1°C – the silent killer

From the Harvard School of Public Health , news that an extra 1°C temperature swing in summer will kill the elderly.

Summer temperature variability may increase mortality risk for elderly with chronic disease

Large day-to-day variations in temperature could result in thousands more deaths per year

Boston, MA – New research from Harvard School of Public Health (HSPH) suggests that seemingly small changes in summer temperature swings—as little as 1°C more than usual—may shorten life expectancy for elderly people with chronic medical conditions, and could result in thousands of additional deaths each year. While previous studies have focused on the short-term effects of heat waves, this is the first study to examine the longer-term effects of climate change on life expectancy.

The study will be published online April 9, 2012 in the Proceedings of the National Academy of Sciences.

“The effect of temperature patterns on long-term mortality has not been clear to this point. We found that, independent of heat waves, high day to day variability in summer temperatures shortens life expectancy,” said Antonella Zanobetti, senior research scientist in the Department of Environmental Health at HSPH and lead author of the study. “This variability can be harmful for susceptible people.”

In recent years, scientists have predicted that climate change will not only increase overall world temperatures but will also increase summer temperature variability, particularly in mid-latitude regions such as the mid-Atlantic states of the U.S. and sections of countries such as France, Spain, and Italy. These more volatile temperature swings could pose a major public health problem, the authors note.

Previous studies have confirmed the association between heat waves and higher death rates. But this new research goes a step further. Although heat waves can kill in the short term, the authors say, even minor temperature variations caused by climate change may also increase death rates over time among elderly people with diabetes, heart failure, chronic lung disease, or those who have survived a previous heart attack.

The researchers used Medicare data from 1985 to 2006 to follow the long-term health of 3.7 million chronically ill people over age 65 living in 135 U.S. cities. They evaluated whether mortality among these people was related to variability in summer temperature, allowing for other things that might influence the comparison, such as individual risk factors, winter temperature variance, and ozone levels. They compiled results for individual cities, then pooled the results.

They found that, within each city, years when the summer temperature swings were larger had higher death rates than years with smaller swings. Each 1°C increase in summer temperature variability increased the death rate for elderly with chronic conditions between 2.8% and 4.0%, depending on the condition. Mortality risk increased 4.0% for those with diabetes; 3.8% for those who’d had a previous heart attack; 3.7% for those with chronic lung disease; and 2.8% for those with heart failure. Based on these increases in mortality risk, the researchers estimate that greater summer temperature variability in the U.S. could result in more than 10,000 additional deaths per year.

In addition, the researchers found the mortality risk was 1% to 2% greater for those living in poverty and for African Americans. The risk was 1% to 2% lower for people living in cities with more green space.

Mortality risk was higher in hotter regions, the researchers found. Noting that physiological studies suggest that the elderly and those with chronic conditions have a harder time than others adjusting to extreme heat, they say it’s likely these groups may also be less resilient than others to bigger-than-usual temperature swings.

“People adapt to the usual temperature in their city. That is why we don’t expect higher mortality rates in Miami than in Minneapolis, despite the higher temperatures,” said Joel Schwartz, professor of environmental epidemiology at HSPH and senior author of the paper. “But people do not adapt as well to increased fluctuations around the usual temperature. That finding, combined with the increasing age of the population, the increasing prevalence of chronic conditions such as diabetes, and possible increases in temperature fluctuations due to climate change, means that this public health problem is likely to grow in importance in the future.”

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Support for the study was provided by the U.S. Environmental Protection Agency and the National Institute of Environmental Health Sciences.

“Summer Temperature Variability and Long-term Survival Among Elderly People with Chronic Disease,” Antonella Zanobetti, Marie S. O’Neill, Carina J. Gronlund, and Joel D. Schwartz, Proceedings of the National Academy of Sciences, online April 9, 2012.

Visit the HSPH website for the latest news, press releases and multimedia offerings.

Harvard School of Public Health (http://www.hsph.harvard.edu ) is dedicated to advancing the public’s health through learning, discovery, and communication. More than 400 faculty members are engaged in teaching and training the 1,000-plus student body in a broad spectrum of disciplines crucial to the health and well being of individuals and populations around the world. Programs and projects range from the molecular biology of AIDS vaccines to the epidemiology of cancer; from risk analysis to violence prevention; from maternal and children’s health to quality of care measurement; from health care management to international health and human rights. For more information on the school visit: http://www.hsph.harvard.edu

HSPH on Twitter:

http://twitter.com/HarvardHSPH

HSPH on Facebook:

http://www.facebook.com/harvardpublichealth

HSPH on You Tube:

http://www.youtube.com/user/HarvardPublicHealth

HSPH home page:

http://www.hsph.harvard.edu

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April 10, 2012 4:42 am

Living causes death

DougByMany
April 10, 2012 4:44 am

How many people will die when the cost of electricity goes up making air conditioning less accessible to people living on a fixed income.
Let’s say that there are 20 million chronically ill folks in the country with air conditioning. If 10% of those folks have to forego air conditioning due to the higher cost, their bodies will be forced to experience uncharacteristic swings of let’s say 5 degrees C.
We should expect a one time increase in the death rate of 4% * 5 = 20%, or 400,000 dead grammys and grampys.
I sure the EPA will view this massacre as an investment, offset by all the people saved from breathing poisonous CO2 in the future.

April 10, 2012 4:46 am

In hot weather my favourite occupation is sitting in the garden with a cold beer or a G&T. Thoughts of my daily stroll will be totally forgotten. It won’t be the heat that is responsible for my final demise, but the alcohol and lack of exercise
But then I suppose you can blame the heat for increasing my alcohol consumption and my lack of any desire to go out for a walk, so my death, one day,will be added to the statistics as heat related..

garymount
April 10, 2012 4:57 am

I would like to see a study on the increased number of heart attacks and strokes brought on by an increased number of stressed and angry people because they have to live under the regimes of politicians implementing costly ineffective policies.

Disko Troop
April 10, 2012 4:58 am

I would like to have seen the paper that came before this…researched by the Bursar of HSPH which said that a 1% increase in the mentions of Global Warming in medical research papers result in a 15% increase in Government Grants, EPA grants and bungs from Soros and Suzuki. The memo that went out to his professors must have been a revelation. I can palpably taste my contempt for poeple who put crap like this into the public domain.

biff33
April 10, 2012 5:00 am

They want us to give up fossil fuels — which means giving up industrial cvilzation. How many more deaths will that cause each year? Have the geniuses at Harvard done any studies on whether life expectancy was longer or shorter in pre-industrial times? If this doesn’t convince people that there is no science in climate “science,” just anti-industrial ideology disguised as science, then nothing will — and our civilization is doomed.

DJ
April 10, 2012 5:05 am

I see we’ve finally managed to work in the old racist angle…. If you don’t combat global warming, you’re racist because it adversely affects African-Americans disproportionately. The “hyphenation effect” has long been known here but skeptics have continuously refused to acknowledge it.
The hyphenation effect only impacts hyphenated races, such as African-Americans, but strangely not Africans, like those living in equatorial or desert regions of Africa where summer temperatures can be higher than in Chicago or Nashville.

Richard111
April 10, 2012 5:12 am

Look at insurance statistics. More elderly people die when it is cold!

Eric Dailey
April 10, 2012 5:14 am

Where is that big red button when I need it?

mfo
April 10, 2012 5:15 am

The quote posted earlier, “If your experiment needs statistics, you ought to have done a better experiment.” seems relevent.
In global terms, of those aged over 65, there is a greater proportion of women to men, at present something like 1.5 to 1 (women:men). Over 85 it is 3 to 1. The elderly also have lower incomes and a higher proportion, compared to the under 65’s, live in poverty with less access to healthcare.
The medical conditions mentioned are as much associated with rising obesity as with those aged over 65. Infact all studies of the ageing population show a rapid increase in those aged 65 and over and a similar increase in those aged 80 and over.
Elderly people overall are actually becoming healthier, they have less disease and lead more active lives often continuing to work long past the age of 65.
The projected increase in the ageing population of the entire world is from about 7 % of the population in 2000 to a projected 20% in 2050. Even in Africa the increase is likely to be a rise in the elderly of from 3% in 2000 to 7% in 2050. In the US the rise is from 12% in 2000 to a projected 21% in 2050.
These statistics represent much healthier, rapidly growing elderly populations. In 2009 in the US there were 39 million Americans aged over 65. If the rise continues at its present rate, It is projected that by 2030 there will be 72 mllion Americans aged over 65, many of whom will be over 80 and still leading active lives.
I suppose next they will try to correlate the rise in obesity with climate change. :o(

April 10, 2012 5:19 am

‘Sigh’.

April 10, 2012 5:20 am

One thing we know for sure: Thousands of people are unnecessarily dying in Britain because they can’t afford to create large differences of temperature between inside and outside. When they go in their houses, it’s just as cold as outside. Carbon tax should make them live forever, but for some mysterious reason it doesn’t.

biff33
April 10, 2012 5:22 am

Perhaps next week the National Academy of Sciences will publish a study out of Yale demonstrating that if only we ban automobiles, we will save 40,000 lives each year in the U.S. alone! And it’s only the evil car industry that prevents us from doing it!

Ian W
April 10, 2012 5:29 am

Note that this article is cleverly written to imply that 1degC rise in temperature will kill people especially the poor and Black communities. However, that is NOT what the study actually appears to show which is higher variability MAY increase death rates.
Now we also have to add the ineptness of medical researchers in statistics and their application. I presume by variability they are looking at temperature range over what period of time? As has been pointed out the daily range of temperatures in some places is up to 15 or 20degC. Then they admit in the conclusion “Finally, we found evidence that cardiovascular deaths, especially cardiac arrest deaths, show much larger increases on extremely cold days than other mortality causes.” and as everyone already knows cold kills – but were the cold snaps accounted for in their statistics? I doubt it as a research paper stating that cold kills even if its only a few cold nights would hardly merit attention at Rio+20 – whereas a paper saying 1degC can kill especially the poor…. means a guaranteed research grant and possibly an all expenses paid trip to Brazil.

trccurtin
April 10, 2012 5:44 am

Like everything on Climate Change in PNAS, this latest is a blatant perversion of the truth. For millennia more people have died in cold winters than in hot summers (amongst them my 4 grandparents who all died in the bitter English winters of 1946-7 (aggravated by the globalwarmists’ coal strike?), 1956-7, 1960-61, and 1962-3). Even today across northern Europe and America more die in winter than in summer. Get real! – impossible at PNAS, which has published papers implying rice does better in Scotland than in Thailand, wheat in Greenland than in Australia, and cane sugar in Alaska than in the Sudan (I have the PNAS citations claiming crop yields are higher in cold regimes than in warmer).

Peter Dunford
April 10, 2012 5:46 am

The study period had lots of other tbings changing over that time period. We could suggest that climate alarmism increased during tgat period, perhaps that was the cause. Or income inequality. Energy costs. It is also just possible that people with chronic conditions have not benefitted from increasing life spans over the period because of their, er, chronic conditions. They only apear to have shortened lives because they haven’t had longer ones.
Are they implying the being African American is like having diabetes or asthma? Bit harsh.

rum
April 10, 2012 5:49 am

this will play perfectly to decrease the costs of obamacare. after all, its all those damn sick old people that use all the resources

PaulH
April 10, 2012 5:59 am

JunkScience.com skewers this “study”:
http://junkscience.com/2012/04/09/global-warming-to-kill-elderly-people-with-chronic-disease/
“This study is, of course, an exercise in statistics that is devoid of any relationship to the real world of morbidity and mortality.”

Tom Harley
April 10, 2012 6:02 am

quack quack quack…if it looks like a duck it probably is. I don’t want of those quacks near me…ever.
Harvard School of Public Health? Sure…

Huth
April 10, 2012 6:07 am

The warmists I know think the world is over-populated with humans anyway. They should be glad if death rates rise, shouldn’t they?? :-\

Latitude
April 10, 2012 6:14 am

That is why we don’t expect higher mortality rates in Miami than in Minneapolis, despite the higher temperatures,”
========================================
wrong……Minneapolis gets a lot hotter and if they are talking about temp swings Miami changes very little, Minneapolis changes a lot

EW-3
April 10, 2012 6:17 am

Follow the money:
“Support for the study was provided by the U.S. Environmental Protection Agency and the National Institute of Environmental Health Sciences.”

Jimbo
April 10, 2012 6:23 am

Now let them do a study on winter deaths and how manhy elderly with chronic conditions are likely to suffer with a 1c colder and benefit with 1c warmer winters caused by global warming.

UK
Winter deaths on the riseHypothermia cases double in five years
14 February 2012
Hypothermia-related deaths and hospital admissions have almost doubled over the past five years.
Almost 2000 people were admitted to hospital and 260 died from the condition in 2010/2011, according to figures from the NHS information centre.
Hypothermia occurs when body temperature falls below 35C from its usual 37C.
Saving money on energy bills
Last week a survey by the charity Age UK revealed that half of pensioners – the age group which makes up three quarters of hypothermia-related hospital admissions – had turned down their heating to save money.
http://www.which.co.uk/news/2012/02/winter-deaths-on-the-rise-279198/

Dodgy Geezer
April 10, 2012 6:25 am

Sorry?
This is NOT about temperature increase, it’s about temperature VARIABILITY.
I don’t actually find it surprising that humans prefer an optimum temperature, and that wide variations from it will lead to more deaths. And then, like radioactivity, you can extend that thinking to say that if varying the temperature +/- 100C kills 50% of the people, then varying it +/- 1C will kill 0.5% of the people. Is this what the paper has done? I wouldn’t be surprised…
But where is the evidence, or, indeed, the assertion, that Global Warming will INCREASE temperature variation? I would have thought that if you added extra heat, you would tend to suppress variation….

SunderlandSteve
April 10, 2012 6:26 am

So basically, mon 25c no problem, tues 25c no problem, weds 25c no problem, thurs 26c, omg they’re all going to die!