Mortality on extreme heat days using official thresholds in Spain: a multi-city time series analysis.

BMC Public Health
Aurelio TobiasJulio Díaz

Abstract

The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim of this study is to assess effectiveness of the official thresholds established by the Ministry of Health for each provincial capital city, by quantifying and comparing the short-term effects of above-threshold days on total daily mortality. Total daily mortality and minimum and maximum temperatures for the 52 capitals of province in Spain were collected during summer months (June to September) for the study period 1995-2004. Data was analysed using GEE for Poisson regression. Relative Risk (RR) of total daily mortality was quantified for the current day of official thresholds exceeded. The number of days in which the thresholds were exceeded show great inconsistency, with provinces with great number of exceeded days adjacent to provinces that did not exceed or rarely exceeded. The average overall excess risk of dying during an extreme heat day was about 25% (RR = 1.24; 95% confidence interval (CI) = [1.19-1.30]). Relative ...Continue Reading

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Citations

Jun 11, 2014·Environmental Health : a Global Access Science Source·Aurelio TobíasJulio Diaz
Feb 14, 2013·International Journal of Biometeorology·Stephanie J JacobsJohn Bye
Apr 11, 2014·Critical Care : the Official Journal of the Critical Care Forum·Ghasem Sam TolooShilu Tong
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Jan 27, 2016·American Journal of Epidemiology·Ana M Vicedo-CabreraAntonio Gasparrini
Oct 20, 2012·The Science of the Total Environment·Aurelio TobíasCristina Linares
Jul 17, 2012·Gaceta sanitaria·Cristina LinaresJulio Díaz
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Nov 17, 2014·International Journal of Biometeorology·Isidro Juan MironJulio Díaz
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