Cited by 149Climate Change and Health ImpactsUrban Heat Island MitigationAir Quality and Health Impacts

Economic valuation of temperature-related mortality attributed to urban heat islands in European cities

Open access
Huang, Wan Ting Katty, Masselot, Pierre, Bou-Zeid, Elie, Fatichi, Simone, Paschalis, Athanasios, Sun, Ting, Gasparrini, Antonio, Manoli, Gabriele·2023·Nature Communications

Abstract

As the climate warms, increasing heat-related health risks are expected, and can be exacerbated by the urban heat island (UHI) effect. UHIs can also offer protection against cold weather, but a clear quantification of their impacts on human health across diverse cities and seasons is still being explored. Here we provide a 500 m resolution assessment of mortality risks associated with UHIs for 85 European cities in 2015-2017. Acute impacts are found during heat extremes, with a 45% median increase in mortality risk associated with UHI, compared to a 7% decrease during cold extremes. However, protracted cold seasons result in greater integrated protective effects. On average, UHI-induced heat-/cold-related mortality is associated with economic impacts of €192/€ − 314 per adult urban inhabitant per year in Europe, comparable to air pollution and transit costs. These findings urge strategies aimed at designing healthier cities to consider the seasonality of UHI impacts, and to account for social costs, their controlling factors, and intra-urban variability.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41467-023-43135-z

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Heat-related mortality is strongly associated with extreme hot periods, especially in cities, where the urban environment can further increase thermal stress.

    “Recent studies have revealed that heat-related mortality is strongly associated with extreme hot periods, especially in cities, where the urban environment can further increase thermal stress [1-3].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 75

  1. [1]European Commission. Eurostat regional yearbook - 2021 edition (eds. Kotzeva, M., Brandmüller, T., Fohgrub, B., & Onnerfors, Å.) 10.2785/894358 (Publications Office of the European Union, Luxembourg, 2021). · DOI
  2. [3]Tuholske C Global urban population exposure to extreme heat Proceedings of the National Academy of Sciences 2021 118 e2024792118 10.1073/pnas.2024792118 PMC8521713 34607944 · DOI · Paper page
  3. [4]Huang K Li X Liu X Seto KC Projecting global urban land expansion and heat island intensification through 2050 Environmental Research Letters 2019 14 114037 10.1088/1748-9326/ab4b71 · DOI
  4. [5]Zhao L Global multi-model projections of local urban climates Nature Climate Change 2021 11 152 157 10.1038/s41558-020-00958-8 · DOI
  5. [6]Zhao L Urban growth and climate adaptation Nature Climate Change 2018 8 1034 1034 10.1038/s41558-018-0348-x · DOI
  6. [7]Oke, T. R., Mills, G., Christen, A. & Voogt, J. A. Urban Climates10.1017/9781139016476. https://www.cambridge.org/core/product/identifier/9781139016476/type/book (Cambridge University Press, 2017).
  7. [8]Manoli G Magnitude of urban heat islands largely explained by climate and population Nature 2019 573 55 60 10.1038/s41586-019-1512-9 31485056 · DOI
  8. [10]Masson V Lemonsu A Hidalgo J Voogt J Urban Climates and Climate Change Annual Review of Environment and Resources 2020 45 411 444 10.1146/annurev-environ-012320-083623 · DOI
  9. [11]Zhang Z A mechanistic assessment of urban heat island intensities and drivers across climates Urban Climate 2022 44 101215 10.1016/j.uclim.2022.101215 · DOI
  10. [12]Ebi KL Hot weather and heat extremes: health risks The Lancet 2021 398 698 708 10.1016/S0140-6736(21)01208-3 34419205 · DOI · Paper page
  11. [15]Le Tertre A Impact of the 2003 heatwave on all-cause mortality in 9 French cities Epidemiology 2006 17 75 79 10.1097/01.ede.0000187650.36636.1f 16357598 · DOI
  12. [16]Gabriel KM Endlicher WR Urban and rural mortality rates during heat waves in Berlin and Brandenburg, Germany Environmental Pollution 2011 159 2044 2050 10.1016/j.envpol.2011.01.016 21295389 · DOI
  13. [17]Johnson H The impact of the 2003 heat wave on mortality and hospital admissions in England Health statistics quarterly 2005 25 6 11 15804164
  14. [18]Basu R High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008 Environmental Health 2009 8 40 10.1186/1476-069X-8-40 19758453 PMC2759912 · DOI
  15. [19]Analitis A Effects of Cold Weather on Mortality: Results From 15 European Cities Within the PHEWE Project American Journal of Epidemiology 2008 168 1397 1408 10.1093/aje/kwn266 18952849 · DOI
  16. [20]Kovats RS Hajat S Heat Stress and Public Health: A Critical Review Annu. Rev. Public Health 2008 29 41 55 10.1146/annurev.publhealth.29.020907.090843 18031221 · DOI
  17. [21]Heaviside C Vardoulakis S Cai XM Attribution of mortality to the urban heat island during heatwaves in the West Midlands, UK Environmental Health: A Global Access Science Source 2016 15 49 59 10.1186/s12940-016-0100-9 26961286 PMC4895726 · DOI
  18. [22]Heaviside C Macintyre H Vardoulakis S The Urban Heat Island: Implications for Health in a Changing Environment Current environmental health reports 2017 4 296 305 10.1007/s40572-017-0150-3 28695487 · DOI · Paper page
  19. [23]Yang J Bou-Zeid E Should Cities Embrace Their Heat Islands as Shields from Extreme Cold? Journal of Applied Meteorology and Climatology 2018 57 1309 1320 10.1175/JAMC-D-17-0265.1 · DOI
  20. [24]Manoli G Fatichi S Bou-Zeid E Katul GG Seasonal hysteresis of surface urban heat islands Proceedings of the National Academy of Sciences of the United States of America 2020 117 7082 7089 10.1073/pnas.1917554117 32184330 PMC7132285 · DOI
  21. [25]Erell, E., Pearlmutter, D. & Williamson, T. Urban Microclimate: Designing the Spaces Between Buildings10.4324/9781849775397 (Routledge, 2012).
  22. [26]Elaouzy Y El Fadar A Impact of key bioclimatic design strategies on buildings’ performance in dominant climates worldwide Energy for Sustainable Development 2022 68 532 549 10.1016/j.esd.2022.05.006 · DOI
  23. [27]Chen L Ng E Outdoor thermal comfort and outdoor activities: A review of research in the past decade Cities 2012 29 118 125 10.1016/j.cities.2011.08.006 · DOI
  24. [28]Kumar P Sharma A Study on importance, procedure, and scope of outdoor thermal comfort - A review Sustainable Cities and Society 2020 61 102297 10.1016/j.scs.2020.102297 · DOI
  25. [29]Taylor J Mapping the effects of urban heat island, housing, and age on excess heat-related mortality in London Urban Climate 2015 14 517 528 10.1016/j.uclim.2015.08.001 · DOI
  26. [30]Macintyre HL Heaviside C Cai X Phalkey R The winter urban heat island: Impacts on cold-related mortality in a highly urbanized European region for present and future climate Environment International 2021 154 106530 10.1016/j.envint.2021.106530 33895439 PMC8543073 · DOI
  27. [31]Lowe SA An energy and mortality impact assessment of the urban heat island in the US Environmental Impact Assessment Review 2016 56 139 144 10.1016/j.eiar.2015.10.004 · DOI
  28. [32]Estrada F Botzen WJ Tol RS A global economic assessment of city policies to reduce climate change impacts Nature Climate Change 2017 7 403 406 10.1038/nclimate3301 · DOI
  29. [34]Bressler RD The mortality cost of carbon Nature Communications 2021 12 1 12 10.1038/s41467-021-24487-w PMC8322393 34326326 · DOI
  30. [35]Eakin H Urban resilience efforts must consider social and political forces Proceedings of the National Academy of Sciences of the United States of America 2017 114 186 189 10.1073/pnas.1620081114 28074032 PMC5240709 · DOI
  31. [36]IPCC. in Climate Change 2022: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change (eds Möller, V. et al.) 2897-2930 (Cambridge University Press, Cambridge, UK and New York, NY, USA, 2022). 10.1017/9781009325844.029. · DOI
  32. [37]Masselot P Excess mortality attributed to heat and cold: a health impact assessment study in 854 cities in Europe The Lancet Planetary Health 2023 7 e271 e281 10.1016/S2542-5196(23)00023-2 36934727 · DOI
  33. [38]Son J-Y Liu JC Bell ML Temperature-related mortality: a systematic review and investigation of effect modifiers Environmental Research Letters 2019 14 73004 10.1088/1748-9326/ab1cdb PMC12362558 40837670 · DOI
  34. [39]Best MJ Grimmond CS Analysis of the Seasonal Cycle Within the First International Urban Land-Surface Model Comparison Boundary-Layer Meteorology 2012 146 421 446 10.1007/s10546-012-9769-7 · DOI
  35. [40]De Ridder K Lauwaet D Maiheu B UrbClim - A fast urban boundary layer climate model Urban Climate 2015 12 21 48 10.1016/j.uclim.2015.01.001 · DOI
  36. [41]Yang J Bou-Zeid E Designing sensor networks to resolve spatio-temporal urban temperature variations: fixed, mobile or hybrid? Environmental Research Letters 2019 14 074022 10.1088/1748-9326/ab25f8 · DOI
  37. [42]OECD. Mortality Risk Valuation in Environment, Health and Transport Policies 140. 10.1787/9789264130807-en. https://www.oecd-ilibrary.org/environment/mortality-risk-valuation-in-environment-health-and-transport-policies_9789264130807-en (OECD Publishing, 2012). · DOI
  38. [43]Khomenko S Premature mortality due to air pollution in European cities: a health impact assessment The Lancet Planetary Health 2021 5 e121 e134 10.1016/S2542-5196(20)30272-2 33482109 · DOI
  39. [45]Xu J Measurements of ozone and its precursors in Beijing during summertime: Impact of urban plumes on ozone pollution in downwind rural areas Atmospheric Chemistry and Physics 2011 11 12241 12252 10.5194/acp-11-12241-2011 · DOI
  40. [46]Llaguno-Munitxa M Bou-Zeid E The environmental neighborhoods of cities and their spatial extent Environmental Research Letters 2020 15 074034 10.1088/1748-9326/ab8d7e · DOI
  41. [47]Desaigues B Economic valuation of air pollution mortality: A 9-country contingent valuation survey of value of a life year (VOLY) Ecological Indicators 2011 11 902 910 10.1016/j.ecolind.2010.12.006 · DOI
  42. [48]Jay O Reducing the health effects of hot weather and heat extremes: from personal cooling strategies to green cities The Lancet 2021 398 709 724 10.1016/S0140-6736(21)01209-5 34419206 · DOI
  43. [49]Li X Urban heat island impacts on building energy consumption: A review of approaches and findings Energy 2019 174 407 419 10.1016/j.energy.2019.02.183 · DOI
  44. [50]Kolokotroni M Ren X Davies M Mavrogianni A London’s urban heat island: Impact on current and future energy consumption in office buildings Energy and Buildings 2012 47 302 311 10.1016/j.enbuild.2011.12.019 · DOI
  45. [51]Paschalis A Chakraborty T Fatichi S Meili N Manoli G Urban Forests as Main Regulator of the Evaporative Cooling Effect in Cities AGU Advances 2021 2 e2020AV000303 10.1029/2020AV000303 · DOI
  46. [52]Macintyre HL Heaviside C Cai X Phalkey R Comparing temperature-related mortality impacts of cool roofs in winter and summer in a highly urbanized European region for present and future climate Environment International 2021 154 106606 10.1016/j.envint.2021.106606 33971480 PMC8214226 · DOI
  47. [53]Georgescu M Morefield PE Bierwagen BG Weaver CP Urban adaptation can roll back warming of emerging megapolitan regions Proceedings of the National Academy of Sciences of the United States of America 2014 111 2909 2914 10.1073/pnas.1322280111 24516126 PMC3939866 · DOI
  48. [54]Fabiani C Pisello AL Bou-Zeid E Yang J Cotana F Adaptive measures for mitigating urban heat islands: The potential of thermochromic materials to control roofing energy balance Applied Energy 2019 247 155 170 10.1016/j.apenergy.2019.04.020 · DOI
  49. [55]Huang WTK Braithwaite I Charlton-Perez A Sarran C Sun T Non-linear response of temperature-related mortality risk to global warming in England and Wales Environmental Research Letters 2022 17 034017 10.1088/1748-9326/ac50d5 · DOI
  50. [58]García-León D Current and projected regional economic impacts of heatwaves in Europe Nature Communications 2021 12 1 10 10.1038/s41467-021-26050-z PMC8490455 34608159 · DOI
  51. [59]Chapman L Azevedo JA Prieto-Lopez T Urban heat & critical infrastructure networks: A viewpoint Urban Climate 2013 3 7 12 10.1016/j.uclim.2013.04.001 · DOI
  52. [62]Rey G Heat exposure and socio-economic vulnerability as synergistic factors in heat-wave-related mortality European Journal of Epidemiology 2009 24 495 502 10.1007/s10654-009-9374-3 19642001 · DOI
  53. [64]Batista e Silva F Uncovering temporal changes in Europe’s population density patterns using a data fusion approach Nature Communications 2020 11 1 11 10.1038/s41467-020-18344-5 PMC7493994 32934205 · DOI
  54. [66]Murage P Hajat S Kovats RS Effect of night-time temperatures on cause and age-specific mortality in London Environmental Epidemiology 2017 1 e005 10.1097/EE9.0000000000000005 33195962 PMC7608908 · DOI
  55. [67]Laaidi K The impact of heat islands on mortality in Paris during the August 2003 heat wave Environmental Health Perspectives 2012 120 254 259 10.1289/ehp.1103532 21885383 PMC3279432 · DOI
  56. [68]Barthelemy, M. The structure and dynamics of cities: Urban data analysis and theoretical modeling 1-262. 10.1017/9781316271377. https://www.cambridge.org/core/books/structure-and-dynamics-of-cities/50359353B081D0A38928961FE16FB2FD (Cambridge University Press, 2016). · DOI
  57. [69]Fujita M Ogawa H Multiple equilibria and structural transition of non-monocentric urban configurations Regional Science and Urban Economics 1982 12 161 196 10.1016/0166-0462(82)90031-X · DOI
  58. [70]Rydin Y Shaping cities for health: complexity and the planning of urban environments in the 21st century The Lancet 2012 379 2079 2108 10.1016/S0140-6736(12)60435-8 PMC3428861 22651973 · DOI
  59. [71]Caplin A Ghandehari M Lim C Glimcher P Thurston G Advancing environmental exposure assessment science to benefit society Nature Communications 2019 10 1 11 10.1038/s41467-019-09155-4 PMC6420629 30874557 · DOI
  60. [73]Hooyberghs, H., Berckmans, J., Lauwaet, D., Lefebre, F., & De Ridder, K. Climate variables for cities in Europe from 2008 to 2017, version 1.010.24381/cds.c6459d3a. Copernicus Climate Change Service (C3S) Climate Data Store (CDS), (2019). · DOI
  61. [74]Flanner MG Integrating anthropogenic heat flux with global climate models Geophysical Research Letters 2009 36 2801 10.1029/2008GL036465 · DOI
  62. [75]Lauwaet D Assessing the current and future urban heat island of Brussels Urban Climate 2016 15 1 15 10.1016/j.uclim.2015.11.008 · DOI
  63. [76]Zhou B Assessing Seasonality in the Surface Urban Heat Island of London Journal of Applied Meteorology and Climatology 2016 55 493 505 10.1175/JAMC-D-15-0041.1 · DOI
  64. [77]Garciá-Diéz M Advantages of using a fast urban boundary layer model as compared to a full mesoscale model to simulate the urban heat island of Barcelona Geoscientific Model Development 2016 9 4439 4450 10.5194/gmd-9-4439-2016 · DOI
  65. [79]Yamazaki D A high-accuracy map of global terrain elevations Geophysical Research Letters 2017 44 5844 5853 10.1002/2017GL072874 · DOI
  66. [80]Center for International Earth Science Information Network - CIESIN - Columbia University. Gridded Population of the World, Version 4 (GPWv4): Population Density, Revision 11 Accessed: 2021-11-03. 10.7927/H49C6VHW. https://sedac.ciesin.columbia.edu/data/set/gpw-v4-population-density-rev11 (NASA Socioeconomic Data and Applications Center (SEDAC), Palisades, New York, 2018). · DOI
  67. [82]Beck HE Present and future Köppen-Geiger climate classification maps at 1-km resolution Scientific Data 2018 5 1 12 10.1038/sdata.2018.214 30375988 PMC6207062 · DOI
  68. [84]World Health Organization. WHO global air quality guidelines: particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide https://apps.who.int/iris/handle/10665/345329 (World Health Organization, 2021). 34662007
  69. [85]Gasparrini A Armstrong B Kenward MG Distributed lag non-linear models Statistics in Medicine 2010 29 2224 2234 10.1002/sim.3940 20812303 PMC2998707 · DOI · Paper page
  70. [86]Gasparrini A Leone M Attributable risk from distributed lag models BMC Medical Research Methodology 2014 14 1 8 10.1186/1471-2288-14-55 24758509 PMC4021419 · DOI
  71. [87]Pace, M. et al. Revision of the European Standard Population - Report of Eurostat’s task force - 2013 edition tech. rep. (Publications Office of the European Union, Luxembourg, 2013). 10.2785/11470. · DOI
  72. [88]Lindhjem H Navrud S Braathen NA Biausque V Valuing Mortality Risk Reductions from Environmental, Transport, and Health Policies: A Global Meta-Analysis of Stated Preference Studies Risk Analysis 2011 31 1381 1407 10.1111/j.1539-6924.2011.01694.x 21957946 · DOI
  73. [89]OECD. Inflation (CPI) (indicator)10.1787/eee82e6e-en (2022). · DOI
  74. [90]OECD. Purchasing power parities (PPP)10.1787/1290ee5a-en (2022). · DOI
  75. [91]Huang, W. T. K. Code for: Economic valuation of temperature-related mortality attributed to urban heat islands in European cities 10.5281/zenodo.8429209. https://github.com/hkatty/Paper_UHI_mortality_Europe (2023). 37978178 · DOI

Cited by

Sorted by citations

Authors
Huang, W. T. K., Masselot, P., Bou-Zeid, E., Fatichi, S., Paschalis, A., Sun, T., Gasparrini, A., & Manoli, G.
Affiliations
  • Met Office (GB)
  • London School of Hygiene & Tropical Medicine (GB)
  • Princeton University (US)
  • National University of Singapore (SG)
  • Imperial College London (GB)
  • University College London (GB)
Corresponding author
Manoli, Gabriele
Venue
Nature Communications
Published
2023-11-17
Volume
14
Issue
1
Pages
7438-7438
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4388772553
Cited by
149
References
6
Citations by year
2026: 55 · 2025: 57 · 2024: 35 · 2023: 2
FWCI
17.07
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion, cc-by)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Eidgenössische Technische Hochschule Zürich (Branco Weiss Fellowship)
  • Met Office (Hadley Centre Climate Programme)
  • United States Department of Defense | United States Army | U.S. Army Research, Development and Engineering Command | Army Research Office (W911NF2010216)
  • National University of Singapore (22-3637-A0001)
  • RCUK | Natural Environment Research Council (NE/S003495/1, NE/P018637/2)
  • RCUK | Medical Research Council (MR/V034162/1)
  • EC | Horizon 2020 Framework Programme (820655)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Physical Sciences › Environmental Science › Environmental Engineering › Urban Heat Island Mitigation
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Keywords
urban heat island, heat-related mortality, cold-related mortality, economic valuation, extreme heat, cold extremes, seasonal variation, European cities, intra-urban variability, health impacts of climate change, healthy cities
MeSH terms
Cities, Climate, Hot Temperature, Humans, Seasons, Temperature

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review