Temporal variation in the effect of heat and the role of the Italian heat prevention plan

Public Health
F de'DonatoPaola Michelozzi

Abstract

The aim of the article is to evaluate the temporal change in the effect of heat on mortality in Italy in the last 12 years after the introduction of the national heat plan. Time series analysis. Distributed lag non-linear models were used to estimate the association between maximum apparent temperature and mortality in 23 Italian cities included in the national heat plan in four study periods (before the introduction of the heat plan and three periods after the plan was in place between 2005 and 2016). The effect (relative risks) and impact (attributable fraction [AF] and number of heat-related deaths) were estimated for mild summer temperatures (20th and 75th percentile maximum apparent temperature [Tappmax]) and extreme summer temperatures (75th and 99th percentile Tappmax) in each study period. A survey of the heat preventive measures adopted over time in the cities included in the Italian heat plan was carried out to better describe adaptation measures and response. Although heat still has an impact on mortality in Italian cities, a reduction in heat-related mortality is observed progressively over time. In terms of the impact, the heat AF related to extreme temperatures declined from 6.3% in the period 1999-2002 to 4.1% in...Continue Reading

Citations

Mar 17, 2019·American Journal of Epidemiology·G Brooke AndersonFrancesca Dominici
Jun 28, 2019·International Journal of Environmental Research and Public Health·Seulkee HeoMichelle L Bell
Apr 24, 2019·International Journal of Biometeorology·Jian ChengWenbiao Hu
Mar 18, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Amani KafeetyMichael Schwandt
Feb 17, 2021·Health Research Policy and Systems·Kirsten VanderplankenJoris Adriaan Frank van Loenhout
Apr 13, 2021·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Mónica RodriguesAlfredo Rocha
Aug 28, 2021·International Journal of Environmental Research and Public Health·Fariha HasanJunaid Abdul Razzak
Aug 31, 2021·Environment International·Kate R WeinbergerGregory A Wellenius

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