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https://hdl.handle.net/2440/137242
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dc.contributor.author | Faurie, C. | - |
dc.contributor.author | Varghese, B.M. | - |
dc.contributor.author | Liu, J. | - |
dc.contributor.author | Bi, P. | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | Science of the Total Environment, 2022; 852:158332-1-158332-12 | - |
dc.identifier.issn | 0048-9697 | - |
dc.identifier.issn | 1879-1026 | - |
dc.identifier.uri | https://hdl.handle.net/2440/137242 | - |
dc.description.abstract | Background: A large body of scientific evidence has established the impact of increased temperatures on human health. There is a relationship between extreme heat (either incremental temperature increase or heatwaves), and heat-related illnesses. This study aimed to collate the research findings on the effects of extreme heat on heat-related illness in a systematic review and meta-analysis, and to provide robust evidence for needed public health intervention. Methods: We conducted a search of peer-reviewed articles in three electronic databases (PubMed, EMBASE, and SCOPUS), from database inception until January 2022. A random-effects meta-analysis model was used to calculate the pooled relative risks (RRs) of the association between high temperature and heat-related illness outcomes. A narrative synthesis was also performed for studies analysing heatwave effects. Assessment of evidence was performed in three parts: individual study risk of bias; quality of evidence across studies; and overall strength of evidence. Results: A total of 62 studies meeting the eligibility criteria were included in the review, of which 30 were qualified to be included in the meta-analysis. The pooled results showed that for every 1 °C increase in temperature, when measured from study-specific baseline temperatures, direct heat illness morbidity and mortality increased by 18 % (RR 1.18, 95%CI: 1.16–1.19) and 35 % (RR 1.35, 95%CI: 1.29–1.41), respectively. For morbidity, the greatest increase was for direct heat illness (RR 1.45, 95%CI: 1.38–1.53), compared to dehydration (RR 1.02, 95%CI: 1.02–1.03). There was higher risk for people aged >65 years (RR 1.25; 95 % CI: 1.20–1.30), and those living in subtropical climates (RR 1.25; 95 % CI: 1.21–1.29). Conclusion: Increased temperature leads to higher burden of disease from heat-related illness. Preventative efforts should be made to reduce heat-related illness during hot weather, targeting on the most vulnerable populations. This is especially important in the context of climate change. | - |
dc.description.statementofresponsibility | Clare Faurie, Blesson M. Varghese, Jingwen Liu, Peng Bi | - |
dc.language.iso | en | - |
dc.publisher | Elsevier | - |
dc.rights | © 2022 Elsevier B.V. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.scitotenv.2022.158332 | - |
dc.subject | Climate change | - |
dc.subject | Dehydration | - |
dc.subject | Heat related illness | - |
dc.subject | Heatstroke | - |
dc.subject | Heatwaves | - |
dc.subject | Relative risk | - |
dc.subject.mesh | Humans | - |
dc.subject.mesh | Heat Stress Disorders | - |
dc.subject.mesh | Temperature | - |
dc.subject.mesh | Hot Temperature | - |
dc.subject.mesh | Extreme Heat | - |
dc.subject.mesh | Climate Change | - |
dc.title | Association between high temperature and heatwaves with heat-related illnesses: A systematic review and meta-analysis | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.scitotenv.2022.158332 | - |
dc.relation.grant | ARC | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Varghese, B.M. [0000-0003-2974-7282] | - |
dc.identifier.orcid | Liu, J. [0000-0003-2754-0712] | - |
dc.identifier.orcid | Bi, P. [0000-0002-3238-3427] | - |
Appears in Collections: | Public Health publications |
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