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Studies have demonstrated repeatedly that air pollution in Athens is associated with a small but statistically significant increase in mortality. Extremely high air temperatures can also cause excess mortality. This study investigated whether air pollution and air temperature have synergistic effects on excess mortality in Athens. Data concerning the increased number of deaths in July 1987 (when a major "heat wave" hit Greece) were compared to the deaths in July of the 6 previous years. This comparison revealed a greater increase in the number of deaths in Athens (97%), compared to all other urban areas (33%) and to all non-urban areas (27%). Data on the daily levels of smoke, sulfur dioxide, and ozone; the number of deaths that occurred daily; and meteorological variables were collected for a 5-y period. The daily value of Thom's discomfort index was calculated. Multiple linear regression models were used to investigate main and interactive effects of air temperature and Thom's discomfort index and air pollution indices. The daily number of deaths increased by more than 40 when the mean 24-h air temperature exceeded 30 degrees C. The main effects of an air pollution index are not statistically significant, but the interaction between high levels of air pollution and high temperature (> or = 30 degrees C) are statistically significant (p < .05) for sulfur dioxide and are suggestive (p < .20) for ozone and smoke. Similar results were obtained when the discomfort index was used, instead of temperature in the models.

In this study, an updated and extended climatology of cyclonic tracks affecting the eastern Mediterranean region is presented, in order to better understand the Mediterranean climate and its changes. This climatology includes intermonthly variations, classification of tracks according to their origin domain, dynamic and kinematic characteristics, and trend analysis. The dataset used is the 1962–2001, 2.5° × 2.5°, 40-yr European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis (ERA-40). The identification and tracking of the cyclones was performed with the aid of the Melbourne University algorithm. It was verified that considerable intermonthly variations of track density occur in the eastern Mediterranean, consistent with previous studies for the entire Mediterranean, while further interesting new features have been revealed. The classification of the tracks according to their origin domain reveals that the vast majority originate within the examined area itself, mainly in the Cyprus area and the southeastern Aegean Sea, while the tracks that originate elsewhere most frequently enter from the west. Deeper cyclones follow the southwest track originating from the area between Algeria and the Atlas Mountains. A greater size characterizes the westerly tracks (southwest, northwest, and west), while the northwest tracks propagate faster over the study area. A negative trend of the track frequency was found on an annual basis that can be mostly attributed to the winter months, being associated with variations in the baroclinicity. This negative trend is more prominent for the westerly and northeasterly tracks, as well as for those originating in the northern part of the examined area.

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