Extreme weather events in europe and their health consequences - A systematic review

被引:157
作者
Weilnhammer, Veronika [1 ]
Schmid, Jonas [1 ,2 ]
Mittermeier, Isabella [1 ]
Schreiber, Fabian [1 ]
Jiang, Linmiao [1 ,3 ]
Pastuhovic, Vedran [1 ,3 ]
Herr, Caroline [1 ,4 ]
Heinze, Stefanie [1 ,4 ]
机构
[1] Bavarian Hlth & Food Safety Author, Dept Occupat & Environm Hlth, Erlangen, Germany
[2] Tech Univ Munich, TUM Dept Sport & Hlth Sci, Munich, Germany
[3] Ludwig Maximilians Univ Munchen, Inst Med Informat Proc Biometry & Epidemiol IBE, Munich, Germany
[4] Ludwig Maximilians Univ Munchen, Inst & Outpatient Clin Occupat Social & Environm, Clin Ctr, Munich, Germany
关键词
Extreme weather events; Climate change; Mortality; Cardiovascular diseases; Respiratory diseases; Mental health; CLIMATE-CHANGE; AMBIENT-TEMPERATURE; HEAT WAVES; PARTICULATE MATTER; MENTAL-HEALTH; FOREST-FIRES; MORTALITY; IMPACT; WILDFIRE; DISEASES;
D O I
10.1016/j.ijheh.2021.113688
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Due to climate change, the frequency, intensity and severity of extreme weather events, such as heat waves, cold waves, storms, heavy precipitation causing wildfires, floods, and droughts are increasing, which could adversely affect human health. The purpose of this systematic review is therefore to assess the current literature about the association between these extreme weather events and their impact on the health of the European population. Methods: Observational studies published from January 1, 2007 to May 17, 2020 on health effects of extreme weather events in Europe were searched systematically in Medline, Embase and Cochrane Central Register of Controlled Trials. The exposures of interest included extreme temperature, heat waves, cold waves, droughts, floods, storms and wildfires. The health impacts included total mortality, cardiovascular mortality and morbidity, respiratory mortality and morbidity, and mental health. We conducted the systematic review following PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis). The quality of the included studies was assessed using the NICE quality appraisal checklist (National Institute for Health and Care Excellence). Results: The search yielded 1472 articles, of which 35 met the inclusion criteria and were included in our review. Studies regarding five extreme weather events (extreme heat events, extreme cold events, wildfires, floods, droughts) were found. A positive association between extreme heat/cold events and overall, cardiovascular and respiratory mortality was reported from most studies. Wildfires are likely to increase the overall and cardiovascular mortality. Floods might be associated with the deterioration of mental health instead of mortality. Depending on their length, droughts could have an influence on both respiratory and cardiovascular mortality. Contradictory evidence was found in heat-associated morbidity and wildfire-associated respiratory mortality. The associations are inconclusive due to the heterogeneous study designs, study quality, exposure and outcome assessment. Conclusions: Evidence from most of the included studies showed that extreme heat and cold events, droughts, wildfires and floods in Europe have negative impacts on human health including mental health, although some of the associations are not conclusive. Additional high-quality studies are needed to confirm our results and further studies regarding the effects of other extreme weather events in Europe are to be expected.
引用
收藏
页数:11
相关论文
共 76 条
  • [1] Floods and human health: A systematic review
    Alderman, Katarzyna
    Turner, Lyle R.
    Tong, Shilu
    [J]. ENVIRONMENT INTERNATIONAL, 2012, 47 : 37 - 47
  • [2] Synergistic Effects of Ambient Temperature and Air Pollution on Health in Europe: Results from the PHASE Project
    Analitis, Antonis
    de' Donato, Francesca
    Scortichini, Matteo
    Lanki, Timo
    Basagana, Xavier
    Ballester, Ferran
    Astrom, Christopher
    Paldy, Anna
    Pascal, Mathilde
    Gasparrini, Antonio
    Michelozzi, Paola
    Katsouyanni, Klea
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (09)
  • [3] Effects of Heat Waves on Mortality Effect Modification and Confounding by Air Pollutants
    Analitis, Antonis
    Michelozzi, Paola
    D'Ippoliti, Daniela
    de'Donato, Francesca
    Menne, Bettina
    Matthies, Franziska
    Atkinson, Richard W.
    Iniguez, Carmen
    Basagana, Xavier
    Schneider, Alexandra
    Lefranc, Agnes
    Paldy, Anna
    Bisanti, Luigi
    Katsouyanni, Klea
    [J]. EPIDEMIOLOGY, 2014, 25 (01) : 15 - 22
  • [4] Forest fires are associated with elevated mortality in a dense urban setting
    Analitis, Antonis
    Georgiadis, Ioannis
    Katsouyanni, Klea
    [J]. OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2012, 69 (03) : 158 - 162
  • [5] Anders I, 2014, ADV GLOB CHANGE RES, V58, P17, DOI 10.1007/978-94-007-7960-0_2
  • [6] Effects of the July 1997 Floods in the Czech Republic on Cardiac Mortality
    不详
    [J]. DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS, 2014, 8 (06) : 492 - 496
  • [7] The effect of extreme cold temperatures on the risk of death in the two major Portuguese cities
    Antunes, Liliana
    Silva, Susana Pereira
    Marques, Jorge
    Nunes, Baltazar
    Antunes, Silvia
    [J]. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY, 2017, 61 (01) : 127 - 135
  • [8] The effect of heat waves on mortality in susceptible groups: a cohort study of a mediterranean and a northern European City
    Astrom, Daniel Oudin
    Schifano, Patrizia
    Asta, Federica
    Lallo, Adele
    Michelozzi, Paola
    Rocklov, Joacim
    Forsberg, Bertil
    [J]. ENVIRONMENTAL HEALTH, 2015, 14
  • [9] Relation between elevated ambient temperature and mortality: A review of the epidemiologic evidence
    Basu, R
    Samet, JM
    [J]. EPIDEMIOLOGIC REVIEWS, 2002, 24 (02) : 190 - 202
  • [10] High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008
    Basu, Rupa
    [J]. ENVIRONMENTAL HEALTH, 2009, 8