Regional variation in the role of humidity on city-level heat-related mortality

Author:

Guo Qiang12ORCID,Mistry Malcolm N34ORCID,Zhou Xudong25,Zhao Gang2ORCID,Kino Kanon1ORCID,Wen Bo6ORCID,Yoshimura Kei2,Satoh Yusuke7,Cvijanovic Ivana8ORCID,Kim Yoonhee9ORCID,Ng Chris Fook Sheng10ORCID,Vicedo-Cabrera Ana M1112ORCID,Armstrong Ben13ORCID,Urban Aleš1415,Katsouyanni Klea1617,Masselot Pierre3ORCID,Tong Shilu181920ORCID,Sera Francesco21ORCID,Huber Veronika2223ORCID,Bell Michelle L2425ORCID,Kyselý Jan1415,Gasparrini Antonio3ORCID,Hashizume Masahiro10ORCID,Oki Taikan1ORCID, ,Abrutzky Rosana26,Guo Yuming627,de Sousa Zanotti Stagliorio Coelho Micheline28,Nascimento Saldiva Paulo Hilario29,Lavigne Eric3031,Ortega Nicolás Valdés32,Correa Patricia Matus32,Kan Haidong33,Osorio Samuel34,Roye Dominic3536,Indermitte Ene37,Orru Hans37,Jaakkola Jouni J K3839,Ryti Niilo3839,Pascal Mathilde40,Schneider Alexandra41,Analitis Antonis42,Entezari Alireza643,Mayvaneh Fatemeh44,Zeka Ariana45,Goodman Patrick46,de'Donato Francesca47,Michelozzi Paola47,Alahmad Barrak48,De la Cruz Valencia César49,Hurtado Diaz Magali49,Overcenco Ala50,Ameling Caroline51,Houthuijs Danny51,Rao Shilpa52,Carrasco Gabriel5354,Seposo Xerxes55,Madureira Joana565758,das Neves Pereira da Silva Susana59,Holobaca Iulian-Horia60,Acquaotta Fiorella61,Scovronick Noah62,Kim Ho63,Lee Whanhee6465,Tobias Aurelio6667,Íñiguez Carmen3668,Forsberg Bertil69,Ragettli Martina S7071,Pan Shih-Chun72,Guo Yue Leon727374,Li Shanshan627,Schneider Rochelle757677,Colistro Valentina78,Zanobetti Antonella48,Schwartz Joel48,Van Dung Do79,Ngoc Dang Tran7980,Honda Yasushi81

Affiliation:

1. Department of Civil Engineering, Graduate School of Engineering, The University of Tokyo , 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 , Japan

2. Institute of Industrial Science, The University of Tokyo , 4-6-1 Komaba, Meguro-ku, Tokyo 153-8505 , Japan

3. Environment & Health Modelling (EHM) Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine , 15-17 Tavistock Place, London WC1H 9SH , United Kingdom

4. Department of Economics, Ca’ Foscari University of Venice , San Giobbe, Cannaregio 873, Venice 30121 , Italy

5. Institute of Hydraulics and Ocean Engineering, Ningbo University , 818 Fenghua Road, Ningbo 315211 , China

6. Climate, Air Quality Research (CARE) Unit, School of Public Health and Preventive Medicine, Monash University , Level 2, 553 St Kilda Road, Melbourne, VIC 3004 , Australia

7. Moon Soul Graduate School of Future Strategy, Korea Advanced Institute of Science and Technology , 291 Daehak-ro, Yuseong-gu, Daejeon 34141 , Republic of Korea

8. Barcelona Institute for Global Health—ISGLOBAL , Doctor Aiguader 88, 08003 Barcelona , Spain

9. Department of Global Environmental Health, Graduate School of Medicine, The University of Tokyo , 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 , Japan

10. Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo , 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 , Japan

11. Institute of Social and Preventive Medicine, University of Bern , Mittelstrasse 43, Bern 3012 , Switzerland

12. Oeschger Center for Climate Change Research, University of Bern , Hochschulstrasse 4, Bern 3012 , Switzerland

13. Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine , Keppel Street, London WC1E 7HT , United Kingdom

14. Institute of Atmospheric Physics, Czech Academy of Sciences , Boční II 1401, Prague 141 31 , Czech Republic

15. Faculty of Environmental Sciences, Czech University of Life Sciences , Kamýcká 129, Prague 165 00 , Czech Republic

16. Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens , 75 Mikras Asias, Athens 11527 , Greece

17. Environmental Research Group, School of Public Health, Imperial College London , White City Campus, Wood Lane, London W12 0BZ , United Kingdom

18. School of Public Health and Social Work, Queensland University of Technology , Kelvin Grove Campus, Victoria Park Rd, Kelvin Grove, Brisbane QLD 4059 , Australia

19. School of Public Health and Institute of Environment and Human Health, Anhui Medical University , No.81 Meishan Road, Hefei 230032 , China

20. Shanghai Children's Medical Centre, Shanghai Jiao-Tong University , 1678 East Road, Shanghai 200127 , China

21. Department of Statistics, Computer Science and Applications “G. Parenti”, University of Florence , Viale Morgagni, 59, Florence 50134 , Italy

22. Chair of Epidemiology, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Faculty of Medicine, LMU Munich , Marchioninistr. 15, Munich 81377 , Germany

23. Institute of Epidemiology, Helmholtz Zentrum München—German Research Center for Environmental Health , Ingolstädter Landstraße 1, Neuherberg 85764 , Germany

24. School of the Environment, Yale University , 195 Prospect Street, New Haven, CT 06511 , USA

25. School of Health Policy and Management, College of Health Sciences, Korea University , B-dong Hana-Science Building, 145 Anam-ro, Seongbuk-gu, Seoul 02841 , Republic of Korea

26. Universidad de Buenos Aires, Facultad de Ciencias Sociales, Instituto de Investigaciones Gino Germani

27. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia

28. Department of Pathology, Faculty of Medicine, University of São Paulo , São Paulo , Brazil

29. INSPER , São Paulo , Brazil

30. School of Epidemiology & Public Health, Faculty of Medicine, University of Ottawa , Ottawa , Canada

31. Air Health Science Division, Heatlh Canada , Ottawa , Canada

32. Department of Public Health, Universidad de los Andes , Santiago, Chile

33. Department of Environmental Health, School of Public Health, Fudan University , Shanghai , China

34. Department of Environmental Health, University of São Paulo , São Paulo , Brazil

35. Climate Research Foundation (FIC) , Madrid , Spain

36. Ciberesp , Madrid . Spain

37. Department of Family Medicine and Public Health, University of Tartu , Tartu, Estonia

38. Center for Environmental and Respiratory Health Research (CERH), University of Oulu , Oulu , Finland

39. Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu , Oulu , Finland

40. Santé Publique France, Department of Environmental Health, French National Public Health Agency , Saint Maurice , France

41. Institute of Epidemiology, Helmholtz Zentrum München – German Research Center for Environmental Health , Neuherberg , Germany

42. Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens , Greece

43. Faculty of Geography and Environmental Sciences, Hakim Sabzevari University , Sabzevar 9617916487 Khorasan Razavi , Iran

44. University of Münster, Institute of Landscape Ecology, Climatology Research Group , Münster , Germany

45. Institute for the Environment, Brunel University London , London , UK

46. Technological University Dublin , Ireland

47. Department of Epidemiology, Lazio Regional Health Service , Rome , Italy

48. Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University , Boston, MA , USA

49. Department of Environmental Health, National Institute of Public Health , Cuernavaca, Morelos , Mexico

50. National Agency for Public Health of the Ministry of Health, Labour and Social Protection of the Republic of Moldova

51. National Institute for Public Health and the Environment (RIVM), Centre for Sustainability and Environmental Health , Bilthoven , Netherlands

52. Norwegian institute of Public Health , Oslo , Norway

53. Health Innovation Laboratory, Institute of Tropical Medicine “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia , Lima, Peru

54. Division of Infectious Diseases, Department of Medicine, University of California , San Diego , United States of America

55. Department of Hygiene, Graduate School of Medicine, Hokkaido University

56. Environmental Health Department, National Institute of Health , Rua Alexandre Herculano, 321, 4000-055 Porto , Portugal

57. EPIUnit - Instituto de Saude Publica, Universidade do Porto , Porto, Portugal

58. Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR) , Porto, Portugal

59. Department of Epidemiology, Instituto Nacional de Saúde Dr. Ricardo Jorge , Lisbon , Portugal

60. Faculty of Geography, Babes-Bolay University , Cluj-Napoca, Romania

61. Department of Earth Sciences, University of Torino , Italy

62. Department of Environmental Health. Rollins School of Public Health, Emory University , Atlanta , USA

63. Graduate School of Public Health, Seoul National University , Seoul , South Korea

64. School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University , Yangsan , South Korea

65. Institute of Ewha-SCL for Environmental Health (IESEH), College of Medicine, Ewha Womans University , Seoul , Republic of Korea

66. Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC) , Barcelona , Spain

67. School of Tropical Medicine and Global Health, Nagasaki University , Nagasaki , Japan

68. Department of Statistics and Computational Research. Universitat de València , València , Spain

69. Department of Public Health and Clinical Medicine, Umeå University , Sweden

70. Swiss Tropical and Public Health Institute , Basel , Switzerland

71. University of Basel , Basel , Switzerland

72. National Institute of Environmental Health Science, National Health Research Institutes , Zhunan, Taiwan

73. Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital , Taipei, Taiwan

74. Graduate Institute of Environmental and Occupational Health Sciences, NTU College of Public Health , Taipei, Taiwan

75. Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine , London , United Kingdom

76. European Space Agency (ESA), Φ-lab , Frascati , Italy

77. Forecast Department, European Centre for Medium-Range Weather Forecast (ECMWF) , Reading , UK

78. Department of Preventive and Social Medicine, School of Medicine, University of the Republic , Montevideo, Uruguay

79. Department of Environmental Health, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh City, Vietnam

80. Institute of Research and Development, Duy Tan University , Da Nang, Vietnam

81. Center for Climate Change Adaptation, National Institute for Environmental Studies , Tsukuba, Japan

Abstract

Abstract The rising humid heat is regarded as a severe threat to human survivability, but the proper integration of humid heat into heat-health alerts is still being explored. Using state-of-the-art epidemiological and climatological datasets, we examined the association between multiple heat stress indicators (HSIs) and daily human mortality in 739 cities worldwide. Notable differences were observed in the long-term trends and timing of heat events detected by HSIs. Air temperature (Tair) predicts heat-related mortality well in cities with a robust negative Tair-relative humidity correlation (CT-RH). However, in cities with near-zero or weak positive CT-RH, HSIs considering humidity provide enhanced predictive power compared to Tair. Furthermore, the magnitude and timing of heat-related mortality measured by HSIs could differ largely from those associated with Tair in many cities. Our findings provide important insights into specific regions where humans are vulnerable to humid heat and can facilitate the further enhancement of heat-health alert systems.

Funder

Environment Research and Technology Development Fund

Musha Shugyo international travel

Japan Society for the Promotion of Science

the European Commission

Medical Research Council-UK

European Union’s Horizon 2020 Project Exhaustion

Czech Science Foundation

the Swiss National Science Foundation

European Union’s Horizon 2020

Brain Pool Plus program

ICT

National Research Foundation of Korea

Publisher

Oxford University Press (OUP)

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