Temperature Extremes and Health: Impacts of Climate Variability and Change in the United States

Objective: Vile evaluated temperature-related morbidity and mortality for the 2007 U.S. national assessment on impacts of climate change and variability on human health. Methods: We assessed literature published since the 2000 national assessment, evaluating epidemiologic studies, surveys, and studies projecting future impacts. Results: Under current climate change projections, heat waves and hot weather are likely to increase in frequency, with the over chill temperature distribution shifting away from the colder extremes. Vulnerable subgroups include communities in the northeastern and Midwestern U.S.; urban populations, the poor, the elderly, children, and those with impaired health or limited mobility. Conclusions: Temperature extremes and variability will remain important determinants of health in the United States under climate change. Research needs include estimating explosure to temperature extremes; studying nonfatal temperature-related illness; uniform criteria for reporting heat-related health outcomes; and improving effectiveness of urban heat island reduction and extreme weather response plans. U Occup Environ Med. 2009; 51:13-25)