The impact of the February 2012 cold spell on health in Italy using surveillance data.

In February 2012 Italy was hit by an exceptional cold spell with extremely low temperatures and heavy snowfall. The aim of this work is to estimate the impact of the cold spell on health in the Italian cities using data from the rapid surveillance systems. In Italy, a national mortality surveillance...

Full description

Bibliographic Details
Main Authors: Francesca K de'Donato, Michela Leone, Damia Noce, Marina Davoli, Paola Michelozzi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3630119?pdf=render
_version_ 1818153325645791232
author Francesca K de'Donato
Michela Leone
Damia Noce
Marina Davoli
Paola Michelozzi
author_facet Francesca K de'Donato
Michela Leone
Damia Noce
Marina Davoli
Paola Michelozzi
author_sort Francesca K de'Donato
collection DOAJ
description In February 2012 Italy was hit by an exceptional cold spell with extremely low temperatures and heavy snowfall. The aim of this work is to estimate the impact of the cold spell on health in the Italian cities using data from the rapid surveillance systems. In Italy, a national mortality surveillance system has been operational since 2004 in 34 cities for the rapid monitoring of daily mortality. Data from this system were used to evaluate the impact of the February 2012 cold spell on mortality shortly after the occurrence of the event. Furthermore, a cause-specific analysis was conducted in Roma using the Regional Mortality Registry and the emergency visits (ER) surveillance system. Cold spell episodes were defined as days when mean temperatures were below the 10(th) percentile of February distribution for more than three days. To estimate the impact of the cold spell, excess mortality was calculated as the difference between observed and daily expected values. An overall 1578 (+25%) excess deaths among the 75+ age group was recorded in the 14 cities that registered a cold spell in February 2012. A statistically significant excess in mortality was observed in several cities ranging from +22% in Bologna to +58% in Torino. Cause-specific analysis conducted in Roma showed a statistically significant excess in mortality among the 75+ age group for respiratory disease (+64%), COPD (+57%), cardiovascular disease +20% ischemic heart disease (14%) and other heart disease (+33%). Similar results were observed for ER visits. Surveillance systems need to become are a key component of prevention plans as they can help improve public health response and are a valid data source to rapidly quantify the impact on health. Cold-related mortality is still an important issue and should not be underestimated by public health Authorities.
first_indexed 2024-12-11T14:08:49Z
format Article
id doaj.art-6164b654e6254880ab9bee5a834ffbb0
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T14:08:49Z
publishDate 2013-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-6164b654e6254880ab9bee5a834ffbb02022-12-22T01:03:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0184e6172010.1371/journal.pone.0061720The impact of the February 2012 cold spell on health in Italy using surveillance data.Francesca K de'DonatoMichela LeoneDamia NoceMarina DavoliPaola MichelozziIn February 2012 Italy was hit by an exceptional cold spell with extremely low temperatures and heavy snowfall. The aim of this work is to estimate the impact of the cold spell on health in the Italian cities using data from the rapid surveillance systems. In Italy, a national mortality surveillance system has been operational since 2004 in 34 cities for the rapid monitoring of daily mortality. Data from this system were used to evaluate the impact of the February 2012 cold spell on mortality shortly after the occurrence of the event. Furthermore, a cause-specific analysis was conducted in Roma using the Regional Mortality Registry and the emergency visits (ER) surveillance system. Cold spell episodes were defined as days when mean temperatures were below the 10(th) percentile of February distribution for more than three days. To estimate the impact of the cold spell, excess mortality was calculated as the difference between observed and daily expected values. An overall 1578 (+25%) excess deaths among the 75+ age group was recorded in the 14 cities that registered a cold spell in February 2012. A statistically significant excess in mortality was observed in several cities ranging from +22% in Bologna to +58% in Torino. Cause-specific analysis conducted in Roma showed a statistically significant excess in mortality among the 75+ age group for respiratory disease (+64%), COPD (+57%), cardiovascular disease +20% ischemic heart disease (14%) and other heart disease (+33%). Similar results were observed for ER visits. Surveillance systems need to become are a key component of prevention plans as they can help improve public health response and are a valid data source to rapidly quantify the impact on health. Cold-related mortality is still an important issue and should not be underestimated by public health Authorities.http://europepmc.org/articles/PMC3630119?pdf=render
spellingShingle Francesca K de'Donato
Michela Leone
Damia Noce
Marina Davoli
Paola Michelozzi
The impact of the February 2012 cold spell on health in Italy using surveillance data.
PLoS ONE
title The impact of the February 2012 cold spell on health in Italy using surveillance data.
title_full The impact of the February 2012 cold spell on health in Italy using surveillance data.
title_fullStr The impact of the February 2012 cold spell on health in Italy using surveillance data.
title_full_unstemmed The impact of the February 2012 cold spell on health in Italy using surveillance data.
title_short The impact of the February 2012 cold spell on health in Italy using surveillance data.
title_sort impact of the february 2012 cold spell on health in italy using surveillance data
url http://europepmc.org/articles/PMC3630119?pdf=render
work_keys_str_mv AT francescakdedonato theimpactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT michelaleone theimpactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT damianoce theimpactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT marinadavoli theimpactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT paolamichelozzi theimpactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT francescakdedonato impactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT michelaleone impactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT damianoce impactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT marinadavoli impactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata
AT paolamichelozzi impactofthefebruary2012coldspellonhealthinitalyusingsurveillancedata