Prioritizing social vulnerability in urban heat mitigation.

We utilized city-scale simulations to quantitatively compare the diverse urban overheating mitigation strategies, specifically tied to social vulnerability and their cooling efficacies during heatwaves. We enhanced the Weather Research and Forecasting model to encompass the urban tree effect and calculate the Universal Thermal Climate Index for assessing thermal comfort. Taking Houston, Texas, and United States as an example, the study reveals that equitably mitigating urban overheat is achievable by considering the city's demographic composition and physical structure. The study results show that while urban trees may yield less cooling impact (0.27 K of Universal Thermal Climate Index in daytime) relative to cool roofs (0.30 K), the urban trees strategy can emerge as an effective approach for enhancing community resilience in heat stress-related outcomes. Social vulnerability-based heat mitigation was reviewed as vulnerability-weighted daily cumulative heat stress change. The results underscore: (i) importance of considering the community resilience when evaluating heat mitigation impact and (ii) the need to assess planting spaces for urban trees, rooftop areas, and neighborhood vulnerability when designing community-oriented urban overheating mitigation strategies.

Spatial and temporal effects of heat waves on the diversity of European stream invertebrate communities.

The frequency and magnitude of extreme events, such as heat waves, are predicted to increase with climate change. However, assessments of the response of biological communities to heat waves are often inconclusive. We aimed to assess the responses in abundance, taxonomic and functional diversity indices of stream invertebrate communities to heat waves using long-term monitoring data collected across Europe. We quantified the heat waves' magnitude, analyzed the spatial (i.e., long-term mean) and temporal (anomaly around the long-term mean) components of variation in the magnitude of heat waves, and their interaction with anthropogenic stressors (ecological quality and land cover). For the spatial component of variation, we found a negative association of the community indices to the increasing magnitude of heat waves. Sites undergoing heat waves of higher magnitude showed fewer species and lower trait diversity compared with sites experiencing lower magnitude heat waves. However, we could not detect an immediate temporal response of the communities to heat waves (i.e., the temporal component). Furthermore, we found that the effects of heat waves interacted with the ecological quality of the streams and their surrounding land cover. Diversity declined with increasing heat waves' magnitude in streams with higher ecological quality or surrounded by forest, which may be due to a higher proportion of sensitive species in the community. Heat waves' impacts on diversity were also exacerbated by increasing urban cover. The interaction between heat waves' magnitude and anthropogenic stressors suggests that the effects of extreme events can compromise the recovery of communities. Further, the predicted increase in heat waves will likely have long-term effects on stream invertebrate communities that are currently undetected.

Changing disturbance regimes, material legacies, and stabilizing feedbacks: Dead coral skeletons impair key recovery processes following coral bleaching.

Ecosystem responses to disturbance depend on the nature of the perturbation and the ecological legacies left behind, making it critical to understand how climate-driven changes in disturbance regimes modify resilience properties of ecosystems. For coral reefs, recent increases in severe marine heat waves now co-occur with powerful storms, the historic agent of disturbance. While storms kill coral and remove their skeletons, heat waves bleach and kill corals but leave their skeletons intact. Here, we explored how the material legacy of dead coral skeletons modifies two key ecological processes that underpin coral reef resilience: the ability of herbivores to control macroalgae (spatial competitors of corals), and the replenishment of new coral colonies. Our findings, grounded by a major bleaching event at our long-term study locale, revealed that the presence of structurally complex dead skeletons reduced grazing on turf algae by ~80%. For macroalgae, browsing was reduced by >40% on less preferred (unpalatable) taxa, but only by ~10% on more preferred taxa. This enabled unpalatable macroalgae to reach ~45% cover in 2 years. By contrast, herbivores prevented macroalgae from becoming established on adjacent reefs that lacked skeletons. Manipulation of unpalatable macroalgae revealed that the cover reached after 1 year (~20%) reduced recruitment of corals by 50%. The effect of skeletons on juvenile coral growth was contingent on the timing of settlement relative to the disturbance. If corals settled directly after bleaching (before macroalgae colonized), dead skeletons enhanced colony growth by 34%, but this benefit was lost if corals colonized dead skeletons a year after the disturbance once macroalgae had proliferated. These findings underscore how a material legacy from a changing disturbance regime can alter ecosystem resilience properties by disrupting key trophic and competitive interactions that shape post-disturbance community dynamics.

Assessment of the effects of heat stress on the production of dairy cows by using two comfort thermal indices in Southern Chile.

Heat stress has been recognized as a serious problem in dairy farms around the world due to the increasing heat waves and higher genetic potential of dairy cows. In Chile, milk production is concentrated in the southern regions of the country, where animals graze all year around, consequently being exposed directly to environmental conditions. Nevertheless, there are few studies conducted in Chile that have evaluated at the commercial level the impact of heat stress on milk production. The aim of this study was to assess the effects of summer conditions, across periods, on the milk production of cows at different stages of lactation in a dairy farm located in Southern Chile. Daily meteorological and milk yield records of three summers from a dairy farm were collected to characterize the relationship between two thermal stress indices and milk yield. The thermal comfort indices used were the comprehensive climate index (CCI), and the adjusted temperature humidity index (THIadj). The average values of CCI and THIadj were dependent on the period (P < 0.0001) with maximum CCI of 40.2 °C, 31.7 °C, and 27.5 °C for the 2012-2013, 2015-2016, and 2016-2017 periods, respectively. A similar response was recorded when THIadj was used (85.5, 78.0, and 73.9, respectively). In the 2012-2013 summer, 44.4% of the days presented conditions of heat stress (CCI ≥23), a value that fell to 26.7% in the summer of 2015-2016 and only 5.6% in the 2016-2017. On the opposite, when the THIadj was used, these values were 50%, 48.9%, and 5.6%, respectively. In conclusion, both comfort thermal indices are good tools to determine the risk of thermal stress in dairy cows, with a large variation between the three summer periods but also between indices. Likewise, cows in the early and mid-lactation periods are more affected in terms of milk yield.

Prioritising urban heat island mitigation interventions: Mapping a heat risk index.

The global climate is under threat from increasing extreme heat, evidenced by rising temperatures and a surge in hot days. Heat waves are intensifying worldwide, impacting cities and residents, as demonstrated by the record-breaking heat experienced in the UK in 2022, which resulted in over 4500 deaths. Urban heat islands (UHIs) exacerbate these heat waves, making city residents more vulnerable to heat-related deaths. UHIs occur when temperatures in urban areas exceed those in surrounding rural areas due to the heat-absorbing properties of urban structures. Implementing mitigation strategies, such as green infrastructure, is crucial for enhancing urban resilience and reducing vulnerability to UHIs. Effectively addressing UHIs requires a systematic approach, including developing risk maps to prioritise areas for UHI mitigation strategies. Using remote sensing, GIS, and SPSS correlational analysis, the research aims to develop and assess a Heat Risk Index (HRI). This index integrates UHI spatial intensity, current green cover, and population density at the district level to develop the risk index. This study stands out for its novel approach to developing the HRI, focusing on the localised impact of the UHI in Manchester City, identifying high-risk heat-vulnerable districts, and prioritising implementing effective UHI mitigation strategies. The findings highlight the importance of this approach, revealing that approximately 30 % of Manchester City is affected by UHI effects, with areas near the city centre, characterised by higher population density and reduced green cover, being particularly vulnerable. Furthermore, the study suggests that applying HRIs at a more localised level, such as the neighbourhood level rather than the district level, would provide more relevant and targeted insights for mitigating UHI. A more localised index would offer tailored insights into the unique conditions of each neighbourhood within the districts, enabling more effective mitigation strategies. The HRI developed in this paper serves as a test for a more nuanced and comprehensive index, considering additional variables related to population vulnerability and city urban structure.

Thermal tolerance plasticity and dynamics of thermal tolerance in Eublepharis macularius: Implications for future climate-driven heat stress.

The intensity and duration of heat waves, as well as average global temperatures, are expected to increase due to climate change. Heat waves can cause physiological stress and reduce fitness in animals. Species can reduce overheating risk through phenotypic plasticity, which allows them to raise their thermal tolerance limits over time. This mechanism could be important for ectotherms whose body temperatures are directly influenced by available environmental temperatures. Geckos are a large, diverse group of ectotherms that vary in their thermal habitats and times of daily activity, which could affect how they physiologically adjust to heat waves. Data on thermal physiology are scarce for reptiles, with only one study in geckos. Understanding thermal tolerance and plasticity, and their relationship, is essential for understanding how some species are able to adjust or adapt to changing temperatures. In this study, we estimated thermal tolerance and plasticity, and their interaction, in the crepuscular gecko, Eublepharis macularius, a species that is emerging as a model for reptile biology. After estimating basal thermal tolerance for 28 geckos, thermal tolerance was measured for each individual a second time at several timepoints (3, 6, or 24 h) to determine thermal tolerance plasticity. We found that thermal tolerance plasticity (1) does not depend on the basal thermal tolerance of the organism, (2) was highest after 6 h from initial heat shock, and (3) was negatively influenced by individual body mass. Our findings contribute to the increasing body of work focused on understanding the influence of biological and environmental factors on thermal tolerance plasticity in organisms and provide phenotypic data to further investigate the molecular basis of thermal tolerance plasticity in organisms.

Impact of heat waves on semen quality: A retrospective study in Argentina between 2005 and 2023.

Heat waves, defined as periods with daily temperatures surpassing the historical average for a specific region, have become more frequent worldwide in recent years. Previous studies have reported a negative association between temperature and semen quality, but the focus has mainly been on Asian and European populations. The study included 54,926 men (18-60 years) undergoing routine semen analysis between 2005 and 2023 at CEUSA-LAEH andrology unit, in Buenos Aires, Argentina. Hourly temperature readings were provided by the Servicio Meteorológico Nacional. R programming (R Studio v2022.07.2) was used to define heat waves, calculate key characteristics, visualize results, and perform statistical tests at the IBYME laboratory. During the period studied, a total of 124 days had heat waves (defined after at least 3 consecutive days with 32.3 °C and 22 °C). Men exposed to heat waves during spermatogenesis exhibited lower sperm number (concentration and count; P < 0.0001) and decreased normal morphology (percentage of normal sperm and normal motile count; P < 0.05) compared to those not exposed. These differences were most pronounced between semen samples from years with several heat waves (2013, 2023) and none (2005, 2007, 2016), displaying 4-5 times higher fold changes (P < 0.05). Further analysis employing multiple regression revealed a significantly negative association between semen quality and heat wave length, suggesting that a prolonged exposure may be more detrimental than an acute exposure. Subsequent analysis focusing on prolonged exposure (≥6-days heat wave) during spermatogenesis revealed a negative (P < 0.05) association between early exposure (spermatocytogenesis: 64-90 days prior semen collection) and semen quality. This study underscores the negative association between early exposure to heat waves during sperm development and semen quality, raising concerns about its possible association with the worldwide declining male fertility. A comprehensive collaborative approach is crucial, involving global governmental policies, sustainable practices, and coordinated efforts across scientific, healthcare, and policy domains.

Markers of enterocyte damage, microbial translocation, and systemic inflammation following 9 h of heat exposure in young and older adults.

Heat stress induced damage to the gastrointestinal barrier can induce local and systemic inflammatory reactions implicated in heat-stroke. Gastrointestinal barrier damage has been shown to be greater in older relative to young adults following hyperthermia. However, comparisons between young and older adults have been limited to brief exposures (3 h), which may not reflect the duration of heat stress experienced during heat waves. We therefore evaluated markers of intestinal epithelial damage (log transformed intestinal fatty acid binding protein, IFABPLOG), microbial translocation (soluble cluster of differentiation 14, sCD14LOG), and systemic inflammation (tumour necrosis factor alpha, TNF-αLOG; interleukin 6, IL-6LOG; C-reactive protein, CRP) in 19 young (interquartile range: 21-27 years; 10 females) and 37 older (68-73 years; 10 females) adults before and after 9 h of rest in 40 °C (9% relative humidity). The magnitude of the increase in IFABPLOG was 0.38 log pg/mL (95% CI, 0.10, 0.65 log pg/mL) greater in the older relative to young cohort (P = 0.049) after 9 h heat exposure. At baseline both IL-6LOG and CRP concentrations were higher in the older (IL-6: 2.67 (1.5) log pg/mL, CRP: 0.28 (1.5) mg/mL) relative to the young (IL-6: 1.59 log pg/mL, SD 1.2; CRP: 0.11 mg/mL, SD 1.7) group (both P ≤ 0.001). The change in IL-6 and CRP was similar between groups following 9 h heat exposure (IL-6: P = 0.053; CRP: P = 0.241). Neither sCD14LOG and TNF-αLOG were different between groups at baseline nor altered after 9 h heat exposure. Our data indicate that age may modify intestinal epithelial injury following 9 h of passive heat exposure.

Can thermal anomalies impair the restoration of Cystoseira s.l. forests?

Marine macroalgal forests are facing unprecedented challenges worldwide due to the accelerating impacts of climate change. These ecosystems play a crucial role in supporting biodiversity, coastal ecosystem functions and services, and are indeed object of several conservation and restoration measures. The Mediterranean Sea is warming faster than the oceans and thermal anomalies are occurring with increasing intensity, frequency and duration. Along the Mediterranean coasts, Cystoseira sensu lato species are the main representatives of macroalgal forests and their decline has been widely documented. Some relevant achievements in the implementation of ecological restoration have been obtained, but rising temperatures and the occurrence of thermal anomalies increasingly threaten the success of these restoration attempts. In the summer of 2022, ex-situ restoration actions of Ericaria amentacea were carried out by collecting fertile material from three donor sites of the Italian coasts along a latitudinal gradient, during the period of sexual maturity (June/July). Noteworthy during the summer of 2022, anomalous thermal conditions were recorded at the donor sites, with sea surface temperatures exceeding the climatological mean up to 4.3 °C and heatwaves lasting up to 78 days. Our results suggest that these thermal anomalies may have affected the culture of the embryos in both the pre- and post-zygotic phases, resulting in significantly low culture efficiency at the three donor sites. The reproductive structures showed some abnormalities, fertilization of eggs was lower and embryo growth was slower, resulting in lower percent cover of seedlings on the tiles and lower survival rate. The observations underscore the vulnerability of Mediterranean algal forests to global change and highlight additional challenges for their restoration due to the increasing frequency and severity of thermal anomalies, emphasizing the need for adaptive strategies and a comprehensive understanding of the species in a changing climate. Marine forest restoration requires long lasting projects, to allow for long-term monitoring and better understanding the biology of the species and for mitigating stochastic events that can cause the temporary failure of efforts.

Heat Waves Coupled with Nanoparticles Induce Yield and Nutritional Losses in Rice by Regulating Stomatal Closure.

The frequency, duration, and intensity of heat waves (HWs) within terrestrial ecosystems are increasing, posing potential risks to agricultural production. Cerium dioxide nanoparticles (CeO2 NPs) are garnering increasing attention in the field of agriculture because of their potential to enhance photosynthesis and improve stress tolerance. In the present study, CeO2 NPs decreased the grain yield, grain protein content, and amino acid content by 16.2, 23.9, and 10.4%, respectively, under HW conditions. Individually, neither the CeO2 NPs nor HWs alone negatively affected rice production or triggered stomatal closure. However, under HW conditions, CeO2 NPs decreased the stomatal conductance and net photosynthetic rate by 67.6 and 33.5%, respectively. Moreover, stomatal closure in the presence of HWs and CeO2 NPs triggered reactive oxygen species (ROS) accumulation (increased by 32.3-57.1%), resulting in chloroplast distortion and reduced photosystem II activity (decreased by 9.4-36.4%). Metabolic, transcriptomic, and quantitative real-time polymerase chain reaction (qRT-PCR) analyses revealed that, under HW conditions, CeO2 NPs activated a stomatal closure pathway mediated by abscisic acid (ABA) and ROS by regulating gene expression (PP2C, NCED4, HPCA1, and RBOHD were upregulated, while CYP707A and ALMT9 were downregulated) and metabolite levels (the content of γ-aminobutyric acid (GABA) increased while that of gallic acid decreased). These findings elucidate the mechanism underlying the yield and nutritional losses induced by stomatal closure in the presence of CeO2 NPs and HWs and thus highlight the potential threat posed by CeO2 NPs to rice production during HWs.

Heat and health of occupational workers: a short summary of literature.

Globally, occupational workers suffer various health impacts due to extreme heat. In this short review, we examine the literature discussing health impacts of heat on occupational workers, and then discuss certain individual and institutional measures needed to address the problem. Though the available literature in the recent decade discusses health impacts of heat on workers as various heat-related illnesses, we found very few studies examining how occupational workers suffer from issues concerning cardiovascular health, neurological health, respiratory health, and mental health. In this regard, we highlight the need for more studies to examine how occupational workers exposed to extreme heat conditions suffer from fatal health issues like cardiovascular attack, brain stroke, and other ailments impacting vital organs of the body. Occupational workers across the world should be made aware of measures to protect themselves from extreme heat. Further, countries should develop occupational heat safety guidelines with statutory effect.

The 2018 Heat Wave's Impact on the Mortality of Older People in Seoul, South Korea.

Few studies on social welfare in South Korea have examined the effects of climate change, especially heat waves on vulnerable populations. The present study aims to investigate how heat waves affect vulnerable populations. This study utilized a cross-sectional study design, using the daily heat index and heat-related mortality data for Seoul, South Korea, in summer 2018. The research used micro-raw data of deaths caused by hypertensive, ischemic heart, and cerebrovascular diseases, as well as heat index data. An effect was observed for the heat index on mortality for individuals over 65 years of age, men, people with spouses, and those ages 75-79 years.

Relatório Lancet Countdown South America 2023 - saúde e mudanças climáticas: confie na ciência. Agora que sabemos, devemos agir / The 2023 South America report of The Lancet Countdown on health and climate change: trust the science. Now that we know, we must act

O Relatório Lancet Countdown tem feito importantes contribuições ao denunciar os principais agravos à saúde ambiental, graças à ação antropogênica, cada vez mais intensa. O desflorestamento, os incêndios florestais, cada vez mais incontroláveis, a seca, o consumo de combustíveis fósseis, o uso de energia não renovável, propiciam o aparecimento de alterações climáticas caracterizadas por ondas de calor, tempestades cada vez mais intensas, inundações e o consequente comprometimento da saúde dos humanos. A versão Lancet Countdown South America apresenta de forma clara e chocante as alterações no continente e faz chamamento para que essas alterações sejam bloqueadas, pois ainda há tempo.

The Lancet Countdown Report has made significant contributions by exposing the main impacts on environmental health caused primarily by increasingly intense anthropogenic action. Deforestation, increasingly uncontrollable forest fires, drought, fossil fuels, and nonrenewable energy contribute to the onset of climate change. This change is characterized by heat waves, increasingly intense storms, and floods that, consequently, compromise human health. The South America report of The Lancet Countdown highlights the alarming changes occurring in the continent and urges action to stop these changes while there is still time.

Impact of drought on mental and behavioral disorders, contributions of research in a climate change context. A narrative review.

Mental and behavioral disorders are an important public health problem and constitute a priority for the WHO, whose recommendations include the surveillance of their risk factors. On the other hand, drought episodes have been increasing in frequency and severity in Europe since 1980. Therefore, to review the present knowledge about the impact of drought on mental and behavioral disorders, in the present climate change context, and to underline potential research gaps, could be of major interest. Thus, we performed a narrative review using online academic databases with the aim of identifying relevant literature about the impact of drought on mental and behavioral disorders. To the best of our knowledge, no study in Europe quantifies the potential association between drought and mental disorders. A limited number of studies have found significant associations between droughts (with different temporal ranges) and various measures of mental health. However, according to our review, only three of them quantified the association between drought and objective mental health outcomes, such as number of emergencies due to clinically diagnosed mental disorders or suicides. Additionally, few studies used specific indices as a measure of drought; and finally, as far as authors are aware, none of them has analyzed this relationship adjusting for various other potential environmental confounders. Moreover, the eventual association could vary between different geographical areas within the same country. Therefore, national and regional studies would be especially necessary. Thus, there is a need for specific national and regional studies, in Europe and globally, that assess the impact of specific indices of drought (with different temporal ranges) on objective mental health outcomes controlling for potential environmental confounders. Moreover, the quantification of its cost would be necessary for health prioritization, evidence-based policies and strategic health planning.

Exposure to heat wave risks across time and places: Seasonal variations and predictors of feelings of threat across heat wave geographical susceptibility locations.

Vulnerability to heat waves and their negative effects on health vary not only due to individual factors but also due to situational factors, such as time and geography. Hence, we explored seasonal variations and predictors of heat wave feelings of threat across different heat wave geographical susceptibility locations in Portugal. A total of 238 Portuguese residents responded to a web-based longitudinal survey: before the summer, during a heat wave in the summer, during the summer, and after the summer. Geographical location was used as an indicator of risk exposure, operationalized as heat wave occurrence susceptibility (low, moderate, high). Heat wave demands and resources perceptions were assessed to compute an indicator of heat wave feelings of threat. During the heat wave, feelings of threat were higher among participants in high-susceptibility locations, with demands outweighing resources perceptions, suggesting greater distress and coping difficulty. Regression analysis suggested that older participants and female participants living in moderate-high-susceptibility locations had greater difficulty in recovering. Heat wave risk perception and positive affect about heat were identified as the most consistent predictors of heat wave feelings of threat, with risk perception increasing and positive affect decreasing such feelings. Participants with (individual and geographical) vulnerability profiles, who had greater difficulty in coping and recovering from heat waves, could benefit from resource-building/enhancing interventions. In a climatic crisis context, monitoring psychological responses to heat waves (e.g., threat) may enable anticipated action to build resilience before, rather than after, the effects become damaging to physical and psychological health.

Gills de novo assembly reveals oxidative stress, unfolded protein, and immune response on red cusk-eel (Genypterus chilensis) under thermal stress.

The heat waves on the South Pacific coast could lead to thermal stress in native fish. The red cusk-eel (Genypterus chilensis) is relevant for Chilean artisanal fisheries and aquaculture diversification. This study examined the effect of high-temperature stress in the gills of G. chilensis in control (14 °C) and high-temperature stress (19 °C) conditions. High-temperature stress induces a significant increase in gills cortisol levels. Additionally, oxidative damage was observed in gills (protein carbonylation and lipoperoxidation). RNA-seq data was used to build the first transcriptome assembly of gills in this species (23,656 annotated transcripts). A total of 1138 down-regulated and 1531 up-regulated transcripts were observed in response to high-temperature stress in gills. The enrichment analysis showed immune response and replication enriched processes (on down-regulated transcripts), and processes related to the folding of proteins, endoplasmic reticulum, and transporter activity (on up-regulated transcripts). The present study showed how gills could be affected by high-temperature stress.

Impact of climate change on immune responses and barrier defense.

Climate change is not just jeopardizing the health of our planet but is also increasingly affecting our immune health. There is an expanding body of evidence that climate-related exposures such as air pollution, heat, wildfires, extreme weather events, and biodiversity loss significantly disrupt the functioning of the human immune system. These exposures manifest in a broad range of stimuli, including antigens, allergens, heat stress, pollutants, microbiota changes, and other toxic substances. Such exposures pose a direct and indirect threat to our body's primary line of defense, the epithelial barrier, affecting its physical integrity and functional efficacy. Furthermore, these climate-related environmental stressors can hyperstimulate the innate immune system and influence adaptive immunity-notably, in terms of developing and preserving immune tolerance. The loss or failure of immune tolerance can instigate a wide spectrum of noncommunicable diseases such as autoimmune conditions, allergy, respiratory illnesses, metabolic diseases, obesity, and others. As new evidence unfolds, there is a need for additional research in climate change and immunology that covers diverse environments in different global settings and uses modern biologic and epidemiologic tools.

Ocean warming events resilience capability in underwater computing platforms.

Underwater data centers (UDCs) use the ocean's cold-water resources for free cooling and have low cooling costs. However, UDC cooling is affected by marine heat waves, and underwater seismic events thereby affecting UDC functioning continuity. Though feasible, the use of reservoirs for UDC cooling is non-scalable due to the high computing overhead, and inability to support continuity for long duration marine heat waves. The presented research proposes a mobile UDC (capable of migration) to address this challenge. The proposed UDC migrates from high underwater ground displacement ocean regions to regions having no or small underwater ground displacement. It supports multiple client underwater applications without requiring clients to develop, deploy, and launch own UDCs. The manner of resource utilization is influenced by the client's service level agreement. Hence, the proposed UDC provides resilient services to the clients and the requiring applications. Analysis shows that using the mobile UDC instead of the existing reservoir UDC approach enhances the operational duration and power usage effectiveness by 8.9-48.5% and 55.6-70.7% on average, respectively. In addition, the overhead is reduced by an average of 95.8-99.4%.

Long-term effect of extreme temperature on cognitive function of middle-aged and older adults in China.

BACKGROUND: Several studies have explored the association between temperature and cognitive function. However, few studies have examined the effect of extreme temperature on cognitive function. In this study, we aimed to quantify the long-term effect of extreme temperature (e.g., heat waves, cold spells, and hot night excess (HNE)) on cognitive performance in middle-aged and older people in China. METHOD: We investigated 7915 aged >45 years people from the China Health and Retirement Longitudinal Study (CHARLS), surveyed in 2011 and 2015. A structured questionnaire was utilized to assess cognitive function, including four dimensions: episodic memory, attention, orientation, and visuo-construction. Hourly ambient temperature from the ERA5-Land datasets were used to calculate variables indicating extreme temperature. We performed difference-in-difference (DID) models to assess the potential causal relationship between extreme temperature and cognitive function. RESULTS: Non-linear analyses suggested that both sustained increases in temperature and excessive variability in temperature increased the risk of cognitive decline. Meanwhile, we observed the extra risk of global cognitive function decline was 2.3% (95% Confidence interval (95% CI): 0.2%, 4.4%) for heat waves (one unit increase) and 5.9% (95% CI: 0.6%, 11.6%) for HNE (one unit increase), while the association for cold spells was insignificant. Two cognitive dimensions, episodic memory and visuo-construction, were sensitive to these two heat-related factors. CONCLUSION: Extreme temperature was inversely related to cognitive performance in middle-aged and older adults, which was substantial for heat waves and HNE particularly. The effect size varied by cognitive dimensions.

Interactive effects of atmospheric oxidising pollutants and heat waves on the risk of residential mortality.

BACKGROUND: The impact of heat waves and atmospheric oxidising pollutants on residential mortality within the framework of global climate change has become increasingly important. OBJECTIVE: In this research, the interactive effects of heat waves and oxidising pollutants on the risk of residential mortality in Fuzhou were examined. Methods We collected environmental, meteorological, and residential mortality data in Fuzhou from 1 January 2016, to 31 December 2021. We then applied a generalised additive model, distributed lagged nonlinear model, and bivariate three-dimensional model to investigate the effects and interactions of various atmospheric oxidising pollutants and heat waves on the risk of residential mortality. RESULTS: Atmospheric oxidising pollutants increased the risk of residential mortality at lower concentrations, and O3 and Ox were positively associated with a maximum risk of 2.19% (95% CI: 0.74-3.66) and 1.29% (95% CI: 0.51-2.08). The risk of residential mortality increased with increasing temperature, with a strong and long-lasting effect and a maximum cumulative lagged effect of 1.11% (95% CI: 1.01, 1.23). Furthermore, an interaction between atmospheric oxidising pollutants and heat waves may have occurred: the larger effects in the longest cumulative lag time on residential mortality per 10 µg/m3 increase in O3, NO2 and Ox during heat waves compared to non-heat waves were [-3.81% (95% CI: -14.82, 8.63)]; [-0.45% (95% CI: -2.67, 1.81)]; [67.90% (95% CI: 11.55, 152.71)]; 16.37% (95% CI: 2.43, 32.20)]; [-3.00% (95% CI: -20.80, 18.79)]; [-0.30% (95% CI: -3.53, 3.04)]. The risk on heat wave days was significantly higher than that on non-heat wave days and higher than the separate effects of oxidising pollutants and heat waves. CONCLUSIONS: Overall, we found some evidence suggesting that heat waves increase the impact of oxidising atmospheric pollutants on residential mortality to some extent.