Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (8): 14-20.doi: 10.6040/j.issn.1671-7554.0.2018.160

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Health effects of heatwave: from impact assessment to coping strategy

HUANG Cunrui, HE Yiling, MA Rui, SU Yanan   

  1. School of Public Health, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
  • Published:2022-09-27

Abstract: Climate change poses multiple threats to human health. The most primary and direct threat of climate change on human health is expected to be exposure to heatwaves. It is projected that the frequency and intensity of heatwaves will increase under the scenario of climate change. Thus, coping with heatwaves and mitigating health impacts have increasingly 山 东 大 学 学 报 (医 学 版)56卷8期 -黄存瑞,等.高温热浪的健康效应:从影响评估到应对策略 \=-become a priority issue in public health. This article reviews the current epidemiological information on the impacts of heatwaves, and points out that sensitive health outcomes and efficient research designs are needed to evaluate extreme temperature related health losses precisely, thus well-designed coping strategies and public health interventions to climate change can be made with a solid foundation.

Key words: Heatwave, Health, Impact assessment, Early warning system, Coping strategy

CLC Number: 

  • R122
[1] 邓绶林. 地学辞典[M]. 石家庄: 河北教育出版社, 1992.
[2] Intergovernmental Panel on Climate Change. Climate change 2013: the physical science basis. Contribution of Working Group I to the fifth assessment report of the Intergovernmental Panel on Climate Change[R]. Cambridge: Cambridge University Press, 2013.
[3] 张霞, 周脉耕, 黄季夏, 等. 济南市热浪对居民非意外死亡的影响研究[J]. 华南预防医学, 2014, 40(4): 327-332. ZHANG Xia, ZHOU Maigeng, HUANG Jixia, et al. Impact of heat wave on non-accidental mortality of local residents in Jinan[J]. South China J Prev Med, 2014, 40(4): 327-332.
[4] Tong S, Wang XY, FitzGerald G, et al. Development of health risk-based metrics for defining a heatwave: a time series study in Brisbane, Australia[J]. BMC Public Health, 2014, 14: 435. doi: 10.1186/1471-2458-14-435.
[5] Steul K, Schade M, Heudorf U. Mortality during heatwaves 2003-2015 in Frankfurt-Main-the 2003 heatwave and its implications[J]. Int J Hyg Envir Heal, 2018, 221(1): 81-86.
[6] Ma W, Zeng W, Zhou M, et al. The short-term effect of heat waves on mortality and its modifiers in China: An analysis from 66 communities[J]. Environ Int, 2015, 75: 103-109. doi: 10.1016/j.envint.2014.11.004.
[7] D'Ippoliti D, Michelozzi P, Marino C, et al. The impact of heat waves on mortality in 9 European cities: results from the EuroHEAT project[J]. Environ Health, 2010, 9: 37. doi: 10.1186/1476-069x-9-37.
[8] Dong W, Zeng Q, Ma Y, et al. Impact of heat wave definitions on the added effect of heat waves on cardiovascular mortality in Beijing, China[J]. Int J Env Res Pub He, 2016, 13(9): 933. doi: 10.3390/ijerph13090933.
[9] Huang C, Barnett AG, Wang XM, et al. The impact of temperature on years of life lost in Brisbane, Australia[J]. Nat Clim Change, 2012, 2(4): 265-270.
[10] Hajat S, OConnor M, Kosatsky T. Health effects of hot weather: from awareness of risk factors to effective health protection[J]. The Lancet, 2010, 375(9717): 856-863.
[11] Huang C, Barnett AG, Wang X, et al. Effects of extreme temperatures on years of life lost for cardiovascular deaths: a time series study in Brisbane, Australia[J]. Circ Cardiovasc Qual Outcomes, 2012, 5(5): 609-614.
[12] Anderson BG, Bell ML. Weather-related mortality[J]. Epidemiology, 2009, 20(2): 205-213.
[13] Schwartz J. Who is sensitive to extremes of temperature?: a case-only analysis[J]. Epidemiology, 2005, 16(1): 67-72.
[14] Page LA, Hajat S, Kovats RS, et al. Temperature-related deaths in people with psychosis, dementia and substance misuse[J]. Brit J Psychiat, 2012, 200(6): 485-490.
[15] Stafoggia M, Forastiere F, Agostini D, et al. Factors affecting in-hospital heat-related mortality: a multi-city case-crossover analysis[J]. J Epidemiol Community Health, 2008, 62(3): 209-215.
[16] Nitschke M, Tucker GR, Hansen AL, et al. Impact of two recent extreme heat episodes on morbidity and mortality in Adelaide, South Australia: a case-series analysis[J]. Environ Health, 2011, 10: 42. doi: 10.1186/1476-069x-10-42.
[17] Bai L, Ding G, Gu S, et al. The effects of summer temperature and heat waves on heat-related illness in a coastal city of China, 2011-2013[J]. Environ Res, 2014, 132: 212-219. doi: 10.1016/j.envres.2014.04.002.
[18] Gu S, Huang C, Bai L, et al. Heat-related illness in China, summer of 2013[J]. Int J Biometeorol, 2016, 60(1): 131-137.
[19] Sun X, Sun Q, Yang M, et al. Effects of temperature and heat waves on emergency department visits and emergency ambulance dispatches in Pudong New Area, China: a time series analysis[J]. Environ Health, 2014, 13: 76. doi: 10.1186/1476-069x-13-76.
[20] Zanobetti A, O Neill MS, Gronlund CJ, et al. Susceptibility to mortality in weather extremes: effect modification by personal and small-area characteristics[J]. Epidemiology, 2013, 24(6): 809-819.
[21] Wilson LA, Gerard Morgan G, Hanigan IC, et al. The impact of heat on mortality and morbidity in the Greater Metropolitan Sydney Region: a case crossover analysis[J]. Environ Health, 2013, 12: 98. doi: 10.1186/1476-069x-12-98.
[22] Vanos JK, Cakmak S, Kalkstein LS, et al. Association of weather and air pollution interactions on daily mortality in 12 Canadian cities[J]. Air Qual Atmos Health, 2015, 8(3): 307-320.
[23] DAmato G, Vitale C, De Martino A, et al. Effects on asthma and respiratory allergy of climate change and air pollution[J]. Multidiscip Respir Med, 2015, 10: 39. doi: 10.1186/s40248-015-0036-x.
[24] Xu Z, Huang C, Hu W, et al. Extreme temperatures and emergency department admissions for childhood asthma in Brisbane, Australia[J]. Occup Environ Med, 2013, 70(10): 730-735.
[25] Fischer E, Schär C. High-impact European heatwaves in a changing climate[C] // EGU General Assembly Conference. Vienna: EGU General Assembly Conference Abstracts, 2010.
[26] Yin Q, Wang J. The association between consecutive days' heat wave and cardiovascular disease mortality in Beijing, China[J]. BMC Public Health, 2017, 17(1): 223.
[27] Saha MV, Davis RE, Hondula DM. Mortality displacement as a function of heat event strength in 7 US cities[J]. Am J Epidemiol, 2014, 179(4): 467-474.
[28] Li X, Chow KH, Zhu Y, et al. Evaluating the impacts of high-temperature outdoor working environments on construction labor productivity in China: a case study of rebar workers[J]. Build Environ, 2016, 95(1): 42-52.
[29] Dunne JP, Stouffer RJ, John JG. Reductions in labour capacity from heat stress under climate warming[J]. Nat Clim Change, 2013, 3(6): 563-566.
[30] 盛戎蓉, 高传思, 李畅畅, 等. 全球气候变化对职业人群健康影响[J]. 中国公共卫生, 2017, 33(8): 1259-1263. SHENG Rongrong, GAO Chuansi, LI Changchang, et al. Effects of global climate change on health of occupational populations: a review[J]. Chinese Journal of Public Health, 2017, 33(8): 1259-1263.
[31] Huang C, Barnett AG, Xu Z, et al. Managing the health effects of temperature in response to climate change: challenges ahead[J]. Environ Health Perspect, 2013, 121(4): 415-419.
[32] Anderson GB, Bell ML. Heat waves in the United States: mortality risk during heat waves and effect modification by heat wave characteristics in 43 U.S. communities[J]. Environ Health Perspect, 2011, 119(2): 210-218.
[33] Luber G, McGeehin M. Climate change and extreme heat events[J]. Am J Prev Med, 2008, 35(5): 429-435.
[34] Huang C, Vaneckova P, Wang X, et al. Constraints and barriers to public health adaptation to climate change a review of the literature[J]. Am J Prev Med, 2011, 40(2): 183-190.
[35] Sheridan SC. A survey of public perception and response to heat warnings across four North American cities: an evaluation of municipal effectiveness[J]. Int J Biometeorol, 2007, 52(1): 3-15.
[36] Chapman R, Howden-Chapman P, Viggers H, et al. Retrofitting houses with insulation: a cost-benefit analysis of a randomised community trial[J]. J Epidemiol Community Health, 2009, 63(4): 271-277.
[37] Institute Of Medicine. Climate change, the indoor environment, and health[M]. Washington, DC: National Academies Press, 2011.
[38] Stone B, Hess JJ, Frumkin H. Urban form and extreme heat events: are sprawling cities more vulnerable to climate change than compact cities?[J]. Environ Health Persp, 2010, 118(10): 1425-1428.
[39] Smargiassi A, Goldberg MS, Plante C, et al. Variation of daily warm season mortality as a function of micro-urban heat islands[J]. J Epidemiol Commun H, 2009, 63(8): 659-664.
[40] Analitis A, Becker P, Biggeri A, et al. Improving public health responses to extreme weather/heat-waves—EuroHEAT: technical summary[R]. Copenhagen: WHO, 2009.
[41] Turner LR, Connell D, Tong S. Exposure to hot and cold temperatures and ambulance attendances in Brisbane, Australia: a time-series study[J]. BMJ Open, 2012, 2(4): e001074. doi: 10.1136/bmjopen-2012-001074.
[42] Tan J, Kalkstein LS, Huang J, et al. An operational heat/health warning system in Shanghai[J]. Int J Biometeorol, 2004, 48(3): 157-162.
[43] 汪庆庆, 李永红, 丁震, 等. 南京市高温热浪与健康风险早期预警系统试运行效果评估[J]. 环境与健康杂志, 2014, 31(5): 382-384. WANG Qingqing, LI Yonghong, DING Zhen, et al. Assessment on heat-wave and health risks early warning system in Nanjing[J]. Journal of Environment and Health, 2014, 31(5): 382-384.
[44] 兰莉, 林琳, 杨超, 等. 哈尔滨市高温热浪健康风险早期预警系统运行效果评估[J]. 中国公共卫生管理, 2016,32(4): 441-443. LAN Li, LIN Lin, YANG Chao, et al. Assessment on heat wave and health risks early warning system in Harbin[J]. Chin J of PHM, 2016, 32(4): 441-443.
[45] Smith E, Morgans A, Qureshi K, et al. Paramedics' perceptions of risk and willingness to work during disasters[J]. Australian Journal of Emergency Management, 2009, 3(24): 21-27.
[46] Hajat S, Kosatky T. Heat-related mortality: a review and exploration of heterogeneity[J]. J Epidemiol Community Health, 2010, 64(9): 753-760.
[47] 田颖, 张书余, 罗斌, 等. 热浪对人体健康影响的研究进展[J]. 气象科技进展, 2013, 3(2): 49-54. TIAN Ying, ZHANG Shuyu, LUO Bin, et al. Research progress in impact of heat wave on human health[J]. Advances in Meteorological Science and Technology, 2013, 3(2): 49-54.
[48] Hajat S, Armstrong BG, Gouveia N, et al. Mortality displacement of heat-related deaths: a comparison of Delhi, S(~overa)o Paulo, and London[J]. Epidemiology, 2005, 16(5): 613-620.
[49] 谢盼, 王仰麟, 彭建, 等. 基于居民健康的城市高温热浪灾害脆弱性评价——研究进展与框架[J]. 地理科学进展, 2015, 34(2): 165-174. XIE Pan, WANG Yanglin, PENG Jian, et al. Health related urban heat wave vulnerability assessment: research progress and framework[J]. Progress in Geography, 2015, 34(2): 165-174.
[50] 李湉湉, 杜艳君, 莫杨, 等. 基于脆弱性的高温热浪人群健康风险评估研究进展[J]. 环境与健康杂志, 2014, 31(6): 547-550. LI Tiantian, DU Yanjun, MO Yang, et al. Human health risk assessment of heat wave based on vulnerability: a review of recent studies[J]. Journal of Environment and Health, 2014, 31(6): 547-550.
[51] Benmarhnia T, Deguen S, Kaufman JS, et al. Review article: vulnerability to heat-related mortality: a systematic review, meta-analysis, and meta-regression analysis[J]. Epidemiology, 2015, 26(6): 781-793.
[52] 王旭初, 李清春, 刘庆敏, 等. 高温热浪对人群死亡风险的影响[J]. 预防医学, 2017, 29(6): 603-606.
[53] 张军, 刘守钦, 周林, 等. 热浪对济南市非意外死亡及主要死因别死亡影响的生态学分析[J]. 环境与健康杂志, 2015, 32(9): 813-815. ZHANG Jun, LIU Shouqin, ZHOU Lin, et al. An ecological study on impact of heat waves on non-accidental and cause-specific deaths in Jinan, China[J]. Journal of Environment and Health, 2015, 32(9): 813-815.
[54] Yang J, Ou CQ, Ding Y, et al. Daily temperature and mortality: a study of distributed lag non-linear effect and effect modification in Guangzhou[J]. Environ Health, 2012, 11: 63. doi: 10.1186/1476-069x-11-63.
[55] Huang C, Barnett A. Human impacts: winter weather and health[J]. Nat Clim Change, 2014, 4(3): 173-174.
[56] Huang C, Chu C, Wang X, et al. Unusually cold and dry winters increase mortality in Australia[J]. Environ Res, 2015, 136: 1-7. doi: 10.1016/j.envres.2014.08.046.
[57] Burkart K, Meier F, Schneider A, et al. Modification of heat-related mortality in an elderly urban population by vegetation(urban green)and proximity to water(urban blue): evidence from Lisbon, Portugal[J]. Environ Health Persp, 2016, 124(7): 927-934.
[58] Heaviside C, Vardoulakis S, Cai X. Attribution of mortality to the urban heat island during heatwaves in the West Midlands, UK[J]. Environ Health, 2016, 15(S1): 27.
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