Excess mortality during heat waves and cold spells in Moscow, Russia

Revich, B.; Shaposhnikov, D.
October 2008
Occupational & Environmental Medicine;Oct2008, Vol. 65 Issue 10, p691
Academic Journal
Objectives: To estimate excess mortality during heat waves and cold spells, and to identify vulnerable population groups by age and cause of death. Methods: Daily mortality in Moscow, Russia from all non-accidental, cardiovascular and respiratory causes between January 2000 and February 2006 was analysed. Mortality and displaced mortality during cold spells and heat waves were estimated using independent samples tests. Results: Cumulative excess non-accidental mortality during the 2001 heat wave was 33% (95% Cl 20% to 46%), or approximately 1200 additional deaths, with short-term displaced mortality contributing about 10% of these. Mortality from coronary heart disease increased by 32% (95% Cl 16% to 48%), cerebrovascular mortality by 51% (95% Cl 29% to 73%) and respiratory mortality by 80% (95% Cl 57% to 101%). In the 75+ age group, corresponding mortality increments were consistently higher except respiratory deaths. An estimated 560 extra deaths were observed during the three heat waves of 2002, when non-accidental mortality increased by 8.5%, 7.8% and 6.1%, respectively. About 40% of these deaths were brought forward by only a few days, bringing net mortality change down to 3.2% (95% Cl 0.8% to 5.5%). The cumulative effects of the two cold spells in 2006 on mortality were significant only in the 75+ age group, for which average daily mortality from all non-accidental causes increased by 9.9% (95% Cl 8.0% to 12%) and 8.9% (95% Cl 6.7% to 11%), resulting in 370 extra deaths; there were also significant increases in coronary disease mortality and cerebrovascular mortality. Conclusions: This study confirms that daily mortality in Moscow increases during heat waves and cold spells. A considerable proportion of excess deaths during heat waves occur a short time earlier than they would otherwise have done. Harvesting, or short-term mortality displacement, may be less significant for longer periods of sustained heat stress.


Related Articles

  • The Impact of Heat Waves and Cold Spells on Mortality Rates in the Dutch Population. Huynen, Maud M.T.E. // Environmental Health Perspectives;May2001, Vol. 109 Issue 5, p463 

    Examines the impact of heat waves and cold spells on mortality rates in the Netherlands. Effects of temperature on health; Estimation of mortality during heat wave or cold spell period; Relationship between mortality and average temperature.

  • Mortality and temperature in Sofia and London. Pattenden S; Nikiforov B; Armstrong B G // Journal of Epidemiology & Community Health;Aug2003, Vol. 57 Issue 8, p628 

    STUDY OBJECTIVE: Heat and cold have been associated with increased mortality, independently of seasonal trends, but details are little known. This study explores associations between mortality and temperature in two European capitals-Sofia and London-using four years of daily deaths, air...

  • Mortality among British asbestos workers. Sjögren, B. // Occupational & Environmental Medicine;Dec2009, Vol. 66 Issue 12, p12 

    The article presents studies on the mortality of asbestos workers in Great Britain. A study by Anne-Helen Harding and workers found a rise in mortality among asbestos workers due to ischemic heart disease (IHD). It notes that the respiratory and cardiovascular disease are linked to exposure to...

  • Health Effects of Increasing Diurnal Temperature Range in Korea.  // CO2 Science;8/22/2012, Vol. 15 Issue 34, p3 

    The article discusses research on the effects of diurnam temperature range (DTR) on cardiovascular and respiratory hospital admissions in Korea. It references a study by Y. H. Lim et al published in a 2012 issue of "Science of the Total Environment." The researchers noted that DTR, in addition...

  • Impact of heat and cold waves on circulatory-cause and respiratory-cause mortality in Spain: 1975-2008. Linares, C.; Diaz, J.; Tobías, A.; Carmona, R.; Mirón, I. // Stochastic Environmental Research & Risk Assessment;Dec2015, Vol. 29 Issue 8, p2037 

    Few studies have analysed the impact of heat and cold waves on mortality in a given population over the same time period and still fewer studies have analysed this impact in terms of cause-specific mortality. This study analysed the impact of both heat and cold waves on daily all-cause,...

  • The impact of temperature on mortality in a subtropical city: effects of cold, heat, and heat waves in São Paulo, Brazil. Son, Ji-Young; Gouveia, Nelson; Bravo, Mercedes; Freitas, Clarice; Bell, Michelle // International Journal of Biometeorology;Jan2016, Vol. 60 Issue 1, p113 

    Understanding how weather impacts health is critical, especially under a changing climate; however, relatively few studies have investigated subtropical regions. We examined how mortality in São Paulo, Brazil, is affected by cold, heat, and heat waves over 14.5 years (1996-2010). We used...

  • High Blood Cholesterol in Elderly Men and the Excess Risk for Coronary Heart Disease. Rubin, Susan M.; Sidney, Stephen; Black, Dennis M.; Browner, Warren S.; Hulley, Stephen B.; Cummings, Steven R. // Annals of Internal Medicine;12/15/90, Vol. 113 Issue 12, p916 

    Determines whether high blood cholesterol is an important risk factor for mortality from coronary heart disease in elderly men. Relation between elevated levels of serum cholesterol and coronary heart disease in elderly men; Predictor of mortality from coronary heart disease; Effectiveness of...

  • CHD risk factors affect long-term mortality. Rubin, Aaron // Physician & Sportsmedicine;Apr2000, Vol. 28 Issue 4, p23 

    Discusses the abstract of the study entitled `Low Risk-Factor Profile and Long-Term Cardiovascular and Noncardiovascular Mortality and Life Expectancy,' by J. Stamler, R. Stamler, et al published in the 1999 issue of the `Journal of the American Medical Association.' INSET: Comment, by William...

  • Asia–Pacific Collaboration on Coronary Heart Disease Risk Factor Intervention: Study Design and Methods. Ritchie, Gemma; Ritchie, Gemma M. // Heart, Lung & Circulation;Feb2001, Vol. 10 Issue 1, p24 

    Background: Age-adjusted death rates for coronary heart disease (CHD) have been decreasing in populations of developed countries. At the same time, CHD in the Asia–Pacific region appears to be increasing in parallel with the ‘Westernisation’ of diet and lifestyle. More...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics