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The impact of heat waves on mortality and years of life lost in a dry region of Iran (Kerman) during 2005–2017

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Abstract

The present study was conducted to compare the impact of heat waves on mortality and years of life lost (YLL) in Kerman, Iran during the years 2005–2017. Daily mean temperature in a combination of intensity and duration were used in order to define heat waves (90, 95, and 98th percentile and ≥ 2, 3, and 4 consecutive days). YLL was calculated according to Iran’s life table and by considering the discount rate. In order to investigate the impact of heat waves in different lags and its cumulative effect on mortality and YLL, Poisson and linear models within distributed lag nonlinear models were used respectively. A maximum lag of 14 days was considered. The best model was selected based on AIC (Akaike Information Criteria). The model was adjusted for air pollutants, public holidays, days of the week, and humidity. The average daily mortality and YLL were 10.54 ± 4.31 deaths and 175.58 ± 91.39 years respectively. They were higher in men and in heat waves matching a definition of above the 98th temperature percentile and ≥ 3 days, than others. Except heat waves defined as the 98th percentile and ≥ 4 days, the impact of heat waves on mortality and YLL were the highest at lag 0. The cumulative relative risk of total mortality was significantly higher in heat waves above the 95 and 98th percentiles. The cumulative effect of heat waves on total YLL was significantly higher only above the 98th percentile. Men over 65 years old were the most vulnerable and had the highest mortality and YLL. Heat waves with temperatures above the 98th percentile that lasted at least 2 or 3 consecutive days had a significant effect in increasing both total YLL and mortality in Kerman, Iran.

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References

  • Aboubakri O, Khanjani N, Shoraka H (2018) Ambient temperature and mortality due to external causes: a systematic review. Occup Dis & Environ Med 6:81–94. https://doi.org/10.4236/odem.2018.63007

    Article  Google Scholar 

  • Alizadeh-Choobari O, Najafi M (2018) Extreme weather events in Iran under a changing climate. Clim Dyn 50:249–260

    Article  Google Scholar 

  • Anderson BG, Bell ML (2009) Weather-related mortality: how heat, cold, and heat waves affect mortality in the United States. Epidemiology 20:205–213

    Article  Google Scholar 

  • Atapour H (2015) Geochemistry of potentially harmful elements in topsoils around Kerman city, southeastern Iran. Environ Earth Sci 74:5605–5624. https://doi.org/10.1007/s12665-015-4576-3

    Article  CAS  Google Scholar 

  • Baccini M, Kosatsky T, Biggeri A (2013) Impact of summer heat on urban population mortality in Europe during the 1990s: an evaluation of years of life lost adjusted for harvesting. PLoS One 8:e69638. https://doi.org/10.1371/journal.pone.0069638

    Article  CAS  Google Scholar 

  • Dadbakhsh M, Khanjani N, Bahrampour A, Haghighi PS (2017) Death from respiratory diseases and temperature in Shiraz, Iran (2006–2011). Int J Biometeorol 61:239–246

    Article  Google Scholar 

  • Egondi T, Kyobutungi C, Rocklöv J (2015) Temperature variation and heat wave and cold spell impacts on years of life lost among the urban poor population of Nairobi, Kenya. Int J Environ Res Public Health 12:2735–2748

    Article  Google Scholar 

  • Gasparrini A (2011) Distributed lag linear and non-linear models in R: the package dlnm. J Stat Softw 43:1

    Article  Google Scholar 

  • Gasparrini A, Armstrong B (2011) The impact of heat waves on mortality. Epidemiology 22:68–73

    Article  Google Scholar 

  • Goggins WB, Chan EY, Ng E, Ren C, Chen L (2012) Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong. PLoS One 7:e38551. https://doi.org/10.1371/journal.pone.0038551

    Article  CAS  Google Scholar 

  • Guo Y, Punnasiri K, Tong S (2012) Effects of temperature on mortality in Chiang Mai city, Thailand: a time series study. Environ Health 11:36. https://doi.org/10.1186/1476-069X-11-36

    Article  Google Scholar 

  • Guo Y, Gasparrini A, Li S, Sera F, Vicedo-Cabrera AM, de Sousa Zanotti Stagliorio Coelho M, Saldiva PHN, Lavigne E, Tawatsupa B, Punnasiri K, Overcenco A, Correa PM, Ortega NV, Kan H, Osorio S, Jaakkola JJK, Ryti NRI, Goodman PG, Zeka A, Michelozzi P, Scortichini M, Hashizume M, Honda Y, Seposo X, Kim H, Tobias A, Íñiguez C, Forsberg B, Åström DO, Guo YL, Chen BY, Zanobetti A, Schwartz J, Dang TN, van DD, Bell ML, Armstrong B, Ebi KL, Tong S (2018) Quantifying excess deaths related to heatwaves under climate change scenarios: a multicountry time series modelling study. PLoS Med 15:e1002629

    Article  Google Scholar 

  • Hajat S, Armstrong B, Baccini M, Biggeri A, Bisanti L, Russo A, Paldy A, Menne B, Kosatsky T (2006) Impact of high temperatures on mortality: is there an added heat wave effect? Epidemiology 17:632–638

    Article  Google Scholar 

  • Hamzeh MA, Aftabi A, Mirzaee M (2011) Assessing geochemical influence of traffic and other vehicle-related activities on heavy metal contamination in urban soils of Kerman city, using a GIS-based approach. Environ Geochem Health 33:577–594

    Article  CAS  Google Scholar 

  • Huang C, Barnett AG, Wang X, Tong S (2012) Effects of extreme temperatures on years of life lost for cardiovascular deaths: a time series study in Brisbane, Australia. Circ Cardiovasc Qual Outcomes 5:609–614

    Article  Google Scholar 

  • Kalankesh LR, Mansouri F, Khanjani N (2015) Association of temperature and humidity with trauma deaths. Trauma Mon 20:e23403

    Google Scholar 

  • Khanjani N, Bahrampour A (2013) Temperature and cardiovascular and respiratory mortality in desert climate. A case study of Kerman, Iran. Iranian J Environ Health Sci Eng 10:11

    Article  Google Scholar 

  • Lee WK, Lee HA, Lim YH, Park H (2016) Added effect of heat wave on mortality in Seoul, Korea. Int J Biometeorol 60:719–726. https://doi.org/10.1007/s00484-015-1067-x

    Article  Google Scholar 

  • Li Z, Xu Y, Lin G, Li D, Liu T, Lin H, Xiao J, Zeng W, Li X, Ma W (2015) Impact of air temperature on years of life lost among residents in Guangzhou and Zhuhai: a time-series study. Zhonghua Liu Xing Bing Xue Za Zhi 36:720–724

    Google Scholar 

  • Li J, Luo S, Ding X, Yang J, Li J, Liu X, Gao J, Xu L, Tang W, Liu Q (2016) Influence of daily ambient temperature on mortality and years of life lost in Chongqing. Zhonghua Liu Xing Bing Xue Za Zhi 37:375–380

    Google Scholar 

  • Li G, Huang J, Xu G, Pan X, Qian X, Xu J, Zhao Y, Zhang T, Liu Q, Guo X, He T (2017) Temporal variation in associations between temperature and years of life lost in a southern China city with typical subtropical climate. Sci Rep 7:4650

    Article  CAS  Google Scholar 

  • Luan G, Yin P, Li T, Wang L, Zhou M (2017) The years of life lost on cardiovascular disease attributable to ambient temperature in China. Sci Rep 7:13531

    Article  CAS  Google Scholar 

  • Mathers CD, Vos T, Lopez AD, Salomon J, Ezzati M (2001) National burden of disease studies: a practical guide. World Health Organization, Geneva

    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, Schindler C, Sunyer J, Perucci CA, PHEWE Collaborative Group (2009) High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med 179:383–389

    Article  Google Scholar 

  • Ravandi MRG, Salimi S, Khanjani N, Jafari MJ (2016) Comparing the association between Wet Bulb Globe Temperature (WBGT) and Heat Stress Score Index (HSSI) thermal indices with physiological parameters in a melting plant. Int J Occup Hyg 8:9–13

    Google Scholar 

  • Sharafkhani R, Khanjani N, Bakhtiari B, Jahani Y, Mahdi RE (2017a) Diurnal temperature range and mortality in Urmia, the Northwest of Iran. J Therm Biol 69:281–287

    Article  Google Scholar 

  • Sharafkhani R, Khanjani N, Bakhtiari B, Jahani Y, Tabrizi JS (2017b) Physiological equivalent temperature index and mortality in Tabriz (the northwest of Iran). J Therm Biol 71:195–201. https://doi.org/10.1016/j.jtherbio.2017.11.012

    Article  Google Scholar 

  • Soltani M, Laux P, Kunstmann H, Stan K, Sohrabi MM, Molanejad M, Sabziparvar AA, Ranjbar SaadatAbadi A, Ranjbar F, Rousta I, Zawar-Reza P, Khoshakhlagh F, Soltanzadeh I, Babu CA, Azizi GH, Martin MV (2016) Assessment of climate variations in temperature and precipitation extreme events over Iran. Theor Appl Climatol 126:775–795. https://doi.org/10.1007/s00704-015-1609-5

    Article  Google Scholar 

  • Son J-Y, Lee J-T, Anderson GB, Bell ML (2012) The impact of heat waves on mortality in seven major cities in Korea. Environ Health Perspect 120:566–571

    Article  Google Scholar 

  • Song X, Wang S, Li T, Tian J, Ding G, Wang J, Wang J, Shang K (2018) The impact of heat waves and cold spells on respiratory emergency department visits in Beijing, China. Sci Total Environ 615:1499–1505

    Article  CAS  Google Scholar 

  • Spix C, Heinrich J, Dockery D, Schwartz J, Völksch G, Schwinkowski K, Cöllen C, Wichmann HE (1993) Air pollution and daily mortality in Erfurt, east Germany, 1980-1989. Environ Health Perspect 101:518–526

    Article  CAS  Google Scholar 

  • Tong S, Wang XY, FitzGerald G, McRae D, Neville G, Tippett V, Aitken P, Verrall K (2014) Development of health risk-based metrics for defining a heatwave: a time series study in Brisbane, Australia. BMC Public Health 14:435

    Article  Google Scholar 

  • Tourani S, Behzadifar M, Martini M, Aryankhesal A, Taheri Mirghaed M, Salemi M, Behzadifar M, Bragazzi NL (2018) Health-related quality of life among healthy elderly Iranians: a systematic review and meta-analysis of the literature. Health Qual Life Outcomes 16:18

    Article  Google Scholar 

  • Vicedo-Cabrera AM, Guo Y, Sera F, Huber V, Schleussner CF, Mitchell D, Tong S, Coelho MSZS, Saldiva PHN, Lavigne E, Correa PM, Ortega NV, Kan H, Osorio S, Kyselý J, Urban A, Jaakkola JJK, Ryti NRI, Pascal M, Goodman PG, Zeka A, Michelozzi P, Scortichini M, Hashizume M, Honda Y, Hurtado-Diaz M, Cruz J, Seposo X, Kim H, Tobias A, Íñiguez C, Forsberg B, Åström DO, Ragettli MS, Röösli M, Guo YL, Wu CF, Zanobetti A, Schwartz J, Bell ML, Dang TN, Do van D, Heaviside C, Vardoulakis S, Hajat S, Haines A, Armstrong B, Ebi KL, Gasparrini A (2018) Temperature-related mortality impacts under and beyond Paris agreement climate change scenarios. Clim Chang 150:391–402

    Article  Google Scholar 

  • Xu Z, Tong S (2017) Decompose the association between heatwave and mortality: which type of heatwave is more detrimental? Environ Res 156:770–774

    Article  CAS  Google Scholar 

  • Xu Z, FitzGerald G, Guo Y, Jalaludin B, Tong S (2016) Impact of heatwave on mortality under different heatwave definitions: a systematic review and meta-analysis. Environ Int 89:193–203. https://doi.org/10.1016/j.envint.2016.02.007

    Article  Google Scholar 

  • Xu Z, Cheng J, Hu W, Tong S (2018) Heatwave and health events: a systematic evaluation of different temperature indicators, heatwave intensities and durations. Sci Total Environ 630:679–689

    Article  CAS  Google Scholar 

  • Yang J, Ou CQ, Guo Y, Li L, Guo C, Chen PY, Lin HL, Liu QY (2015) The burden of ambient temperature on years of life lost in Guangzhou, China. Sci Rep 5:12250

    Article  CAS  Google Scholar 

  • Yi W, Chan AP (2015) Effects of temperature on mortality in Hong Kong: a time series analysis. Int J Biometeorol 59:927–936

    Article  Google Scholar 

  • Zhang Y, Feng R, Wu R, Zhong P, Tan X, Wu K, Ma L (2017) Global climate change: impact of heat waves under different definitions on daily mortality in Wuhan, China. Glob Health Res Policy 2:10

    Article  Google Scholar 

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Acknowledgments

The authors thank the Kerman Bureau of Meteorology and the Deputy of Health of Kerman University of Medical Sciences for providing the data for this study.

Funding

This study was financially supported by Kerman University of Medical Sciences through Grant No 96000792.

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Authors and Affiliations

  1. Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran

    Omid Aboubakri

  2. Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran

    Narges Khanjani

  3. Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

    Younes Jahani

  4. Water Engineering Department, College of Agriculture, Shahid Bahonar University of Kerman, Kerman, Iran

    Bahram Bakhtiari

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  1. Omid Aboubakri
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  2. Narges Khanjani
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Correspondence to Narges Khanjani.

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The authors declare that they have no conflict of interest.

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All information was inquired as aggregated and without identity. The research proposal was approved by The Ethics Committee of Kerman University of Medical Sciences. Ethics Code IR.KMU.REC.1396.2374.

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Aboubakri, O., Khanjani, N., Jahani, Y. et al. The impact of heat waves on mortality and years of life lost in a dry region of Iran (Kerman) during 2005–2017. Int J Biometeorol 63, 1139–1149 (2019). https://doi.org/10.1007/s00484-019-01726-w

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  • DOI: https://doi.org/10.1007/s00484-019-01726-w

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