The Relation Between Temperature, Ozone, and Mortality in Nine French Cities During the Heat Wave of 2003
Identifieur interne : 000164 ( Ncbi/Curation ); précédent : 000163; suivant : 000165The 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 :
- Environmental Health Perspectives [ 0091-6765 ] ; 2006.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Cities, Environmental Exposure, Europe (epidemiology), France (epidemiology), Heat Stress Disorders (epidemiology), Heat Stress Disorders (history), Heat Stress Disorders (mortality), History, 21st Century, Humans, Infrared Rays (adverse effects), Mortality (trends), Ozone (toxicity), Public Health (statistics & numerical data), Risk Assessment, Time Factors.
- MESH :
- chemical , toxicity : Ozone.
- geographic , epidemiology : Europe, France.
- adverse effects : Infrared Rays.
- epidemiology : Heat Stress Disorders.
- history : Heat Stress Disorders.
- mortality : Heat Stress Disorders.
- statistics & numerical data : Public Health.
- trends : Mortality.
- Cities, Environmental Exposure, History, 21st Century, Humans, Risk Assessment, Time Factors.
Abstract
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.
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.
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.
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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PMC:1570046Le document en format XML
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<author><name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
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<author><name sortKey="Cassadou, Sylvie" sort="Cassadou, Sylvie" uniqKey="Cassadou S" first="Sylvie" last="Cassadou">Sylvie Cassadou</name>
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<author><name sortKey="Lefranc, Agnes" sort="Lefranc, Agnes" uniqKey="Lefranc A" first="Agnés" last="Lefranc">Agnés Lefranc</name>
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<author><name sortKey="Eilstein, Daniel" sort="Eilstein, Daniel" uniqKey="Eilstein D" first="Daniel" last="Eilstein">Daniel Eilstein</name>
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<author><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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<author><name sortKey="Pascal, Laurence" sort="Pascal, Laurence" uniqKey="Pascal L" first="Laurence" last="Pascal">Laurence Pascal</name>
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<author><name sortKey="Chardon, Benoit" sort="Chardon, Benoit" uniqKey="Chardon B" first="Benoit" last="Chardon">Benoit Chardon</name>
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<author><name sortKey="Blanchard, Myriam" sort="Blanchard, Myriam" uniqKey="Blanchard M" first="Myriam" last="Blanchard">Myriam Blanchard</name>
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<author><name sortKey="Declercq, Christophe" sort="Declercq, Christophe" uniqKey="Declercq C" first="Christophe" last="Declercq">Christophe Declercq</name>
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<author><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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<author><name sortKey="Prouvost, Helene" sort="Prouvost, Helene" uniqKey="Prouvost H" first="Hélène" last="Prouvost">Hélène Prouvost</name>
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<author><name sortKey="Ledrans, Martine" sort="Ledrans, Martine" uniqKey="Ledrans M" first="Martine" last="Ledrans">Martine Ledrans</name>
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<country xml:lang="fr">France</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Relation Between Temperature, Ozone, and Mortality in Nine French Cities During the Heat Wave of 2003</title>
<author><name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
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<author><name sortKey="Cassadou, Sylvie" sort="Cassadou, Sylvie" uniqKey="Cassadou S" first="Sylvie" last="Cassadou">Sylvie Cassadou</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
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<placeName><settlement type="city">Bordeaux</settlement>
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<author><name sortKey="Medina, Sylvia" sort="Medina, Sylvia" uniqKey="Medina S" first="Sylvia" last="Médina">Sylvia Médina</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
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<author><name sortKey="Fabres, Pascal" sort="Fabres, Pascal" uniqKey="Fabres P" first="Pascal" last="Fabres">Pascal Fabres</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
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<placeName><settlement type="city">Bordeaux</settlement>
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</affiliation>
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<author><name sortKey="Lefranc, Agnes" sort="Lefranc, Agnes" uniqKey="Lefranc A" first="Agnés" last="Lefranc">Agnés Lefranc</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>
<wicri:regionArea> Observatoire Régional de la Santé Ile-de-France, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Eilstein, Daniel" sort="Eilstein, Daniel" uniqKey="Eilstein D" first="Daniel" last="Eilstein">Daniel Eilstein</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Le Tertre, Alain" sort="Le Tertre, Alain" uniqKey="Le Tertre A" first="Alain" last="Le Tertre">Alain Le Tertre</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pascal, Laurence" sort="Pascal, Laurence" uniqKey="Pascal L" first="Laurence" last="Pascal">Laurence Pascal</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><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>
<wicri:regionArea> Observatoire Régional de la Santé Ile-de-France, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Blanchard, Myriam" sort="Blanchard, Myriam" uniqKey="Blanchard M" first="Myriam" last="Blanchard">Myriam Blanchard</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Declercq, Christophe" sort="Declercq, Christophe" uniqKey="Declercq C" first="Christophe" last="Declercq">Christophe Declercq</name>
<affiliation wicri:level="1"><nlm:aff id="af3-ehp0114-001344"> Observatoire Régional de la Santé Nord Pas-de-Calais, Lille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Observatoire Régional de la Santé Nord Pas-de-Calais, Lille</wicri:regionArea>
<placeName><settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jusot, Jean Francois" sort="Jusot, Jean Francois" uniqKey="Jusot J" first="Jean-François" last="Jusot">Jean-François Jusot</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<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>
<affiliation wicri:level="1"><nlm:aff id="af3-ehp0114-001344"> Observatoire Régional de la Santé Nord Pas-de-Calais, Lille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Observatoire Régional de la Santé Nord Pas-de-Calais, Lille</wicri:regionArea>
<placeName><settlement type="city">Lille</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"><nlm:aff id="af1-ehp0114-001344"> Institut de Veille Sanitaire, Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea> Institut de Veille Sanitaire, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Environmental Health Perspectives</title>
<idno type="ISSN">0091-6765</idno>
<idno type="eISSN">1552-9924</idno>
<imprint><date when="2006">2006</date>
</imprint>
</series>
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</fileDesc>
<profileDesc><textClass><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>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
</textClass>
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</teiHeader>
<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>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Akaike, H" uniqKey="Akaike H">H Akaike</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Anderson, H" uniqKey="Anderson H">H Anderson</name>
</author>
<author><name sortKey="Atkinson, R" uniqKey="Atkinson R">R Atkinson</name>
</author>
<author><name sortKey="Peacock, J" uniqKey="Peacock J">J Peacock</name>
</author>
<author><name sortKey="Marston, L" uniqKey="Marston L">L Marston</name>
</author>
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