Protecting health in an environment challenged by climate change: European Regional Framework for...

Protecting health in an environment challenged by climate change:

European Regional Framework for Action

Extreme temperatures

Dr Bettina Menne

Protecting health in an environment challenged by climate change: European Regional Framework for Action

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A deadly summer They got what they did not have before

(Klinenberg…

… cooling and medical attention…..


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….

• September: WHO 35,000

• October ISRD 46,000

• Eurosurveillance: 50,000

• Etc etc

• 2007: Canicule:


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5

Legend

0.00 - 0.120.12 - 0.180.18 - 0.270.27 - 0.410.41 - 0.620.62 - 0.780.78 - 0.850.85 - 0.910.91 - 0.970.97 - 1.041.04 - 1.101.10 - 1.161.16 - 1.231.23 - 1.271.27 - 1.311.31 - 1.351.35 - 1.391.39 - 1.591.59 - 1.881.88 - 2.322.32 - 2.992.99 - 3.983.98 - 5.475.47 - 7.707.70 - 11.05

August the 12th 2003 = DOY 224


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EuroHEAT:

Improving Public Health Responses to

Extreme weather


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Q 1: what do you want to measure?

• Heat-waves, cold wave frequency?

• Damage– Mortality

• attributable deaths?• Summer/winter excess mortality?

– Economic• Agriculture losses?


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bme

Fischer and Schaer, 2010 - Nature


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Number of daily mortality in Paris and min-max temperatures 25 June-19 August 2003. Paris Funeral Services (2003)


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12

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)

-5 0 10 20 30 40apparent temperature

Athens

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)-5 0 10 20 30 40apparent temperature

Barcelona

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Budapest

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Dublin

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Helsinki-.

3-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Ljubljana

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


London

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Milan

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Paris

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Praha

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Rome

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Stockholm

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Turin

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Valencia

-.3

-.2

-.1

0.1

.2.3

.4s(

appa

rent

tem

pera

ture

)


Zurich


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Health effects of heat-waves


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Scope

• For decision making – too late, simply too late

• For reporting purposes (lag 1 week) ok



HHWSs in Europe

Heat Health Warning Systems and Seasonal Climate Forecasting in Europe



HHWSs in Europe

Heat Health Warning Systems and Seasonal Climate Forecasting in Europe

•16 countries with HHWSscould be identified

•most systems implemented after 2003

•different methods (heat wave definitions)

•sometimes regional specific thresholds

•not all countries have heat plans

•lead times: 1 - 3 days


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Seasonal forecasting

http://www.euroheat-project.org/dwd/index.php



Dr Bettina Menne

WHO Regional Office for Europe

Protecting health in an environment challenged by climate changewww.euro.who.int/globalchange



The ENHIS System

Data from surveys

International and national data bases

Methodology for 22 “core” indicators


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Share best practices, research, data, information, technology and tools at all levels

• Request to agencies to discuss the development of an information platform by 2014, building on available tools and information gathering processes

• Member States in the WHO European Region are called on to contribute, and support the provision of regular information to the platform.

• Overall strengthen research from improved risk assessment to applied research and improved economic assessments


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For whom?

Protecting health in an environment challenged by climate change: European Regional Framework for...

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