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International study of temperature, heat and urban mortality

The ‘Isothurm’ project

Datos Bibliográficos

ID23349645
AutoresAnthony J Mcmichael (Australian National University), Paul Wilkinson (0000-0001-7456-259X, London School of Hygiene & Tropical Medicine), Stephen Kovat (0000-0002-4823-8099, London School of Hygiene & Tropical Medicine, autor de correspondencia), R Sari Kovats, Sam Pattenden (London School of Hygiene & Tropical Medicine), Shakoor Hajat (0000-0002-3086-362X, London School of Hygiene & Tropical Medicine), Ben Armstrong (0000-0002-3354-4376, London School of Hygiene & Tropical Medicine), Nitaya Vajanapoom (Thammasat University), Emilia Maria Niciu (Institute of Public Health Bengaluru), Hassan Mahomed (0000-0001-6775-9482, University of Cape Town), Chamnong Kingkeow (Chiang Mai University), Mitja Košnik (0000-0002-4701-7374, Health Insurance Institute of Slovenia), Marie S O’neill (0000-0002-8301-7742, University of Michigan), Isabelle Romieu (0000-0002-8552-5273, Instituto Nacional de Salud Pública), Matiana Ramírez-Aguilar (Secretaria de Salud), Maurício Lima Barreto (0000-0002-0215-4930, Universidade Federal da Bahia), Nelson Gouveia (0000-0003-0625-0265, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo), Bojidar Nikiforov
Año2008
Volumen37
Número5
Páginas1121-1131
Fecha de publicación2008-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaInternational Journal of Epidemiology (JOURNAL)
Identificadores de la revistaISSN: 0300-5771 • E-ISSN: 1464-3685
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/ije/dyn086
PMID18522981
OpenAlexW2102513610
IdiomaEN
Citas recibidas88
Referencias citadas31

BACKGROUND: This study describes heat- and cold-related mortality in 12 urban populations in low- and middle-income countries, thereby extending knowledge of how diverse populations, in non-OECD countries, respond to temperature extremes. METHODS: The cities were: Delhi, Monterrey, Mexico City, Chiang Mai, Bangkok, Salvador, São Paulo, Santiago, Cape Town, Ljubljana, Bucharest and Sofia. For each city, daily mortality was examined in relation to ambient temperature using autoregressive Poisson models (2- to 5-year series) adjusted for season, relative humidity, air pollution, day of week and public holidays. RESULTS: Most cities showed a U-shaped temperature-mortality relationship, with clear evidence of increasing death rates at colder temperatures in all cities except Ljubljana, Salvador and Delhi and with increasing heat in all cities except Chiang Mai and Cape Town. Estimates of the temperature threshold below which cold-related mortality began to increase ranged from 15 degrees C to 29 degrees C; the threshold for heat-related deaths ranged from 16 degrees C to 31 degrees C. Heat thresholds were generally higher in cities with warmer climates, while cold thresholds were unrelated to climate. CONCLUSIONS: Urban populations, in diverse geographic settings, experience increases in mortality due to both high and low temperatures. The effects of heat and cold vary depending on climate and non-climate factors such as the population disease profile and age structure. Although such populations will undergo some adaptation to increasing temperatures, many are likely to have substantial vulnerability to climate change. Additional research is needed to elucidate vulnerability within populations.

Environmental health · Geography · Meteorology · Urban heat island · Climate Change and Health Impacts · Environmental Science · Medicine · Thermal Regulation in Medicine · Thermoregulation and physiological responses

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Obras citantes distintas88
Citas por año4,89
Intervalo de citas2008 - 2025 (18)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 75
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