Higher temperatures may result in 2.3m extra deaths in European cities by 2100 unless we curb climate change

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Temperature-related deaths in European cities could increase by up to 50% to reach up to 2.3 million additional deaths by the end of the century if we fail to tackle climate change, warn international researchers. Their findings are based on climate simulations based on data on 854 urban areas across 30 European countries. These were used to estimate deaths from very cold and very hot temperatures, with increased deaths from extreme heat outpacing decreases in deaths from extreme cold. Strong climate mitigation measures could reduce the number of additional deaths to 268,100 by 2100, according to their estimates.

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From: Springer Nature

Investigating temperature-related mortality in Europe under climate change
Temperature-related deaths in European cities could increase by up to 50% by the end of the century in the absence of climate change-mitigation policies, totalling up to 2.3 million additional deaths, suggests a paper published in Nature Medicine. The findings are based on modelling estimates from data on 854 urban areas across 30 European countries. The authors call for the implementation of more-stringent climate adaptation and mitigation strategies to prevent an increase in temperature-related mortality.

Understanding the balance between heat- and cold-related mortality is important as Europe faces rising temperatures. Previous studies have reported rates of 10 deaths by cold to every 1 death by heat in Europe, but climate change may shift this balance in the future, potentially decreasing the net deaths caused by temperature. This raises concerns about increased heat-related mortality despite potential decreases in cold-related deaths. However, these studies did not consider changing demographic factors, which include ageing populations, and urban adaptations to increasing temperatures.

Pierre Masselot and colleagues analyzed temperature and mortality data to project future cold-, heat- and overall net temperature-related deaths in 854 European urban areas under different climate change, demographic, and adaptation scenarios from 2015–2099. They calculate a net increase in temperature-related deaths (7.6 deaths per 100,000 people) in European cities by the year 2060, even under the highest sustainable development climate change-adaptation scenario the researchers analysed (SSP1-2.6). The authors attribute this to an increase in heat-related deaths that exceeds decreases in cold-related deaths. Masselot and colleagues suggest that under the SSP3-7.0 scenario — in which carbon dioxide emissions double by 2100 — the cumulative death total will be 2,345,410 between 2015 and 2099. However, a reduction in risk by 50% due to climate adaptation measures under this same scenario could result in a projected total of 268,100 temperature-related deaths by 2100.

The authors note that these projections are based on certain assumptions that may have a high level of uncertainty, and that they did not consider specific drivers of adaptation or local climate characteristics, such as humidity, or consider rural areas in the analysis.

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Nature Medicine
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Organisation/s: London School of Hygiene & Tropical Medicine, UK
Funder: This study was funded by the European Union Horizon 2020 Project EXHAUSTION (grant no. 820655) and the UK Medical Research Council (no. MR/V034162/1). M.N.M. and V.H. were supported by the European Commission (H2020-MSCA-IF-2020) under REA grant nos. 101022870 and 101032087, respectively. D.G.L., J.C.C. and L.F. received funding from DG REGIO of the European Commission as part of the ‘Territorial Risk Assessment of Climate in Europe (TRACE) project (administrative agreement no. JRC 36206-2022 // DG REGIO 2022CE160AT126). A.M.V.-C. acknowledges funding from the Swiss National Science Foundation (TMSGI3_211626).
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