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Heat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazil

2020-08Journal article Restricted access
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dc.contributor.authorGeirinhas, João L.
dc.contributor.authorRusso, Ana
dc.contributor.authorLibonati, Renata
dc.contributor.authorTrigo, Ricardo M.
dc.contributor.authorCastro, Lucas C.O.
dc.contributor.authorPeres, Leonardo F.
dc.contributor.authorMagalhães, Mônica de Avelar F.M.
dc.contributor.authorNunes, Baltazar
dc.date.accessioned2021-04-05T17:49:40Z
dc.date.available2021-04-05T17:49:40Z
dc.date.issued2020-08
dc.description.abstractTemperature 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.pt_PT
dc.description.sponsorshipThis work was partially funded by project INDECIS, which is part of ERA4CS, an ERA-NETinitiated by JPI Climate,with cofunding by the European Union (grant 690462). Renata Libonati was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ, grant 305159/2018-6) and Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ, grant E26/202.714/ 2019). Lucas C.O. Castro was supported by the Programa Institucional de Bolsas de Iniciação Científica – Universidade Federal do Rio de Janeiro (PIBIC-UFRJ).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Biometeorol. 2020 Aug;64(8):1319-1332. doi: 10.1007/s00484-020-01908-x. Epub 2020 Apr 20.pt_PT
dc.identifier.doi10.1007/s00484-020-01908-xpt_PT
dc.identifier.issn0020-7128
dc.identifier.urihttp://hdl.handle.net/10400.18/7644
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer/ International Society of Biometeorologypt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s00484-020-01908-xpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAgedpt_PT
dc.subjectBrazilpt_PT
dc.subjectCitiespt_PT
dc.subjectClimate Changept_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMortalitypt_PT
dc.subjectClimatept_PT
dc.subjectHot Temperaturept_PT
dc.subjectExtreme Eventspt_PT
dc.subjectExtreme Heat Factorpt_PT
dc.subjectHeat Wavespt_PT
dc.subjectMortality Levelspt_PT
dc.subjectRio de Janeiropt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.titleHeat-related mortality at the beginning of the twenty-first century in Rio de Janeiro, Brazilpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1332pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage1319pt_PT
oaire.citation.titleInternational Journal of Biometeorologypt_PT
oaire.citation.volume64pt_PT
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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