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Research Article
1 May 2001

The impact of heat waves and cold spells on mortality rates in the Dutch population.

Publication: Environmental Health Perspectives
Volume 109, Issue 5
Pages 463 - 470

Abstract

We conducted the study described in this paper to investigate the impact of ambient temperature on mortality in the Netherlands during 1979-1997, the impact of heat waves and cold spells on mortality in particular, and the possibility of any heat wave- or cold spell-induced forward displacement of mortality. We found a V-like relationship between mortality and temperature, with an optimum temperature value (e.g., average temperature with lowest mortality rate) of 16.5 degrees C for total mortality, cardiovascular mortality, respiratory mortality, and mortality among those [Greater and equal to] 65 year of age. For mortality due to malignant neoplasms and mortality in the youngest age group, the optimum temperatures were 15.5 degrees C and 14.5 degrees C, respectively. For temperatures above the optimum, mortality increased by 0.47, 1.86, 12.82, and 2.72% for malignant neoplasms, cardiovascular disease, respiratory diseases, and total mortality, respectively, for each degree Celsius increase above the optimum in the preceding month. For temperatures below the optimum, mortality increased 0.22, 1.69, 5.15, and 1.37%, respectively, for each degree Celsius decrease below the optimum in the preceding month. Mortality increased significantly during all of the heat waves studied, and the elderly were most effected by extreme heat. The heat waves led to increases in mortality due to all of the selected causes, especially respiratory mortality. Average total excess mortality during the heat waves studied was 12.1%, or 39.8 deaths/day. The average excess mortality during the cold spells was 12.8% or 46.6 deaths/day, which was mostly attributable to the increase in cardiovascular mortality and mortality among the elderly. The results concerning the forward displacement of deaths due to heat waves were not conclusive. We found no cold-induced forward displacement of deaths.

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Published In

Environmental Health Perspectives
Volume 109Issue 5May 2001
Pages: 463 - 470
PubMed: 11401757

History

Published online: 1 May 2001

Authors

Affiliations

M M Huynen
International Centre for Integrative Studies, Maastricht University, Maastricht, The Netherlands. [email protected]
P Martens
International Centre for Integrative Studies, Maastricht University, Maastricht, The Netherlands. [email protected]
D Schram
International Centre for Integrative Studies, Maastricht University, Maastricht, The Netherlands. [email protected]
M P Weijenberg
International Centre for Integrative Studies, Maastricht University, Maastricht, The Netherlands. [email protected]
A E Kunst
International Centre for Integrative Studies, Maastricht University, Maastricht, The Netherlands. [email protected]

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