shakib S, Bi P. Risk factors of direct heat-related hospital admissions during the 2009 heatwave in Adelaide, Australia: a matched case–control study. BMJ Open. 2016;6:e010666.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Xu Y, Dadvand P, Barrera-Gomez J, Sartini C, Mari-Dell’Olmo M, Borrell C, Medina-Ramon M, Sunyer J, Basagana X. Differences on the effect of heat waves on mortality by sociodemographic and urban landscape characteristics. J Epidemiol Community Health. 2013;67:519–25.

    Article  PubMed  Google Scholar 

  46. Larrieu S, Carcaillon L, Lefranc A, Helmer C, Dartigues JF, Tavernier B, Ledrans M, Filleul L. Factors associated with morbidity during the 2003 heat wave in two population-based cohorts of elderly subjects: Paquid and three city. Eur J Epidemiol. 2008;23:295–302.

    Article  PubMed  Google Scholar 

  47. Zanobetti A, O’Neill MS, Gronlund CJ, Schwartz JD. Susceptibility to mortality in weather extremes: effect modification by personal and small-area characteristics. Epidemiology. 2013;24:809–19.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Bouchama A, Dehbi M, Mohamed G, Matthies F, Shoukri M, Menne B. Prognostic factors in heat wave related deaths: a meta-analysis. Arch Intern Med. 2007;167:2170–6.

    Article  PubMed  Google Scholar 

  49. Dosio A, Mentaschi L, Fischer EM, Wyser K. Extreme heat waves under 1.5 °C and 2 °C global warming. Environ Res Lett. 2018;13:054006.

    Article  Google Scholar 

  50. Sun Y, Zhang X, Zwiers FW, Song L, Wan H, Hu T, Yin H, Ren G. Rapid increase in the risk of extreme summer heat in eastern China. Nat Clim Chang. 2014;4:1082–5.

    Article  Google Scholar 

  51. United Nations DoEaSA, Population Division (2018). 2018. World urbanization prospects: the 2018 revision.

    Google Scholar 

  52. Heaviside C, Vardoulakis S, Cai XM. Attribution of mortality to the urban heat island during heatwaves in the west midlands, UK. Environ Health. 2016;15(Suppl 1):27.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Yang J, Siri JG, Remais JV, Cheng Q, Zhang H, Chan KKY, Sun Z, Zhao Y, Cong N, Li X, Zhang W, Bai Y, Bi J, Cai W, Chan EYY, Chen W, Fan W, Fu H, He J, Huang H, Ji JS, Jia P, Jiang X, Kwan M-P, Li T, Li X, Liang S, Liang X, Liang L, Liu Q, Lu Y, Luo Y, Ma X, Schwartländer B, Shen Z, Shi P, Su J, Wu T, Yang C, Yin Y, Zhang Q, Zhang Y, Zhang Y, Xu B, Gong P. The Tsinghua—Lancet Commission on healthy cities in China: unlocking the power of cities for a healthy China. Lancet. 2018;391:2140–84.

    Article  PubMed  PubMed Central  Google Scholar 

  54. United Nations DoEaSA, Population Division (2017). 2017. World population prospects: the 2017 revision.

    Google Scholar 

  55. Sherwood SC, Huber M. An adaptability limit to climate change due to heat stress. Proc Natl Acad Sci U S A. 2010;107:9552–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Hawks J, Wang ET, Cochran GM, Harpending HC, Moyzis RK. Recent acceleration of human adaptive evolution. Proc Natl Acad Sci U S A. 2007;104:20753–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Kjellstrom T, Holmer I, Lemke B. Workplace heat stress, health and productivity—an increasing challenge for low and middle-income countries during climate change. Glob Health Action. 2009;2:46–51.

    Google Scholar 

  58. Zander KK, Botzen WJW, Oppermann E, Kjellstrom T, Garnett ST. Heat stress causes substantial labour productivity loss in Australia. Nat Clim Chang. 2015;5:647.

    Article  Google Scholar 

  59. McMichael AJ, Dear KB. Climate change: heat, health, and longer horizons. Proc Natl Acad Sci U S A. 2010;107:9483–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Huang C, Vaneckova P, Wang X, Fitzgerald G, Guo Y, Tong S. Constraints and barriers to public health adaptation to climate change: a review of the literature. Am J Prev Med. 2011;40:183–90.

    Article  CAS  PubMed  Google Scholar 

  61. Huang C, Barnett AG, Xu Z, Chu C, Wang X, Turner LR, Tong S. Managing the health effects of temperature in response to climate change: challenges ahead. Environ Health Perspect. 2013;121:415–9.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Bernard SM, McGeehin MA. Municipal heat wave response plans. Am J Public Health. 2004;94:1520–2.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Matthies F, Menne B. Prevention and management of health hazards related to heatwaves. Int J Circumpolar Health. 2009;68:8–22.

    Article  PubMed  Google Scholar 

  64. Chau PH, Chan KC, Woo J. Hot weather warning might help to reduce elderly mortality in Hong Kong. Int J Biometeorol. 2009;53:461–8.

    Article  CAS  PubMed  Google Scholar 

  65. Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A, Frayssinet P, Bessemoulin P, Laurent F, De Crouy-Chanel P, Jougla E, Hemon D. Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave. Int J Epidemiol. 2008;37:309–17.

    Article  CAS  PubMed  Google Scholar 

  66. Tan J, Zheng Y, Song G, Kalkstein LS, Kalkstein AJ, Tang X. Heat wave impacts on mortality in Shanghai, 1998 and 2003. Int J Biometeorol. 2007;51:193–200.

    Article  PubMed  Google Scholar 

  67. Price K, Perron S, King N. Implementation of the Montreal heat response plan during the 2010 heat wave. Can J Public Health. 2013;104:e96–100.

    PubMed  PubMed Central  Google Scholar 

  68. Benmarhnia T, Bailey Z, Kaiser D, Auger N, King N, Kaufman JS. A difference-in-differences approach to assess the effect of a heat action plan on heat-related mortality, and differences in effectiveness according to sex, age, and socioeconomic status (Montreal, Quebec). Environ Health Perspect. 2016;124:1694–9.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Price K, Benmarhnia T, Gaudet J, Kaiser D, Sadoine ML, Perron S, Smargiassi A. The Montreal heat response plan: evaluation of its implementation towards healthcare professionals and vulnerable populations. Can J Public Health. 2018;109:108–16.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Hajat S, Sheridan SC, Allen MJ, Pascal M, Laaidi K, Yagouti A, Bickis U, Tobias A, Bourque D, Armstrong BG, Kosatsky T. Heat-health warning systems: a comparison of the predictive capacity of different approaches to identifying dangerously hot days. Am J Public Health. 2010;100:1137–44.

    Article  PubMed  PubMed Central  Google Scholar 

  71. O’Neill MS, Ebi KL. Temperature extremes and health: impacts of climate variability and change in the United States. J Occup Environ Med. 2009;51:13–25.

    Article  PubMed  Google Scholar 

  72. Toloo GS, Fitzgerald G, Aitken P, Verrall K, Tong S. Are heat warning systems effective? Environ Health. 2013;12:27.

    Article  PubMed  Google Scholar 

  73. Lowe D, Ebi KL, Forsberg B. Heatwave early warning systems and adaptation advice to reduce human health consequences of heatwaves. Int J Environ Res Public Health. 2011;8:4623–48.

    Article  PubMed  PubMed Central  Google Scholar 

  74. WHO. Improving public health responses to extreme weather/heat-waves: Euroheat: technical summary. Copenhagen: WHO Regional Office for Europe; 2009.

    Google Scholar 

  75. Kalkstein L. Heat health warning systems: definition and methodology. Geneva: WHO; 2012.

    Google Scholar 

  76. Gosling SN, Lowe JA, McGregor GR, Pelling M, Malamud BD. Associations between elevated atmospheric temperature and human mortality: a critical review of the literature. Clim Chang. 2009;92:299–341.

    Article  Google Scholar 

  77. Tan J, Kalkstein LS, Huang J, Lin S, Yin H, Shao D. An operational heat/health warning system in Shanghai. Int J Biometeorol. 2004;48:157–62.

    Article  PubMed  Google Scholar 

  78. Lane K, Wheeler K, Charles-Guzman K, Ahmed M, Blum M, Gregory K, Graber N, Clark N, Matte T. Extreme heat awareness and protective behaviors in New York city. J Urban Health. 2014;91:403–14.

    Article  PubMed  Google Scholar 

  79. Sheridan SC. A survey of public perception and response to heat warnings across four North American cities: an evaluation of municipal effectiveness. Int J Biometeorol. 2007;52:3–15.

    Article  PubMed  Google Scholar 

  80. Stuart K, Mahmood MA, Clark L, Pace R. Health education and a co-ordinated response system to support vulnerable people during heat waves. Aust N Z J Public Health. 2011;35:394–5; discussion 395.

    Article  PubMed  Google Scholar 

  81. Smith E, Morgans A, Qureshi K, Burkle FM, Archer F. Paramedics’ perceptions of risk and willingness to work during disasters. Aust J Emerg Manag. 2009;24(3):21–7.

    Google Scholar 

  82. Hajat S, Kosatky T. Heat-related mortality: a review and exploration of heterogeneity. J Epidemiol Community Health. 2010;64:753–60.

    Article  PubMed  Google Scholar 

  83. Kovats RS, Hajat S. Heat stress and public health: a critical review. Annu Rev Public Health. 2008;29:41–55.

    Article  PubMed  Google Scholar 

  84. Bell E. Readying health services for climate change: a policy framework for regional development. Am J Public Health. 2011;101:804–13.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Hajat S, O’Connor M, Kosatsky T. Health effects of hot weather: from awareness of risk factors to effective health protection. Lancet. 2010;375:856–63.

    Article  PubMed  Google Scholar 

  86. Ravanelli NM, Hodder SG, Havenith G, Jay O. Heart rate and body temperature responses to extreme heat and humidity with and without electric fans. JAMA. 2015;313:724.

    Article  PubMed  Google Scholar 

  87. Ma W, Chen R, Kan H. Temperature-related mortality in 17 large Chinese cities: how heat and cold affect mortality in China. Environ Res. 2014;134:127–33.

    Article  CAS  PubMed  Google Scholar 

  88. Ohashi Y, Genchi Y, Kondo H, Kikegawa Y, Yoshikado H, Hirano Y. Influence of air-conditioning waste heat on air temperature in Tokyo during summer: numerical experiments using an urban canopy model coupled with a building energy model. J Appl Meteorol Climatol. 2007;46:66–81.

    Article  Google Scholar 

  89. Lin S, Fletcher BA, Luo M, Chinery R, Hwang SA. Health impact in New York city during the northeastern blackout of 2003. Public Health Rep. 2011;126:384–93.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Stone B, Hess JJ, Frumkin H. Urban form and extreme heat events: are sprawling cities more vulnerable to climate change than compact cities? Environ Health Perspect. 2010;118:1425–8.

    Article  PubMed  PubMed Central  Google Scholar 

  91. Ahmed KS. Comfort in urban spaces: defining the boundaries of outdoor thermal comfort for the tropical urban environments. Energ Buildings. 2003;35:103–10.

    Article  Google Scholar 

  92. Lin TP. Thermal perception, adaptation and attendance in a public square in hot and humid regions. Build Environ. 2009;44:2017–26.

    Article  Google Scholar 

  93. Boone-Heinonen J, Casanova K, Richardson AS, Gordon-Larsen P. Where can they play? Outdoor spaces and physical activity among adolescents in U.S. urbanized areas. Prev Med. 2010;51:295–8.

    Article  PubMed  PubMed Central  Google Scholar 

  94. van den Berg AE, Maas J, Verheij RA, Groenewegen PP. Green space as a buffer between stressful life events and health. Soc Sci Med. 2010;70:1203–10.

    Article  PubMed  Google Scholar 

  95. Yan H, Wu F, Dong L. Influence of a large urban park on the local urban thermal environment. Sci Total Environ. 2018;622–623:882–91.

    Article  PubMed  CAS  Google Scholar 

  96. Hunter RF, Christian H, Veitch J, Astell-Burt T, Hipp JA, Schipperijn J. The impact of interventions to promote physical activity in urban green space: a systematic review and recommendations for future research. Soc Sci Med. 2015;124:246–56.

    Article  PubMed  Google Scholar 

  97. Schipperijn J, Bentsen P, Troelsen J, Toftager M, Stigsdotter UK. Associations between physical activity and characteristics of urban green space. Urban For Urban Gree. 2013;12:109–16.

    Article  Google Scholar 

  98. Monninkhof EM, Elias SG, Vlems FA, van der Tweel I, Schuit AJ, Voskuil DW, van Leeuwen FE, TFPAC. Physical activity and breast cancer: a systematic review. Epidemiology. 2007;18:137–57.

    Article  PubMed  Google Scholar 

  99. Woodcock J, Edwards P, Tonne C, Armstrong BG, Ashiru O, Banister D, Beevers S, Chalabi Z, Chowdhury Z, Cohen A, Franco OH, Haines A, Hickman R, Lindsay G, Mittal I, Mohan D, Tiwari G, Woodward A, Roberts I. Public health benefits of strategies to reduce greenhouse-gas emissions: urban land transport. Lancet. 2009;374:1930–43.

    Article  PubMed  Google Scholar 

  100. Wolf T, McGregor G. The development of a heat wave vulnerability index for London, United Kingdom. Weather Clim Extrem. 2013;1:59–68.

    Article  Google Scholar 

  101. Zhu Q, Liu T, Lin H, Xiao J, Luo Y, Zeng W, Zeng S, Wei Y, Chu C, Baum S, Du Y, Ma W. The spatial distribution of health vulnerability to heat waves in Guangdong province, China. Glob Health Action. 2014;7:25051.

    Article  PubMed  Google Scholar 

  102. Turner LR, Connell D, Tong S. Exposure to hot and cold temperatures and ambulance attendances in Brisbane, Australia: a time-series study. BMJ Open. 2012;2:e001074.

    Article  PubMed  PubMed Central  Google Scholar 

  103. Leonardi GS, Hajat S, Kovats RS, Smith GE, Cooper D, Gerard E. Syndromic surveillance use to detect the early effects of heat-waves: an analysis of NHS direct data in England. Soz Praventivmed. 2006;51:194–201.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgement

This work was supported by the National Key R&D Program of China (grant number 2018YFA0606200), the Natural Science Foundation of Guangdong Province (grant number 2016A030313216), the Asia-Pacific Network for Global Change (grant number CRRP2016-10MYSG02-Huang), and the Natural Science Foundation of Guangdong Province, China (grant number 2017A030310249).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cunrui Huang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

He, Y. et al. (2019). Public Health Adaptation to Heat Waves in Response to Climate Change in China. In: Lin, H., Ma, W., Liu, Q. (eds) Ambient Temperature and Health in China. Springer, Singapore. https://doi.org/10.1007/978-981-13-2583-0_11

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-2583-0_11

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2582-3

  • Online ISBN: 978-981-13-2583-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics