International Journal of Biometeorology

, Volume 58, Issue 8, pp 1799–1802 | Cite as

Evaluation of the plan for surveillance and controlling of the effects of heat waves in Madrid

  • Dante R. CulquiEmail author
  • Julio Diaz
  • Fernando Simón
  • Aurelio Tobías
  • Cristina Linares
Short Communications


This paper presents evaluation of a plan for surveillance of and controlling the effects of heat-related mortality (PSCEHW), implemented in Madrid in 2004 through a time series analysis conducted with ARIMA modeling. From the public health point of view, prevention plans should be implemented as adaptive measures to heat waves. In 2003, the impact attributable to the heat wave was an increase in mortality per °C of 22.39 %. All heat waves since 2003 have been of lower intensity, and yet, in 2005 there was a heat wave of lower intensity that had a greater impact, i.e. an increase in mortality per °C of 45.71 %. With the methodology used here, we cannot say whether implementation of PSCEHW has resulted in a decrease of mortality attributable to high temperatures in the city of Madrid.


Heat wave Evaluation Surveillance 



Thanks go to Kenedy Alva (High Council for Scientific Research, CSIC) for statistical help, and to Dr. Alicia Barrasa (Carlos III Health Institute) and Houri Tamizifar, for their contribution to the development of this research and ENPY1001/13 FIS Project and Strategic Health Action ISCIII, who funded the project.


  1. Bassil KL, Cole DC (2010) Effectiveness of public health interventions in reducing morbidity and mortality during heat episodes: a structured review. Int J Environ Res Public Health 7:991–1001CrossRefGoogle Scholar
  2. Bilan et al (2004) Impact sanitaire de la vague de chaleur d’août 2003 en France: bilan et perspectives [The health impact of the August 2003 heat wave in France: review and perspectives]. Institut de Veille Sanitaire Web site. Available at. Accessed 25 Nov 2003
  3. Díaz J, Jordán A, García R, López C, Alberdi JC, Hernández E et al (2002) Heat waves in Madrid 1986–1997: effects on the health of the elderly. Int Arch Occup Environ Health 75:163–170Google Scholar
  4. Díaz J, García-Herrera R, Trigo RM, Linares C, Valente MA, De Miguel JM et al (2006) The impact of the summer 2003 heat wave in Iberia: How should we measure it.? Int J Biometeorol 50:159–166CrossRefGoogle Scholar
  5. D’Ippoliti D, Michelozzi P, Marino C et al (2010) The impact of heat waves on mortality in 9 European cities: results from the EuroHEAT project. Environ Health 9:37. doi: 10.1186/1476-069X-9-37
  6. Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A et al (2008) Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study on the 2006 heat wave. Int J Epidemiol 37:309–317CrossRefGoogle Scholar
  7. Ha J, Kim H, Hajat S (2011) Effect of previous-winter mortality on the association between summer temperature and mortality in South Korea. Environ Health Perspect 119:542–546CrossRefGoogle Scholar
  8. Hémon D, Jougla E (2004) The heat wave in France in August. Rev Epidemiol Sante Publique 52:3–5CrossRefGoogle Scholar
  9. IPCC (2012) Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. A Special Report of Working Groups I and II of the Intergovernmental Panel on Climate Change. Cambridge University PressGoogle Scholar
  10. Kaiser R, Rubin CH, Henderson A et al (2001) Heat-related deaths and mental illness during the 1999 Cincinnati heat wave. Am J Forensic Med Pathol 22:303–307CrossRefGoogle Scholar
  11. Luterbacher J, Dietrich D, Xoplaki E, Grosjean M, Wanner X (2004) European seasonal and annual temperature varibility, trends and extremes since 1500. Science 303:1499–1503CrossRefGoogle Scholar
  12. Montero JC, Mirón Pérez IJ, Criado-Álvarez JJ et al (2010) Posibilidades de mejora en los planes de prevención frente al exceso de temperaturas. Rev Esp Salud Publica 84:2. doi: 10.1590/S1135-57272010000200003.
  13. Montero JC, Mirón IJ, Criado JJ, Linares C, Díaz J (2012a) Difficulties of defining the term “heat wave” in public health. Int J Environ Health Res 2012:1–3Google Scholar
  14. Montero JC, Mirón IJ, Criado JJ, Linares C, Díaz J (2012b) Influence of local factors in the relationship between mortality and heat waves: Castile-La Mancha (1975–2003). Sci Total Environ 414:73–80CrossRefGoogle Scholar
  15. Palecki MA, Changnon SA, Kunkel KE (2001) The nature and impacts of the July 1999 heat wave in the Midwestern United States: learning from the lessons of 1995. Bull Meteorol Soc 82:1353–1367CrossRefGoogle Scholar
  16. Patz JA, Campbell-Lendrum D, Holloway T et al (2005) Impact of regional climate change on human health. Nature 438:310–317CrossRefGoogle Scholar
  17. Pirard P (2003) Heat wave: a climatic deadly phenomenon that can be prevented. Enferm Emerg 5:145–146Google Scholar
  18. Robine JM, Cheung S, Le Roy S, Van Oyen H, Griffiths C, Michael JP et al (2008) Death toll exceeded 70,000 in Europe during the summer of 2003. C R Biol 331(2):171–178CrossRefGoogle Scholar
  19. Sáez M, Sunyer J, Castellsague J, Murillo C, Anto JM (1995) Relationship between weather temperature and mortality: a time series analysis approach in Barcelona. Int J Epidemiol 24:576–582CrossRefGoogle Scholar
  20. Sartor F, Snacken R, Demuth C, Walcklers D (1995) Temperature, ambient ozone levels and mortality during summer 1994 in Belgium. Environ Res 70:105–113CrossRefGoogle Scholar
  21. Simon F, Lopez-Abente G, Ballester E, Martinez F (2005) Mortality in Spain during the heat waves of summer 2003. Euro Surveill. Available online: Accessed 23 July 2012
  22. Weisskopf MG, Anderson HA, Foldy S, HanrahanLP BK, Torok TJ et al (2002) Heat wave morbidity and mortality, Milwaukee, Wis. 1999 vs 1995: an improved response? Am J Public Health 92:830–833CrossRefGoogle Scholar
  23. WHO (2003) Methods of assessing human health vulnerability and responses. Health and Global Environmental Change. World Health Organization, GenevaGoogle Scholar
  24. WHO (2009) Euro HEAT: improving public health responses to extreme weather events/heat waves; Summary for policy makers. WHO Regional Office for Europe, CopenhagenGoogle Scholar

Copyright information

© ISB 2013

Authors and Affiliations

  • Dante R. Culqui
    • 1
    Email author
  • Julio Diaz
    • 2
  • Fernando Simón
    • 3
  • Aurelio Tobías
    • 4
  • Cristina Linares
    • 5
    • 6
  1. 1.Epidemiology Program Field, Epidemiology National CenterCarlos III Health InstituteMadridSpain
  2. 2.National School HealthCarlos III Health InstituteMadridSpain
  3. 3.Epidemiology National CenterCarlos III Health InstituteMadridSpain
  4. 4.Institute of Environmental Assessment and Water Research (IDAEA)Spanish Council for Scientific Research (CSIC)BarcelonaSpain
  5. 5.CIBER EpidemiologÌa y Salud Pública (CIBERESP)MadridSpain
  6. 6.Cancer and Environmental Epidemiology Unit, National Centre for Epidemiology, Carlos III Institute of HealthMadridSpain

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