ERF for heat exposure and morbidity

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Scope

Exposure-response relationship for short-term ambient heat exposure and morbidity.

Dimensions and boundaries relevant for the variable

  • Cause of morbidity
  • Country/other geographic area (differences in heat exposure/effects due to climate, physiological, cultural or behavioral factors)
  • Age of exposed population

Definition

Data

PHEWE-project [1]

  • No association found between exposure to high ambient temperatures and cardiovascular hospital admissions
  • Percentage change (95% Cl) of hospital admissions for respiratory causes due to 1ºC increase over 90th percentile of maximum apparent temperature (lag 0-3 days).
Mediterranean cities North-Continental cities
All ages 2.1 (0.6,3.6) 1.2 (0.1, 2.2)
65-74 -0.3 (-4.1, 3.6) 2.7 (-0.3, 6.0)
75+ 4.5 (1.9, 7.3) 3.1 (0.8, 5.5)
  • Summary estimates from
    • Mediterranean: Barcelona, Ljubljana, Milan, Rome, Turin, Valencia
    • North-Continental: Budapest, Dublin, London, Paris, Stockholm, Zurich
  • Heterogeneity in the association between cities
  • Underlying mechanism for respiratory impacts is not understood
  • Analysis restricted to the warm period, April-September
  • 90th percentile of apparent maximum temperature (ºC)
    • Barcelona 30.8
    • Budapest 28.9
    • Dublin 19.7
    • Ljubljana 27.3
    • London 24.6
    • Milan 33.8
    • Paris 27.8
    • Rome 34.5
    • Stockholm 22.8
    • Turin 31.2
    • Valencia 36.4

Causality

Unit

Formula

Result

See also

References

  1. Michelozzi P., Accetta G., De Sario M., D'Ippoliti D., Marino C., Baccini M., Biggeri A., Anderson H.R., Katsoyanni K., Ballester F., Bisanti L., Cadum E., Forsberg B., Forastiere F., Goodman P.G., Hojs A., Kirchmayer U., Medina S., Paldy A., Schindler C., Sunyer J. & Perucci C.A. High Temperature and Hospitalizations for Cardiovascular and Respiratory Causes in 12 European Cities. An J Respir Crit Care Med 2009, 179: 383-389.