Heat-related mortality as an indicator of population vulnerability in a mid-sized central European city (Novi Sad, Serbia, summer 2015)

  • Daniela Arsenović University of Novi Sad, Faculty of Sciences, Climatology and Hydrology Research Centre
  • Stevan Savić University of Novi Sad, Faculty of Sciences, Climatology and Hydrology Research Centre
  • Zorana Lužanin Center for Mathematical Research of Nonlinear Phenomena, Faculty of Sciences, University of Novi Sad
  • Ivana Radić University of Novi Sad,Faculty of Medicine
  • Dragan Milošević University of Novi Sad, Faculty of Sciences, Climatology and Hydrology Research Centre
  • Miodgrag Arsić Institute of Publich Health of Vojvodina
Keywords: mortality, heat waves, high temperature, urban population, Serbia,

Abstract


Hot summers with several intensive heat waves lead to strong heat-related mortality in Central and Southeast European cities. Therefore, the aim of the study was to evaluate association between maximum temaprature and mortality during the summer period in 2015 and to contribute to the future long-term assessment of heat-related mortality in urban population. The daily number of deaths of all causes and cause-specific mortality for the population of Novi Sad were used, as well as hourly air temperature data from the Novi Sad urban network (NSUNET) system. Four heat waves were detected using the Huth and Kysely methods. Three heat wave periods lasted longer than ten days. In July and August, 45% of days had a maximum temperature above 30 ºC, and more than 70% of days had a maximum temperature above 25 ºC. The average number of deaths was higher during the heat wave days. Significant association was found between Tmax and all-cause, cardiorespiratory, non-cardiorespiratory in total population, all-cause and cardiorespiratory mortality in the age group 65 and over. This study demonstrates a high magnitude of relation between mortality and temperature. Finally, the results show that population in urban areas is highly vulnerable during heat waves.

 

References

Analitis, A., Katsouyanni, К., Biggeri, А., Baccini, M., Forsberg, B., Bisanti, L., Kirchmayer, U., Ballester, F., Cadum, E., goodman, PG., Hojs, a., Sunyer, J., Tittanen, P., & Michelozzi, P. (2008). Effects of cold weather on mortality: results from 15 European cities within the PHEWE project. American Journal of Epidemiology, 168(12), 1397-1408. doi: 10.1093/aje/kwn266

Aksha K.S., Juran K., Resler M.L. (2017). Spatial and temporal analysis of natural hazard mortality in Nepal. Environmental Hazards. doi.org/10.1080/17477891.2017.1398630.

Arsenović D. (2019). Climate and population in Central Europe: results for temperature-related mortality in Novi Sad. In New Generations in Demography: New Challenging Adventures in the Population Sciene (Eds. Fisher J., Mazouch P., Hulikova Tesarkova K., Kurtinova O.), 27-35. Univeristy of Economics, Faculty of Informatics and Statistics, Prague. Oeconomica Publishing House. ISBN 978-80-245-2302-6

A

rsenović, D., Lehnert, M., Fiedor, D., Šimáček, P., Středová, H., Středa, T., & Savić, S. (2019). Heat-waves and Mortality in Czech Cities: A Case Study for the Summers of 2015 and 2016. Geographica Pannonica, 23(3), 162-172.

Arsenović D. (2018). Seasonality in human mortality: results for the City of Novi Sad (Serbia). Stanovništvo, 56(1). 27-42. doi.org/10.2298/STNV1801027A

Arsenović, D., & Đurđev, B. (2012). Karakteristike i izazovi starenja stanovništva Novog Sada. Zbornik radova Departmana za geografiju, turizam i hotelijerstvo, 41, 84-93. [Features and challenges of population ageing in Novi Sad].

Baccini, M., Biggeri, A., Accetta, G., Kosatsky, T., Katsouyanni, K., Analitis, A., Anderson, H.R., Bisanti, L., DIppoliti, D., Danova, J., Forsberg, B., Medina, S., Paldy, A., Rabczenko, D., Schindler, C., & Michelozzi, P. (2008). Heat effects on mortality in 15 European Cities. Epidemiology, 19(5), 711-719. doi: 10.1097/EDE.0b013e318176bfcd

Barriopedro, D., Fischer, E.M., Luterbacher, J., Trigo, M.R., & Garcia-Herrera, R. (2011). The hot summer of 2010: redrawing the temperature record map of Europe. Science, 332(6026), 220-224. DOI: 10.1126/science.1201224

Basu, R., & Samet, J.M. (2002). Relation between Elevated Ambient Temperature and Mortality: A Review of the Epidemiologic Evidence. Epidemiologic Reviews, 24(2), 190-202. doi.org/10.1093/epirev/mxf007

Basu, R., Dominici, F., & Samet, M.J. (2005). Temperature and mortality among the elderly in the United States: a comparation of epidemiologic methods. Epidemiology, 16(1), 58-66. DOI: 10.1097/01.ede.0000147117.88386.fe

Black, E., Blackburn, M., Harrison, G., Hoskins, B., & Methven, J. (2004). Factors contributing to the summer 2003 European heatwave. Weather, 59(8), 217-223. doi.org/10.1256/wea.74.04

Bobb, F.J., Peng, D.R., Bell, L.M., & Dominici, F. (2014). Heat-related mortality and adaptation to heat in the United States. Environmental Research, 122(8), 811-816. doi: 10.1289/ehp.1307392

Bogdanović, D.C., Milošević, Z.G., Lazarević, K.K., Dolićanin, Z.C., Randelović, D.M., & Bogdanović, S.D. (2013). The impact of the July 2007 heat wave on daily mortality in Belgrade, Serbia. Central European Journal of Public Health, 21(3), 140-145. DOI: 10.21101/cejph.a3840

Bustinza, R., Lebel, G., Gosselin, P., Belanger, D., & Chebana, F. (2013). Health impact of the July 2010 heat wave in Quebec, Canada. BMC Public Health, 13:56.

Cheng, X., & Su, H. (2010). Effects of climatic temperature stress on cardiovascular diseases. European Journal of Internal Medicine, 21(3), 164-167. doi.org/10.1016/j.ejim.2010.03.001

Conti, S., Meli, P., Minelli, G., Solimini, R., Toccaceli, V., Beltrano, C., & Perini, L. (2005). Epidemiologic study of mortality during the summer 2003 heat wave in Italy. Environmental Research, 98, 390–399. doi.org/10.1016/j.envres.2004.10.009

Diaz, J., Garcia, R., Velazquez de Castro, F., Hernandez, E., Lopez, C., & Otero, A. (2002). Effects of extremely hot days on people older than 65 years in Seville (Spain) from 1986 to 1997. International Journal of Biometeorology, 46, 145-149. doi.org/10.1007/s00484-002-0129-z

Djurdjev, B., Arsenović, D., & Savić, S. (2012). Temperature-related mortality in Belgrade in the period 1888-2008. Acta Geographica Slovenica, 52-2, 385-401. doi.org/10.3986/AGS52205

Donaldson, G.C., Keatinge, W.R., & Nayha, S. (2003). Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southest England. Environmental Research, 91, 1-7. doi.org/10.1016/S0013-9351(02)00002-6

Dong, B., Sutton, R., Shaffrey, L., & Wilcox, L. (2016). The 2015 European Heat Wave. Bulletin of the American Meteorological Society, 97(12), S57-S62. DOI:10.II75/BAMS-d-I6-0140-I

Dousset, B., Laaidi, K., & Zeghnoun, A. (2011). Surface temperature and mortality impact in the Paris region during August 2003 heat wave. Urban Climate News, 42:7-14.

Fouillet, A., Rey, G., Laurent, F., Pavillon, G., Bellec S., Guihenneuc-Jouyaux C., Clavel J., Jougla, E., & Hemon D. (2006). Excess mortality related to the August 2003 heat wave in France. International Archives of Occupational and Environmental Health, 80(1),16-24. doi.org/10.1007/s00420-006-0089-4

Gabriel, M.A.K., & Endlicher, R.W. (2011). Urban and rural mortality rates during heat waves in Berlin and Brandenburg, Germany. Environmental Pollution, 159, 2044-2050. DOI:10.1016/j.envpol.2011.01.016

Gasparrini, A., Guo, Y., Hashizume, M., Lavigne, E., Zanobetti, A., Schwartz, J., tobias, A., Tong, S., Rocklov, J., Forsberg, B., Leone, M., De Sario, M., Bell, Ml., Guo, YL., Wu, CF., Kan, H., Yi, SM., De Sousa Zanotti Stagliorio Cohelho, M., Saldiva, PH., Honda, Y., Kim, H., & Armstrong, B. (2015). Mortality risk attribute to high and low ambient temperature: a multicountry observational study. Lancet, 386(9991), 369-375. DOI:10.1016/S0140-6736(14)62114-0

Goldberg, S.M., Gasparrini, A., Armstrong, B., & Valois, M.F. (2011). The short-term influence of temperature on daily mortality in the temperate climate of Montreal, Canada. Environmental Research, 111, 853-860. doi.org/10.1016/j.envres.2011.05.022

Hatvani-Kovacs, G., Belusko, M., Pockett, J., Boland, J. (2016). Assessment of Heatwave Impacts. Procedia Engineering, 169, 316-323. doi.org/10.1016/j.proeng.2016.10.039

Hoy, A., Hansel, S., Skalak, P., Ustrnul, Z., & Bochniček O. (2017). The extreme European summer of 2015 in a long-term perspective. International Journal of Climatology, 37(2), 943-962. doi.org/10.1002/joc.4751

Huang, C., Barnet, G.A., Wang, X., & Tong, S. (2012). Effects of extrime temperatures on years of life lost for cardiovascular death: A time series study in Brisbane, Australia. Circulation: Cardiovascular Quaility and Outcomes, 5(5), 609-614. doi.org/10.1161/CIRCOUTCOMES.112.965707

Huth, R., Kysely, J., & Pokorna, L. (2000). A GCM simulation of heat waves, dry spells, and their relationship to circulation. Climatic Change, 46, 29-60. doi.org/10.1023/A%3A1005633925903

Hutter, H.P., Moshammer, H., Wallner, P., Leitner, B., & Kundi M. (2007). Heatwaves in Vienna: effects on mortality. Wiener Klinische Wochenschrift, 119(7-8), 223-227. doi.org/10.1007/s00508-006-0742-7

International Panel for Climate Change. Climate Change (2013). The Physical Science Basis. In: Stocker TF, Qin D, Plattern GK, Tignor M, Allen SK, Boschung J, Nauels A, Xia Y, Bex V, Midgley PM (eds.). Contribution of Working Group I of the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. United Kingdom and New York, NY, USA, Cambridge University Press, Cambridge.

Jedlovec G., Crane D., & Quattrochi D. (2017). Urban heat wave hazard and risk assessment. Results in Physics, 7, 4294-4295. doi.org/10.1016/j.rinp.2017.10.056

Kalkstein, L.S. (1993). Health and climate change: direct impact in cities. Lancet, 342(8884), 1397-1399. doi.org/10.1016/0140-6736(93)92757-k

Keller C.R. (2015). Fatal isolation: The devastating Paris heat wave of 2003. Chicago: The University of Chicago Press.

Kinney, P.L., O'Neill, M.S., Bell, M.L., & Schwartz J. (2008). Approaches for estimating effects of climate change on heat-related deaths: challenges and opportunities. Environmental Science and Policy, 11(1), 87-96. doi.org/10.1016/j.envsci.2007.08.001

Klinenberg E. (2015). Heat wave: A social autopsy of disaster in Chicago. Second edition. Chicago: The University of Chicago Press.

Koppe, C., Kovats, S., Jendritzky, G., Menne, B., Baumüller, J., Bitan, A., Diaz Jiménez, J., Ebi, L.K., Havenith, G., Lopez Santiago, C., Michelozzi, P., Nicol, F., Matzarakis, A., McGregor, G., Nogueira J.P., Sheridan, S., & Wolf, T. (2004). Heat-waves: risk and responses. Health and Global Environmental Change Series, no. 2, World Health Organization, Copenhagen, pp 123.

Kottek, M., Grieser, J., Beck, C., Rudolf, B., & Rubel, F. (2006). World Map of the Koppen-Geiger climate classification updated. Meteorologische Zeitschrift, 15(3), 259-263.

Kovats, R.S., & Kristie, L.E. (2006). Heatwaves and public health in Europe. European Journal of Public Health, 16(6), 592-599. DOI:10.1093/eurpub/ckl049

Kysely, J. (2002). Temporal fluctuations in heat waves at Prague-Klementinum, the Czech Republic, from 1901-1997, and their relationship to atmospheric circulation. International Journal of Climatology, 22, 33-50. DOI: 10.1002/joc.720

Kysely, J. (2004). Mortality and displaced mortality during heat waves in the Czech Republic. International Journal of Biometeorology, 49(2), 91-97. doi.org/10.1007/s00484-004-0218-2

Lehnert, M., Kubeček, J., Geletič, J., Jurek, M., & Frajer, J. (2018). Identifying hot and cool spots in the city centre based on bicycle measurements: the case of Olomouc, Czech Republic. Geographica Pannonica, 22(4), 230-240.

Le Tertre, A., Lefranc, A., Eilstein, D., Declercq, C., Medina, S., Blanchard M., Chardon, B., Fabre, P., Filleul, L., Jusot, JF., Pascal, L., Prouvost, H., Cassadou, S., & Ledrans, M. (2006). Impact of 2003 heat wave on all cause mortality in 9 French cities. Epidemiology, 17(1), 75–79. DOI:10.1097/01.ede.0000187650.36636.1f

Lhotka, O., Kysely, J., & Farda, A. (2017). Climate change scenarios of heat waves in Central Europe and their uncertainties. Theoretical and Applied Climatology, DOI 10.1007/s00704-016-2031-3.

Lubczynska, J.M., Christophi, A.C., & Lelieveld, J. (2015). Heat-related cardiovascular mortality in Cyprus: a case-crossover study a distributed lag non-linear model. Environmental Health, 2015, 14:39. DOI 10.1186/s12940-015-0025-8

Marti-Soler, H., Gonseth, S., Gubelmann, C., Stringhini, S., Bovet, P., Chen, P.C., Wojtyniak, B., Paccaud, F., Tsai, DH., Zdrojevski, T., & Marques-Vidal, P. (2014). Seasonal variation of overall and cardiovascular mortality: a study in 19 countries from different geographical locations. Plos One, 9(11), e113500. doi.org/10.1371/journal.pone.0113500

Matzarakis, A., De Rocco, M., & Najjar, G. (2009). Thermal bioclimate in Strasbourg-the 2003 heat wave. Theoretical and Applied Climatology, 98(3-4), 209-220. DOI:10.1007/s00704-009-0102-4

Matzarakis, A., Muthers, S., & Koch, E. (2011). Human biometeorological evaluation of heat-related mortality in Vienna. Theoretical and Applied Climatology, 105(1), 1-10. DOI:10.1007/s00704-010-0372-x

McMichael, J.A., Woodruff, E.R., & Hales S. (2006). Climate change and human health: present and future risks. Lancet, 367(9513), 859-869. DOI:10.1016/S0140-6736(06)68079-3

McMichael, J.A., Wilkinson, P., Kovats, S., Pattenden, S., Hajat, S., Armstrng B., Vajanapoom, N., Niciu, EM., Mahomed, H., Kingkeow, C., Kosnik, M., ONeill, MS., romieu, I., Ramirez-Aguilar, M., Barreto, ML., Gouveia, N., & Nikiforov, B. (2008). International study of temperature, heat and urban mortality: the ISOTHURM project. International Journal of Epidemiology, 37(5), 1121-1131. doi: 10.1093/ije/dyn086

Medina-Ramon, M., & Schwartz, J. (2007). Temperature, temperature extremes, and mortality: a study of acclimatisation and effect modification in 50 US cities. Occupational and Environmental Medicine, 64 (12), 827-833. DOI:10.1136/oem.2007.033175

Meehl A.G., & Tebaldi C. (2004). More intense, more frequent, and longer lasting heat waves in 21st century. Science, 305 (5686), 994-997. DOI: 10.1126/science.1098704

Michelozzi, P., De Sairo, M., Accetta, G., De’Donato, F., Kirchmayer, U., D’Ovidio, M., & Perucci, AC. (2006). Temperature and summer mortality: geographical and temporal variations in four Italian cities. Journal of Epidemiology and Community Health, 60(5), 417-423. DOI:10.1136/jech.2005.040857

Miron, J.I., Linares, C., Montero, C.J., Criado-Alvarez, J.J., & Diaz J. (2015). Changes in cause-specific mortality during heat waves in central Spain, 1975-2008. International Journal of Biometeorology, 59(9), 1213-1222. DOI:10.1007/s00484-014-0933-2

Muthers, S., Matzarakis, A., & Koch, E. (2010). Climate change and mortality in Vienna-A human biometeorological analysis based on regional climate modeling. International Journal of Environmental Research and Public Health, 7(7), 2965-2977. doi.org/10.3390%2Fijerph7072965

Ongoma, V., Muange, K. P., & Zablon, W. S. (2016). Potential effects of urbanization on urban thermal comfort, a case study of Nairobi city, Kenya: A review. Geographica Pannonica, 20(1), 19-31.

Pattenden, S., Nikiforov, B., & Armstrong, B.G. (2003). Mortality and temperature in Sofia and London. Journal of Epidemiology and Community Health, 57(8), 628-633. doi.org/10.1136/jech.57.8.628

Russo, S., Sillmann, J., & Ficher, M.E. (2015). Top ten European heatwaves since 1950 and their occurence in the coming decades. Environmental Research Letter, doi:10.1088/1748-9326/10/12/124003.

Savić, S., Milošević, D., Lazić, L., Marković, V., Arsenović, D., & Pavić D. (2013). Classifying urban meteorological stations sites by ”Local Climate Zones”: Preliminary results for the City of Novi Sad (Serbia). Geographica Pannonica, 17(3), 60-68.

Savić, S., Milošević, D., Arsenović, D., Marković V., Bajšanski I., & Šećerov I. (2016). Urban climate issues in complex urbanized environment review of the literature for Novi Sad (Serbia). Acta climatologica et chorologica, 49-50, 63-80.

Savić, S., Marković, V., Šećerov, I., Pavić, D., Arsenović, D., Milošević, D., Dolinaj, D., Nagy, I., & Pantelić, M. (2018). Heat wave risk assessment and mapping in urban areas: case study for a midsized Central European city, Novi Sad (Serbia). Natural Hazards, doi:10.1007/s11069-017-3160-4.

Schwartz, J. (2005). Who is sensitive to extremes of temperature? A case-only analysis. Epidemiology, 16(1), 67-72. DOI: 10.1097/01.ede.0000147114.25957.71

Stanojević, G., Stojilković, J., Spalević, A., Kokotović, V. (2014). The impact of heat waves on daily mortality in Belgrade (Serbia) during summer. Environ Hazards-UK, 13(4), 392-342. doi.org/10.1080/17477891.2014.932268

Stott, P.A., Stone, D.A., & Allen, M.R. (2004). Human contribution to the European heatwave of 2003. Nature, 432(7017), 610-614. DOI:10.1038/nature03089

Sun, Z. (2010). Cardiovascular to cold exposure. Frontiers in Bioscience, 2, 495-503.

Šećerov, I., Savić, S., Milošević, D., Marković, V., & Bajšanski, I. (2015). Development of an automated urban climate monitoring system in Novi Sad (Serbia). Geographica Pannonica, 19, 174-183.

Stewart, I.D., Oke, T.R. (2012). Local climate zones for urban temperature studies. Bulletin of American Meteorological Society, 93, 1879–1900. http s://doi.org/10.1175 /BAMS -D-11-0001 9.1

Tong, S., Wang, Y.X., Yu, W., Chen, D., & Wang, X. (2014). The impact of heatwaves on mortality in Australia: a multicity study. BMJ Open, 4:e003579. doi.org/10.1136/bmjopen-2013-003579

Wolf, K., Schneider, A., Breitner, S., Von Klot, S., Meisinger, C., Cyrys, J., Hymer, H., Wichmann HE., Peters, A., Peters, A., & Cooperative Health Research in the Region of Augsburg Study Group. (2009). Air temperature and the occurance of myocardial infraction in Augsburg, Germany. Circulation, 120 (9), 735-742. DOI:10.1161/CIRCULATIONAHA.108.815860

Yi W., & Chan, P.C.A. (2015). Effects of temperature on mortality in Hong Kong: a time series analysis. International Journal of Biometeorology, 59(7), 927-936. DOI:10.1007/s00484-014-0895-4

Published
2020/01/11
Section
Original Research