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dc.contributor.authorHuang, Cunrui
dc.contributor.authorCheng, Jian
dc.contributor.authorDung, Phung
dc.contributor.authorTawatsupa, Benjawan
dc.contributor.authorHu, Wenbiao
dc.contributor.authorXu, Zhiwei
dc.date.accessioned2019-07-14T12:30:42Z
dc.date.available2019-07-14T12:30:42Z
dc.date.issued2018
dc.identifier.issn0160-4120
dc.identifier.doi10.1016/j.envint.2018.08.058
dc.identifier.urihttp://hdl.handle.net/10072/381937
dc.description.abstractBackground: Available information on the acute and cumulative effects of heatwaves on cause-specific mortality in Thailand is scarce. Objectives: To quantify the acute and cumulative effects of heatwaves on mortality in Thailand, and assess heatwave-related mortality burden. Methods: Thirty heatwave definitions were used and categorized into three groups: low intensity heatwaves (HWlow), middle intensity heatwaves (HWmiddle), and high intensity heatwaves (HWhigh). Time-series analyses were conducted to examine the acute and cumulative effects of HWlow, HWmiddle, and HWhigh on total and cause-specific mortality in 60 provinces of Thailand, incorporating an optimal lag for each cause and each province. Random-effects meta-analyses were performed to pool provincial estimates to national estimates for both acute and cumulative effects. Meta-regressions were conducted to identify the possible factors contributing to the spatial heterogeneity of heatwave vulnerability. Results: The cumulative effects of HWlow and HWmiddle on total and cause-specific mortality were greater than HWhigh. Both acute and cumulative effects of HWlow, HWmiddle and HWhigh on neoplasms and certain infectious and parasitic diseases were among the highest across all death causes. Effects of heatwaves on deaths from endocrine, nutritional and metabolic diseases appeared to be longer-lasting, and effects of heatwaves on deaths from ischaemic heart diseases and pneumonia occurred more rapidly. Northern and Central Thailand were the regions vulnerable to heatwaves, and proportion of elderly population was the major driver behind the spatial heterogeneity of heatwave vulnerability. Conclusions: More attention needs to be paid to mild heatwaves. Future heatwave-related mortality burden due to neoplasms and infectious diseases in Thailand may increase as climate change continues.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom41
dc.relation.ispartofpageto50
dc.relation.ispartofissuePart 1
dc.relation.ispartofjournalEnvironment International
dc.relation.ispartofvolume121
dc.subject.fieldofresearchEnvironmental Sciences not elsewhere classified
dc.subject.fieldofresearchcode059999
dc.titleMortality burden attributable to heatwaves in Thailand: A systematic assessment incorporating evidence-based lag structure
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorPhung, Dung T.
gro.griffith.authorCheng, Jian
gro.griffith.authorHuang, Cunrui


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