Abstract

In the last few decades extreme heat events have led to substantial excess mortality, most dramatically in Central Europe in 2003, in Russia in 2010, and even in typically cool locations such as Vancouver, Canada, in 2009. Heat-related morbidity and mortality is expected to increase over the coming centuries as the result of climate-driven global increases in the severity and frequency of extreme heat events. Spatial information on heat exposure and population vulnerability may be combined to map the areas of highest risk and focus mitigation efforts there. However, a mismatch in spatial resolution between heat exposure and vulnerability data can cause spatial scale issues such as the Modifiable Areal Unit Problem (MAUP). We used a raster-based model to integrate heat exposure and vulnerability data in a multi-criteria decision analysis, and compared it to the traditional vector-based model. We then used the Getis-Ord Gi index to generate spatially smoothed heat risk hotspot maps from fine to coarse spatial scales. The raster-based model allowed production of maps at spatial resolution, more description of local-scale heat risk variability, and identification of heat-risk areas not identified with the vector-based approach. Spatial smoothing with the Getis-Ord Gi index produced heat risk hotspots from local to regional spatial scale. The approach is a framework for reducing spatial scale issues in future heat risk mapping, and for identifying heat risk hotspots at spatial scales ranging from the block-level to the municipality level.

Highlights

  • Climate change is influencing the severity and frequency of heat waves [1,2], which may lead to increasing heat-related morbidity and mortality, especially during extreme heat events [3]

  • The raster-based approach was designed to retain the spatial resolution of the heat exposure data, which resulted in a description of heat health risk that included greater local variability, and produced substantially different predictions of heat health risk for a large area in Richmond

  • Spatial data on population vulnerability and heat exposure can be combined to map the health risk associated with extreme heat events

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Summary

Introduction

Climate change is influencing the severity and frequency of heat waves [1,2], which may lead to increasing heat-related morbidity (e.g., cardiovascular and respiratory diseases) and mortality, especially during extreme heat events [3]. The health effects of extreme heat are influenced by the severity and duration of the extreme heat event, compounded by simultaneous effects of air pollution as well as population vulnerability [3], and modified by typical summer temperatures to which the population is adapted [9,10]. In order to address related public health impacts, previous studies have temporally evaluated a range of temperature metrics to estimate heat-related mortality [11,12], have estimated spatial and temporal variability in heat-related mortality [13,14,15,16,17,18,19,20], and have developed indices to locate heat vulnerable populations [2,21,22,23]. Public Health 2015, 12, 16110–16123; doi:10.3390/ijerph121215046 www.mdpi.com/journal/ijerph

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