Influence of Heat Waves on Ischemic Heart Diseases in Germany

被引:27
作者
Zacharias, Stefan [1 ]
Koppe, Christina [1 ]
Muecke, Hans-Guido [2 ]
机构
[1] Ctr Biometeorol Res ZMMF, Deutsch Wetterdienst German Meteorol Serv, Stefan Meier Str 4, D-79104 Freiburg, Germany
[2] Fed Environm Agcy, Dept Environm Hyg, D-14195 Berlin, Germany
关键词
heat waves; human health; cardiovascular diseases; ischemic heart disease; mortality; hospital admissions; Germany;
D O I
10.3390/cli2030133
中图分类号
P4 [大气科学(气象学)];
学科分类号
0706 ; 070601 ;
摘要
The impact of heat waves on ischemic heart disease (IHD) mortality and morbidity in Germany during 2001-2010 is analyzed. Heat waves are defined as periods of at least three consecutive days with daily mean temperature above the 97.5th percentile of the temperature distribution. Daily excess mortality and morbidity rates are used. All calculations were performed separately for 19 regions to allow for the investigation of regional differences. The results show that IHD mortality during heat waves is significantly increased (+15.2% more deaths on heat wave days). In stark contrast, no heat wave influence on hospital admissions due to IHD could be observed. Regional differences in heat wave IHD mortality are present, with the strongest impact in Western Germany and weaker than average effects in the Southeastern and Northwestern regions. The increase in mortality during heat waves is generally stronger for females (+18.7%) than for males (+11.4%), and for chronic ischemic diseases (+18.4%) than for myocardial infarctions (+12.2%). Longer and more intense heat waves feature stronger effects on IHD mortality, while timing in season seems to be less important. Since climate change will most likely enhance the number and intensity of heat waves, the obtained results point to public adaptation strategies to reduce the future heat wave impact on mortality.
引用
收藏
页码:133 / 152
页数:20
相关论文
共 69 条
[41]   High-temperature indices associated with mortality and outpatient visits: Characterizing the association with elevated temperature [J].
Lin, Yu-Kai ;
Chang, Chin-Kuo ;
Li, Ming-Hsu ;
Wu, Yu-Chung ;
Wang, Yu-Chun .
SCIENCE OF THE TOTAL ENVIRONMENT, 2012, 427 :41-49
[42]  
Lowel H., 2006, KORONARE HERZKRANKHE, P1
[43]   High temperatures and health outcomes: A review of the literature [J].
Martiello, Michele Arcangelo ;
Giacchi, Mariano Vincenzo .
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2010, 38 (08) :826-837
[44]   Pattern and determinants of hospitalization during heat waves: an ecologic study [J].
Mastrangelo, Giuseppe ;
Fedeli, Ugo ;
Visentin, Cristiana ;
Milan, Giovanni ;
Fadda, Emanuela ;
Spolaore, Paolo .
BMC PUBLIC HEALTH, 2007, 7 (1)
[45]   More intense, more frequent, and longer lasting heat waves in the 21st century [J].
Meehl, GA ;
Tebaldi, C .
SCIENCE, 2004, 305 (5686) :994-997
[46]   High Temperature and Hospitalizations for Cardiovascular and Respiratory Causes in 12 European Cities [J].
Michelozzi, Paola ;
Accetta, Gabriele ;
De Sario, Manuela ;
D'Ippoliti, Daniela ;
Marino, Claudia ;
Baccini, Michela ;
Biggeri, Annibale ;
Anderson, H. Ross ;
Katsouyanni, Klea ;
Ballester, Ferran ;
Bisanti, Luigi ;
Cadum, Ennio ;
Forsberg, Bertil ;
Forastiere, Francesco ;
Goodman, Patrick G. ;
Hojs, Ana ;
Kirchmayer, Ursula ;
Medina, Sylvia ;
Paldy, Anna ;
Schindler, Christian ;
Sunyer, Jordi ;
Perucci, Carlo A. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2009, 179 (05) :383-389
[47]   Environmental Temperature and Thermal Indices: What Is the Most Effective Predictor of Heat-Related Mortality in Different Geographical Contexts? [J].
Morabito, Marco ;
Crisci, Alfonso ;
Messeri, Alessandro ;
Capecchi, Valerio ;
Modesti, Pietro Amedeo ;
Gensini, Gian Franco ;
Orlandini, Simone .
SCIENTIFIC WORLD JOURNAL, 2014,
[48]   Air temperature-related human health outcomes: Current impact and estimations of future risks in Central Italy [J].
Morabito, Marco ;
Crisci, Alfonso ;
Moriondo, Marco ;
Profili, Francesco ;
Francesconi, Paolo ;
Trombi, Giacomo ;
Bindi, Marco ;
Gensini, Gian Franco ;
Orlandini, Simone .
SCIENCE OF THE TOTAL ENVIRONMENT, 2012, 441 :28-40
[49]   Heat-related mortality in the Florentine area (Italy) before and after the exceptional 2003 heat wave in Europe: an improved public health response? [J].
Morabito, Marco ;
Profili, Francesco ;
Crisci, Alfonso ;
Francesconi, Paolo ;
Gensini, Gian Franco ;
Orlandini, Simone .
INTERNATIONAL JOURNAL OF BIOMETEOROLOGY, 2012, 56 (05) :801-810
[50]   Endothelial function and outdoor temperature [J].
Nawrot, TS ;
Staessen, JA ;
Fagard, RH ;
Van Bortel, LM ;
Struijker-Boudier, HA .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2005, 20 (05) :407-410