Abstract
Heat waves are expected to increase in frequency and magnitude with climate change. The first part of a study to produce projections of the effect of future climate change on heat-related mortality is presented. Separate city-specific empirical statistical models that quantify significant relationships between summer daily maximum temperature (T max) and daily heat-related deaths are constructed from historical data for six cities: Boston, Budapest, Dallas, Lisbon, London, and Sydney. ‘Threshold temperatures’ above which heat-related deaths begin to occur are identified. The results demonstrate significantly lower thresholds in ‘cooler’ cities exhibiting lower mean summer temperatures than in ‘warmer’ cities exhibiting higher mean summer temperatures. Analysis of individual ‘heat waves’ illustrates that a greater proportion of mortality is due to mortality displacement in cities with less sensitive temperature–mortality relationships than in those with more sensitive relationships, and that mortality displacement is no longer a feature more than 12 days after the end of the heat wave. Validation techniques through residual and correlation analyses of modelled and observed values and comparisons with other studies indicate that the observed temperature–mortality relationships are represented well by each of the models. The models can therefore be used with confidence to examine future heat-related deaths under various climate change scenarios for the respective cities (presented in Part 2).
Similar content being viewed by others
References
Ballester F, Corella D, Perez-Hoyos S, Saez M, Hervas A (1997) Mortality as a function of temperature. A study in Valencia, Spain, 1991–1993. Int J Epidemiol 26:551–561
Beniston M (2004) The 2003 heat wave in Europe: a shape of things to come? An analysis based on Swiss climatological data and model simulations. Geophys Res Lett DOI 10.1029/2003GL018857
Beniston M, Diaz HF (2004) The 2003 heat wave as an example of summers in a greenhouse climate? Observations and climate model simulations for Basel, Switzerland. Glob Planet Change 44:73–81
Besancenot JP (2002) Vagues de chaleur et mortalité dans les grandes agglomérations urbaines. Environ Risques Santé 1:229–240
Braga AL, Zanobetti A, Shwartz J (2001) The time course of weather-related deaths. Epidemiology 12:662–667
Camstra A, Boomsma A (1992) Cross-validation in regression and covariance structure analysis. Sociol Methods Res 21:89–115
Chesnut LG, Breffle WS, Smith JB, Kalkstein LS (1998) Analysis of differences in hot-weather-related mortality across 44 U.S. metropolitan areas. Environ Sci Policy 1:59–70
CLIMB (2004) Climate’s Long-term Impacts on Metro Boston (CLIMB)—Final Report. Civil and Environmental Engineering Department, Tufts University
Conti S, Meli P, Minelli G, Solimini R, Toccaceli V, Vichi M, Beltrano C, Perini L (2005) Epidemiologic study of mortality during the Summer 2003 heat wave in Italy. Environ Res 98:390–399
Covey C, Joussaume S, Kattsov V, Kitoh A, Ogana W, Pitman AJ, Weaver AJ, Wood RA, Zhao Z-C (2001) Model evaluation. In: Houghton JT, Ding Y, Griggs DJ, Noguer M, van der Linden PJ, Xiaosu D (eds) Climate change 2001: the scientific basis-working group 1. Cambridge University Press, UK, pp 471–524
Curriero FC, Heiner KS, Samet JM, Zeger SL, Strug L, Patz JA (2002) Temperature and mortality in 11 cities of the eastern United States. Am J Epidemiol 155:80–87
Davis RE, Knappenberger PC, Michaels PJ, Novicoff WM (2003) Changing heat-related morality in the United States. Environ Health Perspect 111:1712–1718
Davis RE, Knappenberger PC, Michaels PJ, Novicoff WM (2004) Seasonality of climate–human mortality relationships in US cities and impacts of climate change. Clim Res 26:61–76
Dessai S (2002) Heat stress and mortality in Lisbon. Part 1. Model construction and validation. Int J Biometeorol 47:6–12
Dessai S (2003) Heat stress and mortality in Lisbon. Part II. An assessment of the potential impacts of climate change. Int J Biometeorol 48:37–44
Donaldson G, Kovats RS, Keatinge WR, McMichael AJ (2001) Heat- and cold-related mortality and morbidity and climate change. In: Maynard RL (ed) Health effects of climate change in the UK. Department of Health, London, pp 70–80
Donaldson GC, Keatinge WR, Näyhä S (2003) Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southeast England. Environ Res 91:1–7
Dunn G, Mirandola M, Amaddeo F, Tansella M (2003) Describing, explaining or predicting mental health care costs: a guide to regression models. Br J Psychiatry 183:398–404
Efron B, Tibshirani R (2003) An introduction to the bootstrap. Chapman and Hall, London
Eurowinter (1997) Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe. Lancet 349:1341–1346
Gemmell I, McLoone P, Boddy FA, Dickinson GJ, Watt GCM (2000) Seasonal variation in mortality in Scotland. Int J Epidemiol 29:274–279
Glick N (1978) Additive estimators for probabilities of correct classification. Pattern Recogn 10:211–222
Gouveia N, Fletcher T (2000) Time series analysis of air pollution and mortality: effects by cause, age and socioeconomic status. J Epidemiol Community Health 55:750–755
Green SB (1991) How many subjects does it take to do a regression analysis? Multivariate Behav Res 26:499–510
Guest CS, Willson K, Woodward AJ, Hennessy K, Kalkstein LS, Skinner C, McMichael AJ (1999) Climate and mortality in Australia: retrospective study, 1979–1990, and predicted impacts in five major cities in 2030. Climate Res 13:1–15
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 56:367–372
Hajat S, Armstrong BJ, Gouveia N, Wilkinson P (2005) Mortality displacement of heat-related deaths. A comparison of Delhi, São Paulo, and London. Epidemiology 16:613–620
Hajat S, Armstrong BJ, Baccini M, Biggeri A, Bisanti L, Russo A, Paldy A, Menne B, Kosatsky T (2006) Impact of high temperatures on mortality. Epidemiology 17:632–638
Havenith G (1997) Individual heat stress response. Thesis, Springer, Heidelberg
Havenith G, Luttikholt VGM, Vrijkotte TGM (1995) The relative influence of body characteristics on humid heat stress response. Eur J Appl Physiol 70:270–279
Horst P (1966) Psychological measurement and prediction. Wadsworth, England
Huynen MMTE, Martens P, Schram D, Weijenberg MP, Kunst AE (2001) The impact of heat waves and cold spells on mortality rates in the Dutch population. Environ Health Perspect 109:463–470
Johnson H, Griffiths C (2003) Estimating excess winter mortality in England and Wales. Health Stat Q 20:19–24
Johnson H, Kovats RS, McGregor G, Stedman J, Gibbs M, Walton H (2005) The impact of the 2003 heat wave on daily mortality in England and Wales and the use of rapid weekly mortality estimates. Eurosurveillance 10:7–8
Kalkstein LS (1993) Health and climate change—direct impacts in cities. Lancet 342:1397–1399
Kalkstein LS (2000) Saving lives during extreme weather in summer. BMJ 321:650–651
Kalkstein LS, Davis RE (1989) Weather and human mortality: an evaluation of demographic and interregional responses in the United States. Ann Assoc Am Geogr 79:44–64
Kalkstein LS, Greene JS (1997) An evaluation of climate/mortality relationships in large U.S. cities and the possible impacts of a climate change. Environ Health Perspect 105:84–93
Keatinge WR, Donaldson GC, Cordioloi E, Martinelli M, Kunst AE, Mackenbach JP, Nayha S (2000) Heat-related mortality in warm and cold regions of Europe: observational study. BMJ 321:670–673
Kilbourne EM (1997) Heatwaves and hot environments. In: Noji EJ (ed) The public health consequences of disasters. Oxford University Press, Oxford, pp 245–269
Kunst AE, Looman CW, Mackenbach JP (1993) Outdoor air temperature and mortality in The Netherlands: a time-series analysis. Am J Epidemiol 137:331–341
Le Tertre A, Lefranc A, Eilstein D, Declercq C, Medina S, Blanchard M, Chardon B, Fabre P, Filleul L, Jusot J-F, Pascal L, Prouvost H, Cassadou S, Ledrans M (2006) Impact of the 2003 heatwave on all-cause mortality in 9 French cities. Epidemiology 17:75–79
MacCallum RC, Roznowski M, Mar CM, Reith JV (1994) Alternative strategies for cross-validation of covariance structure models. Multivariate Behav Res 29:1–32
McGregor GR (1999) Winter ischaemic heart disease deaths in Birmingham, United Kingdom: a synoptic climatological analysis. Clim Res 13:17–31
McGregor GR, Ferro CAT, Stephenson DB (2005) Projected changes in extreme weather and climate events in Europe. In: Kirch W, Menne B, Bertollini R (eds) Extreme weather events and public health responses. Springer, Berlin, pp 13–23
McKnight TL, Hess D (2000) Physical geography: a landscape appreciation. Prentice Hall, New Jersey
McMichael AJ, Haines A, Kovats S (2001) Methods to assess the effects of climate change on health. In: Maynard RL (ed) Health effects of climate change in the UK. Department of Health, London, pp 55–69
Meehl GA, Tebaldi C (2004) More intense, more frequent, and longer lasting heatwaves in the 21st century. Science 305:994–997
Michelozzi P, de’Donato F, Bisanti L, Russo A, Cadum E, DeMaria M, D’Ovidio M, Costa G, Perucci CA (2005) Heat waves in Italy: cause specific mortality and the role of educational level and socio-economic conditions. In: Kirch W, Menne B, Bertollini R (eds) Extreme weather events and public health responses. Springer, Berlin, pp 121–127
Nakićenović N, Swart R (2000) (eds) Special report on emission scenarios. Cambridge University Press, Cambridge
O’Neill MS, Zanobetti A, Schwartz J (2003) Modifiers of the temperature and mortality associations in seven US cities. Am J Epidemiol 157:1074–1082
Páldy A, Bobvos J, Vámos A, Kovats RS, Hajat S (2005) The effect of temperature and heat waves on daily mortality in Budapest, Hungary, 1970–2000. In: Kirch W, Menne B, Bertollini R (eds) Extreme weather events and public health responses. Springer, Berlin, pp 99–107
Pattenden S, Nikiforov B, Armstrong BJ (2003) Mortality and temperature in Sofia and London. J Epidemiol Community Health 57:628–633
Peduzzi PN, Concato J, Kemper E, Holford TR, Feinstein AR (1996) A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol 49:1373–1379
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 52:482–486
Saez M, Sunyer J, Tobias A, Ballester F, Antó JM (2000) Ischaemic heart disease and weather temperature in Barcelona, Spain. Eur J Public Health 10:58–63
Sartor F, Snacken R, Demuth C, Walkiers D (1995) Temperature, ambient ozone levels and mortality during summer, 1994, in Belgium. Environ Res 70:105–113
Schär C, Vidale PL, Lüthi D, Frei C, Häberli C, Liniger MA, Appenzeller C (2004) The role of increasing temperature variability in European summer heatwaves. Nature 427:332–336
Schwartz J (2000) The distributed lag between air pollution and daily deaths. Epidemiology 11:320–326
Simonoff JS (1996) Smoothing methods in statistics. Springer, Berlin
Snee RD (1977) Validation of regression models: methods and examples. Technometrics 415–428
Stewart TR (2000) Uncertainty, judgment, and error in prediction. In: Sarewitz D, Pielke RA, Byerly R (eds) Prediction: science, decision-making, and the future of nature. Island Press, Washington, pp 41–57
Sun DZ, Fasullo J, Zhang T, Roubicek A (2003) On the radiative and dynamical feedbacks over the equatorial pacific cold tongue. J Climate 16:2425–2432
WHO Regional Committee for Europe (2003a) Heatwaves: impacts and responses. Briefing note for the fifty-third session of the WHO regional committee for Europe, Vienna, 8–11 September 2003. WHO, Geneva
WHO Regional Committee for Europe (2003b) Briefing note for the fifty-third session of the WHO regional committee for Europe, Vienna, 8–11 September 2003. WHO, Geneva
Wikipedia (2006) http://en.wikipedia.org. Accessed on 20th August 2006
WISE (1999) Weather impacts on natural, social and economic systems. Final report of work undertaken for the European Commission Directorate-General Research under contract ENV4-CT97-0448
Acknowledgements
This study was supported with funding from the UK Natural Environment Research Council (NERC) and a Co-operative Awards in Sciences of the Environment (CASE) award from the UK Met Office. Thank you to Laurence Kalkstein (University of Miami), Scott Greene (University of Oklahoma), and Scott Sheridan (Kent State University) for the US data, Suraje Dessai (Tyndall Centre) for the Lisbon data, and to Michael Bath (Australian Severe Weather Association) and Robert Van der Hoek (Australian Bureau of Statistics) for the Sydney data. Thank you also to Allan Baker (Office for National Statistics) for the London mortality data, and Andrea Fulop (Hungary National Meteorological Service) for the Budapest Meteorological data. Jason Lowe is thanked for his comments on an earlier version of the paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gosling, S.N., McGregor, G.R. & Páldy, A. Climate change and heat-related mortality in six cities Part 1: model construction and validation. Int J Biometeorol 51, 525–540 (2007). https://doi.org/10.1007/s00484-007-0092-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00484-007-0092-9