Evidence map›Paper›PMID 29207285›Full record

ArticleEnvironment international2018

Heat and health in Antwerp under climate change: Projected impacts and implications for prevention.

Gerardo Sanchez Martinez, Julio Diaz, Hans Hooyberghs, Dirk Lauwaet, Koen De Ridder, Cristina Linares, Rocio Carmona, Cristina Ortiz, Vladimir Kendrovski, Raf Aerts and 2 more

Abstract read
In one paragraph

Article in Environment international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Impact of Short-Term Exposure to Extreme Temperatures on Mortality: A Multi-City Study in Belgium.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Spatial Variability of Heat-Related Mortality in Barcelona from 1992-2015: A Case Crossover Study Design.International journal of environmental research and public health · 2020
    Article
  8. Public perceptions of the health risks of extreme heat across US states, counties, and neighborhoods.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gerardo Sanchez MartinezThe UNEP-DTU Partnership, United Nations City, Marmorvej 41, Copenhagen, Denmark; WHO European Centre for Environment and Health (World Health Organization Regional Office for Europe), Platz der Vereinten Nationen 1, Bonn, Germany. Electronic address: gsama@dtu.dk.
Julio DiazNational School of Public Health, Carlos III Institute of Health (ISCIII), Spain. Electronic address: j.diaz@isciii.es.
Hans HooyberghsFlemish Institute for Technological Research (VITO), Belgium. Electronic address: hans.hooyberghs@vito.be.
Dirk LauwaetFlemish Institute for Technological Research (VITO), Belgium. Electronic address: dirk.lauwaet@vito.be.
Koen De RidderFlemish Institute for Technological Research (VITO), Belgium. Electronic address: koen.deridder@vito.be.
Cristina LinaresNational School of Public Health, Carlos III Institute of Health (ISCIII), Spain. Electronic address: clinares@isciii.es.
Rocio CarmonaNational School of Public Health, Carlos III Institute of Health (ISCIII), Spain. Electronic address: rocio.carmona@isciii.es.
Cristina OrtizNational School of Public Health, Carlos III Institute of Health (ISCIII), Spain. Electronic address: cortizb@isciii.es.
Vladimir KendrovskiWHO European Centre for Environment and Health (World Health Organization Regional Office for Europe), Platz der Vereinten Nationen 1, Bonn, Germany. Electronic address: kendrovskiv@who.int.
Raf AertsHealth and Environment, Scientific Institute of Public Health (WIV-ISP), Belgium; Department of Earth and Environmental Sciences, University of Leuven (KU Leuven), Belgium. Electronic address: raf.aerts@wiv-isp.be.
An Van NieuwenhuyseHealth and Environment, Scientific Institute of Public Health (WIV-ISP), Belgium; Department of Public Health and Primary Care, Environmental Health, University of Leuven (KU Leuven), Belgium. Electronic address: An.VanNieuwenhuyse@wiv-isp.be.
Maria Bekker-Nielsen DunbarPublic Health England (PHE), United Kingdom. Electronic address: maria.dunbar@phe.gov.uk.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundExcessive summer heat is a serious environmental health problem in several European cities. Heat-related mortality and morbidity is likely to increase under climate change scenarios without adequate prevention based on locally relevant evidence.

methodsWe modelled the urban climate of Antwerp for the summer season during the period 1986-2015, and projected summer daily temperatures for two periods, one in the near (2026-2045) and one in the far future (2081-2100), under the Representative Concentration Pathway (RCP) 8.5. We then analysed the relationship between temperature and mortality, as well as with hospital admissions for the period 2009-2013, and estimated the projected mortality in the near future and far future periods under changing climate and population, assuming alternatively no acclimatization and acclimatization based on a constant threshold percentile temperature.

resultsDuring the sample period 2009-2013 we observed an increase in daily mortality from a maximum daily temperature of 26°C, or the 89th percentile of the maximum daily temperature series. The annual average heat-related mortality in this period was 13.4 persons (95% CI: 3.8-23.4). No effect of heat was observed in the case of hospital admissions due to cardiorespiratory causes. Under a no acclimatization scenario, annual average heat-related mortality is multiplied by a factor of 1.7 in the near future (24.1deaths/year CI 95%: 6.78-41.94) and by a factor of 4.5 in the far future (60.38deaths/year CI 95%: 17.00-105.11). Under a heat acclimatization scenario, mortality does not increase significantly in the near or in the far future.

conclusionThese results highlight the importance of a long-term perspective in the public health prevention of heat exposure, particularly in the context of a changing climate, and the calibration of existing prevention activities in light of locally relevant evidence.

Indexed as

Climate ChangeEnvironmental HealthHot TemperatureBelgiumCitiesForecastingHospitalizationHumansMortalitySeasonsAntwerpClimate changeHeat-related hospital admissionsHeat-related mortalityHeatwaves

Identifiers

PMID29207285
PMCPMC5786665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.