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Seasonality of mortality under climate change: a multicountry projection study

Madaniyazi, L; Armstrong, B; Tobias, A; Mistry, MN; Bell, ML; Urban, A; Kyselý, J; Ryti, N; Cvijanovic, I; Ng, CFS; Roye, D; Vicedo-Cabrera, AM; Tong, S

Background: Climate change can directly impact temperature-related excess deaths and might subsequently change the seasonal variation in mortality. In this study, we aimed to provide a systematic and comprehensive assessment of potential future changes in the seasonal variation, or seasonality, of mortality across different climate zones. Methods: In this modelling study, we collected daily time series of mean ...


Temporal change in minimum mortality temperature under changing climate A multi...

Yang, D; Hashizume, M; Tobías, A; Honda, Y; Roye, D; Oh, J; Dang, TN; Kim, Y; Abrutzky, R; Guo, Y; Tong, S; Coelho, MDSZS; Saldiva, PHN; Lavigne, E

Background: The minimum mortality temperature (MMT) or MMT percentile (MMTP) is an indicator of population susceptibility to nonoptimum temperatures. MMT and MMTP change over time; however, the changing directions show region-wide heterogeneity. We examined the heterogeneity of temporal changes in MMT and MMTP across multiple communities and in multiple countries. Methods: Daily time-series data for mortality a...


Temperature frequency and mortality: Assessing adaptation to local temperature

Wu, Y; Wen, B; Gasparrini, A; Armstrong, B; Sera, F; Lavigne, E; Li, S; Guo, Y; Overcenco, A; Urban, A; Schneider, A; Entezari, A; Vicedo-Cabrera, AM

Assessing the association between temperature frequency and mortality can provide insights into human adaptation to local ambient temperatures. We collected daily time-series data on mortality and temperature from 757 locations in 47 countries/regions during 1979–2020. We used a two-stage time series design to assess the association between temperature frequency and all-cause mortality. The results were pooled ...


Global and Regional Cardiovascular Mortality Attributable to Nonoptimal Tempera...

Hundessa, S; Huang, W; Zhao, Q; Wu, Y; Wen, B; Alahmad, B; Armstrong, B; Gasparrini, A; Sera, F; Tong, S; Madureira, J; Kyselý, J; Schwartz, J

Background: The association between nonoptimal temperatures and cardiovascular mortality risk is recognized. However, a comprehensive global assessment of this burden is lacking. Objectives: The goal of this study was to assess global cardiovascular mortality burden attributable to nonoptimal temperatures and investigate spatiotemporal trends. Methods: Using daily cardiovascular deaths and temperature data from...


Comparison for the effects of different components of temperature variability o...

Wen, B; Wu, Y; Guo, Y; Gasparrini, A; Tong, S; Overcenco, A; Urban, A; Schneider, A; Entezari, A; Vicedo-Cabrera, AM; Zanobetti, A; Analitis, A; Zeka, A

Background: Temperature variability (TV) is associated with increased mortality risk. However, it is still unknown whether intra-day or inter-day TV has different effects. Objectives: We aimed to assess the association of intra-day TV and inter-day TV with all-cause, cardiovascular, and respiratory mortality. Methods: We collected data on total, cardiovascular, and respiratory mortality and meteorology from 758...


Temporal variations in the short-term effects of ambient air pollution on cardi...

Schwarz, M; Peters, A; Stafoggia, M; de'Donato, F; Sera, F; Bell, ML; Guo, Y; Honda, Y; Huber, V; Jaakkola, JJK; Urban, A; Vicedo-Cabrera, AM

Background: Ambient air pollution, including particulate matter (such as PM10 and PM2·5) and nitrogen dioxide (NO2), has been linked to increases in mortality. Whether populations’ vulnerability to these pollutants has changed over time is unclear, and studies on this topic do not include multicountry analysis. We evaluated whether changes in exposure to air pollutants were associated with changes in mortality ...


Regional variation in the role of humidity on city-level heat-related mortality

Guo, Q; Mistry, MN; Zhou, X; Zhao, G; Kino, K; Wen, B; Cvijanovic, I; Yoshimura, K; Satoh, Y; Kim, Y; Ng, CFS; Vicedo-Cabrera, AM; Armstrong, B

The rising humid heat is regarded as a severe threat to human survivability, but the proper integration of humid heat into heat-health alerts is still being explored. Using state-of-the-art epidemiological and climatological datasets, we examined the association between multiple heat stress indicators (HSIs) and daily human mortality in 739 cities worldwide. Notable differences were observed in the long-term tr...


Joint effect of heat and air pollution on mortality in 620 cities of 36 countries

Stafoggia, M; Michelozzi, P; Schneider, A; Armstrong, B; Scortichini, M; Rai, M; Achilleos, S; Alahmad, B; Analitis, A; Åström, C; Bell, ML; Calleja, N

Background The epidemiological evidence on the interaction between heat and ambient air pollution on mortality is still inconsistent. Objectives To investigate the interaction between heat and ambient air pollution on daily mortality in a large dataset of 620 cities from 36 countries. Methods We used daily data on all-cause mortality, air temperature, particulate matter ≤ 10 μm (PM10), PM ≤ 2.5 μm (PM2.5), nitr...


Comparison of weather station and climate reanalysis data for modelling tempera...

Mistry, MN; Schneider, R; Masselot, P; Royé, D; Armstrong, B; Kyselý, J; Orru, H; Sera, F; Tong, S; Lavigne, É; Urban, A; Madureira, J; García-León, D

Epidemiological analyses of health risks associated with non-optimal temperature are traditionally based on ground observations from weather stations that offer limited spatial and temporal coverage. Climate reanalysis represents an alternative option that provide complete spatio-temporal exposure coverage, and yet are to be systematically explored for their suitability in assessing temperature-related health r...


Fluctuating temperature modifies heat-mortality association around the globe

Wu, Y; Wen, B; Li, S; Gasparrini, A; Tong, S; Overcenco, A; Urban, A; Schneider, A; Entezari, A; Vicedo-Cabrera, AM; Zanobetti, A; Analitis, A; Zeka, A

Studies have investigated the effects of heat and temperature variability (TV) on mortality. However, few assessed whether TV modifies the heat-mortality association. Data on daily temperature and mortality in the warm season were collected from 717 locations across 36 countries. TV was calculated as the standard deviation of the average of the same and previous days’ minimum and maximum temperatures. We used l...


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