Heat Waves Risks And Responses


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Heat-waves: risk and responses Health and Global Environmental Change S E R I E S, No. 2 World Health Organization Regional Office for Europe E-mail: [email protected] Web site: www.euro.who.int ISBN 92 890 1094 0 Health and Global Environmental Change SERIES, No. 2 Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark Tel.: +45 39 17 17 17 Fax: +45 39 17 18 18 Heat-waves: risks and responses Health and Global Environmental Change S E R I E S, No. 2 Heat-waves: risks and responses Lead authors: Contributing authors: Christina Koppe, Sari Kovats, Gerd Jendritzky and Bettina Menne Jürgen Baumüller, Arieh Bitan, Julio Díaz Jiménez, Kristie L. Ebi, George Havenith, César López Santiago, Paola Michelozzi, Fergus Nicol, Andreas Matzarakis, Glenn McGregor, Paulo Jorge Nogueira, Scott Sheridan and Tanja Wolf Abstract High air temperatures can affect human health and lead to additional deaths even under current climatic conditions. Heatwaves occur infrequently in Europe and can significantly affect human health, as witnessed in summer 2003. This report reviews current knowledge about the effects of heat-waves, including the physiological aspects of heat illness and epidemiological studies on excess mortality, and makes recommendations for preventive action. Measures for reducing heatrelated mortality and morbidity include heat health warning systems and appropriate urban planning and housing design. More heat health warnings systems need to be implemented in European countries. This requires good coordination between health and meteorological agencies and the development of appropriate targeted advice and intervention measures. More long-term planning is required to alter urban bioclimates and reduce urban heat islands in summer. Appropriate building design should keep indoor temperatures comfortable without using energy-intensive space cooling. As heat-waves are likely to increase in frequency because of global climate change, the most effective interventions, measures and policies to protect the health of vulnerable Europeans need to be developed and evaluated. Keywords CLIMATE GREENHOUSE EFFECTS HEAT STROKE - prevention and control RISK ASSESSMENT RISK MANAGEMENT INFORMATION SYSTEMS ENVIRONMENTAL MONITORING CITY PLANNING Text editing: David J Breuer Design and layout: Emilio Dotto EDB&RDB Cover design: Elis Martinelli Printed by: Colombo Address requests about publications of the WHO Regional Office to: • by e-mail Download this pubblication from http://www.euro.who.int/globalchange [email protected] (for copies of publications) [email protected] (for permission to reproduce them) [email protected] (for permission to translate them) • by post Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark © World Health Organization 2004 All rights reserved.The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, ter
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