The impact of the 2003 heat wave on mortality in Shanghai, China

Huang, W; Kan, HD; Kovats, S; (2010) The impact of the 2003 heat wave on mortality in Shanghai, China. The Science of the total environment, 408 (11). pp. 2418-2420. ISSN 0048-9697 DOI:

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In 2003, Shanghai recorded the hottest summer in over 50 years. We investigated the impact on the mortality of a heat wave in 2003 in Shanghai. We calculated excess mortality and rate ratios (RRs) during the heat wave (July 19-August 6, 2003) compared to a reference (non-heatwave) period (June 28-July 9, and August 16-August 22). During the heat wave, the RR of total mortality was 1.13 (95% Cl: 1.06-1.20), and the impact was greatest for cardiovascular (RR=1.19, 95% Cl: 1.08-1.32) and respiratory (RR=1.23, 95% Cl: 1.02-1.48) mortality. Gender did not make a statistically significant difference for the heat-wave impact. Elderly people (over 65 years) were most vulnerable to the heat wave. Our analysis showed that the 2003 heat wave had a substantial effect on mortality in Shanghai. Public health programs should be implemented to prevent heat wave-related health problems in the city. (C) 2010 Elsevier B.V. All rights reserved.

Item Type: Article
Keywords: Heat wave, Mortality, Temperature, public-health, temperature, modifiers, heatwaves
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 20219235
Web of Science ID: 277109600017


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