2026-06-14T10:38:23Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/68592025-05-08T16:32:10Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_19613col_20.500.12105_16978
Repisalud
author
Tobías, Aurelio
author
Armstrong, Ben
author
Zuza, Inés
author
Gasparrini, Antonio
author
Linares-Gil, Cristina
author
Diaz-Jimenez, Julio
funder
Instituto de Salud Carlos III
funder
Consejo Superior de Investigaciones Científicas (España)
2018-12-14T17:18:33Z
2018-12-14T17:18:33Z
2012-02-17
BMC Public Health. 2012 Feb 17;12:133.
10.1186/1471-2458-12-133
1471-2458
1471-2458
BMC public health
22340020
http://hdl.handle.net/20.500.12105/6859
BACKGROUND: 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.
eng
Mortality on extreme heat days using official thresholds in Spain: a multi-city time series analysis
research article
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MortalityExtremeHeatDays_2012.pdf
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MortalityOnExtremeHeat_2012.pdf.txt
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MortalityExtremeHeatDays_2012.pdf.txt