Heat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazil
Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban p...
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| Published in: | International journal of biometeorology Vol. 64; no. 8; pp. 1319 - 1332 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Berlin/Heidelberg
Springer Berlin Heidelberg
01.08.2020
Springer Nature B.V |
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| ISSN: | 0020-7128, 1432-1254, 1432-1254 |
| Online Access: | Get full text |
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| Abstract | Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response. |
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| AbstractList | Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response. Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response.Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response. |
| Author | Trigo, Ricardo M. Nunes, Baltazar Russo, Ana Peres, Leonardo F. Geirinhas, João L. Magalhães, Mônica de Avelar F. M. Castro, Lucas C. O. Libonati, Renata |
| Author_xml | – sequence: 1 givenname: João L. surname: Geirinhas fullname: Geirinhas, João L. email: jlgeirinhas@fc.ul.pt organization: Instituto Dom Luiz (IDL), Faculdade de Ciências, Universidade de Lisboa – sequence: 2 givenname: Ana surname: Russo fullname: Russo, Ana organization: Instituto Dom Luiz (IDL), Faculdade de Ciências, Universidade de Lisboa – sequence: 3 givenname: Renata surname: Libonati fullname: Libonati, Renata organization: Instituto Dom Luiz (IDL), Faculdade de Ciências, Universidade de Lisboa, Departamento de Meteorologia, Universidade Federal do Rio de Janeiro, Centro de Estudos Florestais, Universidade de Lisboa – sequence: 4 givenname: Ricardo M. surname: Trigo fullname: Trigo, Ricardo M. organization: Instituto Dom Luiz (IDL), Faculdade de Ciências, Universidade de Lisboa, Departamento de Meteorologia, Universidade Federal do Rio de Janeiro – sequence: 5 givenname: Lucas C. O. surname: Castro fullname: Castro, Lucas C. O. organization: Departamento de Meteorologia, Universidade Federal do Rio de Janeiro – sequence: 6 givenname: Leonardo F. surname: Peres fullname: Peres, Leonardo F. organization: Departamento de Meteorologia, Universidade Federal do Rio de Janeiro, Instituto Português do Mar e da Atmosfera (IPMA) – sequence: 7 givenname: Mônica de Avelar F. M. surname: Magalhães fullname: Magalhães, Mônica de Avelar F. M. organization: Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (FIOCRUZ) – sequence: 8 givenname: Baltazar surname: Nunes fullname: Nunes, Baltazar organization: Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Departamento de Epidemiologia, Instituto Nacional de Saúde Dr. Ricardo Jorge |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32314060$$D View this record in MEDLINE/PubMed |
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| Keywords | Heat waves Mortality levels Rio de Janeiro Extreme events Extreme heat factor |
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| Title | Heat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazil |
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