Projections of temperature-related excess mortality under climate change scenarios

Background: Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships ac...

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Autores: Gasparrini, Antonio, Tobías, Aurelio, Armstrong, Ben G.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/174918
Acceso en línea:http://hdl.handle.net/10261/174918
Access Level:acceso abierto
Palabra clave:Hot temperature
Temperatures
Heat-related mortality
Climate change
Greenhouse effect
Carbon footprint
http://metadata.un.org/sdg/13
Take urgent action to combat climate change and its impacts
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network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Projections of temperature-related excess mortality under climate change scenarios
title Projections of temperature-related excess mortality under climate change scenarios
spellingShingle Projections of temperature-related excess mortality under climate change scenarios
Gasparrini, Antonio
Hot temperature
Temperatures
Heat-related mortality
Climate change
Greenhouse effect
Carbon footprint
http://metadata.un.org/sdg/13
Take urgent action to combat climate change and its impacts
title_short Projections of temperature-related excess mortality under climate change scenarios
title_full Projections of temperature-related excess mortality under climate change scenarios
title_fullStr Projections of temperature-related excess mortality under climate change scenarios
title_full_unstemmed Projections of temperature-related excess mortality under climate change scenarios
title_sort Projections of temperature-related excess mortality under climate change scenarios
dc.creator.none.fl_str_mv Gasparrini, Antonio
Tobías, Aurelio
Armstrong, Ben G.
author Gasparrini, Antonio
author_facet Gasparrini, Antonio
Tobías, Aurelio
Armstrong, Ben G.
author_role author
author2 Tobías, Aurelio
Armstrong, Ben G.
author2_role author
author
dc.contributor.none.fl_str_mv Tobías, Aurelio [0000-0001-6428-6755]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Hot temperature
Temperatures
Heat-related mortality
Climate change
Greenhouse effect
Carbon footprint
http://metadata.un.org/sdg/13
Take urgent action to combat climate change and its impacts
topic Hot temperature
Temperatures
Heat-related mortality
Climate change
Greenhouse effect
Carbon footprint
http://metadata.un.org/sdg/13
Take urgent action to combat climate change and its impacts
description Background: Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships across different populations and climates. Methods: We collected observed daily time series of mean temperature and mortality counts for all causes or non-external causes only, in periods ranging from Jan 1, 1984, to Dec 31, 2015, from various locations across the globe through the Multi-Country Multi-City Collaborative Research Network. We estimated temperature–mortality relationships through a two-stage time series design. We generated current and future daily mean temperature series under four scenarios of climate change, determined by varying trajectories of greenhouse gas emissions, using five general circulation models. We projected excess mortality for cold and heat and their net change in 1990–2099 under each scenario of climate change, assuming no adaptation or population changes. Findings: Our dataset comprised 451 locations in 23 countries across nine regions of the world, including 85 879 895 deaths. Results indicate, on average, a net increase in temperature-related excess mortality under high-emission scenarios, although with important geographical differences. In temperate areas such as northern Europe, east Asia, and Australia, the less intense warming and large decrease in cold-related excess would induce a null or marginally negative net effect, with the net change in 2090–99 compared with 2010–19 ranging from −1·2% (empirical 95% CI −3·6 to 1·4) in Australia to −0·1% (−2·1 to 1·6) in east Asia under the highest emission scenario, although the decreasing trends would reverse during the course of the century. Conversely, warmer regions, such as the central and southern parts of America or Europe, and especially southeast Asia, would experience a sharp surge in heat-related impacts and extremely large net increases, with the net change at the end of the century ranging from 3·0% (−3·0 to 9·3) in Central America to 12·7% (−4·7 to 28·1) in southeast Asia under the highest emission scenario. Most of the health effects directly due to temperature increase could be avoided under scenarios involving mitigation strategies to limit emissions and further warming of the planet. Interpretation: This study shows the negative health impacts of climate change that, under high-emission scenarios, would disproportionately affect warmer and poorer regions of the world. Comparison with lower emission scenarios emphasises the importance of mitigation policies for limiting global warming and reducing the associated health risks. Funding: UK Medical Research Council. © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
publishDate 2017
dc.date.none.fl_str_mv 2017
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/174918
url http://hdl.handle.net/10261/174918
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1016/S2542-5196(17)30156-0

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Projections of temperature-related excess mortality under climate change scenariosGasparrini, AntonioTobías, AurelioArmstrong, Ben G.Hot temperatureTemperaturesHeat-related mortalityClimate changeGreenhouse effectCarbon footprinthttp://metadata.un.org/sdg/13Take urgent action to combat climate change and its impactsBackground: Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships across different populations and climates. Methods: We collected observed daily time series of mean temperature and mortality counts for all causes or non-external causes only, in periods ranging from Jan 1, 1984, to Dec 31, 2015, from various locations across the globe through the Multi-Country Multi-City Collaborative Research Network. We estimated temperature–mortality relationships through a two-stage time series design. We generated current and future daily mean temperature series under four scenarios of climate change, determined by varying trajectories of greenhouse gas emissions, using five general circulation models. We projected excess mortality for cold and heat and their net change in 1990–2099 under each scenario of climate change, assuming no adaptation or population changes. Findings: Our dataset comprised 451 locations in 23 countries across nine regions of the world, including 85 879 895 deaths. Results indicate, on average, a net increase in temperature-related excess mortality under high-emission scenarios, although with important geographical differences. In temperate areas such as northern Europe, east Asia, and Australia, the less intense warming and large decrease in cold-related excess would induce a null or marginally negative net effect, with the net change in 2090–99 compared with 2010–19 ranging from −1·2% (empirical 95% CI −3·6 to 1·4) in Australia to −0·1% (−2·1 to 1·6) in east Asia under the highest emission scenario, although the decreasing trends would reverse during the course of the century. Conversely, warmer regions, such as the central and southern parts of America or Europe, and especially southeast Asia, would experience a sharp surge in heat-related impacts and extremely large net increases, with the net change at the end of the century ranging from 3·0% (−3·0 to 9·3) in Central America to 12·7% (−4·7 to 28·1) in southeast Asia under the highest emission scenario. Most of the health effects directly due to temperature increase could be avoided under scenarios involving mitigation strategies to limit emissions and further warming of the planet. Interpretation: This study shows the negative health impacts of climate change that, under high-emission scenarios, would disproportionately affect warmer and poorer regions of the world. Comparison with lower emission scenarios emphasises the importance of mitigation policies for limiting global warming and reducing the associated health risks. Funding: UK Medical Research Council. © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseThis work was primarily supported by the Medical Research Council-UK (grant MR/M022625/1). The following individual grants also supported this work: YG was supported by the Career Development Fellowship of Australian National Health and Medical Research Council (grant APP1107107); AT was supported by the Ministry of Education of Spain (grant PRX17/00705); VH was supported by the German Federal Ministry of Education and Research (grant 01LS1201A2); JK was supported by the Czech Science Foundation (grant 16-22000S); JJKJ and NRIR were supported by the Research Council for Health, Academy of Finland (grant 266314); MH, YLG, C-fW, YH, and HKi were supported by the Global Research Laboratory (grant K21004000001-10A0500-00710) through the National Research Foundation of Korea; YH was supported by the Environment Research and Technology Development Fund (S-14) of the Ministry of the Environment, Japan; YLG was supported by the National Health Research Institutes of Taiwan (grant NHRI-EM-106-SP03); and MLB was supported by a US Environmental Protection Agency Assistance Agreement awarded to Yale University (grant 83587101).Peer reviewedElsevierTobías, Aurelio [0000-0001-6428-6755]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]201920192017info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/174918reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/10.1016/S2542-5196(17)30156-0Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/1749182026-05-22T06:33:51Z
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