Difference between revisions of "ERF of ambient temperature on mortality"

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== Scope ==
 
== Scope ==
  
What is the exposure-response function '''([[ERF]]) of ambient temperature on mortality''' in Europe measured as % difference in summer (April-September) mortality per degree (Max Apparent Temperature) above the heat threshold (95% confidence intervals).
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Exposure-response relationship for short-term ambient heat exposure and mortality.
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'''Dimensions and boundaries relevant for the variable
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*Cause of death
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*Country/other geographic area (differences in heat exposure/effects due to climate, physiological, cultural or behavioral factors)
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*Age of exposed population
  
 
== Definition ==
 
== Definition ==
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=== Data ===
 
=== Data ===
  
Table<ref>Baccini et al 2008 Epidemiology, vol 19, number 5, pp. 711-719</ref>
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'''PHEWE-project <ref>Baccini M, Biggeri A, Accetta G, Kosatsky T, Katsouyanni K, Analitis A, Ross Anderson H, Bisanti L, D'Ippoliti D, Danova J, Forsberg B, Medina S, Paldy A, Rabczenko D, Schindler C & Michelozzi P. 2008. Heat Effects on Mortality in 15 European Cities. Epidemiology, 15: 711-719.</ref>
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Meta-analytical percent changes in daily mortality by age-group with 1<sup>o</sup>C increase in daily maximum apparent temperature above the city-specific threshold temperature in European cities
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*Meta-analytical estimates are based studies in the following cities:
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**Mediterranean cities: Athens, Rome, Barcelona, Valencia, Turin, Milan, Lubljana
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**North-continental cities: Prague, Budapest, Zurich, Paris, Helsinki, Stockholm, London, Dublin
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*Based on climate and mortality data for the period 1990-2000
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*Exposure assessment: daily maximum apparent outdoor air temperature (nearest airport weather station of each city)
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 +
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''INTARESE/HEIMTSA Common case study related issues:
 
* Following WP3.7-work and WP4.3-screening, DRF will be based on the PHEWE project, which investigated the acute health effects of weather in 15 European cities and provided both pooled estimates (Mediterranean region  and North-Continental region) of the impact of heat on mortality (Michelozzi et al. 2007; Baccini et al. 2008). DRFs are based on a linear threshold model.  Heat exposure is defined as follows: °C Daily maximum Apparent Temperature over threshold temperature, warm season (April-September).
 
* Following WP3.7-work and WP4.3-screening, DRF will be based on the PHEWE project, which investigated the acute health effects of weather in 15 European cities and provided both pooled estimates (Mediterranean region  and North-Continental region) of the impact of heat on mortality (Michelozzi et al. 2007; Baccini et al. 2008). DRFs are based on a linear threshold model.  Heat exposure is defined as follows: °C Daily maximum Apparent Temperature over threshold temperature, warm season (April-September).
* DRF available for: mortality due to natural causes, CVD mortality and RESP morality.
 
 
* Assumption: Threshold and the DRF differ for the Mediterranean region and the North-continental region; we therefore assume that the EU-27 can be divided into two larger regions with different DRF.
 
* Assumption: Threshold and the DRF differ for the Mediterranean region and the North-continental region; we therefore assume that the EU-27 can be divided into two larger regions with different DRF.
 
* Assumption: Temperatures above thresholds will only occur in warm season (April-September)
 
* Assumption: Temperatures above thresholds will only occur in warm season (April-September)
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==See also==
 
==See also==
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*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759912/ Basu R. 2009. High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health. 2009; 8: 40.]
  
 
==References==
 
==References==
  
 
<references/>
 
<references/>

Revision as of 13:43, 1 September 2010


Scope

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

Dimensions and boundaries relevant for the variable

  • Cause of death
  • 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]

Meta-analytical percent changes in daily mortality by age-group with 1oC increase in daily maximum apparent temperature above the city-specific threshold temperature in European cities

Mediterranean pooled estimate North-continental pooled estimate
Heat threshold 29.4 (25.7-32.4) 23.3 (22.5-24.0)
Age Natural mortality
15-64 0.92 (-1.92, 3.13) 1.31 (-0.94. 3.72)
65-74 2.13 (-0.42, 4.74) 1.65 (-0.5, 3.87)
75+ 4.22 (1.33, 7.20) 2.07 (0.24, 3.89)
All ages 3.12 (0.60, 5.72) 1.84 (0.06, 3.64)
Age Cardiovascular mortality
15-64 0.57 (-2.47 to 3.83) 1.04 (-2.20 to 4.92)
65-74 1.92 (-1.49 to 5.35) 1.50 (1.12 to 4.62)
75+ 4.66 (1.13 to 8.18) 2.55 (0.24 to 5.51)
All ages 3.70 (0.36 to 7.04) 2.44 (0.09 to 5.32)
Age Respiratory mortality
15-64 1.54 (-3.68 to 7.22) 3.02 (-1.55 to 7.42)
65-74 3.37 (-1.46 to 8.22) 3.90 (-0.16 to 8.92)
75+ 8.10 (3.24 to 13.37) 6.62 (3.04 to 11.42))
All ages 6.71 (2.43 to 11.26) 6.10 (2.46 to 11.08)
  • Meta-analytical estimates are based studies in the following cities:
    • Mediterranean cities: Athens, Rome, Barcelona, Valencia, Turin, Milan, Lubljana
    • North-continental cities: Prague, Budapest, Zurich, Paris, Helsinki, Stockholm, London, Dublin
  • Based on climate and mortality data for the period 1990-2000
  • Exposure assessment: daily maximum apparent outdoor air temperature (nearest airport weather station of each city)


INTARESE/HEIMTSA Common case study related issues:

  • Following WP3.7-work and WP4.3-screening, DRF will be based on the PHEWE project, which investigated the acute health effects of weather in 15 European cities and provided both pooled estimates (Mediterranean region and North-Continental region) of the impact of heat on mortality (Michelozzi et al. 2007; Baccini et al. 2008). DRFs are based on a linear threshold model. Heat exposure is defined as follows: °C Daily maximum Apparent Temperature over threshold temperature, warm season (April-September).
  • Assumption: Threshold and the DRF differ for the Mediterranean region and the North-continental region; we therefore assume that the EU-27 can be divided into two larger regions with different DRF.
  • Assumption: Temperatures above thresholds will only occur in warm season (April-September)
  • Assumption: DRF for mortality due to natural causes can be applied to total mortality

Unit

%/°C

Result

Show results


See also

References

  1. Baccini M, Biggeri A, Accetta G, Kosatsky T, Katsouyanni K, Analitis A, Ross Anderson H, Bisanti L, D'Ippoliti D, Danova J, Forsberg B, Medina S, Paldy A, Rabczenko D, Schindler C & Michelozzi P. 2008. Heat Effects on Mortality in 15 European Cities. Epidemiology, 15: 711-719.