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The Relation Between Temperature, Ozone, and Mortality in Nine French Cities During the Heat Wave of 2003

Identifieur interne : 000C06 ( France/Extraction ); précédent : 000C05; suivant : 000C07

The Relation Between Temperature, Ozone, and Mortality in Nine French Cities During the Heat Wave of 2003

Auteurs : Laurent Filleul [France] ; Sylvie Cassadou [France] ; Sylvia Médina [France] ; Pascal Fabres [France] ; Agnés Lefranc [France] ; Daniel Eilstein [France] ; Alain Le Tertre [France] ; Laurence Pascal [France] ; Benoit Chardon [France] ; Myriam Blanchard [France] ; Christophe Declercq [France] ; Jean-François Jusot [France] ; Hélène Prouvost [France] ; Martine Ledrans [France]

Source :

RBID : PMC:1570046

Descripteurs français

English descriptors

Abstract

Background

During August 2003, record high temperatures were observed across Europe, and France was the country most affected. During this period, elevated ozone concentrations were measured all over the country. Questions were raised concerning the contribution of O3 to the health impact of the summer 2003 heat wave.

Methods

We used a time-series design to analyze short-term effects of temperature and O3 pollution on mortality. Counts of deaths were regressed on temperatures and O3 levels, controlling for possible confounders: long-term trends, season, influenza outbreaks, day of the week, and bank holiday effects. For comparison with previous results of the nine cities, we calculated pooled excess risk using a random effect approach and an empirical Bayes approach.

Findings

For the nine cities, the excess risk of death is significant (1.01%; 95% confidence interval, 0.58–1.44) for an increase of 10 μg/m3 in O3 level. For the 3–17 August 2003 period, the excess risk of deaths linked to O3 and temperatures together ranged from 10.6% in Le Havre to 174.7% in Paris. When we compared the relative contributions of O3 and temperature to this joint excess risk, the contribution of O3 varied according to the city, ranging from 2.5% in Bordeaux to 85.3% in Toulouse.

Interpretation

We observed heterogeneity among the nine cities not only for the joint effect of O3 and temperatures, but also for the relative contribution of each factor. These results confirmed that in urban areas O3 levels have a non-negligible impact in terms of public health.


Url:
DOI: 10.1289/ehp.8328
PubMed: 16966086
PubMed Central: 1570046

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Le document en format XML

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<name sortKey="Lefranc, Agnes" sort="Lefranc, Agnes" uniqKey="Lefranc A" first="Agnés" last="Lefranc">Agnés Lefranc</name>
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<name sortKey="Eilstein, Daniel" sort="Eilstein, Daniel" uniqKey="Eilstein D" first="Daniel" last="Eilstein">Daniel Eilstein</name>
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<name sortKey="Le Tertre, Alain" sort="Le Tertre, Alain" uniqKey="Le Tertre A" first="Alain" last="Le Tertre">Alain Le Tertre</name>
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<country xml:lang="fr">France</country>
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<name sortKey="Pascal, Laurence" sort="Pascal, Laurence" uniqKey="Pascal L" first="Laurence" last="Pascal">Laurence Pascal</name>
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<country xml:lang="fr">France</country>
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<placeName>
<settlement type="city">Bordeaux</settlement>
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<name sortKey="Chardon, Benoit" sort="Chardon, Benoit" uniqKey="Chardon B" first="Benoit" last="Chardon">Benoit Chardon</name>
<affiliation wicri:level="1">
<nlm:aff id="af2-ehp0114-001344"> Observatoire Régional de la Santé Ile-de-France, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
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<placeName>
<settlement type="city">Paris</settlement>
</placeName>
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<name sortKey="Blanchard, Myriam" sort="Blanchard, Myriam" uniqKey="Blanchard M" first="Myriam" last="Blanchard">Myriam Blanchard</name>
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<country xml:lang="fr">France</country>
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<name sortKey="Declercq, Christophe" sort="Declercq, Christophe" uniqKey="Declercq C" first="Christophe" last="Declercq">Christophe Declercq</name>
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<settlement type="city">Lille</settlement>
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<name sortKey="Jusot, Jean Francois" sort="Jusot, Jean Francois" uniqKey="Jusot J" first="Jean-François" last="Jusot">Jean-François Jusot</name>
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<country xml:lang="fr">France</country>
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<placeName>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Prouvost, Helene" sort="Prouvost, Helene" uniqKey="Prouvost H" first="Hélène" last="Prouvost">Hélène Prouvost</name>
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<nlm:aff id="af3-ehp0114-001344"> Observatoire Régional de la Santé Nord Pas-de-Calais, Lille, France</nlm:aff>
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<placeName>
<settlement type="city">Lille</settlement>
</placeName>
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<name sortKey="Ledrans, Martine" sort="Ledrans, Martine" uniqKey="Ledrans M" first="Martine" last="Ledrans">Martine Ledrans</name>
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<placeName>
<settlement type="city">Bordeaux</settlement>
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<idno type="ISSN">0091-6765</idno>
<idno type="eISSN">1552-9924</idno>
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<date when="2006">2006</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Cities</term>
<term>Environmental Exposure</term>
<term>Europe (epidemiology)</term>
<term>France (epidemiology)</term>
<term>Heat Stress Disorders (epidemiology)</term>
<term>Heat Stress Disorders (history)</term>
<term>Heat Stress Disorders (mortality)</term>
<term>History, 21st Century</term>
<term>Humans</term>
<term>Infrared Rays (adverse effects)</term>
<term>Mortality (trends)</term>
<term>Ozone (toxicity)</term>
<term>Public Health (statistics & numerical data)</term>
<term>Risk Assessment</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="toxicity" xml:lang="en">
<term>Ozone</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Europe</term>
<term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Infrared Rays</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Heat Stress Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="history" xml:lang="en">
<term>Heat Stress Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Heat Stress Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Public Health</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en">
<term>Mortality</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Cities</term>
<term>Environmental Exposure</term>
<term>History, 21st Century</term>
<term>Humans</term>
<term>Risk Assessment</term>
<term>Time Factors</term>
</keywords>
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<term>France</term>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>During August 2003, record high temperatures were observed across Europe, and France was the country most affected. During this period, elevated ozone concentrations were measured all over the country. Questions were raised concerning the contribution of O
<sub>3</sub>
to the health impact of the summer 2003 heat wave.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>We used a time-series design to analyze short-term effects of temperature and O
<sub>3</sub>
pollution on mortality. Counts of deaths were regressed on temperatures and O
<sub>3</sub>
levels, controlling for possible confounders: long-term trends, season, influenza outbreaks, day of the week, and bank holiday effects. For comparison with previous results of the nine cities, we calculated pooled excess risk using a random effect approach and an empirical Bayes approach.</p>
</sec>
<sec>
<title>Findings</title>
<p>For the nine cities, the excess risk of death is significant (1.01%; 95% confidence interval, 0.58–1.44) for an increase of 10 μg/m
<sup>3</sup>
in O
<sub>3</sub>
level. For the 3–17 August 2003 period, the excess risk of deaths linked to O
<sub>3</sub>
and temperatures together ranged from 10.6% in Le Havre to 174.7% in Paris. When we compared the relative contributions of O
<sub>3</sub>
and temperature to this joint excess risk, the contribution of O
<sub>3</sub>
varied according to the city, ranging from 2.5% in Bordeaux to 85.3% in Toulouse.</p>
</sec>
<sec>
<title>Interpretation</title>
<p>We observed heterogeneity among the nine cities not only for the joint effect of O
<sub>3</sub>
and temperatures, but also for the relative contribution of each factor. These results confirmed that in urban areas O
<sub>3</sub>
levels have a non-negligible impact in terms of public health.</p>
</sec>
</div>
</front>
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<author>
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<author>
<name sortKey="Medina, S" uniqKey="Medina S">S Medina</name>
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<author>
<name sortKey="Pascal, M" uniqKey="Pascal M">M Pascal</name>
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<name sortKey="Maulpoix, A" uniqKey="Maulpoix A">A Maulpoix</name>
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</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<settlement>
<li>Bordeaux</li>
<li>Lille</li>
<li>Paris</li>
</settlement>
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<name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name>
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<name sortKey="Blanchard, Myriam" sort="Blanchard, Myriam" uniqKey="Blanchard M" first="Myriam" last="Blanchard">Myriam Blanchard</name>
<name sortKey="Cassadou, Sylvie" sort="Cassadou, Sylvie" uniqKey="Cassadou S" first="Sylvie" last="Cassadou">Sylvie Cassadou</name>
<name sortKey="Chardon, Benoit" sort="Chardon, Benoit" uniqKey="Chardon B" first="Benoit" last="Chardon">Benoit Chardon</name>
<name sortKey="Declercq, Christophe" sort="Declercq, Christophe" uniqKey="Declercq C" first="Christophe" last="Declercq">Christophe Declercq</name>
<name sortKey="Eilstein, Daniel" sort="Eilstein, Daniel" uniqKey="Eilstein D" first="Daniel" last="Eilstein">Daniel Eilstein</name>
<name sortKey="Fabres, Pascal" sort="Fabres, Pascal" uniqKey="Fabres P" first="Pascal" last="Fabres">Pascal Fabres</name>
<name sortKey="Jusot, Jean Francois" sort="Jusot, Jean Francois" uniqKey="Jusot J" first="Jean-François" last="Jusot">Jean-François Jusot</name>
<name sortKey="Le Tertre, Alain" sort="Le Tertre, Alain" uniqKey="Le Tertre A" first="Alain" last="Le Tertre">Alain Le Tertre</name>
<name sortKey="Ledrans, Martine" sort="Ledrans, Martine" uniqKey="Ledrans M" first="Martine" last="Ledrans">Martine Ledrans</name>
<name sortKey="Lefranc, Agnes" sort="Lefranc, Agnes" uniqKey="Lefranc A" first="Agnés" last="Lefranc">Agnés Lefranc</name>
<name sortKey="Medina, Sylvia" sort="Medina, Sylvia" uniqKey="Medina S" first="Sylvia" last="Médina">Sylvia Médina</name>
<name sortKey="Pascal, Laurence" sort="Pascal, Laurence" uniqKey="Pascal L" first="Laurence" last="Pascal">Laurence Pascal</name>
<name sortKey="Prouvost, Helene" sort="Prouvost, Helene" uniqKey="Prouvost H" first="Hélène" last="Prouvost">Hélène Prouvost</name>
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</tree>
</affiliations>
</record>

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