Abstract
In Britain death rates from several important causes, particularly circulatory and respiratory diseases, rise markedly during the colder winter months. This close association between temperature and mortality suggests that climate change as a result of global warming may lead to a future reduction in excess winter deaths. This paper gives a brief introductory review of the literature on the links between cold conditions and health, and statistical models are subsequently developed of the associations between temperature and monthly mortality rates for the years 1968 to 1988 for England and Wales. Other factors, particularly the occurrence of influenza epidemics, are also taken into account. Highly significant negative associations were found between temperature and death rates from all causes and from chronic bronchitis, pneumonia, ischaemic heart disease and cerebrovascular disease. The statistical models developed from this analysis were used to compare death rates for current conditions with those that might be expected to occur in a future warmer climate. The results indicate that the higher temperatures predicted for 2050 might result in nearly 9000 fewer winter deaths each year with the largest contribution being from mortality from ischaemic heart disease. However, these preliminary estimates might change when further research is able to make into account a number of additional factors affecting the relationship between mortality and climate.
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References
Alderson MR (1985) Season and mortality. Health Trends 17:87–96
Anderson TW, Le Riche WH (1970) Cold weather and myocardial infarction. Lancet i:291–296
Bentham G (1992) Global climate change and human health. Geo J 26.1:7–12
Bull GM (1980) The weather and deaths from pneumonia. Lancet i:1405–1408
Central Statistical Office (various dates) Annual abstract of statistics. HMSO, London
Curwen M (1991) Excess winter mortality: a British phenomenon? Health Trends 22:169–175
Curwen M, Devis T (1988) Winter mortality, temperature and influenza: has the relationship changed in recent years? Popul Trends 54:17–20
Curwen M, Dunnell K, Ashley J (1990) Hidden influenza deaths: 1989–90. Population Trends 61:31–33
Douglas AS, Allan TM, Rawles JM (1991) Composition of seasonality of disease. Scott Med J 36:76–82
Frost DB, Auliciems A (1993) Myocardial infarct death, the population at risk, and temperature habituation. Int J Biometeorol 37:46–51
Glass RI, Zack MM (1979) Increase in death from ischaemic heart disease after blizzards. Lancet i:485–487
Haberman S, Capildeo R, Rose FC (1981) The seasonal variation in mortality from cerebrovascular disease. J Neurol Sci 52:25–36
Haines A, Fuchs C (1991) Potential impacts on health of atmospheric change. J Public Health Med 13:69–80
Kalkstein LS (1991) A new approach to evaluate the impact of climate on human mortality. Environ Health Perspect 96:145–150
Kalkstein LS, Davis RE (1989) Weather and human mortality: an evaluation of demographic and interregional responses in the United States. Ann Assoc Am Geog 79:44–64
Keatinge WR (1986) Seasonal mortality among elderly people with unrestricted home heating. Br Med J 293:732–733
Keatinge WR, Coleshaw SRK, Holmes J (1989) Changes in seasonal mortalities with improvement in home heating in England and Wales from 1964 to 1984. Biometeorology 33:71–76
Lewis-Fanning E (1940) A comparative study of the seasonal incidence of mortality in England and Wales and in the United States of America. HMSO, London
McDowall M (1981) Long term trends in seasonal mortality. Popul Trends 26:16–19
Macfarlane A (1977) Daily mortality and environment in English conurbations 1: air pollution, low temperature, and influenza in Greater London. Br J Prev Soc Med 31:54–61
Marshall RJ, Scragg R, Bourke P (1988) An analysis of the seasonal variation of coronary heart disease and respiratory disease mortality in New Zealand. Int J Epidemiol 17.2:325–331
Office of Population Censuses and Surveys (various dates) The registrar general's statistical review of England and Wales. HMSO, London
Office of Population Censuses and Surveys (various dates) Mortality statistics: review of the registrar general on deaths in England and Wales, series DH1. HMSO, London
Office of Population Censuses and Surveys (1979) Mortality statistics: review of the registrar general on deaths in England and Wales, series DH1 no.8. HMSO, London
Office of Population Censuses and Surveys (1984) Mortality statistics, cause: review of the registrar general on deaths in England and Wales, series DH2 no. 1 1. HMSO, London
Rogot E, Padgett SJ (1976) Associations of coronary and stroke mortality with temperature and snowfall in selected areas of the United States. Am J Epidemiol 103:565–575
Sakamoto-Momiyama M (1977) Seasonality in human mortality. University of Tokyo Press, Tokyo
Tillett HE, Smith JWG, Gooch CD (1983) Excess deaths attributable to influenza in England and Wales: age at death and certified cause. Int J Epidemiol 12:344–352
Warrick RA, Barrow EM (1991) Climate change scenarios for the UK. Trans Inst Br Geogr New Ser 16:387–399
WHO (1969) Manual of the international statistical classification of diseases, injuries and causes of death, 8th revision, vol 1. World Health Organisation, Geneva
WHO (1977a) Manual for mortality analysis. Division of Health Statistics, World Health Organisation, Geneva
WHO (1977b) Manual of the international statistical classification of diseases, injuries and causes of death, 9th revision, vol 1. World Health Organisation, Geneva
Woodhouse PR, Khaw KT, Plummer M, Foley A, Meade TW (1994) Seasonal variations of plasma fibrinogen and factor VII activity in the elderly: winter infections and death from cardiovascular disease. Lancet 343:435–439
Wyke S, Hewison J, Hey EN, Russell IT (1991) Respiratory illness in children: do deprived children have worse coughs? Acta Paediatr Scand 80:704–711
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Langford, I.H., Bentham, G. The potential effects of climate change on winter mortality in England and Wales. Int J Biometeorol 38, 141–147 (1995). https://doi.org/10.1007/BF01208491
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DOI: https://doi.org/10.1007/BF01208491