Effect of extreme temperatures on asthma hospital visits: Modification by event characteristics and healthy behaviors

Deng, Shizhou; Han, Azhu; Jin, Shuguang; Wang, Shuang; Zheng, Jianhua; Jalaludin, Bin; Hajat, Shakoor; Liang, Wei; Huang, Cunrui

doi:10.1016/j.envres.2023.115679

Cited by 11 publications

(4 citation statements)

References 48 publications

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“…Moreover, in this study, extreme high temperatures had a certain impact on the increase in asthma visits, but the correlation was not significant. Studies in six cities in Australia; in Beijing and Shenzhen in China; in England; and in Atlanta in the USA have also suggested that increases in temperature can induce the risk of asthmatic symptoms [27,[44][45][46][47]. However, in Shanghai and Hong Kong in China, previous studies have not found a direct impact of high temperature on asthma attacks [13,48].…”

Section: Discussionmentioning

confidence: 98%

Effects of Meteorological Factors on Asthma Hospital Visits in Haikou City, China

Zhang,

Yang,

Chen

et al. 2024

Atmosphere

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The effects of meteorological conditions on asthma in Haikou, a tropical city in China, are still unclear. This study aimed to determine the relationships between meteorological factors and the number of asthma hospital visits in Haikou. A Poisson generalized additive model combined with a distributed lag nonlinear model is used to model the nonlinear exposure–response relationship between the daily mean temperature and asthma hospital visits. The daily mean pressure and air quality are used as covariates and simultaneously control the mixed effects of holiday effects, weekend effects, and long-term trends. The results indicate that there is a significant statistical relationship between the daily mean temperature and asthma hospital visits, which shows an inverted J-shaped relationship. When the daily mean temperature is below the reference value (29.3 °C), the number of asthma patients increases considerably, and there is a marked lag in the prevalence of asthma. The longest lag is 9 days, and the most pronounced impact of the daily mean temperature on the number of asthma hospital visits can be found when the lag time is 1–4 days. When the daily mean temperature is 10 °C, the cumulative effect of the relative risk of asthma is 2.204, an increase of 120.4% (95% CI 1.294–3.755). If the daily mean temperature is below the 2.5th percentile value (14.8 °C), the relative risk significantly increases by more than 5.3% (95% CI 1.000–1.110), and the longest lasting impact time is 5 days. This indicates that increases in asthma hospital visits in Haikou, China, are significantly correlated with low-temperature weather. We suggest that preventive measures for asthma should take low-temperature weather into account. Additionally, we also found that extremely high temperatures have a certain impact on the increase in asthma hospital visits, but that the correlation is not significant.

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Section: Discussionmentioning

confidence: 98%

Effects of Meteorological Factors on Asthma Hospital Visits in Haikou City, China

Zhang,

Yang,

Chen

et al. 2024

Atmosphere

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“…It is significant to note the potential higher vulnerability of early winter cold events examined in this study. Previous studies have shown that the risk associated with short-term, early cold and extreme cold events is higher compared to late cold events, with longer duration of early cold events exhibiting greater vulnerability ( 54 , 55 ). Nevertheless, relative risks decrease towards the latter part of winter, which may be related to people gradually adapting to the cold environment by taking appropriate warming measures.…”

Section: Discussionmentioning

confidence: 99%

Assessment of mortality risks due to a strong cold spell in 2022 in China

Wang,

Ma,

Qin

et al. 2023

Front. Public Health

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BackgroundWith the intensification of global climate warming, extreme low temperature events such as cold spells have become an increasingly significant threat to public health. Few studies have examined the relationship between cold spells and mortality in multiple Chinese provinces.MethodsWe employed health impact functions for temperature and mortality to quantify the health risks of the first winter cold spell in China on November 26th, 2022, and analyzed the reasons for the stronger development of the cold spell in terms of the circulation field.ResultsThis cold spell was a result of the continuous reinforcement of the blocking high-pressure system in the Ural Mountains, leading to the deepening of the cold vortex in front of it. Temperature changes associated with the movement of cold fronts produced additional mortality risks and mortality burdens. In general, the average excess risk (ER) of death during the cold spell in China was 2.75%, with a total cumulative excess of 369,056 deaths. The health risks associated with temperatures were unevenly distributed spatially in China, with the ER values ranging from a minimum of 0.14% to a maximum of 5.72%, and temperature drops disproportionately affect southern regions of China more than northern regions. The cumulative excess deaths exibited the highest in eastern and central China, with 87,655 and 80,230 respectively, and the lowest in northwest China with 27,474 deaths. Among the provinces, excess deaths pronounced the highest in Shandong with 29,492 and the lowest in Tibet with only 196.ConclusionThe study can provide some insight into the mortality burden of cold spells in China, while emphasising the importance of understanding the complex relationship between extreme low temperature events and human health. The outcomes could provide valuable revelations for informing pertinent public health policies.

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“…Increasing temperatures have numerous negative impacts. They lead to increased energy consumption and carbon emissions in buildings [4,5] and negatively affect people's health [6,7] and productivity. In teaching spaces, high temperatures impair students' thinking [8] and learning abilities [9], leading to laziness, fatigue, and poor concentration.…”

Section: Introduction 1global Warming and Rising Temperaturesmentioning

confidence: 99%

Assessing the Potential of Integrated Shading Devices to Mitigate Overheating Risk in University Buildings in Severe Cold Regions of China: A Case Study in Harbin

Qin,

Liu,

et al. 2023

Energies

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Creating a comfortable indoor environment in education buildings is an important design objective. Climate change has resulted in rising summer indoor temperatures in the severe cold regions of China, and evidence of summer overheating risk in these regions has not yet been fully investigated. This study presents evidence of overheating in a university building in a severe cold region of China, discusses the potential of integrated shading devices for mitigating overheating, and proposes design ideas for the application of shading devices. Temperature monitoring and simulation were performed in a university building with natural ventilation located in Harbin, and various configurations of integrated shading devices were simulated using IES Virtual Environment software. The results demonstrate that 69% of classrooms were overheated; furthermore, south-facing classrooms could be overheated for up to 152 h during summer occupancy hours. This study finds that integrated shading devices reduce overheating hours by up to 59.2%. The design of appropriate parameters for shading devices can effectively improve indoor thermal comfort while maintaining daylight levels and controlling the increase in energy consumption. The methodology and results presented in this study offer a reference point and practical guidance for mitigating regional overheating, aiming to promote the improvement of regional standards and optimisation of thermal environments in the severe cold regions of China.

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Effect of extreme temperatures on asthma hospital visits: Modification by event characteristics and healthy behaviors

Cited by 11 publications

References 48 publications

Effects of Meteorological Factors on Asthma Hospital Visits in Haikou City, China

Effects of Meteorological Factors on Asthma Hospital Visits in Haikou City, China

Assessment of mortality risks due to a strong cold spell in 2022 in China

Assessing the Potential of Integrated Shading Devices to Mitigate Overheating Risk in University Buildings in Severe Cold Regions of China: A Case Study in Harbin

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