Neural network based estimates of the climate impact on mortality in Germany: application to storyline climate simulations.

The aim of this work is the prediction of heat-related mortality for Germany under future, i.e. hotter, climate conditions. The prediction is made based on 2m temperature data from climate storyline simulations using machine learning techniques. We use an echo state network for linking the outputs of storyline climate simulations to the target data. The target data are all-cause mortality rates of Germany for all ages. The network is trained with present day climate model outputs. Model outputs of future, i.e. 2K and 4K warmer, storylines are used to predict mortality rates under such climatic conditions. We find that we can train an echo state network with recent temperature data and mortality and make plausible predictions about expected developments of mortality in Germany based on future climate storylines. The trained network can successfully predict mortality rates for future climate conditions. We find increased mortality during the summer months which is attributed to the presence of more severe heat waves. The mortality decrease found during winter can be explained milder winters leading to fewer deaths caused by respiratory diseases. However, mortality in winter is largely influenced by other factors such as influenza waves or vaccination rate and explainability due to temperature is limited.