| Author | Geirinhas, João L. | |
| Author | Russo, Ana | |
| Author | Libonati, Renata | |
| Author | Trigo, Ricardo M. | |
| Author | Castro, Lucas C. O. | |
| Author | Peres, Leonardo F. | |
| Author | Magalhães, Mônica de Avelar F. M. | |
| Author | Nunes, Baltazar | |
| Access date | 2023-07-21T13:16:02Z | |
| Available date | 2023-07-21T13:16:02Z | |
| Document date | 2020 | |
| Citation | GEIRINHAS, João L. et al. Heat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazil. International Journal of Biometeorology, v. 64, n. 8, p. 1319-1332, 2020. | en_US |
| ISSN | 0020-7128 | |
| URI | https://www.arca.fiocruz.br/handle/icict/59707 | |
| Language | eng | en_US |
| Publisher | Springer | en_US |
| Rights | restricted access | |
| Title | Heat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazil | en_US |
| Type | Article | |
| DOI | 10.1007/s00484-020-01908-x | |
| Abstract | Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a
new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited
investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary
climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000
to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to
summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum
temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age
groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their
impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly
age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response. | en_US |
| Affilliation | Universidade de Lisboa. Instituto Dom Luiz. Faculdade de Ciências. Lisboa, Portugal. | en_US |
| Affilliation | Universidade de Lisboa. Instituto Dom Luiz. Faculdade de Ciências. Lisboa, Portugal. | en_US |
| Affilliation | Universidade Federal do Rio de Janeiro. Departamento de Meteorologia. Rio de Janeiro, RJ, Brasil / Universidade de Lisboa. Instituto Dom Luiz. Faculdade de Ciências. Lisboa, Portugal / Universidade de Lisboa. Centro de Estudos Florestais. Lisboa, Portugal. | en_US |
| Affilliation | Universidade de Lisboa. Instituto Dom Luiz. Faculdade de Ciências. Lisboa, Portugal / Universidade Federal do Rio de Janeiro. Departamento de Meteorologia. Rio de Janeiro , RJ, Brasil. | en_US |
| Affilliation | Universidade Federal do Rio de Janeiro. Departamento de Meteorologia. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade Federal do Rio de Janeiro. Departamento de Meteorologia. Rio de Janeiro, RJ, Brasil / Instituto Português do Mar e da Atmosfera. Lisboa, Portugal. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade NOVA de Lisboa. Centro de Investigação em Saúde Pública. Escola Nacional de Saúde Pública. Lisboa, Portugal / Instituto Nacional de Saúde Dr. Ricardo Jorge. Departamento de Epidemiologia. Lisboa, Portugal. | en_US |
| Subject | Extreme events | en_US |
| Subject | Rio de Janeiro | en_US |
| Subject | Extreme heat factor | en_US |
| Subject | Heat waves | en_US |
| Subject | Mortality levels | en_US |
| Embargo date | 3000 | |
