Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat.

Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000-2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15-64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities. Actions to reduce such sex and social inequities should be central in heat adaptation policy.

Impact of Climate Change on Indoor Air Quality: A Review.

Climate change can affect the indoor environment due to heat and mass transfers between indoor and outdoor environments. To mitigate climate change impacts and adapt buildings to the changing environment, changes in building characteristics and occupants' behavior may occur. To characterize the effects of climate change on indoor air quality (IAQ), the present review focused on four aspects: (1) experimental and modeling studies that relate IAQ to future environmental conditions, (2) evolution of indoor and outdoor air concentrations in the coming years with regard to temperature rise, (3) climate change mitigation and adaptation actions in the building sector, and (4) evolution of human behavior in the context of climate change. In the indoor environment, experimental and modeling studies on indoor air pollutants highlighted a combined effect of temperature and relative humidity on pollutant emissions from indoor sources. Five IAQ models developed for future climate data were identified in the literature. In the outdoor environment, the increasing ambient temperature may lead directly or indirectly to changes in ozone, particle, nitrogen oxides, and volatile organic compound concentrations in some regions of the world depending on the assumptions made about temperature evolution, anthropogenic emissions, and regional regulation. Infiltration into buildings of outdoor air pollutants is governed by many factors, including temperature difference between indoors and outdoors, and might increase in the years to come during summer and decrease during other seasons. On the other hand, building codes in some countries require a higher airtightness for new and retrofitted buildings. The building adaptation actions include the reinforcement of insulation, implementation of new materials and smart building technologies, and a more systematic and possibly longer use of air conditioning systems in summer compared to nowadays. Moreover, warmer winters, springs, and autumns may induce an increasing duration of open windows in these seasons, while the use of air conditioning in summer may reduce the duration of open windows.