Open access
Review Article
9 August 2013

Methods to Calculate the Heat Index as an Exposure Metric in Environmental Health Research

Publication: Environmental Health Perspectives
Volume 121, Issue 10
Pages 1111 - 1119

Abstract

Background: Environmental health research employs a variety of metrics to measure heat exposure, both to directly study the health effects of outdoor temperature and to control for temperature in studies of other environmental exposures, including air pollution. To measure heat exposure, environmental health studies often use heat index, which incorporates both air temperature and moisture. However, the method of calculating heat index varies across environmental studies, which could mean that studies using different algorithms to calculate heat index may not be comparable.
Objective and Methods: We investigated 21 separate heat index algorithms found in the literature to determine a) whether different algorithms generate heat index values that are consistent with the theoretical concepts of apparent temperature and b) whether different algorithms generate similar heat index values.
Results: Although environmental studies differ in how they calculate heat index values, most studies’ heat index algorithms generate values consistent with apparent temperature. Additionally, most different algorithms generate closely correlated heat index values. However, a few algorithms are potentially problematic, especially in certain weather conditions (e.g., very low relative humidity, cold weather). To aid environmental health researchers, we have created open-source software in R to calculate the heat index using the U.S. National Weather Service’s algorithm.
Conclusion: We identified 21 separate heat index algorithms used in environmental research. Our analysis demonstrated that methods to calculate heat index are inconsistent across studies. Careful choice of a heat index algorithm can help ensure reproducible and consistent environmental health research.
Citation: Anderson GB, Bell ML, Peng RD. 2013. Methods to calculate the heat index as an exposure metric in environmental health research. Environ Health Perspect 121:1111–1119; https://doi.org/10.1289/ehp.1206273

Supplemental Material

(119 KB) PDF
Click here for additional data file.

References

Ahrens CD. 2007. Meteorology Today: An Introduction to Weather, Climate, and the Environment. Belmont, CA Brooks/Cole.
Analitis A, Katsouyanni K, Biggeri A, Baccini M, Forsberg B, Bisanti Let al. 2008. Effects of cold weather on mortality: results from 15 European cities within the PHEWE project. Am J Epidemiol 168(12):1397-1408 https://www.ncbi.nlm.nih.gov/pubmed/18952849.
Anderson GB, Bell ML. 2009. Weather-related mortality: how heat, cold, and heat waves affect mortality in the United States. Epidemiology 20:205-213 https://www.ncbi.nlm.nih.gov/pubmed/19194300.
Anderson GB, Dominici F, Wang Y, McCormack MC, Bell ML, Peng RD. 2013. Heat-related emergency hospitalizations for respiratory diseases in the Medicare population. Am J Respir Crit Care Med 187(10):1098-1103; https://doi.org/10.1164/rccm.201211-1969OC https://www.ncbi.nlm.nih.gov/pubmed/23491405.
Anderson GB, Peng RD. 2012. weathermetrics: Functions to convert between weather metrics (R package). Available: http://cran.r-project.org/web/packages/weathermetrics/index.html [accessed 18 July 2013].
Barnett AG, Tong S, Clements ACA. 2010. What measure of temperature is the best predictor of mortality? Environ Res 110:604-611 https://www.ncbi.nlm.nih.gov/pubmed/20519131.
Basara JB, Basara HG, Illstron BG, Crawford KC. 2010. The impact of the urban heat island during an intense heat wave in Oklahoma City. Adv Meteorol 2010:1-10.
Basu R, Malig B, Ostro B. 2010. High ambient temperature and the risk of preterm delivery. Am J Epidemiol 172:1108-1117 https://www.ncbi.nlm.nih.gov/pubmed/20889619.
Bell ML, O’Neill MS, Ranjit Net al. 2008. Vulnerability to heat-related mortality in Latin America: a case-crossover study in São Paolo, Brazil, Santiago, Chile, and Mexico City, Mexico. Int J Epidemiol 37:796-804 https://www.ncbi.nlm.nih.gov/pubmed/18511489.
Blazejczyk K, Epstein Y, Jendritzky G, Staiger H, Tinz B. 2012. Comparison of UTCI to selected thermal indices. Int J Biometeorol 56:1-21 https://www.ncbi.nlm.nih.gov/pubmed/21174127.
Burch GE, Ansari A. 1968. Artificial acclimatization to heat in control subjects and patients with chronic congestive heart failure at bed rest. Am J Med Sci 256:180-194 https://www.ncbi.nlm.nih.gov/pubmed/5680909.
Burkart K, Schneider A, Breitner S, Khan MH, Krämer A, Endlicher W. 2011. The effect of atmospheric thermal conditions and urban thermal pollution on all-cause and cardiovascular mortality in Bangladesh. Environ Pollut 159:2035-2043 https://www.ncbi.nlm.nih.gov/pubmed/21377776.
Centers for Disease Control and Prevention. 2011. Body Measurements. Available: http://www.cdc.gov/nchs/fastats/bodymeas.htm [accessed 22 October 2012].
Costanzo S, Cusumano A, GiaconiaI C, Mazzacane S. 2006. The study of the urban microclimate by means of public transport systems. In: Proceedings of the 5th WSEAS International Conference on Environment, Ecosystems and Development, 20–22 November 2006, Venice, Italy, 106–111. Available: http://www.wseas.us/e-library/conferences/2006venice/papers/539-165.pdf [accessed 22 August 2013].
Di Cristo R, Mazzarella A, Viola R. 2007. An analysis of heat index over Naples (Southern Italy) in the context of European heat wave of 2003. Nat Hazards 40:373-379.
El Morjani ZEA, Ebener S, Boos J, Ghaffar EA, Musani A. 2007. Modelling the spatial distribution of five natural hazards in the context of the WHO/EMRO Atlas of Disaster Risk as a step towards the reduction of the health impact related to disasters. Int J Health Geogr 6:8; https://doi.org/10.1186/1476-072X-6-8 https://www.ncbi.nlm.nih.gov/pubmed/17343733.
Environment Canada. 2013. Spring and Summer Weather Hazards. Available: http://www.ec.gc.ca/meteo-weather/default.asp?lang=En&n=6C5D4990-1 [accessed 26 August 2013].
Fandoeva M, Kiseliova T, Sikharulidze A. 2009. Investigation of the heat index in Georgia based on the most typical fuzzy expected values. In: Computing and Computational Intelligence. Proceedings of the 3rd International Conference on European Computing, World Scientific and Engineering Academy and Society (WSEAS), 26–28 June 2009, Tbilisi, Georgia, 302–308. Available: http://www.wseas.us/e-library/conferences/2009/georgia/CCI/CCI48.pdf [accessed 22 August 2013].
Fanger PO. 1970. Thermal Comfort: Analysis and Applications in Environmental Engineering. Copenhagen Danish Technical Press.
Fischer EM, Schär C. 2010. Consistent geographical patterns of changes in high-impact European heatwaves. Nat Geosci 3:398-403.
Fletcher BA, Lin S, Fitzgerald EF, Hwang SA. 2012. Association of summer temperatures with hospital admissions for renal diseases in New York State: a case-crossover study. Am J Epidemiol 175:907-916 https://www.ncbi.nlm.nih.gov/pubmed/22455834.
Gaffen DJ, Ross RJ. 1999. Climatology and trends of U.S. surface humidity and temperature. J Climate 12:811-828.
Halonen JI, Zanobetti A, Sparrow D, Vokonas PS, Schwartz J. 2011a. Outdoor temperature is associated with serum HDL and LDL. Environ Res 111:281-287 https://www.ncbi.nlm.nih.gov/pubmed/21172696.
Halonen JI, Zanobetti A, Sparrow D, Vokonas PS, Schwartz J. 2011b. Relationship between outdoor temperature and blood pressure. Occup Environ Med 68:296-301 https://www.ncbi.nlm.nih.gov/pubmed/20864465.
Hémon D, Jougla E, Clavel J, Laurent F, Bellec S, Pavillon G. 2003. Surmortalité liée a la canicule d’août 2003 en France. [in French] Bull Epidémiol Hebd 45–46:221-225.
Johnson T, Long T. 2004. Determining the frequency of open windows in residences: a pilot study in Durham, North Carolina during varying temperature conditions. J Expo Sci Env Epid 15:329-349.
Khalaj B, Lloyd G, Sheppeard V, Dear K. 2010. The health impacts of heat waves in five regions of New South Wales, Australia: a case-only analysis. Int Arch Occup Environ Health 83:833-842 https://www.ncbi.nlm.nih.gov/pubmed/20464412.
Kloog I, Chudnovsky A, Koutrakis P, Schwartz J. 2012. Temporal and spatial assessments of minimum air temperature using satellite surface temperature measurements in Massachusetts, USA. Sci Total Environ 432:85-92 https://www.ncbi.nlm.nih.gov/pubmed/22721687.
Kuchcik M. 2006. Defining heat waves–different approaches. Geogr Pol 79(2):47-63.
Kysely J, Kim J. 2009. Mortality during heat waves in South Korea, 1991 to 2005: how exceptional was the 1994 heat wave? Clim Res 38:105-116.
Lajinian S, Hudson S, Applewhite L, Feldman J, Minkoff HL. 1997. An association between the heat-humidity index and preterm labor and delivery: a preliminary analysis. Am J Public Health 87:1205-1207 https://www.ncbi.nlm.nih.gov/pubmed/9240114.
Mbanu I, Wellenius GA, Mittleman MA, Peeples L, Stallings LA, Kales SN. 2007. Seasonality and coronary heart disease deaths in United States firefighters. Chronobiol Int 24(4):715-726 https://www.ncbi.nlm.nih.gov/pubmed/17701682.
Medina-Ramón M, Zanobetti A, Cavanagh DP, Schwartz J. 2006. Extreme temperatures and mortality: assessing effect modification by personal characteristics and specific cause of death in a multi-city case-only analysis. Environ Health Perspect 114:1331-1336; https://doi.org/10.1289/ehp.9074 https://www.ncbi.nlm.nih.gov/pubmed/16966084.
Meehl GA, Tebaldi C. 2004. More intense, more frequent, and longer lasting heat waves in the 21st century. Science 305:994-997 https://www.ncbi.nlm.nih.gov/pubmed/15310900.
Michelozzi P, Accetta G, De Sario M, D’Ippoliti D, Marino C, Baccini Met al. 2009. High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med 179:383-389 https://www.ncbi.nlm.nih.gov/pubmed/19060232.
Michelozzi P, Kirchmayer U, Katsouyanni K, Biggeri A, McGregor G, Menne Bet al. 2007. Assessment and prevention of acute health effects of weather conditions in Europe, the PHEWE project: background, objectives, design. Environ Health 6:12; https://doi.org/10.1186/1476-069X-6-12 https://www.ncbi.nlm.nih.gov/pubmed/17456236.
NOAA (National Oceanic and Atmospheric Administration). 2009. National Weather Service Glossary. Available: http://w1.weather.gov/glossary/ [accessed 12 October 2012].
NOAA (National Oceanic and Atmospheric Administration). 2012. Heat: A Major Killer. Available: http://www.nws.noaa.gov/om/heat/index.shtml [accessed 12 October 2012].
NWS (National Weather Service). 2011. Meteorological Conversions and Calculations: Heat Index Calculator. Available: http://www.hpc.ncep.noaa.gov/html/heatindex.shtml [accessed 12 October 2011].
Oka M. 2011. The influence of urban street characteristics on pedestrian heat comfort levels in Philadelphia. Trans GIS 15(1):109-123.
O’Neill MS, Zanobetti A, Schwartz J. 2003. Modifiers of the temperature and mortality association in seven US cities. Am J Epidemiol 157(12):1074-1082 https://www.ncbi.nlm.nih.gov/pubmed/12796043.
Patricola CM, Cook KH. 2010. Northern African climate at the end of the twenty-first century: an integrated application of regional and global climate models. Clim Dynam 35:193-212.
Perry AG, Korenberg MJ, Hall GG, Moore KM. 2011. Modeling and syndromic surveillance for estimating weather-induced heat-related illness. J Environ Public Health 2011:1-10.
Rajib MA, Mortuza MR, Selmi S, Ankur AK, Rahman MM. 2011. Increase of heat index over Bangladesh: Impact of climate change. World Acad Sci Eng Technol 58:402-405.
Rich DQ, Freudenberger RS, Ohman-Strickland P, Cho Y, Kipen HM. 2008. Right heart pressure increases after acute increases in ambient particulate concentration. Environ Health Perspect 116:1167-1171; https://doi.org/10.1289/ehp.11230 https://www.ncbi.nlm.nih.gov/pubmed/18795158.
Robinson PJ. 2001. On the definition of a heat wave. J Appl Meteorol 40:762-775.
Rothfusz LP. 1990. The Heat Index “Equation” (or, More Than You Ever Wanted to Know About Heat Index). SR 90–23. Fort Worth, TX:National Oceanic and Atmospheric Administration, National Weather Service, Office of Meteorology.
Schneider A, Panagiotakos D, Picciotto S, Katsouyanni K, Lowel H, Jacquemin Bet al. 2008. Air temperature and inflammatory responses in myocardial infarction survivors. Epidemiology 19:391-400 https://www.ncbi.nlm.nih.gov/pubmed/18414085.
Schoen C. 2005. A new empirical model of the temperature–humidity index. J Appl Meteorol 44:1413-1420.
Sheridan SC, Kalkstein LS. 2004. Progress in heat watch-warning system technology. B Am Meteorolog Soc 85:1931-1942.
Smoyer KE. 1998a. A comparative analysis of heat waves and associated mortality in St. Louis, Missouri—1980 and 1995. Int J Biometeorol 42:44-50 https://www.ncbi.nlm.nih.gov/pubmed/9780845.
Smoyer KE. 1998b. Putting risk in its place: methodological considerations for investigating extreme event health risk. Soc Sci Med 47(11):1809-1824 https://www.ncbi.nlm.nih.gov/pubmed/9877350.
Smoyer-Tomic KE, Rainham DG. 2001. Beating the heat: development and evaluation of a Canadian hot weather health-response plan. Environ Health Perspect 109:1241-1248 https://www.ncbi.nlm.nih.gov/pubmed/11748031.
Steadman RG. 1979a. The assessment of sultriness. Part I: A temperature-humidity index based on human physiology and clothing science. J Appl Meteorol 18:861-873.
Steadman RG. 1979b. The assessment of sultriness. Part II: Effects of wind, extra radiation and barometric pressure on apparent temperature. J Appl Meteorol 18:874-885.
Steadman RG. 1984. A universal scale of apparent temperature. J Clim Appl Meteorol 23:1674-1687.
Steadman RG. 1994. Norms of apparent temperature in Australia. Aust Met Mag 43:1-16.
Tam WH, Sahota DS, Lau TK, Li CY, Fung TY. 2008. Seasonal variation in pre-eclamptic rate and its association with the ambient temperature and humidity in early pregnancy. Gynecol Obstet Inves 66:22-26.
UTCI (Universal Thermal Climate Index). 2012. UTCI Univeral Thermal Climate Index. Available: http://www.utci.org/index.php [accessed 25 February 2013].
Vaneckova P, Neville G, Tippett V, Aitken P, FitzGerald G, Tong S. 2011. Do biometeorological indices improve modeling outcomes of heat-related mortality? J Appl Meteorol Clim 50:1165-1176.
Weather Underground. 2012. Weather Underground Historical Weather. Available: http://www.wunderground.com/history/ [accessed 1 October 2012].
Wenger CB. 2003. The regulation of body temperature. In Medical Physiology (Rhoades RA, Tanner GA, eds). 2nd ed. Boston:Little, Brown, 527–550.
Zanobetti A, Schwartz J. 2005. The effect of particulate air pollution on emergency admissions for myocardial infarction: a multicity case-crossover analysis. Environ Health Perspect 113:978-982; https://doi.org/10.1289/ehp.7550 https://www.ncbi.nlm.nih.gov/pubmed/16079066.
Zanobetti A, Schwartz J. 2006. Air pollution and emergency admissions in Boston, MA. J Epidemiol Commun Health 60:890-895.

Information & Authors

Information

Published In

Environmental Health Perspectives
Volume 121Issue 101 October 2013
Pages: 1111 - 1119
PubMed: 23934704

History

Received: 15 November 2012
Accepted: 7 August 2013
Published online: 9 August 2013

Authors

Affiliations

G. Brooke Anderson
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Michelle L. Bell
School of Forestry and Environmental Studies, Yale University, New Haven, Connecticut, USA
Roger D. Peng
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

Notes

Address correspondence to G.B. Anderson, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205 USA. Telephone: (203) 508-2738. E-mail: [email protected]

Competing Interests

The authors declare they have no actual or potential competing financial interests.

Funding Information

Funding for G.B.A. and R.D.P. was provided by the National Institute of Environmental Health Sciences (NIEHS; ES019560, ES020152). Funding for M.L.B. was provided by the U.S. Environmental Protection Agency (RD 83479801) and NIEHS (ES019560, ES016317, ES019587, ES020152, ES021427).

Metrics & Citations

Metrics

About Article Metrics


Citations

Download citation

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click DOWNLOAD.

Cited by

  • Extreme heat events in mainland China from 1981 to 2015: Spatial patterns, temporal trends, and urbanization impacts, Sustainable Cities and Society, 10.1016/j.scs.2023.104999, 100, (104999), (2024).
  • A Chinese longitudinal maternity cohort study (2013–2021) on intrahepatic cholestasis phenotypes: Risk associations from environmental exposure to adverse pregnancy outcomes, Journal of Hazardous Materials, 10.1016/j.jhazmat.2023.132915, 463, (132915), (2024).
  • Application of Remote Sensing Technology in Different Natural Disasters, Highlights in Science, Engineering and Technology, 10.54097/hset.v44i.7390, 44, (390-400), (2023).
  • Ecosystemic epidemiological, epizootological, and sanitary-hygienic assessment of human and animal echinococcosis in the North Caucasus region, Hygiene and sanitation, 10.47470/0016-9900-2023-102-6-556-560, 102, 6, (556-560), (2023).
  • Echinococcosis of animals and humans as a socially dangerous problem in a densely populated subject of the North Caucasus, Hygiene and sanitation, 10.47470/0016-9900-2023-102-1-34-39, 102, 1, (34-39), (2023).
  • Mitigation and Resilience of Local Climatic Zones to the Effects of Extreme Heat: Study on the City of Barcelona (Spain), Urban Science, 10.3390/urbansci7040102, 7, 4, (102), (2023).
  • Profiling sociodemographic attributes and extreme precipitation events as mediators of climate-induced disasters in municipalities in the state of Minas Gerais, Brazil, Frontiers in Human Dynamics, 10.3389/fhumd.2023.1138277, 5, (2023).
  • Assessing the Effect of Extreme Weather on Population Health Using Consumer-Grade Wearables in Rural Burkina Faso: Observational Panel Study, JMIR mHealth and uHealth, 10.2196/46980, 11, (e46980), (2023).
  • Karaçam, kızılçam, boylu ardıç ve meşe ormanlarında bitki tür çeşitliliği ve çevresel faktör ilişkileriPlant species diversity and environmental factor relations in black pine, brutian pine, crimean juniper and oak forests, Turkish Journal of Forestry | Türkiye Ormancılık Dergisi, 10.18182/tjf.1336614, (223-234), (2023).
  • Heat-related mortality in U.S. state and private prisons: A case-crossover analysis, PLOS ONE, 10.1371/journal.pone.0281389, 18, 3, (e0281389), (2023).
  • See more

View Options

View options

PDF

View PDF

Full Text

View Full Text

Get Access

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share on social media