Show simple item record

dc.contributor.authorTobías, Aurelio
dc.contributor.authorArmstrong, Ben
dc.contributor.authorZuza, Ines
dc.contributor.authorGasparrini, Antonio
dc.contributor.authorLinares-Gil, Cristina 
dc.contributor.authorDiaz-Jimenez, Julio
dc.identifier.citationBMC Public Health. 2012 Feb 17;12:133.es_ES
dc.description.abstractBACKGROUND: The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim of this study is to assess effectiveness of the official thresholds established by the Ministry of Health for each provincial capital city, by quantifying and comparing the short-term effects of above-threshold days on total daily mortality. METHODS: Total daily mortality and minimum and maximum temperatures for the 52 capitals of province in Spain were collected during summer months (June to September) for the study period 1995-2004. Data was analysed using GEE for Poisson regression. Relative Risk (RR) of total daily mortality was quantified for the current day of official thresholds exceeded. RESULTS: The number of days in which the thresholds were exceeded show great inconsistency, with provinces with great number of exceeded days adjacent to provinces that did not exceed or rarely exceeded. The average overall excess risk of dying during an extreme heat day was about 25% (RR = 1.24; 95% confidence interval (CI) = [1.19-1.30]). Relative risks showed a significant heterogeneity between cities (I2 = 54.9%). Western situation and low mean summer temperatures were associated with higher relative risks, suggesting thresholds may have been set too high in these areas. CONCLUSIONS: This study confirmed that extreme heat days have a considerable impact on total daily mortality in Spain. Official thresholds gave consistent relative risk in the large capital cities. However, in some other cities thresholds.es_ES
dc.description.sponsorshipThis study was funded by grant SEPY 1106/07 of the Instituto de Salud Carlos III (ISCIII) and by grant 200930I008 of the Consejo Superior de Investigaciones Científicas (CSIC).es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subject.meshCities es_ES
dc.subject.meshConfidence Intervals es_ES
dc.subject.meshExtreme Heat es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHeat Stroke es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMortality es_ES
dc.subject.meshPoisson Distribution es_ES
dc.subject.meshSpain es_ES
dc.subject.meshTime and Motion Studies es_ES
dc.subject.meshWeather es_ES
dc.titleMortality on extreme heat days using official thresholds in Spain: a multi-city time series analysises_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderConsejo Superior de Investigaciones Científicas (España) 
dc.identifier.journalBMC public healthes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.rights.accessRightsopen accesses_ES

Files in this item

Acceso Abierto

This item appears in the following Collection(s)

Show simple item record

Atribución 4.0 Internacional
This item is licensed under a: Atribución 4.0 Internacional