LeHavreV1, Main, Exploration, bibRecordById, pubmed:16357598

Impact of the 2003 heatwave on all-cause mortality in 9 french cities

Identifieur interne : 001182 ( Main/Exploration ); précédent : 001181; suivant : 001183

Impact of the 2003 heatwave on all-cause mortality in 9 french cities

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

Source :

Epidemiology : (Cambridge, Mass.) [ 1044-3983 ] ; 2006.

RBID : Pascal:06-0331218

Descripteurs français

Pascal (Inist)
- 2003, Chaleur, Mortalité, Epidémiologie, Température air, France, Milieu urbain, Santé publique, Eté, Homme, Canicule.
Wicri :
- geographic : France.
- topic : Mortalité, Santé publique, Homme.

English descriptors

KwdEn :
- 2003, Air temperature, Cause of Death, Climate, Epidemiology, France, France (epidemiology), Heat, Heat wawe, Hot Temperature, Human, Humans, Mortality, Public health, Summer, Urban environment.
MESH :
- geographic , epidemiology : France.
- Cause of Death, Climate, Hot Temperature, Humans.

Abstract

Background: A heatwave occurred in France in August 2003, with an accompanying excess of all-cause mortality. This study quantifies this excess mortality and investigates a possible harvesting effect in the few weeks after the heatwave. Methods: A time-series study using a Poisson regression model with regression splines to control for nonlinear confounders was used to analyze the correlation between heatwave variable and mortality in 9 French cities. Results: After controlling for long-term and seasonal time trends and the usual effects of temperature and air pollution, we estimated that 3,096 extra deaths resulted from the heatwave. The maximum daily relative risk of mortality during the heatwave (compared with expected deaths at that time of year) ranged from 1.16 in Le Havre to 5.00 in Paris. There was little evidence of mortality displacement in the few weeks after the heatwave, with an estimated deficit of 253 deaths at the end of the period. Conclusions: The heatwave in France during August 2003 was associated with a large increase in the number of deaths. The impact estimated using a time-series design was consistent with crude previous estimates of the impact of the heatwave. This finding suggests that neither air pollution nor long-term and seasonal trends confounded previous estimates. There was no evidence to suggest that the extras deaths associated with the heatwave were simply brought forward in time.

Affiliations:

France
Lille, Paris

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Impact of the 2003 heatwave on all-cause mortality in 9 french cities</title>
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<placeName><settlement type="city">Paris</settlement>
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<author><name sortKey="Prouvost, Helene" sort="Prouvost, Helene" uniqKey="Prouvost H" first="Hélène" last="Prouvost">Hélène Prouvost</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Environmental Health Department, Institut de Veille Sanitaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
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<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cassadou, Sylvie" sort="Cassadou, Sylvie" uniqKey="Cassadou S" first="Sylvie" last="Cassadou">Sylvie Cassadou</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Environmental Health Department, Institut de Veille Sanitaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
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</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ledrans, Martine" sort="Ledrans, Martine" uniqKey="Ledrans M" first="Martine" last="Ledrans">Martine Ledrans</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Environmental Health Department, Institut de Veille Sanitaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
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<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Epidemiology : (Cambridge, Mass.)</title>
<title level="j" type="abbreviated">Epidemiology : (Camb. Mass.)</title>
<idno type="ISSN">1044-3983</idno>
<imprint><date when="2006">2006</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Epidemiology : (Cambridge, Mass.)</title>
<title level="j" type="abbreviated">Epidemiology : (Camb. Mass.)</title>
<idno type="ISSN">1044-3983</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>2003</term>
<term>Air temperature</term>
<term>Cause of Death</term>
<term>Climate</term>
<term>Epidemiology</term>
<term>France</term>
<term>France (epidemiology)</term>
<term>Heat</term>
<term>Heat wawe</term>
<term>Hot Temperature</term>
<term>Human</term>
<term>Humans</term>
<term>Mortality</term>
<term>Public health</term>
<term>Summer</term>
<term>Urban environment</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Cause of Death</term>
<term>Climate</term>
<term>Hot Temperature</term>
<term>Humans</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>2003</term>
<term>Chaleur</term>
<term>Mortalité</term>
<term>Epidémiologie</term>
<term>Température air</term>
<term>France</term>
<term>Milieu urbain</term>
<term>Santé publique</term>
<term>Eté</term>
<term>Homme</term>
<term>Canicule</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Mortalité</term>
<term>Santé publique</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: A heatwave occurred in France in August 2003, with an accompanying excess of all-cause mortality. This study quantifies this excess mortality and investigates a possible harvesting effect in the few weeks after the heatwave. Methods: A time-series study using a Poisson regression model with regression splines to control for nonlinear confounders was used to analyze the correlation between heatwave variable and mortality in 9 French cities. Results: After controlling for long-term and seasonal time trends and the usual effects of temperature and air pollution, we estimated that 3,096 extra deaths resulted from the heatwave. The maximum daily relative risk of mortality during the heatwave (compared with expected deaths at that time of year) ranged from 1.16 in Le Havre to 5.00 in Paris. There was little evidence of mortality displacement in the few weeks after the heatwave, with an estimated deficit of 253 deaths at the end of the period. Conclusions: The heatwave in France during August 2003 was associated with a large increase in the number of deaths. The impact estimated using a time-series design was consistent with crude previous estimates of the impact of the heatwave. This finding suggests that neither air pollution nor long-term and seasonal trends confounded previous estimates. There was no evidence to suggest that the extras deaths associated with the heatwave were simply brought forward in time.</div>
</front>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<settlement><li>Lille</li>
<li>Paris</li>
</settlement>
</list>
<tree><country name="France"><noRegion><name sortKey="Le Tertre, Alain" sort="Le Tertre, Alain" uniqKey="Le Tertre A" first="Alain" last="Le Tertre">Alain Le Tertre</name>
</noRegion>
<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="Fabre, Pascal" sort="Fabre, Pascal" uniqKey="Fabre P" first="Pascal" last="Fabre">Pascal Fabre</name>
<name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name>
<name sortKey="Jusot, Jean Francois" sort="Jusot, Jean Francois" uniqKey="Jusot J" first="Jean-Francois" last="Jusot">Jean-Francois Jusot</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="Agnès" last="Lefranc">Agnès Lefranc</name>
<name sortKey="Medina, Sylvia" sort="Medina, Sylvia" uniqKey="Medina S" first="Sylvia" last="Medina">Sylvia Medina</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>
</country>
</tree>
</affiliations>
</record>

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Impact of the 2003 heatwave on all-cause mortality in 9 french cities

Impact of the 2003 heatwave on all-cause mortality in 9 french cities

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