Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta
Background: Temperature-related circulatory mortality has gained consistent public health importance worldwide due to changes in inter-annual average temperatures and the increased frequency of extreme events over time. This study investigates the association between temperature and circulatory deat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Climate Risk Management |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212096322000705 |
| _version_ | 1811188692422754304 |
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| author | Shafkat Jahan John Paul Cauchi Charles Galdies Darren Wraith |
| author_facet | Shafkat Jahan John Paul Cauchi Charles Galdies Darren Wraith |
| author_sort | Shafkat Jahan |
| collection | DOAJ |
| description | Background: Temperature-related circulatory mortality has gained consistent public health importance worldwide due to changes in inter-annual average temperatures and the increased frequency of extreme events over time. This study investigates the association between temperature and circulatory deaths in one of the highest population densities in the world (Malta) with a Mediterranean climate. Methods: Daily deaths relating to circulatory mortality (32,847 deaths) were obtained from January 1992 to December 2017. A distributed lag non-linear model (DLNM) with a Poisson distribution was utilized to estimate effects of ambient temperatures and heatwaves or cold spells (2–4 consecutive days). Effects were also explored for the specific cause of death, different age groups, gender and time periods. Results: The study observed a U-shaped cumulative exposure–response curve with a greater mortality risk due to cooler temperatures (8–15°C) after adjusting for harvesting effects (0–27 days). Colder temperatures (<8.9°C) were strongly related to both ischemic heart disease (IHD) (RR, 1.85, 95% CI, 1.24–2.77) and cerebrovascular disease (RR, 3.80,95% CI, 1.57–9.17). While heat effects were short-term (0–5 lag days), the cold effects were long-term (0–27 days) and consistent across different lag days. Cooler temperatures (8.99–12.6°C) were also related to IHD mortality in males (RR, 1.94, 95% CI, 1.05–3.59) and females (RR, 1.95, 95% CI, 1.2–3.59) and cerebrovascular mortality in females (RR, 8.32, 95% CI, 2.58–26.80). Elderly females (over 65 years) had a higher risk of death relating to IHD (RR, 1.33, 95% CI, 1.19–3.18) and cerebrovascular diseases (RR, 8.84, 95% CI, 2.64–29.61). Interestingly, colder temperatures (<8.9°C) were highly related to cerebrovascular deaths in the earliest time period (1992–2000) and IHD deaths in the most recent time period (2000–2017). While the effect of heatwaves was unclear across the time periods, there was some visible cold-spell effects for cerebrovascular mortality (RR, 1.03, 95% CI, 1.01–1.06). Conclusion: This study used a long time series of mortality data from a high population density area to explore the impact of ambient temperature and extreme events on circulatory deaths. The results of the study will help to improve preventive and adaptive strategies to mitigate climatic health impacts. |
| first_indexed | 2024-04-11T14:22:37Z |
| format | Article |
| id | doaj.art-d47dacaa5dff4392b86a905c17822354 |
| institution | Directory Open Access Journal |
| issn | 2212-0963 |
| language | English |
| last_indexed | 2024-04-11T14:22:37Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Climate Risk Management |
| spelling | doaj.art-d47dacaa5dff4392b86a905c178223542022-12-22T04:19:00ZengElsevierClimate Risk Management2212-09632022-01-0138100463Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from MaltaShafkat Jahan0John Paul Cauchi1Charles Galdies2Darren Wraith3School of Public Health and Social Work, Faculty of Health, Queensland University, of Technology, Brisbane, QLD 4059, Australia; Corresponding author at: School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD 4059, Australia.School of Public Health and Social Work, Faculty of Health, Queensland University, of Technology, Brisbane, QLD 4059, AustraliaInstitute of Earth Systems, University of Malta, Msida MSD 2080, MaltaSchool of Public Health and Social Work, Faculty of Health, Queensland University, of Technology, Brisbane, QLD 4059, AustraliaBackground: Temperature-related circulatory mortality has gained consistent public health importance worldwide due to changes in inter-annual average temperatures and the increased frequency of extreme events over time. This study investigates the association between temperature and circulatory deaths in one of the highest population densities in the world (Malta) with a Mediterranean climate. Methods: Daily deaths relating to circulatory mortality (32,847 deaths) were obtained from January 1992 to December 2017. A distributed lag non-linear model (DLNM) with a Poisson distribution was utilized to estimate effects of ambient temperatures and heatwaves or cold spells (2–4 consecutive days). Effects were also explored for the specific cause of death, different age groups, gender and time periods. Results: The study observed a U-shaped cumulative exposure–response curve with a greater mortality risk due to cooler temperatures (8–15°C) after adjusting for harvesting effects (0–27 days). Colder temperatures (<8.9°C) were strongly related to both ischemic heart disease (IHD) (RR, 1.85, 95% CI, 1.24–2.77) and cerebrovascular disease (RR, 3.80,95% CI, 1.57–9.17). While heat effects were short-term (0–5 lag days), the cold effects were long-term (0–27 days) and consistent across different lag days. Cooler temperatures (8.99–12.6°C) were also related to IHD mortality in males (RR, 1.94, 95% CI, 1.05–3.59) and females (RR, 1.95, 95% CI, 1.2–3.59) and cerebrovascular mortality in females (RR, 8.32, 95% CI, 2.58–26.80). Elderly females (over 65 years) had a higher risk of death relating to IHD (RR, 1.33, 95% CI, 1.19–3.18) and cerebrovascular diseases (RR, 8.84, 95% CI, 2.64–29.61). Interestingly, colder temperatures (<8.9°C) were highly related to cerebrovascular deaths in the earliest time period (1992–2000) and IHD deaths in the most recent time period (2000–2017). While the effect of heatwaves was unclear across the time periods, there was some visible cold-spell effects for cerebrovascular mortality (RR, 1.03, 95% CI, 1.01–1.06). Conclusion: This study used a long time series of mortality data from a high population density area to explore the impact of ambient temperature and extreme events on circulatory deaths. The results of the study will help to improve preventive and adaptive strategies to mitigate climatic health impacts.http://www.sciencedirect.com/science/article/pii/S2212096322000705Ambient temperatureCirculatory mortalityDistributed lag non-linear modelTime period, cold spells |
| spellingShingle | Shafkat Jahan John Paul Cauchi Charles Galdies Darren Wraith Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta Climate Risk Management Ambient temperature Circulatory mortality Distributed lag non-linear model Time period, cold spells |
| title | Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta |
| title_full | Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta |
| title_fullStr | Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta |
| title_full_unstemmed | Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta |
| title_short | Effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area: Exploring mortality data from Malta |
| title_sort | effects of ambient temperatures and extreme weather events on circulatory mortality in a high population density area exploring mortality data from malta |
| topic | Ambient temperature Circulatory mortality Distributed lag non-linear model Time period, cold spells |
| url | http://www.sciencedirect.com/science/article/pii/S2212096322000705 |
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