Abstract
•Daily maximum temperature (Tmax) and mortality were associated using the DLNM model.•Minimum mortality temperature is 2oC higher for SE England than Aberdeenshire.•Despite 1oC rise in mean Tmax, mortality is nearly constant for the two sites.•Relative risk of extreme temperature has increased by 7% in SE England.•Although the risk in Aberdeenshire is mixed, the harvested lagged risk persists.
Heatwaves pose a protracted health risk depending on its intensity and exposure time. Not only cities but countryside areas are also exposed to risk of summertime heat which has not been recently updated at the bucolic scale. This study aims to associate temperature and mortality and explore its temporal variation. A Poisson regression model combined with a distributed lag non-linear model was applied over daily mortality and maximum temperature data from 1981 to 2018 to formulate the lagged response of summer temperature. The relative risk (RR) and mortality attributable fraction (AF) with respect to minimum mortality temperature (MMT) in Southeast England and Aberdeenshire, UK was calculated. The RR and AF for high and extreme (95th and 99th percentile) temperature with respect to MMT have increased (RR– 1% and 7%; AF– 1.33 and 1.9 times, respectively) in Southeast England but reduced in Aberdeenshire (RR– 2% and 6%; AF– 0.49 and 0.15 times, respectively) in last two decades. However, lagged risk persists for very extreme temperature after several days of exposure at both sites and the hazard cannot be underestimated and neglected. Hence, action is needed to update the heat action plan for extreme temperature management formulating appropriate heat-mitigation strategies focused on vulnerable populations.
Graphical Abstract
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