Optimal heat stress metric for modelling heat‐related mortality varies from country to country

Y. T. Eunice Lo*, Daniel M. Mitchell, Jonathan R Buzan, Jakob Zscheischler, Rochelle Schneider, Malcolm N. Mistry, Jan Kyselý, Éric Lavigne, Susana Pereira da Silva, Dominic Royé, Aleš Urban, Ben Armstrong, Antonio Gasparrini, Ana M. Vicedo-Cabrera

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

12 Citations (Scopus)

Abstract

Combined heat and humidity is frequently described as the main driver of human heat-related mortality, more so than dry-bulb temperature alone. While based on physiological thinking, this assumption has not been robustly supported by epidemiological evidence. By performing the first systematic comparison of eight heat stress metrics (i.e., temperature combined with humidity and other climate variables) with warm-season mortality, in 604 locations over 39 countries, we find that the optimal metric for modelling mortality varies from country to country. Temperature metrics with no or little humidity modification associates best with mortality in ~40% of the studied countries. Apparent temperature (combined temperature, humidity and wind speed) dominates in another 40% of countries. There is no obvious climate grouping in these results. We recommend, where possible, that researchers use the optimal metric for each country. However, dry-bulb temperature performs similarly to humidity-based heat stress metrics in estimating heat-related mortality in present-day climate.
Original languageEnglish
Pages (from-to)5553-5568
Number of pages16
JournalInternational Journal of Climatology
Volume43
Issue number12
Early online date12 Jul 2023
DOIs
Publication statusPublished - 1 Oct 2023

Bibliographical note

Funding Information:
Y. T. Eunice Lo was funded by the Natural Environment Research Council UK (NERC) project, HAPPI Health (Grant ID: NE/R009554/1). Dann M. Mitchell was supported by the NERC Independent Research Fellowship (Grant ID: NE/N014057/1). Malcolm N. Mistry was supported by the European Commission (H2020‐MSCA‐IF‐2020) under REA grant agreement no. 101022870. Jan Kyselý and Aleš Urban are supported by the Czech Science Foundation (Grant ID: GA22‐24920S). Antonio Gasparrini is supported by Medical Research Council UK (Grant IDs: MR/V034162/1 and MR/R013349/1), NERC (Grant ID: NE/R009384/1), European Union's Horizon 2020 Project Exhaustion (Grant ID: 820655) and European Union's Joint Research Center (Grant ID: JRC/SVQ/2020/MVP/1654).

Publisher Copyright:
© 2023 The Authors. International Journal of Climatology published by John Wiley & Sons Ltd on behalf of Royal Meteorological Society.

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