Exhaustion

As the climate changes, it is crucial to focus not only on mitigation measures but also on building climate change resilience by developing efficient adaptation strategies. Although population adaptation is a major determinant of future climate-related health burdens, it is not well accounted for in studies that project the health impact of climate change. We propose a methodological framework for temperature-related mortality that incorporates two simultaneous adaptation-sensitivity pathways: the physiological pathway, considering both heat adaptation and cold sensitivity, and the socioeconomic pathway, which is influenced by changes in future adaptive capacities.

Feedbacks between air pollutants and meteorology play a crucial role in the direction of the response of future climate and air pollution. These feedbacks are important to understand and quantify the potential impact of adaptation and mitigation policies setup for protecting the population against air pollution and heat stress.

The effects of short-term exposure to increased temperature on mortality are known, mostly based on time-series studies of city-wide data, whereas the evidence on temperature- air pollution interaction is limited. We investigated the association of short-term exposure to high temperatures with mortality in the Attica prefecture, Greece, by municipality, in the warm period (May-September) during 2000-2016, assessing daily air pollution exposure as effect modifier.

Urban areas continue to be the center of action for many countries due to their contribution to economic development. Many urban areas, through the urbanization process, have become vulnerable to climate risk, thereby making risk mitigation and adaptation essential components in urban planning. The study assessed the impacts of IPCC Assessment Reports (ARs) on academic research on risk mitigation and adaptation concerns in urban areas. The study systematically reviewed literature through searches of the Web of Science and Scopus databases; 852 papers were retrieved and 370 were deemed eligible.

The study assessed the impacts of IPCC Assessment Reports (ARs) on academic research on risk mitigation and adaptation concerns in urban areas. The study systematically reviewed literature through searches of the Web of Science and Scopus databases; 852 papers were retrieved and 370 were deemed eligible. The results showed that the East Asia and Pacific, and Europe and Central Asia regions were most interested in IPCC ARs, while Sub-Saharan Africa showed little interest. Though the IPCC ARs show impact, their emphasis on combined mitigation and adaptation policies is limited. This study advocates more combined risk mitigation and adaptation policies in urban areas for increased resilience to climate risk.

This study provides a comprehensive assessment of excess mortality related to non-optimal outdoor temperature, with several risk indicators reported by age and multiple geographical levels. The analysis provides detailed risk maps that are useful for designing effective public health and climate policies at both local and national levels.

High air temperatures and heat extremes are associated with a large burden of cardiovascular disease, especially among the elderly and people with pre-existing health conditions. Under the influence of global warming as well as population growth and ageing, the heat-related impact on health is expected to increase in the upcoming decades. Therefore, the implementation of heat-health action plans is urgently needed to protect the public.

In this Review, we aim to provide an overview of the consequences of climate change on cardiovascular health, which result from direct exposure pathways, such as shifts in ambient temperature, air pollution, forest fires, desert (dust and sand) storms and extreme weather events. We also describe the populations that are most susceptible to the health effects caused by climate change and propose potential mitigation strategies, with an emphasis on collaboration at the scientific, governmental and policy levels.

The associations between ambient coarse particulate matter (PM2.5–10) and daily mortality are not fully understood globally. We collected daily mortality (total, cardiovascular, and respiratory) and air pollution data from 205 cities in 20 countries/regions. This study provides novel global evidence on the robust and independent associations between short-term exposure to ambient PM2.5–10 and total, cardiovascular, and respiratory mortality, suggesting the need to establish a unique guideline or regulatory limit for daily concentrations of PM2.5–10.

Globally, a substantial mortality burden was associated with temperature variability, showing geographical heterogeneity and a slightly increasing temporal trend. Our findings could assist in raising public awareness and improving the understanding of the health impacts of temperature variability.

Studies have investigated the effects of heat and temperature variability (TV) on mortality. However, few assessed whether TV modifies the heat-mortality association.TV was calculated as the standard deviation of the average of the same and previous days’ minimum and maximum temperatures.TV had a significant modification effect on the heat-mortality association, causing a higher heat-related mortality burden with increments of TV. Implementing targeted strategies against heat exposure and fluctuant temperatures simultaneously would benefit public health.

Our findings show that reanalysis temperature from the last ERA5 products generally compare well to station observations, with similar non-optimal temperature-related risk estimates. However, the analysis offers some indication of lower performance in tropical regions, with a likely underestimation of heat-related excess mortality. Reanalysis data represent a valid alternative source of exposure variables in epidemiological analyses of temperature-related risk.

The report “Interactive Effects of High Temperature and Air Pollution in Europe” was prepared as a milestone by researchers in the EU Project EXHAUSTION*. This report summarises the evidence on the interactive effects of high temperature and various air pollutants on heart- and lung-related deaths and diseases (cardiopulmonary (CPD) mortality and morbidity) across Europe. The study was conducted at the city, small-area (e.g. suburban areas or municipalities), and individual level. The findings highlight the urgency in improving air quality across Europe, and alert stakeholders and policymakers that climate change adaptation measures need to be also taken into account to protect vulnerable subgroups and thereby increase European resilience towards climate change.