TY  - JOUR
PY  - 2006//
TI  - General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy)
JO  - Environmental research
A1  - Conti, S.
A1  - Masocco, Maria
A1  - Meli, Paola
A1  - Minelli, Giada
A1  - Palummeri, Ernesto
A1  - Solimini, Renata
A1  - Toccaceli, Virgilia
A1  - Vichi, Monica
SP  - 267
EP  - 274
VL  - 103
IS  - 2
N2  - The effects of heat waves on health can be serious for elderly persons, especially those in urban areas. We investigated in-depth the mortality excess during the 2003 heat wave among elderly persons (>74 years) in the City of Genoa (Italy). The excess in general mortality was calculated for the period July 16-August 31, as the ratio of observed to expected deaths. To evaluate "harvesting", we compared observed and expected mortality in the period September 2003-April 2004. We also studied the relationship between mortality and climatic conditions considering daily maximum temperature and Humidex discomfort degrees, as well as "lag-time". For cause-specific mortality, we considered all pathologies reported on the death certificate. The excess in general mortality was significant and was greatest in the first half of August. During Summer 2003, in Genoa the climatic conditions (described in terms of maximum temperature and Humidex Index) were extremely hot; regarding lag-time, the greatest correlation between the number of observed deaths and the maximum temperature values was observed for the three preceding days (rho=0.568; significance level <0.01). The prominent causes of death, for which an excess was observed, were cerebrovascular diseases, severe respiratory diseases, severe renal diseases, dementia; moreover, certain pathologic conditions and symptoms, usually not lethal, were also frequent causes of death (e.g., hypovolemia, hyperpyrexia, decubitus ulcers and immobilization syndrome). The results of this study confirm the relationship between the heat waves and death among elderly, stressing that, because of their poorer physical health and the prevalence of cognitive disturbances that hinder risk perception, it is necessary to properly care for them during heat waves.<p />  <p>Language: en</p>
LA  - en
SN  - 0013-9351
UR  - http://dx.doi.org/10.1016/j.envres.2006.06.003
ID  - ref1
ER  -