“…Despite the widespread usage of HSIs, epidemiological studies considering multiple indicators (i.e., temperature and different HSIs) often find comparable predictive skills for adverse health effects with no single indicator being superior to the others (e.g., Barnett et al., 2010; Burkart et al., 2011; Heo & Bell, 2018; Kim et al., 2011; Ragettli et al., 2017; Vaneckova et al., 2011). Additionally, the indicator showing the highest impacts on mortality or morbidity rates varies across geographic locations, seasons, or age groups (Barnett et al., 2010; Chung et al., 2009; Heo et al., 2019; Kang et al., 2020; Rodopoulou et al., 2015). To date, evidence from epidemiological studies suggest that HSI perform similarly well as temperature and, thus, do not seem to be particularly more suitable for predicting adverse health effects related to heat stress (e.g., Armstrong et al., 2019; Kent et al., 2014; Vaneckova et al., 2011).…”