Assessment of biometeorological conditions in Eastern Mediterranean City Adana, Turkey from past to the future.

Human bioclimatic comfort (HBC) is an important subject of climatology in the field of physical geography. Human bioclimatic comfort (HBC) is the feeling of satisfied and comfortable within the ambient atmospheric thermal environment. Earth climate system has been exposed to changes from the beginning, but since 19th century human - induced factors have contributed to these changes. HBC is the combined effect of atmospheric conditions and affected by all the changes in them. Turkey is among the countries in Mediterranean region, expected to develop higher vulnerabilities to the (bio) climate hazards. Therefore, a Mediterranean city in the south of the country, Adana, was chosen as the study area. HBC assessment was made for the past (1961 - 1990), present (1991 - 2022), near (2030 - 2060) and distant future (2070 - 2100) using hourly - data from the official meteorology station between 1961 and 2022, daily data of the climate model scenarios (Representative Concentration Pathway - RCP4.5 and RCP8.5) and Physiological Equivalent Temperature (PET) index, the Rayman model and Geographic Information Systems in the spatial distribution of HBC conditions. The analysis showed that the prevalence of "cold" and "cool" stresses has decreased while that of "hot" and "very hot" stresses has increased from the past to the present in Adana. It is predicted that present conditions will continue in the near and distant future, all comfort ranges will increase to the following warm range and the ideal period for HBC conditions will be the winter season. In order to reduce the adverse HBC conditions in cities due to climate change by creating climate resilient, sustainable and healthy cities, urban design and planning principles should be followed from a geographical point of view.

Hourly values of an advanced human-biometeorological index for diverse populations from 1991 to 2020 in Greece.

Existing assessments of the thermal-related impact of the environment on humans are often limited by the use of data that are not representative of the population exposure and/or not consider a human centred approach. Here, we combine high resolution regional retrospective analysis (reanalysis), population data and human energy balance modelling, in order to produce a human thermal bioclimate dataset capable of addressing the above limitations. The dataset consists of hourly, population-weighted values of an advanced human-biometeorological index, namely the modified physiologically equivalent temperature (mPET), at fine-scale administrative level and for 10 different population groups. It also includes the main environmental drivers of mPET at the same spatiotemporal resolution, covering the period from 1991 to 2020. The study area is Greece, but the provided code allows for the ease replication of the dataset in countries included in the domains of the climate reanalysis and population data, which focus over Europe. Thus, the presented data and code can be exploited for human-biometeorological and environmental epidemiological studies in the European continent.

Patterns in acute aortic dissection and a connection to meteorological conditions in Germany.

Acute type A aortic dissection (ATAAD) is a dramatic emergency exhibiting a mortality of 50% within the first 48 hours if not operated. This study found an absolute value of cosine-like seasonal variation pattern for Germany with significantly fewer ATAAD events (Wilcoxon test) for the warm months of June, July, and August from 2005 to 2015. Many studies suspect a connection between ATAAD events and weather conditions. Using ERA5 reanalysis data and an objective weather type classification in a contingency table approach showed that for Germany, significantly more ATAAD events occurred during lower temperatures (by about 4.8 K), lower water vapor pressure (by about 2.6 hPa), and prevailing wind patterns from the northeast. In addition, we used data from a classification scheme for human-biometeorological weather conditions which was not used before in ATAAD studies. For the German region of Berlin and Brandenburg, for 2006 to 2019, the proportion of days with ATAAD events during weather conditions favoring hypertension (cold air advection, in the center of a cyclone, conditions with cold stress or thermal comfort) was significantly increased by 13% (Chi-squared test for difference of proportions). In contrast, the proportion was decreased by 19% for conditions associated with a higher risk for patients with hypotension and therefore a lower risk for patients with hypertension (warm air advection ahead of warm fronts, conditions with no thermal stress or heat stress, in the center of a cyclone with thermal stress). As many studies have shown that hypertension is a risk factor for ATAAD, our findings support the hypothesized relation between ATAAD and hypertension-favoring weather conditions.

Climate change and public health in Germany - A synthesis of options for action from the German status report on climate change and health 2023.

Background: This article represents the conclusion of the updated German status report on climate change and health, which was jointly written by authors from over 30 national institutions and organisations. The objectives are (a) to synthesise the options for action formulated in the report, (b) to combine them into clusters and guiding principles, (c) to address the success factors for implementation, and (d) to combine the options for action into target parameters. Methods: The options for action from the individual contributions of the status report were systematically recorded and categorised (n=236). Topical clusters were then formed with reference to Essential Public Health Functions, and options for action were assigned to them. Results: Eight topical clusters of options for action and ten guiding principles were identified. These can be summarised in four overarching meta-levels of action: (a) cross-sectorally coordinated structural and behavioural prevention, (b) monitoring, surveillance, and digitalisation (including early warning systems), (c) development of an ecologically sustainable and resilient public health system, and (d) information, communication, and participation. The main success factors for implementation are the design of governance, positive storytelling and risk communication, proactive management of conflicting goals, and a cross-sectoral co-benefit approach. Conclusions: Based on the status report, systematically compiled target parameters and concrete options for action are available for public health.

Biometeorological conditions during cold spells in south-east Poland and west Ukraine.

The aim of this research is to analyze the biometeorological conditions, based on the Physiologically Equivalent Temperature (PET) thermal index, during cold spells (CSs) in south-east Poland and west Ukraine during the years 1966-2021. The research shows a high variability of the occurrence of CSs in the study period and a clear increase in the frequency and total duration of CSs in the east of the study area. The number of CSs in the analyzed years varies from 6 cases in the west (in Katowice) to 34 in the east of the study area (in Shepetivka). The total duration of CSs varied from 26 days (in Raciborz and Katowice) to 166 days (in Rivne). At the majority of stations, CSs occurred most frequently in the first two decades (1966/1967-1975/1976, 1976/1977-1985/986) and in the last full decade (2006/2007-2015/2016). The average PET values at 12:00 UTC during CSs decreased eastwards throughout the study domain and were generally lower than -20.0 °C in the west of Ukraine, while in south-east Poland varied between -18.1 and -20.0 °C. At 40% of stations across the study domain, the lowest average PET values were recorded during a cold spell in January 1987, with PET values varying from -28.0 °C in Chernivtsi to -12.7 °C in Yaremche. The longest or one of the longest spells in most stations (in 77% of stations across the study domain) was the cold spell of 2012 and characterized by mean PET values ranging from -25.4 °C in Rivne to -19.5 °C in Zakopane.

Characteristic of bioclimatic conditions in Poland based on Physiologically Equivalent Temperature.

The aim of the study was to characterise bioclimatic conditions in Poland in the times of progressing warming. This type of research permits the verification whether the progressing climate warming also translates into a change in bioclimatic conditions. This study was based on data obtained for the period 1966-2021 from 37 synoptic stations located in Poland. All the data series were uniform and obtained from the data base of the Institute of Meteorology and Water Management-National Research Institute (IMGW-PIB). The study revealed high variability of bioclimatic conditions in Poland both in spatial and in temporal terms. The lowest mean annual PET values were recorded in the north and north-east of the country and the highest in the south-west of Poland. The study revealed changes in the frequency of occurrence of days with cold and heat stress, as well as days with no thermal stress. The most intensive changes were determined for days with cold stress. A decrease in the number of days in this category translated into an increase in the number of days with no thermal stress and days with heat stress.

[Health protection and climate change require ambitious limit values for air pollutants in Europe : Opinion on the revision of the Directive on Air Quality and Clean Air for Europe of the Environmental Public Health commission of the Robert Koch Institute and the Federal Environment Agency]. / Gesundheitsschutz und Klimawandel erfordern ambitionierte Grenzwerte für Luftschadstoffe in Europa : Stellungnahme zur Revision der Richtlinie über Luftqualität und saubere Luft für Europa der Kommission Environmental Public Health des Robert Koch-Instituts und des Umweltbundesamtes.

Based on scientific findings, the World Health Organization (WHO) has recommended stricter guideline values for air quality in 2021. Significant reductions in the annual mean values of particulate matter (particle size 2.5 µm or smaller, PM2.5) and long-term exposure to nitrogen dioxide (NO2) and ozone (O3) were put forward. The risk of mortality already increases above the WHO guideline values, as shown in studies investigating low concentrations of air pollutants. In Germany, the 2021 WHO guideline values for PM2.5 and NO2 were clearly exceeded in 2022.In this position paper we give the following recommendations for the European Air Quality Directive: (1) set binding limit values according to WHO 2021, (2) apply the limit values to the whole of Europe, (3) continue and expand the established country-based monitoring networks, (4) expand air quality measurements for ultrafine particles and soot particles, and (5) link air pollution control and climate protection measures.Stricter limits for air pollutants require societal and political changes in areas such as mobility, energy use and generation, and urban and spatial planning. Implementation according to WHO 2021 would lead to a net economic benefit of 38 billion euros per year.Ambitious limit values for air pollutants also have an impact on climate change mitigation and its health impacts. The Environmental Public Health commission concludes that more ambitious limit values are crucial to enable effective health protection in Germany and calls for air pollutant limit values in line with the 2021 WHO recommendations to become binding in Europe.

Evaluation of the relationship between thermal comfort conditions and respiratory diseases in Amasya City, Turkey.

Aim: Studies examining the relationship between thermal comfort conditions-the state of feeling insulated against atmospheric factors in the environment-and diseases have been very limited. In Turkey, which is in the transition zone of air masses in middle latitudes, thermal comfort conditions change frequently due to sudden weather changes. This study was conducted to examine the relationship between thermal comfort conditions and respiratory diseases in Amasya, an exemplary Turkish city in the Black Sea Region of Turkey. Subject and methods: To determine the thermal comfort conditions in the study between 2017 and 2019, the PET (physiologically equivalent temperature) index obtained from the RayMan model was used for data including hourly air temperature (°C), relative humidity (%), wind velocity (m/s), and cloud cover (octa). Daily air temperature data were also obtained. The relationship between PET values and air temperature and respiratory disease hospital admissions was analyzed by Pearson correlation analysis and linear regression analysis. Results: The results revealed a very high negative correlation between both thermal comfort conditions (PET) and air temperature and respiratory diseases (p < 0.000). The results show that with an increase of 1 °C in thermal comfort conditions (PET), hospital admissions due to respiratory diseases will decrease by approximately 64 to 67 patients. It is predicted that the number of patients will decrease by approximately 89 to 94 with an increase of 1 °C in air temperature. Conclusion: These findings can be informative and serve as guidance for decision-makers in efforts to protect public health, for preventive medicine studies, and for studies on the effects of climate change on human health.

Climate change and public health in Germany - An introduction to the German status report on climate change and health 2023.

Global warming of 1.5°C and even 2°C is likely to be exceeded during the 21st century. Climate change poses a worldwide threat and has direct and indirect effects on infectious diseases, on non-communicable diseases and on mental health. Not all people are equally able to protect themselves against the impacts of climate change; particularly populations that are vulnerable due to individual factors (children, older persons, those immunocompromised or with pre-existing conditions), social factors (the socially disadvantaged), or living and working conditions (e. g. people who work outdoors) are subject to an increased risk. Concepts such as One Health or Planetary Health provide a framework to frame both climate change itself and adaptation strategies or sets of actions for environmental human and animal health. Knowledge of climate change impacts has grown in recent years, and mitigation and adaptation strategies have been developed.

The extreme heat wave of July-August 2021 in the Athens urban area (Greece): Atmospheric and human-biometeorological analysis exploiting ultra-high resolution numerical modeling and the local climate zone framework.

Greece was affected by a prolonged and extreme heat wave (HW) event (July 28-August 05) during the abnormally hot summer of 2021, with the maximum temperature in Athens, the capital of the country, reaching up to 43.9 °C in the city center. This observation corresponds to the second highest maximum temperature recorded since 1900, based on the historical temperature time series of the National Observatory of Athens weather station at Thissio. In the present study, a multi-scale numerical modeling system is used to analyze the urban climate and thermal bioclimate in the Athens urban area (AUA) in the course of the HW event, as well as during 3 days prior to the heat wave and 3 days after the episode. The system consists of the Weather Research and Forecasting model, the advanced urban scheme BEP/BEM (Building Energy Parameterization/Building Energy Model) and the human-biometeorological model RayMan Pro, and incorporates the local climate zone (LCZ) classification scheme. The system's validation results demonstrated a robust modeling set-up, characterized by high capability in capturing the observed magnitude and diurnal variation of the urban meteorological and heat stress conditions. The analysis of two- and three-dimensional fields of near-surface air temperature, humidity and wind unraveled the interplay of geographical factors (surface relief and proximity to the sea), background atmospheric circulations (Etesians and sea breeze) and HW-related synoptic forcing with the AUA's urban form. These interactions had a significant impact on the LCZs heat stress responsiveness, expressed using the modified physiologically equivalent temperature (mPET), between different regions of the study area, as well as at inter- and intra-LCZ level (statistically significant differences at 95 % confidence interval), providing thus, urban design and health-related implications that can be exploited in human thermal discomfort mitigation strategies in AUA.

A systematic review advocating a framework and benchmarks for assessing outdoor human thermal perception.

Since the early 2000's, much attention has been paid to human thermal assessment in urban outdoor environments in different climatic zones. Some previous studies have argued that an absence of an agreed protocol for outdoor human bio-meteorological research causes complexity in comparing the studies' results for several reasons: An abundance of human thermal indices, a variety of interpretations of bio-meteorological terms, an array of procedures for data collection and a lack of agreed methods in determining thermal comfort ranges and index modifications. This study aims to review strategies and methods for human bio-meteorological research and to examine their suitability for thermal perception assessment. From 2001 to 2021, 254 case studies assessed human thermal perception by investigating in-situ thermal conditions versus subjective thermal perception, relying on protocols such as ASHRAE Standard 55 and EN ISO 10551 that were originally developed for indoor environments. Fifty-four cases determined different ranges for thermal comfort. Although 43 studies tried to modify indices to various climatic zones, only 13 studies modified the nine PET physiological stress categories and 4 studies modified the ten UTCI stress categories). Thus, comparisons between the studies' results become complicated. Our review points to three main reasons for the complexity: first, the 7-point TSV scales, does not always fit the scales of the applied thermal index; second, measurement procedures do not always represent the local climate conditions; third, certain methods for modifying thermal index scale thresholds are not capable of modifying the entire index scale. On the basis of our findings, we suggest a framework for bio-meteorological research, with attention to measurement procedure, appropriate questionnaire design, careful data control and suitable methods to enable modification of thermal indices. This study recommends applying systematic and objective statistical methods like linear regression and discriminant analysis in order to successfully modify the entire index scale.

A Low-Cost Sensor Network for Real-Time Thermal Stress Monitoring and Communication in Occupational Contexts.

The MoBiMet (Mobile Biometeorology System) is a low-cost device for thermal comfort monitoring, designed for long-term deployment in indoor or semi-outdoor occupational contexts. It measures air temperature, humidity, globe temperature, brightness temperature, light intensity, and wind, and is capable of calculating thermal indices (e.g., physiologically equivalent temperature (PET)) on site. It visualizes its data on an integrated display and sends them continuously to a server, where web-based visualizations are available in real-time. Data from many MoBiMets deployed in real occupational settings were used to demonstrate their suitability for large-scale and continued monitoring of thermal comfort in various contexts (industrial, commercial, offices, agricultural). This article describes the design and the performance of the MoBiMet. Alternative methods to determine mean radiant temperature (Tmrt) using a light intensity sensor and a contactless infrared thermopile were tested next to a custom-made black globe thermometer. Performance was assessed by comparing the MoBiMet to an independent mid-cost thermal comfort sensor. It was demonstrated that networked MoBiMets can detect differences of thermal comfort at different workplaces within the same building, and between workplaces in different companies in the same city. The MoBiMets can capture spatial and temporal differences of thermal comfort over the diurnal cycle, as demonstrated in offices with different stories and with different solar irradiances in a single high-rise building. The strongest sustained heat stress was recorded at industrial workplaces with heavy machinery.

Analysis of air temperature dynamics in the "local climate zones" of Novi Sad (Serbia) based on long-term database from an urban meteorological network.

A comprehensive analysis of air temperature (Ta) dynamics in "local climate zones" (LCZs) of Novi Sad (Serbia) was based on measurements from 17 stations during 3 years. Hourly changes of Ta, cooling rates (CR), heating rates (HR), and urban heat island (UHI) intensity were assessed on seasonal and annual level and during heat wave (HW) and cold wave (CW) periods. Substantial differences are observed for minimum (Tmin) and mean temperatures (Tmean) between LCZs. Two-phase nocturnal cooling was recognized with the first cooling phase characterized by intensive LCZ dependent cooling starting at 1-3 h before sunset and lasting until 3-4 h after sunset. The second cooling phase lasts until sunrise and is characterized by less intensive and LCZ nondependent cooling. The most intensive cooling (CRpeak) was observed in first cooling phase of HW and ranged from - 1.6 °C h-1 in street canyon (LCZ 2) to - 3.9 °C h-1 in forest (LCZ A). Furthermore, a new cooling indicator (CRtotal) was introduced. Due to cooling differences, the most intensive UHI of 5.5 °C was noticed between LCZs 2 and A at sunset + 1 h during HW. Two-phase diurnal heating was also recognized in LCZs with the first heating phase characterized by intensive LCZ dependent heating starting at sunrise and lasting until 4-7 h afterwards. The most intensive heating (HRpeak) ranged from 2.0 °C h-1 in street canyon to 3.0 °C h-1 in industrial area (LCZ 8) during HW. The second heating phase lasts until sunset and is characterized by less intensive heating and smaller HR differences between LCZs.

The complex interplay of climate, TBEV vector dynamics and TBEV infection rates in ticks-Monitoring a natural TBEV focus in Germany, 2009-2018.

BACKGROUND: Tick-borne encephalitis (TBE) is the most important tick-borne viral disease in Eurasia and causes disease in humans and in a number of animals, among them dogs and horses. There is still no good correlation between tick numbers, weather conditions and human cases. There is the hypothesis that co-feeding due to simultaneous occurrence of larvae and nymphs may be a factor for the increased transmission of the virus in nature and for human disease. Based on long-term data from a natural TBEV focus, phylogenetic results and meteorological data we sought to challenge this hypothesis. METHODS: Ticks from an identified TBE natural focus were sampled monthly from 04/2009 to 12/2018. Ticks were identified and pooled. Pools were tested by RT-qPCR. Positive pools were confirmed by virus isolation and/or sequencing of additional genes (E gene, NS2 gene). Temperature data such as the decadal (10-day) mean daily maximum air temperature (DMDMAT) were obtained from a nearby weather station and statistical correlations between tick occurrence and minimal infection rates (MIR) were calculated. RESULTS: In the study period from 04/2009 to 12/2018 a total of 15,530 ticks (2,226 females, 2,268 males, 11,036 nymphs) were collected. The overall MIR in nymphs over the whole period was 77/15,530 (0.49%), ranging from 0.09% (2009) to 1.36% (2015). The overall MIR of female ticks was 0.76% (17/2,226 ticks), range 0.14% (2013) to 3.59% (2016). The overall MIR of males was 0.57% (13/2,268 ticks), range from 0.26% (2009) to 0.97% (2015). The number of nymphs was statistically associated with a later start of spring/vegetation period, indicated by the onset of forsythia flowering. CONCLUSION: There was no particular correlation between DMDMAT dynamics in spring and/or autumn and the MIR of nymphs or adult ticks detected. However, there was a positive correlation between the number of nymphs and the number of reported human TBE cases in the following months, but not in the following year. The hypothesis of the importance of co-feeding of larvae and nymphs for the maintenance of transmission cycle of TBEV in nature is not supported by our findings.

Heat-Related Mortality.

BACKGROUND: As a consequence of global warming, heat waves are expected to become more frequent, more intense, and longer. The elderly and persons with chronic diseases are especially vulnerable to health problems due to heat. This article is devoted to the question of the extent to which the effects of heat waves in Germany are changing over time, and whether preventive health measures are working. METHODS: We use a statistical model to quantify the effect of high mean temperatures on mortality. Within this model, different exposure-response curves for the three temporal intervals 1992-2000, 2001-2010, and 2011-2017 are estimated. Attention is also paid to the delayed effect on mortality of high mean temperatures in the preceding week. RESULTS: Our analysis reveals a clear, systematic association of the mean temperature in the current week, as well as the mean temperature in the preceding week, with weekly mortality. This association is more pronounced for higher age groups and decreases over the years under analysis, with the exception of a relatively weak effect of heat in southern Germany in 1992-2000. The strongest effects were related to the heat waves in 1994 and 2003, with approximately 10 200 and 9600 fatalities, respectively. Approximately 7800 fatalities were estimated for the summer of 2006, and 4700 and 5200 for 2010 and 2015, respectively. CONCLUSION: In Germany, as elsewhere, climate change has been causing more frequent, more intense, and longer periods of heat in the summer. The harmful effect of heat on health is reduced by adaptive processes, presumably including successful preventive measures. Such measures should be extended in the future, and perhaps complemented by other measures in order to further diminish the effect of heat on mortality .

The influence of foehn winds on the incidence of severe injuries in southern Bavaria - an analysis of the TraumaRegister DGU®.

BACKGROUND: Foehn describes a wind which occurs in areas with close proximity to mountains. The presence of foehn wind is associated with worsening health conditions. This study analyzes the correlation between a foehn typical circulation and the incidence for suffering a severe trauma. METHODS: This is a retrospective, multicentre observational register study. The years from 2013 to 2016 were analyzed for the presence of foehn winds. A logistic regression analysis with the number of daily admitted trauma patients as the primary target value was performed in dependence of foehn winds. Southern Bavaria is a typical foehn wind region. Individuals were treated in 37 hospitals of Southern Bavaria which participate in the TraumaRegister DGU®, an international register that includes all severe trauma patients, mainly in Germany. We analyzed patients with an Injury Severity Score (ISS) of at least nine with admission to intensive care units or prior death in the emergency room. RESULTS: 6215 patients were enrolled in this study. A foehn-typical circulation was present on 65 days (4.5%). 301 patients (5%) suffered a trauma with an ISS ≥ 9 on a foehn day. The mean ISS was 20.2 (9-75). On average, 4.3 patients (0-15 patients) were admitted on a daily basis due to a severe trauma. The multivariate regression analysis revealed a daily increase of 0.87 individuals (p = 0.004; 95% CI 0.23-1.47) on foehn days. During spring 1.07 patients (p = < 0.001; 95% CI 0.72-1.42), in summer 1.98 patients (p = < 0.001; 95% CI 1.63-2.32), in fall 0.63 (p = < 0.001; 95% CI 0.28-0.97) and on Saturdays, 0.59 patients (p = < 0.001; 95% CI 0.24-0.93) were additionally admitted due to severe trauma. CONCLUSION: Foehn winds are significantly associated with severe trauma in trauma centers of the TraumaNetzwerk DGU®.

[Thermal stress of urban dwellers during heat waves using the example of Freiburg (Breisgau)]. / Thermische Belastung von Bewohnern in Städten bei Hitzewellen am Beispiel von Freiburg (Breisgau).

BACKGROUND: As a result of climate change, people are increasingly affected by heat and the negative health effects of heat. Air temperature is often used as a measurement. However, in order to characterize the effects of heat on humans, other factors must be considered in addition to air temperature. OBJECTIVES: The aim of this paper is to characterize the thermal stress of urban dwellers by means of the perceived temperature during heat waves, compare it with rural dwellers, and highlight differences from air temperature. MATERIALS AND METHODS: Data from the year 2019 are used from two different German Weather Service (DWD) stations located within the city of Freiburg im Breisgau, Germany, and its surroundings (Freiburg Airport). Air temperature as well as other meteorological elements were taken to calculate the perceived temperature by means of the Klima-Michel model. Additionally, days with heat warnings as well as nightly indoor temperatures from the heat health warning system are presented. RESULTS: The perceived temperature exceeds the air temperature during heat waves by up to 10 °C. The classic heat-island effect is particularly evident in the difference in the nightly air temperature while the difference in the daily air temperature is small. In the case of perceived temperature, the difference is significantly higher not only at night but also during the day. CONCLUSIONS: In order to quantify negative impacts, not only the knowledge of air temperature is required, but also other factors that describe and control the thermal stress on humans. Urban-rural differences in air temperature and perceived temperature enable heat quantification. Adaptation measures taking into account the more intense conditions in cities are necessary.

[Estimation of heat-related deaths in Germany between 2001 and 2015]. / Schätzung hitzebedingter Todesfälle in Deutschland zwischen 2001 und 2015.

BACKGROUND: During the summers of 2003 and 2015, heat was found to be the cause of a substantial number of deaths in Germany. Until now, estimates for the total number of heat-related deaths were only available regionally in Germany. For the summer of 2003, an analysis for Baden-Württemberg was extrapolated to the whole of Germany. OBJECTIVES: Our analysis tries to prove a stable statistical relationship between heat and mortality and to use this to quantify the number of heat-related deaths in Germany between the years 2001 and 2015. MATERIALS AND METHODS: By fitting a nonlinear statistical model, we estimated exposure-response curves that describe the influence of heat on the mortality rate. The performance of different indicators for heat stress was compared. RESULTS: The comparison of the different indicators for heat showed that the weekly mean temperature was most useful to explain the course of the weekly mortality during the summer. The relation between mortality rate and weekly mean temperature varied between age groups and regions in Germany (north, middle, south). The age groups (75-84) and (85+) were most affected by heat. The highest number of heat-related deaths was 7600 (95% CI 5500-9900), found for the summer 2003, followed by 6200 (4000; 8000) in the summer 2006 and 6100 (4000; 8300) in the summer 2015. CONCLUSIONS: We could show that even in weekly data on mortality, a clear influence of heat could be identified. A national surveillance of mortality that allows real-time monitoring would be desirable.

Beyond Singular Climatic Variables-Identifying the Dynamics of Wholesome Thermo-Physiological Factors for Existing/Future Human Thermal Comfort during Hot Dry Mediterranean Summers.

Centered on hot dry Mediterranean summer climates, this study assesses the climatic data that was extracted from Lisbon's meteorological station between the years of 2012 and 2016. Focused on the summer period, existing outdoor human thermal comfort levels that are already prone to extreme heat stress thresholds were evaluated. Such an assessment was rooted around identifying the relationship and discrepancies between singular climatic variables (e.g., air Temperature (Ta)); and adapted thermos-physiological indices (e.g., the modified physiologically equivalent temperature (mPET)), which also consider the influence of radiation fluxes over the human body. In addition, default urban canyon case studies (UCCs) were utilized to supplement how both differ and influence one another, especially under extreme weather conditions including heat waves events (HWE), and very hot days (VHD). Through the use of wholesome thermo-physiological indices, the study revealed that while human health and thermal comfort is already prone to extreme physiological stress (PS) grades during one of the hottest months of the year, the current extremes could be drastically surpassed by the end of the century. Within the examined UCCs, it was identified that the projected PET could reach values of 58.3 °C under a projected climate change RCP8.5/SRES A1FI scenario. Similarly, and in terms of thermo-physiological stress loads, the following could happen: (i) a future "cooler summer day" could present similar conditions to those currently found during a 'typical summer day; (ii) a future 'typical summer day' could present hourly physiological equivalent temperature load (PETL) that recurrently surpassed those currently found during a "very hot day"; and, (iii) a future "very hot day" could reveal severe hourly PETL values that reached 35.1 units beyond the established "no thermal stress" class.

Design of natural elements in open spaces of cities with a Mediterranean climate, conditions for comfort and urban ecology.

More than half the world's population lives in cities that were designed with a complete disregard for nature. Then, it is vital that nature should be present in these spaces to provide ecological support for urban areas. Natural elements that are in these spaces should be designed with people's comfort in mind. This research explores the application of the PET and UTCI biometeorological comfort indices in urban microspaces, where the general environmental parameters of the city are not valid and each space must be measured individually. The research looked into the influence of the design of natural elements on improving comfort. The results show that in the children's playing spaces, the absence of thermal comfort and considerable thermal stress were detected in summer. This effect is more easily seen in the PET values. The benefits to comfort of having double layers of vegetation in the gardens have also been shown. The micro-droplets of water from the jets in the fountains are carried by the breeze and modify the human-biometeorological conditions around the fountains and reduce thermal stress. This improvement needs an appropriate design of the fountains and an awareness of the breeze patterns in these spaces.