Rising mortality rates in southern European cities due to heat

Climate change will lead to an increase in heat-related deaths in Europe’s cities – especially in the Mediterranean region.

Aghios Nikolaos
Aghios Nikolaos in the summer heat.

Research indicates a troubling trend where climate change is expected to cause a sharp increase in heat-related deaths across Europe, overshadowing any reductions in cold-related fatalities.

This alarming projection emerges from a modelling study carried out by the Environment & Health Modelling Lab at the London School of Hygiene & Tropical Medicine. It emphasizes the pressing need for substantial actions aimed at both mitigating climate change and adapting to the rising heat.

The findings, published in Nature Medicine, estimate that unless immediate measures are taken to lower carbon emissions, Europe could witness an additional 2.3 million temperature-related deaths by the year 2099.

Among these, about 70% of these deaths could potentially be prevented through swift, decisive action.

The research reveals that even with significant adaptation efforts, such as improved urban infrastructure and heat-resilient designs, the health risks stemming from heightened temperatures cannot be sufficiently mitigated.

This risk is particularly pronounced in vulnerable regions, including the Mediterranean, Central Europe, and the Balkans, which are more susceptible to extreme heat phenomena.

According to Dr Pierre Masselot, the study highlights the critical importance of tackling both climate change mitigation and the adaptation challenges posed by heightened temperatures.

The projected increase in deaths varies considerably across different European cities, with the following locations expected to experience the highest counts:

  • Barcelona, Spain: 246,082
  • Rome, Italy: 147,738
  • Naples, Italy: 147,248
  • Madrid, Spain: 129,716
  • Milan, Italy: 110,131
  • Athens, Greece: 87,523
  • Valencia, Spain: 67,519
  • Marseille, France: 51,306
  • Bucharest, Romania: 47,468
  • Genoa, Italy: 36,338

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These figures reflect primarily larger Mediterranean cities due to their higher populations. Smaller cities in nations like Malta, Spain, and Italy are also likely to see significant heat-related death rates.

In comparison, while cities in the British Isles and Scandinavian regions may experience a slight decline in temperature-related deaths—London, for instance, is projected to see a decrease of 27,455 deaths—the overall net effect in Europe will still result in a staggering increase of 2.3 million deaths due to rising temperatures.

Professor Antonio Gasparrini, a senior author of the research, argues that this stark increase in heat-related mortality dwarfs the reductions in cold-related fatalities. His comments reject any assertions that climate change might have beneficial effects, reinforcing the argument for urgent action regarding mitigation policies.

The study employs sophisticated risk functions of temperature tailored for each city, accounting for local factors such as acclimatisation and age-specific vulnerabilities.

Various projections regarding temperature shifts, population changes, and death rates allow for an estimate of the future death toll solely attributable to climate change. The researchers also examined a variety of climate and epidemiological models, aligned with frameworks outlined in the IPCC Sixth Assessment Report, to assess uncertainties linked to these estimates.

Furthermore, this research evaluates adaptation scenarios, indicating necessary actions for reducing risk, although it does not prescribe specific measures to be employed.

It primarily focuses on daily mean temperatures without accounting for the impact of potentially lethal weather phenomena like extreme nighttime temperatures or high humidity levels.

Effective climate change mitigation is essential, especially in light of the findings that demonstrate an urgent need for policies that directly cut carbon emissions.

Strategies that promote rapid urban adaptation to heat are equally critical. Without these actions, the health implications could escalate, resulting in increased mortality rates from extreme heat.

The implications of such a rise in mortality are profound, affecting public health systems, urban planning, and community resilience efforts. With an ageing population and a growing number of heat waves expected, cities must be prepared to manage the elevated risk of deaths due to heat exposure.

Adaptive measures, including enhancing air conditioning availability and improving urban planning to reduce urban heat effects, will be vital. These initiatives not only mitigate the health impacts associated with rising temperatures but also improve overall quality of life in urban areas, particularly under the constraints posed by climate change.

Rising Urban Death Rates in Europe

This recent investigation highlights the alarming potential for premature deaths in European cities to rise by as much as 50% in the coming decades due to climate change. Southern Europe, particularly Greece, is expected to bear the brunt of this threat.

Analysing data from 854 cities across 30 countries, researchers forecast a considerable jump in fatalities linked to extreme heat as the population ages. For instance, cities like Athens may experience an increase of 124 additional deaths per 100,000 residents by the century’s end if climate policies are not enacted.

Mitigating these risks requires immediate action, which includes reducing greenhouse gas emissions and investing in sustainable urban planning.

Measures such as expanding green spaces and enhancing public transport are vital to combat rising temperatures and support public health.


Frequently Asked Questions

How does climate change influence the increase in heat-related deaths?

Climate change leads to rising global temperatures, which in turn raise the frequency and intensity of heatwaves. As the environment becomes warmer, vulnerable populations, such as the elderly and those with pre-existing health conditions, face a higher risk of heat-related illnesses, including heatstroke.

What are the anticipated effects of climate change on death rates from extreme temperatures?

Studies indicate that as climate change progresses, there will be a significant rise in the number of deaths caused by extreme heat. This increase will likely overshadow any reductions in mortality rates from cold weather. Predictions suggest that by the end of the century, millions more people could die from heat exposure across various regions.

Is there proof that heat-related fatalities are increasing due to climate change?

Research has shown that there has been a notable rise in heat-related deaths in several countries, correlating with hotter weather patterns attributed to climate change. This evidence supports the idea that ongoing global warming is a significant factor in escalating mortality rates related to heat.

Can we anticipate fewer fatalities from cold exposure as global temperatures rise?

While warmer conditions may lead to fewer cold-related deaths, research indicates that the decrease will not be enough to balance the higher number of deaths from heat. The overall trend suggests that heat-related fatalities will continue to outnumber those caused by cold exposure as climatic conditions evolve.

What public health measures are being implemented to address the dangers of extreme heat?

Public health officials are developing strategies including early warning systems, community outreach programmes, and cooling centres to protect vulnerable populations. These measures aim to increase awareness of heat risks and provide resources to help prevent heat-related illnesses during extreme heat events.

How do socio-economic factors impact vulnerability to temperature-related deaths in the context of climate change?

Socio-economic status plays a crucial role in determining an individual’s risk of heat and cold-related deaths.

Those with lower income levels, limited access to healthcare, and inadequate housing are generally more susceptible to the effects of extreme temperatures.

Efforts to address these disparities are essential in reducing mortality rates as climate change progresses.

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