Adapting to heat-health vulnerability in temperate climates: current adaptation and mitigation responses and future predictions in Aotearoa New Zealand
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Siti Nurfahirah Muhamad
, Nur Shabrina Azreen Mohd Shabri
, Annette Bolton
, Vivien How
, Fang Lee Lim
, Abdah Md Akim
und Karmegam Karuppiah
Abstract
Introduction
Climate change is raising global temperatures, leading to more extreme heat events, even in temperate climates like Aotearoa|New Zealand (A|NZ). The impact of rising temperatures and the adequacy of planning measures remain underexplored. This paper highlights A|NZ’s anticipated heat-health challenges by analyzing vulnerable populations and assessing current response systems, thereby reinforcing the need for system-level redress, mitigation and adaptation.
Content
A scoping review examined the impact of heat and existing mitigation and adaptation responses for vulnerable populations in temperate regions, with a focus on A|NZ. Additionally, temperature trend analysis was conducted for current and projected trends using Climate CHIP for six major heat-affected cities in A|NZ to assess the recognition of heat as a societal concern.
Summary and Outlook
The review identified mitigation and adaptation strategies for existing vulnerable groups and discovered other potential vulnerable groups in A|NZ, including Indigenous people (Māori), Pacific communities, low-income groups, migrants, and visitors. Temperature trends show an increasing pattern, suggesting heightened future heat-related impacts on these populations. This review reveals A|NZ’s growing vulnerability to rising temperatures, particularly among high-risk groups, and calls for stronger mitigation and adaptation strategies to address future heat-health risks.
Funding source: Ministry of Higher Education, Malaysia
Award Identifier / Grant number: FRGS/1/2020/SKK06/UPM/02/1
Acknowledgments
The authors would like to thank Tord Kjellstrom and all Climate CHIP team for their invaluable contribution in developing this climate analysis tool, which significantly enriched information presented in this review article.
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Research ethics: Not applicable.
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Informed consent: Not applicable.
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Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Use of Large Language Models, AI and Machine Learning Tools: None declared.
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Conflict of interest: The authors state no conflict of interest.
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Research funding: This work was funded by the Ministry of Higher Education (Malaysia), http://dx.doi.org/10.13039/501100003093, under the Fundamental Research Grant Scheme (FRGS/1/2020/SKK06/UPM/02/1).
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Data availability: Not applicable.
Appendix
See (Tables A.1–A.3)
Search strategies employed in the scoping review.
Databases | Strategy | Results |
---|---|---|
PubMed- 2013 to April, 2023 | (Heat OR “high temperatures” OR heatwaves) AND vulnerable AND human health AND (mitigation OR adaptation) | 219 |
Web of science- 2013 to April, 2023 | (Heat OR “high temperatures” OR heatwaves) AND vulnerable AND human health AND (mitigation OR adaptation) | 190 |
Scopus- 2013 to April, 2023 | (Heat OR “high temperatures” OR heatwaves) AND vulnerable AND human health AND (mitigation OR adaptation) | 140 |
Total results | 549 |
List of included articles in scoping review.
No. | List of included articles |
---|---|
1. | Kemen J, Schaffer-Gemein S, Grunewald J, Kistemann T. Heat perception and coping strategies: A structured Interview-based study of older people in Cologne, Germany. Int J Environ Res Public Health. 2021;18(14):7495. https://doi.org/10.3390/ijerph18147495 |
2. | Kravchenko J, Abernethy AP, Fawzy M, Lyerly HK. Minimization of heatwave morbidity and mortality. Am J Prev Med. 2013;44(3):274–82. https://doi.org/10.1016/j.amepre.2012.11.015 |
3. | Mac VV, McCauley LA. Farmworker vulnerability to heat hazards: A conceptual framework: Farmworker vulnerability to heat. J Nurs Scholarsh. 2017;49(6):617–24. https://doi.org/10.1111/jnu.12327 |
4. | Malmquist A, Hjerpe M, Glaas E, Karlsson H, Lassi T. older people People’s perceptions of heat stress and adaptation to heat: An Interview Study. Int J Environ Res Public Health. 2022;19(7):3775. https://doi.org/10.3390/ijerph19073775 |
5. | Niu L, Herrera MT, Girma B, Liu B, Schinasi L, Clougherty JE, et al. High ambient temperature and child emergency and hospital visits in New York City. Paediatr Perinat Epidemiol. 2022;36(1):36–44. https://doi.org/10.1111/ppe.12793 |
6. | Osberghaus D, Abeling T. Heat vulnerability and adaptation of low-income households in Germany. Global Environ change. 2022;72:102446. https://doi.org/10.1016/j.gloenvcha.2021.102446 |
7. | O’Sullivan KC, Chisholm E. Baby it’s hot outside: Balancing health risks and energy efficiency when parenting during extreme heat events. Energy Res Soc Sci. 2020;66:101480. https://doi.org/10.1016/j.erss.2020.101480 |
8. | Palinkas LA, Hurlburt MS, Fernandez C, De Leon J, Yu K, salinas E, et al. Vulnerable, resilient, or both? A qualitative study of adaptation resources and behaviors to heat waves and health outcomes of low-income residents of urban heat islands. Int J Environ Res Public Health. 2022;19(17):11090. https://doi.org/10.3390/ijerph191711090 |
9. | Paterson SK, Godsmark CN. Heat-health vulnerability in temperate climates: Lessons and response options from Ireland. Glob Health. 2020;16(1):29. https://doi.org/10.1186/s12992-020-00554-7 |
10. | Sampson NR, Gronlund CJ, Buxton MA, Catalano L, White-Newsome JL, Conlon KC, et al. Staying cool in a changing climate: Reaching vulnerable populations during heat events. Glob Environ Change. 2013;23(2):475–84. https://doi.org/10.1016/j.gloenvcha.2012.12.011 |
11. | Seong K, Jiao J, Mandalapu A. Evaluating the effects of heat vulnerability on heat-related emergency medical service incidents: Lessons from Austin, Texas. Environ plan B urban Anal City Sci. 2023;50(3):776–95. https://doi.org/10.1177/23998083221129618 |
12. | Vu A, Rutherford S, Phung D. Heat health prevention measures and adaptation in older populations: A systematic review. Int J Environ Res Public Health. 2019;16(22):4370. https://doi.org/10.3390/ijerph16224370 |
13. | White-Newsome J, McCormick S, sampson N, Buxton M, O’Neill M, Gronlund C, et al. Strategies to reduce the harmful effects of extreme heat events: A four-city study. Int J Environ Res Public Health. 2014;11(2):1960–88. https://doi.org/10.3390/ijerph110201960 |
14. | Zuo J, Pullen S, Palmer J, Bennetts H, Chileshe N, ma T. Impacts of heat waves and corresponding measures: A review. J Clean Prod. 2015;92:1-12. https://doi.org/10.1016/j.jclepro.2014.12.078 |
15. | Chaseling GK, Morris NB, Ravanelli N. Extreme heat and adverse cardiovascular outcomes in Australia and New Zealand: What do we know?. Heart Lung Circ. 2023;32(1):43–51. https://doi.org./10.1016/j.hlc.2022.10.010 |
16. | Health New Zealand. Heat health plans guideline [Internet]. Te Whatu Ora; 2023 [cited 2023 Oct 10]. Available from https://www.tewhatuora.govt.nz/assets/Publications/Environmental-health/Heat-Health-Plans-Guidelines.pdf |
Characteristics of included studies.
Reference | Study location | Study region | Study design | Study population | Methods of data collection | Outcome assessed |
---|---|---|---|---|---|---|
Malmquist et al. [33] | Sweden | Northwestern Europe | Qualitative | Older people | Semi-structured interview | Heat perception and adaptation |
Seong et al. [14] | Texas, USA | Southeastern south America | Cross-sectional study | Mix vulnerable groups | Observation | Health outcome and mitigation |
Mac and McCauley [12] | USA | Southeastern America | Mixed method | Outdoor workers | Observation | Health outcome and mitigation |
Vu et al. [20] | Australia, Italy, UK | Mix regions | Systematic review | Older people | Observation | Preventive measure and adaptation |
Kemen et al. [19] | German | North-central Europe | Qualitative study | Older people | Interview | Adaptation and mitigation |
Osberghaus and Abeling [34] | German | Nort-central Europe | Longitudinal survey | Low-income household | Questionnaire | Health outcome and adaptation |
Paterson and Godsmark [35] | Ireland | Northwestern Europe | Scoping review | Mix vulnerable groups | Observation | Health and mitigation |
Niu et al. [36] | USA | Northeastern USA | Case-crossover | Children | Observation | Health outcome |
Zuo et al. [3] | Australia | Southern Australia | Systemic review | Mix vulnerable groups | Observation | Health outcome and mitigation |
Kravchenko et al. [37] | USA & Europe | Mix regions | Qualitative (review) | Mix vulnerable groups | Observation | Health outcome and adaptation |
Sampson et al. [38] | New York | Northeastern United state | Qualitative multiple case study | Mix vulnerable group | Semi-structured interview | Adaptation and mitigation |
White-Newsome et al. [39] | New York | Multi-regions | Case study | Mix vulnerable group | Semi-structured interview | Health outcome and mitigation |
Palinkas et al. [13] | Los Angeles, California | Southwestern United States | Qualitative research | Mix vulnerable group | Semi-structured interview | Health outcome and mitigation |
O’Sullivan and Chisholm [40] | USA, New Zealand, Germany | Multi-regions | Qualitative (review) | Children | Observation | Health outcome, adaptation and mitigation |
Heat health plan guidelines | New Zealand | Pacific (New Zealand) | Guidelines | Mix vulnerable group | Observation | Adaptation and mitigation |
Chaseling et al. [41] | Australia and New Zealand | Australia and New Zealand | Narrative review | People with cardiovascular disease | Observation | Health outcome, adaptation and mitigation |
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© 2024 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Reviews
- Analytical methods, source, concentration, and human risks of microplastics: a review
- Solid fuel use and low birth weight: a systematic review and meta-analysis
- The human health effects of unconventional oil and gas (UOG) chemical exposures: a scoping review of the toxicological literature
- WHO to build neglect of RF-EMF exposure hazards on flawed EHC reviews? Case study demonstrates how “no hazards” conclusion is drawn from data showing hazards
- The role of environmental pollution in the development of pulmonary exacerbations in cystic fibrosis: a narrative review
- Semi-IPN polysaccharide-based hydrogels for effective removal of heavy metal ions and dyes from wastewater: a comprehensive investigation of performance and adsorption mechanism
- A structured review of the associations between breast cancer and exposures to selected organic solvents
- A review of the potential adverse health impacts of atrazine in humans
- Comprehensive approach to clinical decision-making strategy, illustrated by the Gulf War
- A systematic review and quality assessment of estimated daily intake of microplastics through food
- Adapting to heat-health vulnerability in temperate climates: current adaptation and mitigation responses and future predictions in Aotearoa New Zealand
- Evaluation of the impact of environmental pollutants on the sex ratio: a systematic review
- A critical review on the toxicological and epidemiological evidence integration for assessing human health risks to environmental chemical exposures
- The association between screen exposure and autism spectrum disorder in children: meta-analysis
- The association between maternal perfluoroalkylated substances exposure and neonatal birth weight: a system review and meta-analysis
- School built environment and children’s health: a scientometric analysis
- Letter to the Editors
- Underground power lines as a confounding factor in observational studies concerning magnetic fields and childhood leukemia
- A critical appraisal of the WHO 2024 systematic review of the effects of RF-EMF exposure on tinnitus, migraine/headache, and non-specific symptoms
Artikel in diesem Heft
- Frontmatter
- Reviews
- Analytical methods, source, concentration, and human risks of microplastics: a review
- Solid fuel use and low birth weight: a systematic review and meta-analysis
- The human health effects of unconventional oil and gas (UOG) chemical exposures: a scoping review of the toxicological literature
- WHO to build neglect of RF-EMF exposure hazards on flawed EHC reviews? Case study demonstrates how “no hazards” conclusion is drawn from data showing hazards
- The role of environmental pollution in the development of pulmonary exacerbations in cystic fibrosis: a narrative review
- Semi-IPN polysaccharide-based hydrogels for effective removal of heavy metal ions and dyes from wastewater: a comprehensive investigation of performance and adsorption mechanism
- A structured review of the associations between breast cancer and exposures to selected organic solvents
- A review of the potential adverse health impacts of atrazine in humans
- Comprehensive approach to clinical decision-making strategy, illustrated by the Gulf War
- A systematic review and quality assessment of estimated daily intake of microplastics through food
- Adapting to heat-health vulnerability in temperate climates: current adaptation and mitigation responses and future predictions in Aotearoa New Zealand
- Evaluation of the impact of environmental pollutants on the sex ratio: a systematic review
- A critical review on the toxicological and epidemiological evidence integration for assessing human health risks to environmental chemical exposures
- The association between screen exposure and autism spectrum disorder in children: meta-analysis
- The association between maternal perfluoroalkylated substances exposure and neonatal birth weight: a system review and meta-analysis
- School built environment and children’s health: a scientometric analysis
- Letter to the Editors
- Underground power lines as a confounding factor in observational studies concerning magnetic fields and childhood leukemia
- A critical appraisal of the WHO 2024 systematic review of the effects of RF-EMF exposure on tinnitus, migraine/headache, and non-specific symptoms