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dc.contributor.authorGuo, Yumingen_US
dc.contributor.authorGasparrini, Antonioen_US
dc.contributor.authorArmstrong, Ben G.en_US
dc.contributor.authorTawatsupa, Benjawanen_US
dc.contributor.authorTobias, Aurelioen_US
dc.contributor.authorLavigne, Ericen_US
dc.contributor.authorCoelho, Micheline de Sousa Zanotti Stagliorioen_US
dc.contributor.authorPan, Xiaochuanen_US
dc.contributor.authorKim, Hoen_US
dc.contributor.authorHashizume, Masahiroen_US
dc.contributor.authorHonda, Yasushien_US
dc.contributor.authorGuo, Yue-Liang Leonen_US
dc.contributor.authorWu, Chang-Fuen_US
dc.contributor.authorZanobetti, Antonellaen_US
dc.contributor.authorSchwartz, Joel D.en_US
dc.contributor.authorBell, Michelle L.en_US
dc.contributor.authorScortichini, Matteoen_US
dc.contributor.authorMichelozzi, Paolaen_US
dc.contributor.authorPunnasiri, Kornwipaen_US
dc.contributor.authorLi, Shanshanen_US
dc.contributor.authorTian, Linweien_US
dc.contributor.authorGarcia, Samuel David Osorioen_US
dc.contributor.authorSeposo, Xerxesen_US
dc.contributor.authorOvercenco, Alaen_US
dc.contributor.authorZeka, Arianaen_US
dc.contributor.authorGoodman, Patricken_US
dc.contributor.authorDang, Tran Ngocen_US
dc.contributor.authorDung, Do Vanen_US
dc.contributor.authorMayvaneh, Fatemehen_US
dc.contributor.authorSaldiva, Paulo Hilario Nascimentoen_US
dc.contributor.authorWilliams, Gailen_US
dc.contributor.authorTong, Shiluen_US
dc.date.accessioned2018-04-19T14:22:14Z
dc.date.issued2017en_US
dc.identifier.citationGuo, Y., A. Gasparrini, B. G. Armstrong, B. Tawatsupa, A. Tobias, E. Lavigne, M. d. S. Z. S. Coelho, et al. 2017. “Heat Wave and Mortality: A Multicountry, Multicommunity Study.” Environmental Health Perspectives 125 (8): 087006. doi:10.1289/EHP1026. http://dx.doi.org/10.1289/EHP1026.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:35982138
dc.description.abstractBackground: Few studies have examined variation in the associations between heat waves and mortality in an international context. Objectives: We aimed to systematically examine the impacts of heat waves on mortality with lag effects internationally. Methods: We collected daily data of temperature and mortality from 400 communities in 18 countries/regions and defined 12 types of heat waves by combining community-specific daily mean temperature ≥90th, 92.5th, 95th, and 97.5th percentiles of temperature with duration ≥2, 3, and 4 d. We used time-series analyses to estimate the community-specific heat wave–mortality relation over lags of 0–10 d. Then, we applied meta-analysis to pool heat wave effects at the country level for cumulative and lag effects for each type of heat wave definition. Results: Heat waves of all definitions had significant cumulative associations with mortality in all countries, but varied by community. The higher the temperature threshold used to define heat waves, the higher heat wave associations on mortality. However, heat wave duration did not modify the impacts. The association between heat waves and mortality appeared acutely and lasted for 3 and 4 d. Heat waves had higher associations with mortality in moderate cold and moderate hot areas than cold and hot areas. There were no added effects of heat waves on mortality in all countries/regions, except for Brazil, Moldova, and Taiwan. Heat waves defined by daily mean and maximum temperatures produced similar heat wave–mortality associations, but not daily minimum temperature. Conclusions: Results indicate that high temperatures create a substantial health burden, and effects of high temperatures over consecutive days are similar to what would be experienced if high temperature days occurred independently. People living in moderate cold and moderate hot areas are more sensitive to heat waves than those living in cold and hot areas. Daily mean and maximum temperatures had similar ability to define heat waves rather than minimum temperature. https://doi.org/10.1289/EHP1026en
dc.language.isoen_USen
dc.publisherEnvironmental Health Perspectivesen
dc.relation.isversionofdoi:10.1289/EHP1026en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783630/pdf/en
dash.licenseLAAen_US
dc.titleHeat Wave and Mortality: A Multicountry, Multicommunity Studyen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalEnvironmental Health Perspectivesen
dash.depositing.authorZanobetti, Antonellaen_US
dc.date.available2018-04-19T14:22:14Z
dc.identifier.doi10.1289/EHP1026*
dash.authorsorderedfalse
dash.contributor.affiliatedSchwartz, Joel
dash.contributor.affiliatedZanobetti, Antonella


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