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Which heatwave measure has higher predictive power to prevent health risks related to heat : EHF or GATO IV? : evidence from modelling Lisbon mortality data from 1980 to 2016

dc.contributor.authorMorais, Liliane
dc.contributor.authorLopes, António
dc.contributor.authorNogueira, Paulo Jorge
dc.date.accessioned2020-11-24T10:41:09Z
dc.date.available2020-11-24T10:41:09Z
dc.date.issued2020
dc.description© 2020 The Authors.Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).pt_PT
dc.description.abstractTo prevent the risk associated with heat-related health, several countries and institutions have built heat-health warning systems (HHWS). An HHWS is designed to alert the general public and decision-makers about the danger of high temperature by triggering a series of actions that avoid adverse health outcomes. The comparison of the various HHWS is complicated because there is no universal quantitative definition to predict and define a heatwave. The slightest variability at the threshold of definition the heatwave can trigger considerable differences in the action plan, health service demand and the time the population at risk must prepare. The choice of the index influences the number of days of heatwaves and its characteristics, such as severity. Estimating the risk of mortality associated with heatwave is variable according to the indexes, and the selection of the threshold is essential to prevent the burdens of heat on public health. The aim is the comparison between two metrics to know, which has higher predictive power to prevent health risks related to heat. On the one hand, a new way of defining heatwaves that have generated high consensus worldwide - the Excess Heat Factor (EHF); on the other hand, the Generalized Accumulated Thermal Overload (GATO IV) – an opportunity to improve the existing Lisbon heatwaves surveillance system. Daily mortalities and air temperatures from 1980 to 2016 in Lisbon with both indexes are modelled using Generalized Linear Models, with the calculation of the predictive power of the models using ROC curves for two levels of mortality severity. It is concluded that for total mortality, both indexes were statistically significant. Though, for daily mortality in individuals with 65 years or older with all diseases of the circulatory and respiratory system, when considering both indexes together, GATO IV was the only index significantly predicting the impact of heatwaves on mortality. GATO IV metric seems to have the best statistical properties. Nevertheless, EHF also stands out as a good indicator to predict heat-related mortality in Lisbon.pt_PT
dc.description.sponsorshipThis work was supported by the Fundação para a Ciência e Tecnologia (FCT), Portugal; and Qart - Soluções de Monitorizaçãao e Mapeamento Urbano Ambiental, Lda. [PhD research grant number PDE/BDE/ 120452/2016].pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationWeather and Climate Extremes, Vol. 30, 2020pt_PT
dc.identifier.doi10.1016/j.wace.2020.100287pt_PT
dc.identifier.eissn2212-0947
dc.identifier.urihttp://hdl.handle.net/10451/44972
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationPDE/BDE/ 120452/2016pt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/weather-and-climate-extremespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectGATO IVpt_PT
dc.subjectEHFpt_PT
dc.subjectPublic healthpt_PT
dc.subjectHeatwavespt_PT
dc.subjectHeat healthpt_PT
dc.subjectSurveillance systempt_PT
dc.titleWhich heatwave measure has higher predictive power to prevent health risks related to heat : EHF or GATO IV? : evidence from modelling Lisbon mortality data from 1980 to 2016pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage100287pt_PT
oaire.citation.titleWeather and Climate Extremespt_PT
oaire.citation.volume30pt_PT
person.familyNameMorais
person.familyNameLopes
person.familyNameNogueira
person.givenNameLiliane
person.givenNameAntónio
person.givenNamePaulo Jorge
person.identifier216928
person.identifier1013768
person.identifier.ciencia-idDF16-75FF-35C7
person.identifier.ciencia-id1D15-FB93-4687
person.identifier.ciencia-id2410-2DCC-F213
person.identifier.orcid0000-0003-2934-3632
person.identifier.orcid0000-0002-9357-7639
person.identifier.orcid0000-0001-8316-5035
person.identifier.ridF-3217-2010
person.identifier.ridAAR-5605-2020
person.identifier.scopus-author-id55951850000
person.identifier.scopus-author-id7005428250
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication1e06298c-c38d-4dd9-af32-783feaa97eb7
relation.isAuthorOfPublication5ec106ce-350f-4b1b-aed6-1acd9f11f7f1
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relation.isAuthorOfPublication.latestForDiscovery9d24d0e5-5fab-4fef-b962-b0333e28f9d1

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