Excess winter deaths in 30 European countries 1980–2013: a critical review of methods
Open Access
- 28 December 2015
- journal article
- review article
- Published by Oxford University Press (OUP) in Journal of Public Health
- Vol. 38 (4), 806-814
- https://doi.org/10.1093/pubmed/fdv184
Abstract
Extreme temperatures (both excess heat and excess cold) are associated with elevated mortality risk. This article reviews historical data on cold-related deaths in Europe (1980–2013). It outlines the classic ‘excess winter deaths’ methodology used to estimate cold-related mortality and explores the inaccuracies that are associated with this generic estimation method: it yields relatively accurate estimates of the actual public health impacts of cold temperatures in only 2 of 30 European countries. This is an issue of concern, given the prominent role of excess winter deaths monitoring in public health policymaking and research. An alternative estimation method is proposed, based on heating degree days, which could yield more accurate estimations of the public health implications of cold weather in Europe, and how these vary across different countries. Further research is needed to scrutinize core assumptions underlying excess winter death methodology, particularly as to whether it has equal validity for estimating public health impacts across the widely diverse climatic conditions that prevail across Europe. In the meantime, given data on heating degree days are freely available for European countries, it is recommended that this approach replaces the conventional methodology.Keywords
Funding Information
- Chesshire Lehmann Fund
This publication has 15 references indexed in Scilit:
- Have winter fuel payments reduced excess winter mortality in England and Wales?Journal of Public Health, 2014
- The Cold Weather Plan evaluation: an example of pragmatic evidence-based policy making?Public Health, 2014
- Climate change effects on human health: projections of temperature-related mortality for the UK during the 2020s, 2050s and 2080sJournal of Epidemiology and Community Health, 2014
- Effects of climatic temperature stress on cardiovascular diseasesEuropean Journal of Internal Medicine, 2010
- Blood pressure and thermal responses to whole body cold exposure in mildly hypertensive subjectsJournal of Thermal Biology, 2004
- Cold temperature and consultations for respiratory and cardiovascular disease.International Journal of Epidemiology, 2002
- Warfare in Ancient GreecePublished by Taylor & Francis Ltd ,2002
- Increases in platelet and red cell counts, blood viscosity, and arterial pressure during mild surface cooling: factors in mortality from coronary and cerebral thrombosis in winter.BMJ, 1984
- Coronary occlusion, heart failure, and environmental temperaturesAmerican Heart Journal, 1938
- The Influence of Weather Conditions on the Mortality from Bronchitis and Pneumonia in ChildrenEpidemiology and Infection, 1924