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Extreme temperatures and mortality in the North of Spain

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objective

To study the relationship between mortality and temperature in Cantabria, a Spanish region that includes both rural and urban areas.

Methods

Meteorological data (2003–2006) were obtained from the Spanish Meteorological Agency and daily numbers of deaths were obtained from the Spanish Institute for Statistics. A graphical approach using locally weighted regression smoothing was used to explore the relationship between mortality and temperatures and to identify temperature thresholds; we estimated the excess of mortality due to extreme temperatures in both warm and cold periods using Poisson regression models, and we simulated a situation with increased temperatures.

Results

Raising maximum or minimum temperatures by 1ºC was associated with a 2% excess in mortality risk in the whole population throughout the warm period, and we found no effect in mortality on the cold season; almost all changes in mortality occur in people aged 65 or more. Women are more sensitive to temperature changes in the warmer months.

Conclusions

The deleterious effect of increasing temperatures in summer is more pronounced than the beneficial effect of a similar increase in winter.

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References

  • Ballester F, Michelozzi P, Iñiguez C (2003) Weather, climate, and public health. J Epidemiol Community Health 57:759–760

    Article  PubMed  CAS  Google Scholar 

  • Basu R (2009) High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health 8:40

    Article  PubMed  Google Scholar 

  • Bell M, O′Neil M, Ranjit N et al (2008) Vulnerability to heat-related mortality in Latin America: a case-crossover study in São Paulo, Brazil, Santiago, Chile and Mexico City, Mexico. Int J Epidemiol 37(4):796–804

    PubMed  Google Scholar 

  • Bøkenes L, Alexandersen TE, Østerud B et al (2000) Physiological and haematological responses to cold exposure in the elderly. Int J Circumpolar Health 59(3–4):216–221

    PubMed  Google Scholar 

  • Braga AL, Zanobetti A, Schwartz J (2002) The effect of weather on respiratory and cardiovascular deaths in 12 U.S. cities. Environ Health Perspect 110:859–863

    Article  PubMed  Google Scholar 

  • Cleveland WS (1979) Robust locally weighted regression and smoothing scatterplots. J Am Stat Assoc 74:829–836

    Article  Google Scholar 

  • Curriero FC, Heiner KS, Samet JM et al (2002) Temperature and mortality in 11 cities of the Eastern of the United States. Am J Epidemio 155(1):80–87

    Article  Google Scholar 

  • Flynn A, McGreevy C, Mulkerrin E (2005) Why do older patients die in a heatwave? QJM 98(3):227–229

    Article  PubMed  CAS  Google Scholar 

  • García-Herrera R, Díaz J, Trigo R et al (2005) Extreme summer temperatures in Iberia: health impacts and associated synoptic conditions. Ann Geophys 23:239–251

    Article  Google Scholar 

  • Gómez-Acebo I, Dierssen-Sotos T, Llorca J (2010) Effect of cold temperatures on mortality in Cantabria (Northern Spain): A case–crossover study. Public Health 124:398–403

    Article  PubMed  Google Scholar 

  • Grundy E (2006) Ageing and vulnerable elderly people: European perspectives. Ageing Soc 26:105–134

    Article  Google Scholar 

  • Hajat S, Armstrong B, Baccini M et al (2006) Impact of high temperatures on mortality: is there an added “heat wave” effect? Epidemiology 17(6):632–638

    Article  PubMed  Google Scholar 

  • Holt CC (1957) Forecasting seasonals and trends by exponentially weighted moving averages. ONR Research Memorandum 52. Carnegie Institue of Technology, Pittsburgh

    Google Scholar 

  • Hoshiko S, English P, Smith D et al (2010) A simple method for estimating excess mortality due to heat waves, as applied to the 2006 California heat wave. Int J Public Health 55(2):133–137

    Article  PubMed  Google Scholar 

  • Intergovernmental Panel On Climate Change (IPCC) (2007) Climate change 2007: the physical science basis. Summary for policymaker. http://www.pnud.cl/recientes/IPCC-Report.pdf

  • Katsouyanni K, Pantazopulu A, Touloumi G (1993) Evidence for interaction between air pollution and high temperature in the causation of excess mortality. Arch Environ Health 48:235–242

    Article  PubMed  CAS  Google Scholar 

  • Katsouyanni K, Touloumi G, Samoli E et al (2001) Confounding and effect modification in the short-term effects of ambient particles on total mortality: results from 29 European cities within the APHEA2 project. Epidemiology 12:521–531

    Article  PubMed  CAS  Google Scholar 

  • Llorca J, Salas A, Prieto-Salceda D et al (2005) Nitrogen dioxide increases cardiorespiratory admissions in Torrelavega (Spain). J Environ Health 68:30–35

    PubMed  CAS  Google Scholar 

  • Martínez Navarro F, Simón-Soria F, López-Abente G (2004) Evaluation of the impact of the heat wave in the summer of 2003 on mortality. Gac Sanit 18(Suppl 1):250–258

  • McGeehin MA, Mirabelli M (2001) The potential impacts of climate variability and change on temperature related morbidity and mortality in the United States. Environ Health Perspect 109(Suppl 2):185–189

    Article  PubMed  Google Scholar 

  • Medina-Ramón M, Zanobetti A, Cavanagh D et al (2006) Extreme temperatures and mortality: assessing effect modification by personal characteristics and specific cause of death in a multi-city case-only analysis. Environ Health Perspect 114(9):1331–1336

    Article  PubMed  Google Scholar 

  • Michelozzi P, de Donato F, Bisanti L et al (2005) The impact of the summer 2003 heat waves on mortality in four Italian cities. Eur Surveill 10(7):161–165

    CAS  Google Scholar 

  • Mirchandani HG, McDonald G, Hood I, Fonseca C (1996) Heat-related deaths in Philadelphia 1993. Am J Forensic Med Pathol 17(2):106–108

    Article  PubMed  CAS  Google Scholar 

  • Pirard P (2003) Heat wave: a climatic deadly phenomena that can be prevented. Enf Emerg 5(3):145–146

    Google Scholar 

  • Rooney C, McMichael AJ, Kovats RS et al (1998) Excess mortality in England and Wales, and in Greater London, during the 1995 heatwave. J Epidemiol Community Health 52(8):482–486

    Article  PubMed  CAS  Google Scholar 

  • Samoli E, Aga E, Touloumi G et al (2006) Short-term effects of nitrogen dioxide on mortality: an analysis within the APHEA project. Eur Respir J 27:1129–1138

    Article  PubMed  CAS  Google Scholar 

  • Semenza J, Rubin C, Falter K et al (1996) Heat-related deaths during the July 1995 heat wave in Chicago. N Engl J Med 335(2):84–90

    Article  PubMed  CAS  Google Scholar 

  • Stafoggia M, Forastiere F, Agostini D (2006) Vulnerability to heat-related mortality: a multicity, population-based, case-crossover analysis. Epidemiology 17(3):315–323

    Article  PubMed  Google Scholar 

  • The Eurowinter Group (1997) Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe. Lancet 349(9062):1341–1346

    Article  Google Scholar 

  • Vandentorren S, Bretin P, Zeghnoun A et al (2006) August 2003 heat wave in France: risk factors for death of elderly people living at home. Eur J Public Health 16(6):583–591

    Article  PubMed  CAS  Google Scholar 

  • Vineis P (2010) Climate change and the diversity of its health effects. Int J Public Health 55:81–82

    Article  PubMed  Google Scholar 

  • Winters PR (1960) Forecasting sales by exponentially weighted moving averages. Manag Sci 6:324–342

    Article  Google Scholar 

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The authors declare that they have no competing interests.

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Correspondence to Inés Gómez-Acebo.

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Gómez-Acebo, I., Llorca, J., Rodríguez-Cundín, P. et al. Extreme temperatures and mortality in the North of Spain. Int J Public Health 57, 305–313 (2012). https://doi.org/10.1007/s00038-010-0229-1

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  • DOI: https://doi.org/10.1007/s00038-010-0229-1

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