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The effect of high temperatures on risk of hospitalization in northern Vietnam

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Abstract

Vietnam is one Southeast Asian country most vulnerable to climate change. By the end of the twenty-first century, temperature could rise above 5°C across Vietnam according to the IPCC highest emission pathway scenario. However, research on the temperature-health effects from the geographically diverse sub-tropical northern region of Vietnam is limited making location specific health system preparedness difficult. This study examines the elevated temperature-hospitalization relationship for the seven provinces in northern Vietnam by using generalized linear and distributed lag models. A random-effect meta-analysis was used to estimate the pooled temperature hospitalizations risks for all causes, and for infectious, cardiovascular, and respiratory diseases. The pooled estimates show a significant effect of high temperature on hospitalizations for the same day (lag 0), when a 1°C increase in temperature above 24°C was significantly associated with 1.1% (95% CI, 0.9–1.4%) increased risk for all-cause hospital admissions, 2.4% (95% CI, 1.9–2.9%) increased risk for infectious disease admissions, 0.5% (95% CI, 0.1–0.9%) increased risk for cardiovascular disease admissions, and 1.3% (95% CI, 0.9–1.6%) increased risk for respiratory disease admissions. This research adds to the scant evidence examining heat and health morbidity effects in sub-tropical climates and has important implications for better understanding and preparing for the future impacts of climate change related temperature on Vietnam residents.

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Data availability

The data that support the findings of this study are obtained from Health and Environment Management Agency, Vietnam but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available.

References

  • Ahmad M, Akram W, Ikram M, Shah AA, Rehman A, Chandio AA, Jabeen G (2021) Estimating dynamic interactive linkages among urban agglomeration, economic performance, carbon emissions, and health expenditures across developmental disparities. Sustain Prod Consum 26:239–255

    Google Scholar 

  • Bai L, Li Q, Wang J, Lavigne E, Gasparrini A, Copes R, Yagouti A, Burnett RT, Goldberg MS, Cakmak S, Chen H (2018) Increased coronary heart disease and stroke hospitalisations from ambient temperatures in Ontario. Heart 104(8):673–679. https://doi.org/10.1136/heartjnl-2017-311821

    Article  CAS  Google Scholar 

  • Bhaskaran K, Gasparrini A, Hajat S, Smeeth L, Armstrong B (2013) Time series regression studies in environmental epidemiology. Int J Epidemiol 42(4):1187–1195

    Google Scholar 

  • Bunker A, Wildenhain J, Vandenbergh A, Henschke N, Rocklöv J, Hajat S, Sauerborn R (2016) Effects of air temperature on climate-sensitive mortality and morbidity outcomes in the elderly; a systematic review and meta-analysis of epidemiological evidence. EBioMedicine 6:258–268

    Google Scholar 

  • Campbell S, Remenyi TA, White CJ, Johnston FH (2018) Heatwave and health impact research: a global review. Health Place 53:210–218

    Google Scholar 

  • Chan EY, Goggins WB, Yue JS, Lee P (2013) Hospital admissions as a function of temperature, other weather phenomena and pollution levels in an urban setting in China. Bull World Health Organ 91(8):576–584

    Google Scholar 

  • Chen R, Yin P, Wang L, Liu C, Niu Y, Wang W, Zhou M (2018) Association between ambient temperature and mortality risk and burden: time series study in 272 main Chinese cities. BMJ 363:k4306

    Google Scholar 

  • Dang TN, Seposo XT, Duc NH, Thang TB, An DD, Hang LT, Long TT, Loan BT, Honda Y (2016) Characterizing the relationship between temperature and mortality in tropical and subtropical cities: a distributed lag non-linear model analysis in Hue, Viet Nam, 2009-2013. Glob Health Action 9:28738. https://doi.org/10.3402/gha.v9.28738

    Article  Google Scholar 

  • Eckstein D, Künzel V, Schäfer L, Winges M (2020) Global Climate Risk Index 2020, who suffers most from extreme weather events? Weather-related loss events in 2018 and 1999 to 2018. Germanwatch, Bonn, p 2020

    Google Scholar 

  • Giang PN, Dung DV, Giang KB, Vinhc HV, Rocklöv J (2014) The effect of temperature on cardiovascular disease hospital admissions among elderly people in Thai Nguyen Province, Vietnam. Glob Health Action 7(1):23649

    Google Scholar 

  • Green RS, Basu R, Malig B, Broadwin R, Kim JJ, Ostro B (2010) The effect of temperature on hospital admissions in nine California counties. Int J Public Health 55:113–121

    Google Scholar 

  • Green H, Bailey J, Schwarz L, Vanos J, Ebi K, Benmarhnia T (2019) Impact of heat on mortality and morbidity in low and middle income countries: a review of the epidemiological evidence and considerations for future research. Environ Res 171:80–91

    CAS  Google Scholar 

  • Guo Y, Gasparrini A, Armstrong B, Li S, Tawatsupa B, Tobias A, Williams G (2014) Global variation in the effects of ambient temperature on mortality: a systematic evaluation. Epidemiology (Cambridge, Mass) 25(6):781

    Google Scholar 

  • Hashizume M, Armstrong B, Wagatsuma Y, Faruque ASG, Hayashi T, Sack DA (2008) Rotavirus infections and climate variability in Dhaka, Bangladesh: a time-series analysis. Epidemiol Infect 136(9):1281–1289

    CAS  Google Scholar 

  • Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560

    Google Scholar 

  • Hijioka Y, Lin E, Pereira JJ, Corlett RT, Cui X, Insarov GE, Lasco RD, Lindgren E, Surjan A (2014) Asia. In: Barros VR, Field CB, Dokken DJ, Mastrandrea MD, Mach KJ, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC, Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, White LL (eds) Climate change 2014: impacts, adaptation, and vulnerability. part b: regional aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge and New York, pp 1327–1370

    Google Scholar 

  • Hondula DM, Barnett AG (2014) Heat-related morbidity in Brisbane, Australia: spatial variation and area-level predictors. Environ Health Perspect 122:831–836

    Google Scholar 

  • Institute of strategy and policy on natural resources and environment (ISPONRE) (2009) Viet Nam Assessment Report on Climate Change https://wedocs.unep.org/bitstream/handle/20.500.11822/7940/VTN_ASS_REP_CC.pdf?sequence=3&isAllowed=y

  • Katzfey JJ, McGregor JL, Suppiah R (2014) High-resolution climate projections for Vietnam: technical report. CSIRO, Australia, p 266

    Google Scholar 

  • Lin S, Luo M, Walker RJ, Liu X, Hwang SA, Chinery R (2009) Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases. Epidemiology 20(5):738–746

    Google Scholar 

  • Lu P, Xia G, Zhao Q, Xu R, Li S, Guo Y (2020) Temporal trends of the association between ambient temperature and hospitalisations for cardiovascular diseases in Queensland, Australia from 1995 to 2016: a time-stratified case-crossover study. PLoS Med 17(7):e1003176

    Google Scholar 

  • Luong LMT, Phung D, Sly PD, Dang TN, Morawska L, Thai PK (2019) Effects of temperature on hospitalisation among pre-school children in Hanoi, Vietnam. Environ Sci Pollut Res Int 26(3):2603–2612

    Google Scholar 

  • Michelozzi P, Accetta G, De Sario M, D'Ippoliti D, Marino C, Baccini M, Biggeri A, Anderson HR, Katsouyanni K, Ballester F, Bisanti L, Cadum E, Forsberg B, Forastiere F, Goodman PG, Hojs A, Kirchmayer U, Medina S, Paldy A et al (2009) High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med 179(5):383–389

    Google Scholar 

  • Mui N T, 2006. Country pasture/forage resource profile https://ees.kuleuven.be/klimos/toolkit/documents/661_Vietnam.pdf

  • Nguyen DQ, Renwick J, Mcgregor J (2014) Variations of surface temperature and rainfall in Vietnam from 1971 to 2010. Int J Climatol 34:249–264

    Google Scholar 

  • O’Neill MS, Zanobetti A, Schwartz J (2003) Modifiers of the temperature and mortality association in seven US cities. Am J Epidemiol 157(12):1074–1082 

  • Phung DT, Huang C, Rutherford S, Chu C, Wang X, Nguyen M (2015a) Climate change, water quality, and water-related disease in the Mekong Delta Basin: a systematic review. Asia Pac J Public Health 27:176–265

    Google Scholar 

  • Phung D, Huang C, Rutherford S, Chu C, Wang X, Nguyen M, Nguyen NH, Manh CD, Nguyen TH (2015b) Association between climate factors and diarrhoea in a Mekong Delta area. Int J Biometeorol 59(9):1321–1331

    Google Scholar 

  • Phung D, Huang C, Rutherford S, Chu C, Wang X, Nguyen M, Nguyen NH, Do CM, Nguyen TH (2015c) Temporal and spatial patterns of diarrhoea in the Mekong Delta area, Vietnam. Epidemiol Infect 143(16):3488–3497

    CAS  Google Scholar 

  • Phung D, Rutherford S, Chu C, Wang X, Nguyen M, Nguyen NH, Manh Do C, Nguyen TH, Huang C (2015d) Temperature as a risk factor for hospitalisations among young children in the Mekong Delta area, Vietnam. Occup Environ Med 72(7):529–535

    Google Scholar 

  • Phung D, Chu C, Rutherford S, Nguyen HLT, Do CM, Huang C (2016a) Heatwave and risk of hospitalization: a multi-province study in Vietnam. Environ Pollut 220(Pt A):597–607

    Google Scholar 

  • Phung D, Guo Y, Nguyen HT, Rutherford S, Baum S, Chu C (2016b) High temperature and risk of hospitalizations, and effect modifying potential of socio-economic conditions: a multi-province study in the tropical Mekong Delta Region. Environ Int 92-93:77–86

    Google Scholar 

  • Phung D, Guo Y, Thai P, Rutherford S, Wang X, Nguyen M, Chu C (2016c) The effects of high temperature on cardiovascular admissions in the most populous tropical city in Vietnam. Environ Pollut 208:33–39

    CAS  Google Scholar 

  • Phung D, Chu C, Tran DN, Huang C (2018) Spatial variation of heat-related morbidity: a hierarchical Bayesian analysis in multiple districts of the Mekong Delta Region. Sci Total Environ 1(637-638):1559–1565

    Google Scholar 

  • Pudpong N, Hajat S (2011) High temperature effects on out-patient visits and hospital admissions in Chiang Mai, Thailand. Sci Total Environ 409(24):5260–5267

    CAS  Google Scholar 

  • Quyen NH (2019) Rural poverty reduction in Vietnam 2019. Mekong Delta Research Institute Available online at https://www.un.org/development/desa/dspd/wp-content/uploads/sites/22/2019/03/pdfresizer.com-pdf-resize-4.pdf, accessed on May 2021

    Google Scholar 

  • Rehman S, Rehman E, Ikram M, Jianglin Z (2021) Cardiovascular disease (CVD): assessment, prediction and policy implications. BMC Public Health 21:1299

    Google Scholar 

  • Song X, Wang S, Hu Y, Yue M, Zhang T, Liu Y, Tian J, Shang K (2017) Impact of ambient temperature on morbidity and mortality: an overview of reviews. Sci Total Environ 586:241–254

    CAS  Google Scholar 

  • Tian Y, Liu H, Si Y, Cao Y, Song J, Li M, Wu Y, Wang X, Xiang X, Juan J, Chen L, Wei C, Gao P, Hu Y (2019) Association between temperature variability and daily hospital admissions for cause-specific cardiovascular disease in urban China: a national time-series study. PLoS Med 16(1):e1002738

    Google Scholar 

  • Tran DN, Doan VQ, Nguyen VT, Khan A, Thai PK, Cunrui H, Chu C, Schak E, Phung D (2020) Spatial patterns of health vulnerability to heatwaves in Vietnam. Int J Biometeorol 64:863–872

    Google Scholar 

  • Turner LR, Barnett AG, Connell D, Tong S (2012) Ambient temperature and cardiorespiratory morbidity: a systematic review and meta-analysis. Epidemiology 23(4):594–606

    Google Scholar 

  • Watts N, Adger WN, Agnolucci P, Blackstock J, Byass P, Cai W, Cox PM (2015) Health and climate change: policy responses to protect public health. Lancet 386(10006):1861–1914

    Google Scholar 

  • WBG and ADB. (2021). Climate risk country profile: Vietnam 2021: The World Bank Group and the Asian Development Bank.

  • WHO (2011) Mapping out vulnerable areas and population due to adverse health impacts of climate change in Viet Nam. Hanoi, Vietnam Health Environment Management Agency

    Google Scholar 

  • Wu Y, Xu R, Wen B, Coelho MSZS, Saldiva PH, Li S, Guo Y (2021) Temperature variability and asthma hospitalisation in Brazil, 2000-2015: a nationwide case-crossover study. Thorax 76(10):962–969

  • Xu R, Zhao Q, Coelho MSZS, Saldiva PHN, Abramson MJ, Li S, Guo Y (2020) Socioeconomic level and associations between heat exposure and all-cause and cause-specific hospitalization in 1,814 Brazilian cities: A nationwide case-crossover study. PLoS Med 17(10):e1003369

    Google Scholar 

  • Xuan LTT, Egondi T, Ngoan LT, Toan DTT, Huong LT (2014a) Seasonality in mortality and its relationship to temperature among the older population in Hanoi, Vietnam. Glob Health Action 7(1):23115

    Google Scholar 

  • Xuan LTT, Van Hau P, Thu DT, Toan DTT (2014b) Estimates of meteorological variability in association with dengue cases in a coastal city in northern Vietnam: an ecological study. Glob Health Action 7(1):23119

    Google Scholar 

  • Ye X, Wolff R, Yu W, Vaneckova P, Pan X, Tong S (2012) Ambient temperature and morbidity: a review of epidemiological evidence. Environ Health Perspect 120(1):19–28

    Google Scholar 

  • Zhai G, Zhang K, Chai G (2021) Lag effect of ambient temperature on the cardiovascular disease hospital admission in Jiuquan, China. Air Qual Atmos Health 14:181–189

    CAS  Google Scholar 

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Acknowledgements

DP was supported by the Research Start-up Fund of School of Medicine, Griffith University.

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Authors and Affiliations

  1. Menzies School of Health Research, Royal Darwin Hospital, Darwin, NT, Australia

    Mohammad Radwanur Talukder

  2. Baker Heart and Diabetes Institute, Alice Springs Hospital, Alice Springs, NT, Australia

    Mohammad Radwanur Talukder

  3. Centre for Environment and Population Health, School of Medicine and Dentistry, Griffith University, Brisbane, Australia

    Cordia Chu & Dung Phung

  4. School of Medicine and Dentistry, Griffith University, Gold Coast, Australia

    Shannon Rutherford & Dung Phung

  5. Sun Yat-Sen University, Guanzhou, China

    Cunrui Huang

Authors
  1. Mohammad Radwanur Talukder
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  2. Cordia Chu
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  4. Cunrui Huang
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  5. Dung Phung
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Contributions

M.R.T. conceptualized, curated data, performed data analysis and drafted the manuscript; D.P. assisted with data analysis, writing methods, and drafting the manuscript; S.R. reviewed and edited the manuscript; all the authors (M.R.T., C.C, S.R., C.H., and D.P.) contributed to review and draft of the manuscript.

Corresponding authors

Correspondence to Mohammad Radwanur Talukder or Dung Phung.

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Ethics approval and consent to participate

This study is one of a bigger research project in climate change and health in the Mekong Delta Region. The project was approved by the ethical committee of Griffith University (GU Ref No: ENV/23/15/HREC) and Health and Environment Management Agency, the leading agency of the health sector responsible for climate change and health in Vietnam (1290/MT-SKCD).

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Not applicable

Competing interests

The authors declare no competing interests.

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Responsible Editor: Lotfi Aleya

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Talukder, M.R., Chu, C., Rutherford, S. et al. The effect of high temperatures on risk of hospitalization in northern Vietnam. Environ Sci Pollut Res 29, 12128–12135 (2022). https://doi.org/10.1007/s11356-021-16601-8

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  • DOI: https://doi.org/10.1007/s11356-021-16601-8

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