Abstract
The relationship between heat stress and mortality in the federal state of Vienna (Austria) was analyzed from 1970 to 2007. Long-term trends of mortality data and short-term adaptation to heat stress were considered by two complex approaches. The evaluation is based on the human biometeorological parameter, physiologically equivalent temperature. The results revealed a significant impact of heat stress on the human health, with a significantly higher sensitivity on women compared to men. Additionally, higher risks of deaths due to cardiovascular and respiratory diseases were found. During the long period of 38 years, some significant decreases of the sensitivity were found, especially in the medium heat stress levels. This could indicate active processes of long-term adaptation to the increasing heat stress.
Similar content being viewed by others
References
Barnett AG (2007) Temperature and cardiovascular deaths in the US elderly: changes over time. Epidemiology 18:369–372
Böhm R (2009) Geändertes Umfeld durch Klimawandel?/Modified environment due to climate change? Wildbach- und Lawinenverbau 163:34–50
Braga F, Zanobetti A, Schwartz J (2001) The time course of weather-related deaths. Epidemiology 12:662–667
Chau P, Chan K, Woo J (2009) Hot weather warning might help to reduce elderly mortality in Hong Kong. Int J Biometeorol 53:461–468
Cleveland WS, Devlin SJ (1988) Locally weighted regression: an approach to regression analysis by local fitting. J Am Stat Assoc 83:596–610
Davis RE, Knappenberger PC, Michaels PJ, Novicoff WM (2003) Changing heat-related mortality in the United States. Environ Health Perspect 111:1712–1718
Díaz J, García R, de Castro VF, Hernández E, López C, Otero A (2002) Effects of extremely hot days on people older than 65 years in Seville (Spain) from 1986 to 1997. Int J Biometeorol 46:145–149
Díaz J, García-Herrera R, Trigo RM, Linares C, Valente MA, De Miguel JM, Hernández E (2006) The impact of the summer 2003 heat wave in Iberia: how should we measure it? Int J Biometeorol 50:159–166
Donaldson GC, Keatinge WR (2008) Direct effects of rising temperatures on mortality in the UK. In: Kovats RS (ed) Health effects of climate change in the UK 2008: an update of the Department of Health report 2001/2002. Department of Health, UK, pp 81–90
Donaldson GC, Keatinge WR, Nayha S (2003) Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southeast England. Environ Res 91:1–7
Flynn A, McGreevy C, Mulkerrin EC (2005) Why do older patients die in a heat wave. Int J Med 98:227–229
Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A, Frayssinet P, Bessemoulin P, Laurent F, De Crouy-Chanel P, Jougla E, Hémon D (2008) Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave. Environ Epidemiol 37:309–317
Gisser R (2005) Recent demographic trends in Austria until 2004. In: Vienna yearbook of population research. Verlag der Österreichischen Akademie der Wissenschaften, Vienna, pp. 237–242
Gosling SN, McGregor GR, Páldy A (2007) Climate change and heat-related mortality in six cities part 1: model construction and validation. Int J Biometeorol 51:525–540
Grass D, Cane M (2008) The effects of weather and air pollution on cardiovascular and respiratory mortality in Santiago, Chile, during the winters of 1988–1996. Int J Climatol 28:1113–1126
Hajat S, Kovats RS, Atkinson RW, Haines A (2002) Impact of hot temperatures on death in London: a time series approach. J Epidemiol Commun H 56:367–372
Hajat S, Kovats RS, Lachowycz K (2007) Heat-related and cold-related deaths in England and Wales: who is at risk? Occup Environ Med 64:93–100
Helsel DR, Hirsch RM (2002) Statistical methods in water resources. U.S. Geological Survey, techniques of water-resources investigations book 4, chapter A3. http://www.epa.gov/earth1r6/6pd/qa/qadevtools/mod4references/supplemental/twri4a3-new.pdf Accessed 16 June 2009
Heudorf U, Meyer C (2005) Gesundheitliche Auswirkungen extremer Hitze—am Beispiel der Hitzewelle und der Mortalität in Frankfurt am Main im August 2003. Gesundheitswesen 67:369–374
Höppe P (1984) Die Energiebilanz des Menschen. Münchener Universitätsschriften, Meteorol. Inst., Wiss. Mitt. 49
Höppe P (1993) Heat balance modelling. Experientia 49:741–746
Hutter H, Moshammer H, Wallner P, Leitner B, Kundi M (2007) Heatwaves in Vienna: effects on mortality. Wien Klin Wochenschr 119:223–227
Iñiguez C, Ballester F, Ferrandiz J, Pérez-Hoyos S, Sáez M, López A (2010) Relation between temperature and mortality in thirteen Spanish cities. Int J Environ Res Public Health 7:3196–3210
Jendritzky G (1990) Methodik zur räumlichen Bewertung der thermischen Komponente im Bioklima des Menschen—Fortgeschriebenes Klima-Michel-Modell. Beitr Akad f Raumforsch u Landschaftspl 114:7–69
Jendritzky G, Sönning W, Swantes HJ (1979) Ein objektives Bewertungsverfahren zur Beschreibung des thermischen Milieus in der Stadt- und Landschaftsplanung (“Klima-Michel-Modell”). Beitr Akad f Raumforsch u Landschaftspl 28:1–85
Kalkstein LS, Smoyer KE (1993) The impact of climate change on human health: some international implications. Cell Mol Life Sci 49:969–979
Keatinge WR (2002) Winter mortality and its causes. Int J Circumpolar Health 61:292–299
Keatinge WR, Donaldson GC, Cordiolo E, Martinelli M, Kunst AE, Mackenback JP, Nayha S, Vuori I (2000) Heat-related mortality in warm and cold regions of Europe: observational study. Brit Med J 321:670–673
Koppe C (2005) Gesundheitsrelevante Bewertung von thermischer Belastung unter Berücksichtigung der kurzfristigen Anpassung der Bevölkerung an die lokalen Witterungsverhältnisse. Dissertation, Albert-Ludwigs-University of Freiburg (Germany)
Koppe C, Becker P (2009) Comparison of operational heat health warning systems in Europe. In: Matthies F, Menne B (eds) Preparedness and response to heat waves in Europe, from evidence to action. Public health response to extreme weather events. WHO Regional Office for Europe, Copenhagen
Koppe C, Jendritzky G (2005) Inclusion of short-term adaptation to thermal stresses in a heat load warning procedure. Meteorol Z 14:271–278
Koppe C, Jendritzky G, Pfaff G (2003) Die Auswirkungen der Hitzewelle 2003 auf die Gesundheit. DWD Klimastatusbericht 2003:152–162
Kovats S, Shakoor H (2008) Heat stress and public health: a critical review. Annu Rev Public Health 29:41–55
Laaidi M, Laaidi K, Besancenot J (2006) Temperature-related mortality in France, a comparison between regions with different climates from the perspective of global warming. Int J Biometeorol 51:145–153
Lin T, Matzarakis A, Hwang R (2010) Shading effect on long-term outdoor thermal comfort. Build Environ 45:213–221
Matzarakis A, Mayer H (1996) Another kind of environmental stress: thermal stress. WHO Newsletter 18:7–10
Matzarakis A, Rutz F, Mayer H (2007) Modelling radiation fluxes in simple and complex environments—application of the RayMan model. Int J Biometeorol 51:323–334
Matzarakis A, Rutz F, Mayer H (2010) Modelling radiation fluxes in simple and complex environments: basics of the RayMan model. Int J Biometeorol 54:131–139
Mayer H, Höppe P (1987) Thermal comfort of man in different urban environments. Theor Appl Climatol 38:43–49
Muggeo VM, Hajat S (2009) Modelling the non-linear multiple-lag effects of ambient temperature on mortality in Santiago and Palermo: a constrained segmented distributed lag approach. Occup Environ Med 66:584–591
Muthers S, Matzarakis A, Koch E (2010a) Summer climate and mortality in Vienna—a human-biometeorological approach of heat related mortality during the heat waves in 2003. Wien Klin Wochenschr 122:525–531
Muthers S, Matzarakis A, Koch E (2010b) Climate change and mortality in Vienna—a human biometeorological analysis based on regional climate modeling. Int J Environ Res Public Health 7:2965–2977
Nastos PT, Matzarakis A (2008) Human-biometeorological effects on sleep disturbances in Athens, Greece: a preliminary evaluation. Indoor Built Environ 17:535–542
O’Neill M, 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
Pascal M, Laaidi K, Ledrans M, Baffert E, Caserio-Schönemann C, Le Tertre A, Manach J, Medina S, Rudant J, Empereur-Bissonnet P (2006) France’s heat health watch warning system. Int J Biometeorol 50:144–153
Robine JM, Cheung SL, Le Roy S, Van Oyen H, Herrmann FR (2007) Report on excess mortality in Europe during summer 2003. EU Community Action Programme for Public Health: Grant Agreement 2005114
Statistik Austria (2009). Bevölkerungsvorausschätzung 2008–2050. Statistik Austria
Tan J, Zheng Y, Tang X, Guo C, Li L, Song G, Zhen X, Yuan D, Kalkstein A, Chen H (2007) Heat wave impacts on mortality in Shanghai, 1998 and 2003. Int J Biometeorol 51:193–200
WHO (2003) The health impacts of 2003 summer heat waves—Briefing note for the Delegations of the 53rd session of the WHO Regional Committee for Europe, 8 Sept 2003, Vienna
WHO (2004) Heat-waves: risks and responses. World Health Organization, Copenhagen
Acknowledgement
The authors would like to thank the Austrian Federal Ministry for Science and Research for funding this study. Thanks to Ivy Shiue for proofreading the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Matzarakis, A., Muthers, S. & Koch, E. Human biometeorological evaluation of heat-related mortality in Vienna. Theor Appl Climatol 105, 1–10 (2011). https://doi.org/10.1007/s00704-010-0372-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00704-010-0372-x