Abstract
The paper examines whether there was an excess of deaths and the relative role of temperature and ozone in a heatwave during 7–26 February 2004 in Brisbane, Australia, a subtropical city accustomed to warm weather. The data on daily counts of deaths from cardiovascular disease and non-external causes, meteorological conditions, and air pollution in Brisbane from 1 January 2001 to 31 October 2004 were supplied by the Australian Bureau of Statistics, Australian Bureau of Meteorology, and Queensland Environmental Protection Agency, respectively. The relationship between temperature and mortality was analysed using a Poisson time series regression model with smoothing splines to control for nonlinear effects of confounding factors. The highest temperature recorded in the 2004 heatwave was 42°C compared with the highest recorded temperature of 34°C during the same periods of 2001–2003. There was a significant relationship between exposure to heat and excess deaths in the 2004 heatwave [estimated increase in non-external deaths: 75 ([95% confidence interval, CI: 11–138; cardiovascular deaths: 41 (95% CI: −2 to 84)]. There was no apparent evidence of substantial short-term mortality displacement. The excess deaths were mainly attributed to temperature but exposure to ozone also contributed to these deaths.
Similar content being viewed by others
References
Australian Bureau of Meteorology (2008) www.bom.gov.au/weather/wa/sevwx/perth/heatwaves.shtml Accessed 6/12/08
Basu R, Feng WY, Ostro BD (2008) Characterizing temperature and mortality in nine California counties. Epidemiology 19:138–145
Bell ML, Samet JM, Dominici F (2004) Time-series studies of particulate matter. Annu Rev Public Health 25:247–280
Braga AL, Zanobetti A, Schwartz J (2001) The time course of weather-related deaths. Epidemiology 12:662–667
BCC (Brisbane City Council) (2008) www.brisbane.qld.gov.au. Accessed 12/12/08
Collins DA (2000) Trends in annual frequencies of extreme temperature events in Australia. Aust Meteorol Mag 49:277–292
Curriero FC, Heiner KS, Samet JM, Zeger SL, Strug L, Patz JA (2000) Temperature and mortality in 11 cities of the eastern United States. Am J Epidemiol 155:80–87
Dominici F, McDermott A, Zeger SL, Samet JM (2002) On the use of generalized additive models in time-series studies of air pollution and health. Am J Epidemiol 156:193–203
Dominici F, Peng RD, Bell ML, Pham L, McDermott A, Zeger SL (2006) Fine particulate and hospital admission for cardiovascular and respiratory diseases. JAMA 295:1127–1134
Drinkwater BL, Horvath SM (1979) Heat tolerance and aging. Med Sci Sports 11:49–55
Fischer PH, Brunekreef B, Lebret E (2004) Air pollution related deaths during the 2003 heat wave in the Netherlands. Atmosp Environ 38:1083–1085
Gosling S, McGregor G, Lowe JA (2009) Climate change and heat-related mortality in six cities part 2: climate model evaluation and projected impacts from changes in the mean and variability of temperature with climate change. Int J Biometeorol 53:31–51
Hajat S, Armstrong BG, Gouvia N, Wilkinson P (2005) Mortality displacement of heat-related deaths: a comparison of Delhi, Sao Paulo and London. Epidemiology 16:613–620
IPCC (Intergovernmental Panel on Climate Change) (2007) Climate change 2007: the physical science basis. http://ipcc-wg1.ucar.edu/wg1/wg1_home.html. Accessed 12/12/08
Katsouyanni K, Pantazopoulou A, Touloumi G, Tselepidaki I, Moustris K, Asimakopoulos D, Poulopoulou G, Trichopoulos D (1993) Evidence for interaction between air pollution and high temperature in the causation of excess mortality. Arch Environ Health 48:235–242
Laaidi M, Laaidi K, Besancenot JP (2006) Temperature-related mortality in France, a comparison between regions with different climates from the perspective of global warming. Int J Biometeorol 51(2):145–153
Le Tertre A, Lefranc A, Eilstein D, Declercq C, Medina S, Blanchard M (2006) Impact of the 2003 heatwave on all-cause mortality in 9 French cities. Epidemiology 17:75–79
Manton MJ, Della-Marta PM, Haylock P (2001) Trends in extreme daily rainfall and temperature in Southeast Asia and the South Pacific: 1961–1998. Int J Climatol 21:269–284
Martens P (1998) Health and climate change: modelling the impacts of global warming and ozone depletion. Earthscan Publications, London, UK
McGeehin M, Mirabelli M (2001) The potential impacts of climate variability and change on temperature-related morbidity and mortality in the United States. Environ Health Perspect 109:185–189
McMichael AJ, Campbell-Lendrum DH, Corvalan CF, Ebi K, Githeko A, Scheraga JD et al (2003) Climate change and human health - risks and responses. World Health Organisation, Geneva
McMichael AJ, Wilkinson P, Kovats RS, Pattenden S, Hajat S, Armstrong B (2008) International study of temperature, heat and urban mortality: the ‘ ISOTHURM ‘ project. Int J Epidemiol 37:1121–1131
National Climate Centre (2004) Eastern Australia experiences record February heatwave. Bull Aust Meteorol Oceanogr Soc 17:27–29
NAEEEC (National Appliance and Equipment Energy Efficiency Committee) (2006) Status of air conditioners in Australia. NAEEEC, Canberra
O’Neill MS, Hajat S, Zanobetti A, Ramirez-Aguilar M, Schwartz J (2005) Impact of control for air pollution and respiratory epidemics on the estimated associations of temperature and daily mortality. Int J Biometeorol 50:121–129
Peng RD, Dominici F, Louis TA (2006) Model choice in time series studies of air pollution and mortality. J R Stat Soc, A 69:179–203
Pope CA 3rd, Burnett RT, Thun MJ, Calle EE, Krewski D, Ito K (2002) Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA 287:1132–1141
Poumadere M, Mays C, Le Mer S, Blong R (2005) The 2003 heat wave in France: dangerous climate change here and now. Risk Anal 25:1483–1494
Ramsay TO, Burnett RT, Krewski D (2003) The effect of concurvity in generalized additive models linking mortality to ambient particulate matter. Epidemiology 14:18–23
Ren C, Tong S (2006) Temperature modified the health effects of particulate matter in Brisbane, Australia. Int J Biometeorol 51:87–96
Ren C, Williams GM, Tong S (2006) Does particulate matter modify the association between temperature and cardiorespiratory diseases? Environ Health Perspect 114:1690–1696
Ren C, Williams GM, Morawska L, Mengersen K, Tong S (2008a) Ozone modifies associations between temperature and cardiovascular mortality: analysis of the NMMAPS data. Occup Environ Med 65(4):255–260
Ren C, Williams GM, Morawska L, Mengersen K, Tong S (2008b) Does temperature modify short-term effects of ozone on total mortality in 60 large eastern US communities?: an assessment using the NMMAPS data. Environ Int 34:451–458
Ritz B, Wilhelm M, Zhao Y (2006) Air pollution and infant death in southern California, 1989–2000. Pediatrics 118:493–502
Roberts S, Switzer P (2004) Mortality displacement and distributed lag models. Inhal Toxicol 16:879–888
Rooney C, McMichael AJ, Kovats RS, Coleman MP (1998) Excess mortality in England and Wales, and in Greater London, during the 1995 heatwave. J Epidemiol Community Health 52:482–486
Samet JM, Dominici F, Curriero FC, Coursac I, Zeger SL (2000) Fine particulate air pollution and mortality in 20 U.S. cities, 1987–1994. N Engl J Med 343:1742–1749
Stedman JR (2004) The predicted number of air pollution related deaths in the UK during the August 2003 heatwave. Atmos Environ 38:1087–1090
Vandentorren S, Suzan F, Medina S, Pascal M, Maulpoix A, Cohen JC (2004) Mortality in 13 French cities during the August 2003 heatwave. Am J Public Health 94:1518–1520
Zanobetti A, Schwartz J (2008) Temperature and mortality in nine US cities. Epidemiology 19:563–570
Zanobetti A, Schwartz J, Samoli E, Gryparis A, Touloumi G, Atkinson R (2002) The temporal pattern of mortality responses to air pollution: a multicity assessment of mortality displacement. Epidemiology 13:87–93
Acknowledgments
The authors thank Prof. Neville Nicholls at the Monash University for the constructive comments on the manuscript; the Australian Bureau of Statistics, Australian Bureau of Meteorology, and Queensland Environmental Protection Agency for providing data on health outcomes, meteorological conditions and air pollution, respectively. S.T. was supported by a NHMRC Research Fellowship (#290515). This study was partly funded by the Australian Research Council Discovery Project Grant (#DP 346777) and the Institute of Health and Biomedical Innovation Seeding Grant at the Queensland University of Technology.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tong, S., Ren, C. & Becker, N. Excess deaths during the 2004 heatwave in Brisbane, Australia. Int J Biometeorol 54, 393–400 (2010). https://doi.org/10.1007/s00484-009-0290-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00484-009-0290-8