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International Journal of Biometeorology

, Volume 50, Issue 3, pp 144–153 | Cite as

France’s heat health watch warning system

  • Mathilde Pascal
  • Karine LaaidiEmail author
  • Martine Ledrans
  • Elsa Baffert
  • Céline Caserio-Schönemann
  • Alain Le Tertre
  • Jacques Manach
  • Sylvia Medina
  • Jérémie Rudant
  • Pascal Empereur-Bissonnet
Original Article
First Online:

Abstract

In 2003, a Heat Health Watch Warning System was developed in France to anticipate heat waves that may result in a large excess of mortality. The system was developed on the basis of a retrospective analysis of mortality and meteorological data in fourteen pilot cities. Several meteorological indicators were tested in relation to levels of excess mortality. Computations of sensibility and specificity were used to choose the meteorological indicators and the cut-offs. An indicator that mixes minimum and maximum temperatures was chosen. The cut-offs were set in order to anticipate events resulting in an excess mortality above 100% in the smallest cities and above 50% in Paris, Lyon, Marseille and Lille. The system was extended nationwide using the 98th percentile of the distribution of minimum and maximum temperatures. A national action plan was set up, using this watch warning system. It was activated on 1st June 2004 on a national scale. The system implies a close cooperation between the French Weather Bureau (Météo France), the National Institute of Health Surveillance (InVS) and the Ministry of Health. The system is supported by a panel of preventive actions, to prevent the sanitary impact of heat waves.

Keywords

Heat health watch warning system Temperature Mortality Heat wave 
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Notes

Acknowledgements

The authors are grateful to the National Institute of Statistic and Economic Studies (INSEE) for the mortality data, to A. Maulpoix and P. De Crouy-Chanel who produced the maps, to E. Bertrand and S. Guitton who helped with the bibliographic research, to all the participants who collected the sanitary indicators.

References

  1. Applegate WB, Runyan JW Jr, Brasfield L, Williams ML, Konigsberg C, Fouche C (1981) Analysis of the 1980 heat wave in Memphis. J Am Geriatr Soc 29:337–342PubMedGoogle Scholar
  2. Auger N, Kosatsky T (2002) Chaleur accablante. Mise à jour de la littérature concernant les impacts de santé publique et proposition de mesures d’adaptation. Direction de la santé publique, Montréal, pp 1–34Google Scholar
  3. Basu R, Samet JM (2002) Relation between elevated ambient temperature and mortality: a review of the epidemiologic evidence. Epidemiol Rev 24:190–202CrossRefPubMedGoogle Scholar
  4. Benbow N (1997) Chaleur et mortalité à Chicago en juillet 1995. Climat Santé 18:61–70Google Scholar
  5. Besancenot JP (1990a) L’organisme humain face à la chaleur. Sécheresse, Science et changements planétaires 1:98–104Google Scholar
  6. Besancenot JP (1990b) Les fortes chaleurs sont-elles dangereuses? Recherche (la) 223:930–933Google Scholar
  7. Besancenot JP (1997) Les grands paroxysmes climatiques et leurs répercussions sur la santé. Presse Therm Clim 134:237–246Google Scholar
  8. Besancenot JP (2001) Climat et santé. Presses Universitaires de France, Paris, pp 1–128Google Scholar
  9. Besancenot JP (2002) Vagues de chaleur et mortalité dans les grandes agglomérations urbaines. Environ Risques Santé 1:229–240Google Scholar
  10. Braga AL, Zanobetti A, Schwartz J (2002) The effect of weather on respiratory and cardiovascular deaths in 12 U.S. cities. Environ Health Perspect 110:859–863PubMedCrossRefGoogle Scholar
  11. Changnon SA, Kunkel KE, Reinke BC (1996) Impacts and responses to the 1995 heat wave: a call to action. Bull Am Meteorol Soc 77:1497–1506CrossRefGoogle Scholar
  12. Chestnut L, Breffle WS, Smith J, Kalkstein LS (1998) Analysis of differences in hot-weather-related mortality across 44 U.S. metropolitan areas. Environ Sci Policy 1:59–70CrossRefGoogle Scholar
  13. Cooter E (1993) Approche bioclimatique d’une forte vague de chaleur. Le cas de l’Oklahoma. Climat Santé 51–70Google Scholar
  14. Díaz J, García R, Velázquez de Castro F, Hernández E, López C, Otero A (2002a) Effects of extremely hot days on people older than 65 years in Seville (Spain) from 1986 to 1997. Int J Biometeorol 46:145–149CrossRefPubMedGoogle Scholar
  15. Diaz J, Jordan A, Garcia R, Lopez C, Alberdi JC, Hernandez E, Otero A (2002b) Heat waves in Madrid 1986–1997: effects on the health of the elderly. Int Arch Occup Environ Health 75:163–170CrossRefPubMedGoogle Scholar
  16. Donaldson GC, Keatinge WR, Nayha S (2003) Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southeast England. Environ Res 91:1–7CrossRefPubMedGoogle Scholar
  17. Doucoure D (1993) La relation mortalité-météorologie: détermination d’un seuil critique de température et mise au point d’un système de prévention de la surmortalité estivale. Climat Santé 10:129–135Google Scholar
  18. Hajat S, Kovats RS, Atkinson RW, Haines A (2002) Impact of hot temperatures on death in London: a time series approach. J Epidemiol Community Health 56:367–372CrossRefPubMedGoogle Scholar
  19. Hémon D, Jougla E (2003) Surmortalité liée à la canicule d’août 2003. Rapport d’étape (1/3). Estimation de la surmortalité et principales caractéristiques épidémiologiques. INSERM. 1–59. 2003. INSERM, ParisGoogle Scholar
  20. InVS (Institut National de Veille Sanitaire) (2003) Impact sanitaire de la vague de chaleur en France survenue en août 2003. Rapport d’étape, 28 août 2003.http://www.invs.sante.fr. 28-8-2003
  21. Jendritzky G, Bucher K, Laschewski G, Walther H (2000) Atmospheric heat exchange of the human being, bioclimate assessments, mortality and thermal stress. Int J Circumpolar Health 59(3–4):222–227PubMedGoogle Scholar
  22. Jones TS (1993) Retour sur un sujet controversé: morbidité et mortalité durant la vague de chaleur de juillet 1980 au Missouri. Climat Santé 25–49Google Scholar
  23. Jones TS, Liang AP, Kilbourne EM, Griffin MR, Patriarca PA, Wassilak SG, Mullan RJ, Herrick RF, Donnell HD Jr, Choi K, Thacker SB (1982) Morbidity and mortality associated with the July 1980 heat wave in St Louis and Kansas City, Mo. JAMA 247:3327–3331CrossRefPubMedGoogle Scholar
  24. Kalkstein LS (2002) Description of our heat/health watch-warning systems: their nature and extent, and required resources. Center for Climatic Research and University of Delaware, pp 1–31Google Scholar
  25. Kalkstein LS, Jamason PF, Greene JS, Libby J, Robinson L (1996) The Philadelphia hot weather-health watch/warning system: development and application, summer 1995. Bull Am Meteorol Soc 77:1519–1528CrossRefGoogle Scholar
  26. Katsouyanni K, Trichopoulos D, Zavitsanos X, Touloumi G (1988) The 1987 Athens heatwave. Lancet 2:573CrossRefPubMedGoogle Scholar
  27. Kirk ML (1996) Chaleur et mortalité des personnes âgées aux Etats-Unis: approche cartographique. Climat Santé 15:25–41Google Scholar
  28. Kunkel KE, Changnon SA, Reinke BC, Arritt RW (1996) The July 1995 heat wave in the midwest: a climatic perspective and critical waether factors. Bull Am Meteorol Soc 77:1507–1518CrossRefGoogle Scholar
  29. Kunst AE (1996) Température et mortalité aux Pays-Bas. Essai d’analyse chronologique. Climat Santé 15:43–64Google Scholar
  30. Laaidi K (1997) Les éléments du climat et leurs possibles implications sur la santé. Presse Therm Clim 134:213–223Google Scholar
  31. Laaidi M, Laaidi K, Besancenot JP (2002) La relation température mortalité en France. Les possibles répercussions d’un changement climatique. Actes du Colloque “Regards croisés sur les changements globaux” Inra, Cnes, Cnfcg, Insu. Arles, France, 25–29 novembre 2002Google Scholar
  32. Laaidi K, Laaidi M, Besancenot JP (2003) Temperature related mortality in Paris, France. Br Med J (submitted)Google Scholar
  33. Marmor M (1975) Heat wave mortality in New York City, 1949 to 1970. Arch Environ Health 30:130–136PubMedGoogle Scholar
  34. Michelozzi P, Kirchmayer U, Katsouyanni K, Biggeri A, Bertollini R, Anderson R, Benne B, McGregor G, Kassomenos P (2004) The PHEWE project - Assessment and prevention of acute health effects of assessment and prevention of acute health effects of weather conditions in Europe. Epidemiology 15:102–103CrossRefGoogle Scholar
  35. Ministère de la santé et de la protection sociale, Ministère délégué aux personnes âgées (2004) Plan National Canicule, actions nationales et locales à mettre en œuvre par les pouvoirs publics afin de prévenir et réduire les conséquences sanitaires d’’une canicule, http://www.sante.gouv.fr/canicule/doc/plan_canicule.pdf
  36. Robinson PJ (2000) On the definition of a heat wave. J Appl Meteorol 40:762–775CrossRefGoogle Scholar
  37. Rogers IR, Williams A (2000) Heat-related illness. In: Cameron P, Jelinek G, Kelly A-M, Murray L, Heyworth J (eds) Textbook of adult emergency medicine. Edinburgh, pp 607–610Google Scholar
  38. Rooney C, McMichael AJ, Kovats RS, Coleman MP (1998) Excess mortality in England and Wales, and in Greater London, during the 1995 heatwave. J Epidemiol Community Health 52:482–486PubMedCrossRefGoogle Scholar
  39. Sartor F, Snacken R, Demuth C, Walckiers D (1995) Temperature, ambient ozone levels, and mortality during summer 1994, in Belgium. Environ Res 70:105–113CrossRefPubMedGoogle Scholar
  40. Semenza JC, Rubin CH, Falter KH, Selanikio JD, Flanders WD, Howe HL, Wilhelm JL (1996) Heat-related deaths during the July 1995 heat wave in Chicago. N Engl J Med 335:84–90CrossRefPubMedGoogle Scholar
  41. Simonet J (1985) Vague de chaleur de juillet 1983: étude épidémiologique et physiopathologique. 1–161. 1985. Faculté de Médecine, MarseilleGoogle Scholar
  42. Smoyer KE (1998) A comparative analysis of heat waves and associated mortality in St. Louis, Missouri-1980 and 1995. Int J Biometeorol 42:44–50CrossRefPubMedGoogle Scholar
  43. Thirion X (1992) La vague de chaleur de juillet 1983 à Marseille: enquête sur la mortalité, essai de prévention. Santé Publique 4:58–64Google Scholar
  44. WHO Regional Committee for Europe (2003) Heatwaves: impacts and responses. WHO 1–11Google Scholar

Copyright information

© ISB 2005

Authors and Affiliations

  • Mathilde Pascal
    • 1
  • Karine Laaidi
    • 1
    Email author
  • Martine Ledrans
    • 1
  • Elsa Baffert
    • 1
  • Céline Caserio-Schönemann
    • 2
  • Alain Le Tertre
    • 1
  • Jacques Manach
    • 3
  • Sylvia Medina
    • 1
  • Jérémie Rudant
    • 1
  • Pascal Empereur-Bissonnet
    • 1
  1. 1.Department of Environmental HealthInstitut de Veille SanitaireSaint MauriceFrance
  2. 2.Department of AlertsInstitut de Veille SanitaireSaint MauriceFrance
  3. 3.National Weather Service, Météo-FranceToulouseFrance

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