Health Impact of the 2003 Heat-Wave in France

摘要: An unprecedented heat-wave struck France in early August 2003, associated to high levels of air pollution. The meteorological event was accompanied by an excess mortality that started and rose quickly. Between 1st 20th, the deaths reached 14,802 cases comparison average daily 2000 – 2002 period. It represents +60 % for all causes. observed first affected elderly (+70 75 years-old more), but also severe 45 74 year olds (+30 %). In age groups, females 15 20 higher than male. Almost whole country excess-mortality, however its intensity varied significantly from one region another at a maximum Paris suburbs (+142 clearly increased with duration extreme temperatures. With regard location, highest rate nursing homes where number twice expected number. Following descriptive studies carried out immediately after heat-wave, two case-control surveys were out. study conducted identify individual risk factors (way life, medical history, self sufficiency) environmental (housing) people living home. second (autonomy/handicap, condition, drug consumption) (number quality personnel available; facility size characteristics; prevention plans therapeutic protocols) residing This survey made parts: “facility study” “individual study”. High photochemical pollution heat-wave. A estimate fraction attributable ozone risks jointly related temperature ozone, decrease weeks following cities having experienced (Paris, Lyon) contribution minor relative temperature; part this pollutant variable low. did not show harvesting effect within three French Heat-Wave National Plan, developed 2003 event, includes Heat Health Watch Warning System operating 2004 covering country.