Summary
We investigated the association of weather on daily mortality in Budapest, 1970 – 2000, with special regard to heat waves. Budapest has a continental climate and experiences extreme heat episodes. In the past 30 years, the minimum and maximum daily temperatures in Budapest has significantly increased, as well as daily variability in summer. A 5 °C increase in daily mean temperature above 18 °C increases the risk of total mortality by 10.6 % (95 % CI 9.7, 14.0). The effect of hot weather on cardiovascular mortality is even greater. Six heat episodes were identified from 1993 to 2000 using standardized methods. During each episode, a short term excess in mortality occurred. During the early June heatwave in 2000, excess mortality was greater than 50 % over the three day period. We conclude that temperature, especially heat waves, represent an important environmental burden on mortality in the residents of Budapest. Heat waves that occur early in the summer are particularly dangerous. There is a need to improve public health advice in order to reduce the burden of heat waves on human health in Hungary.
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References
CDC (1995) Heat related mortality — Chicago, July 1995. MMWR 44:577–579
Haines A, McMichael AJ, Epstein PR (2000) Environment and health: 2. Global Climate change and health. CMAJ 163(6):729–734
Hajat S, Kovats S, Atkinson R Haines A (2002) The impact of hot temperatures on death in London: a time-series approach. JECH 56:367–72
Intergovernmental Panel on Climate Change (IPCC). Houghton J, Ding Y, Griggs M et al. (eds) (2001) Climate Change 2001. The Scientific Basis: Contribution of Working Group I to the 3rd Assessment Report of the IPCC. Cambridge University Press, Cambridge
Kalkstein LS (2000) Biometeorology — looking at the links between weather, climate and health. Biometeorology Bull 5:9–18
Kalkstein LS, Green JS (1997) An evaluation of climate/mortality relationships in large US cities and the possible impacts of climate change. Environ Health Perspect 105(1)84–93
Keatinge WR, Donaldson GC, Cordioli E, Martinelli M, Kunst AE et al. (2000) Heat related mortality in warm and cold regions of Europe: observational study. BMJ 81:795–800
Klein Tank A, Wijngaard J, van Engelen A (2002) Climate of Europe: Assessment of observed daily temperature and precipitation extremes. KNMI, De Bilt, the Netherlands, pp 36ff
Koppe C, Kovats RS, Jendritzky G, Menne B (2004) Heat-waves: impacts and responses. In: Health and Global Environmental Change Series, No. 2. WHO Regional Office for Europe, Copenhagen
Kunst AE, Looman CW, Mackenbach JP (1993) Outdoor air temperature and mortality in the Netherlands: a time series analysis: American Journal of Epidemiology 137:331–341
Mika J (1988) Characteristics of global warming in the Carpathian Basin (in Hungarian) Időjárás 92:178–189
National Environmental Health Action Program (1997) http:// www.antsz.hu/oki/nekap/
Paldy A, Bobvos J, Erdei, Vámos A, Károssy Cs (2001) Short-term effects of weather and synoptic weather conditions on daily mortality in Budapest Epidemiology 12:(Suppl.)S57
Paldy A,. Bobvos J, Erdei E, Károssy Cs, Vamos A (2000) Short-term effects of classical and biological air pollutants — Synoptic weather conditions on daily mortality in Budapest: APHEA2 project Epidemiology 11:(4)S123–S123
Pattenden S, Nikiforov B, Armstrong BG (2003) Mortality and temperature in Sofia and London. J Epidemiol Community Health 57:628–633
Patz JA, Khaliq M (2002) Global Climate change and Health: Challenges for Future Practitioners. JAMA 287:2283–2284
Pope CA, Kalkstein LS (1996) Synoptic weather modelling and estimation of exposure-response relationship between daily mortality and particulate air pollution. Environ Health Perspect 104:414–420
Samet JM, Zeger S, Kelsall J et al. (1998) Does weather confound or modify the association of particulate air pollution with mortality? An analysis of the Philadelphia data, 1973–1980. Environ Res 77:9–19
Széles G, Fülöp I, Bordás I, Ádány R (2003) Characteristics of chronic non-communicable diseases in Hungary based on the data of GP Morbidity data Collection Program. In: Adány R (ed) The Health State of the Hungarian Population at the Turn of the Millenium (in Hungarian). Medicina Press, Budapest, pp 27–42
Touloumi G, Samoli E, Quenel P, Paldy A, Anderson HR, Zmirou D, Galan LI, Forsberg B, Schindler C, Schwartz J, Katsouyanni K (2004) Confounding effects of influenza epidemics on the short-term effects of air pollution on total and cardiovascular mortality: a sensitivity analysis Epidemiology: In press
Tyndall J (1862) On the absorption and radiation of heat by gases and vapours, and on the physical connection of radiation, absorption and conduction. Philosophicsal Magazine 122-169-194:273–285
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Páldy, A., Bobvos, J., Vámos, A., Kovats, R.S., Hajat, S. (2005). The Effect of Temperature and Heat Waves on Daily Mortality in Budapest, Hungary, 1970 – 2000. In: Kirch, W., Bertollini, R., Menne, B. (eds) Extreme Weather Events and Public Health Responses. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28862-7_10
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DOI: https://doi.org/10.1007/3-540-28862-7_10
Publisher Name: Springer, Berlin, Heidelberg
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