Evidence map›Paper›PMID 41512509›Full record

ArticleEnvironment international2026

Impacts of urban adaptation on reducing temperatures and heat-related deaths in Belgium.

Fien Serras, Oscar Brousse, Charles H Simpson, Inne Vanderkelen, Claire Demoury, Dirk Lauwaet, Nicole P M van Lipzig, Clare Heaviside

Abstract read
In one paragraph

Article in Environment international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Fien SerrasDepartment of Earth and Environmental Sciences, KU Leuven, 3000 Leuven, Belgium. Electronic address: Fien.Serras@kuleuven.be.
Oscar BrousseInstitute for Environmental Design and Engineering, University College London, WC1H 0NN London, United Kingdom. Electronic address: O.Brousse@ucl.ac.uk.
Charles H SimpsonInstitute for Environmental Design and Engineering, University College London, WC1H 0NN London, United Kingdom. Electronic address: Charles.Simpson@ucl.ac.uk.
Inne VanderkelenDepartment of Earth and Environmental Sciences, KU Leuven, 3000 Leuven, Belgium; Department of Meteorological and Climatological Research, Royal Meteorological Institute, 1180 Brussels, Belgium. Electronic address: Inne.Vanderkelen@kuleuven.be.
Claire DemouryRisk and Health Impact Assessment, Sciensano, 1050 Brussels, Belgium. Electronic address: Claire.Demoury@sciensano.be.
Dirk LauwaetFlemish Institute for Technological Research (VITO), 2400 Mol, Belgium. Electronic address: Dirk.Lauwaet@vito.be.
Nicole P M van LipzigDepartment of Earth and Environmental Sciences, KU Leuven, 3000 Leuven, Belgium. Electronic address: Nicole.vanlipzig@kuleuven.be.
Clare HeavisideInstitute for Environmental Design and Engineering, University College London, WC1H 0NN London, United Kingdom. Electronic address: C.Heaviside@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extreme heat poses increasing risks to urban populations, yet the effectiveness of adaptation strategies at larger scales beyond neighbourhoods remains poorly quantified. The July 2019 heatwave in northwestern Europe, one of the hottest on record, offers a unique opportunity to evaluate city- and country-scale interventions in Belgium, in one of the world's most urbanised mid-latitude regions. Using high-resolution urban climate modelling, we investigated the benefits of adaptation strategies on urban air temperatures. Our modelling of urban air temperatures suggests that the widespread deployment of cool roofs could reduce daily maxima by 2.1 °C, while combining them with a 20 % relative increase in vegetation could lower daily minima by 1.7 °C. Here, we found substantial temperature differences between compact and open urban areas and, subsequently, in population exposure to extreme heat. Furthermore, we estimate that the implementation of cool roofs could have avoided around a quarter of all heat-related deaths during this extreme heatwave event in Brussels. Our results show that adaptation strategies must be tailored to local urban characteristics to achieve substantial reductions in temperature and mortality, with more compact urban areas benefiting most from cool roofs during the day while the combination of cool roofs and increased vegetation has more impact on reducing nighttime temperatures in open urban areas.

Indexed as

Extreme HeatHot TemperatureBelgiumCitiesHumansExtreme heatPopulation exposureUrban heat adaptation

Identifiers

PMID41512509
PMCPMC12819367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.