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Weekly heat wave death prediction model using zero-inflated regression approach

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Abstract

Driven partly by the shifting climate and growth of vulnerable populations, excess heat-triggered human fatalities are becoming a serious public health risk concern in Korea. This study develops the zero-inflated regression model for predicting the numbers of weekly heat deaths in South Korea. Defining the heat death as the death caused by “exposure to excessive natural heat,” data analyses are performed to examine statistical relationships between the number of heat deaths versus the pertinent temperature-related parameters and the size of the vulnerable population. The weekly mean of daily maximum temperature and the number of consecutive heat wave days with tropical nights are selected as the temperature-related parameters, while the numbers of elderly living alone and those of agricultural workers are selected as the parameters representing the vulnerable population. Using these four regressive parameters, we develop a regression-based model applied for the prediction of the number of heat deaths. Several statistical methods including the Poisson, negative binomial, hurdle, and the zero-inflated models are scrutinized. The results demonstrate that the zero-inflated Poisson regression model is the most appropriate statistical approach, as it addresses the issue of frequent occurrences of zero-valued observations in weekly heat death data. It was evident that a larger number of heat deaths occurred in the period and study region with a correspondingly higher predicted value. In accordance with this statistical performance, we ascertain that the utilized models could be explored by disaster management and public health experts as a scientific contrivance for health risk mitigation and resource allocation more strategically, and for providing the general public with reliable weekly heat wave risk forecasts.

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References

  • Åström DO, Bertil F, Joacim R (2011) Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies. Maturitas 69(2):99–105

    Article  Google Scholar 

  • Azhar GS, Mavalankar D, Nori-Sarma A, Rajiva A, Dutta P, Jaiswal A, Sheffield P, Knowlton K, Hess JJ (2014) Heat-related mortality in India: excess all-cause mortality associated with the 2010 Ahmedabad heat wave. PLoS One 9(3):e91831

    Article  Google Scholar 

  • Basu R (2009) High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health 8(1):40

    Article  Google Scholar 

  • Bull GM, Morton J (1975) Relationships of temperature with death rates from all causes and from certain respiratory and arteriosclerotic diseases in different age groups. Age Ageing 4(4):232–246

    Article  Google Scholar 

  • Chau PH, Chan KC, Woo J (2009) Hot weather warning might help to reduce elderly mortality in Hong Kong. Int J Biometeorol 53(5):461–468

    Article  Google Scholar 

  • Coates L, Haynes K, O’Brien J, McAneney J, de Oliveira FD (2014) Exploring 167 years of vulnerability: an examination of extreme heat events in Australia 1844–2010. Environ Sci Pol 42:33–44

    Article  Google Scholar 

  • Deo RC, McAlpine C, Syktus J, McGowan H, Phinn S (2007) On Australian heat waves: time series analysis of extreme temperature events in Australia, 1950-2005. In Proceedings of the international congress on modelling and simulation (MODSIM07), Modelling and Simulation Society of Australia and New Zealand Inc., pp 626–635

  • Deo RC, Downs N, Parisi AV, Adamowski JF, Quilty JM (2017) Very short-term reactive forecasting of the solar ultraviolet index using an extreme learning machine integrated with the solar zenith angle. Environ Res 155:141–166

    Article  Google Scholar 

  • Ebi KL, Teisberg TJ, Kalkstein LS, Robinson L, Weiher RF (2004) Heat watch/warning systems save lives: estimated costs and benefits for Philadelphia 1995–98. Bull Am Meteorol Soc 85(8):1067–1073

    Article  Google Scholar 

  • Field CB, Barros VR, Mach K, Mastrandrea M (2014) Climate change 2014: impacts, adaptation, and vulnerability. In: Contribution of working group II to the fifth assessment report of the intergovernmental panel on climate change

  • Fouillet A, Rey G, Laurent F, Pavillon G, Bellec S, Guihenneuc-Jouyaux C, Clavel J, Jougla E, Hémon D (2006) Excess mortality related to the August 2003 heat wave in France. Int Arch Occup Environ Health 80(1):16–24

    Article  Google Scholar 

  • Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A, Jougla E (2008) Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave. Int J Epidemiol 37(2):309–317

    Article  Google Scholar 

  • Hajat S, Armstrong BG, Gouveia N, Wilkinson P (2005) Mortality displacement of heat-related deaths: a comparison of Delhi, Sao Paulo, and London. Epidemiology 16(5):613–620

    Article  Google Scholar 

  • Hajat S, Kosatky T (2010) Heat-related mortality: a review and exploration of heterogeneity. J Epidemiol Comm Health 64(9):753–760

    Article  Google Scholar 

  • Hajat S, Kovats RS, Lachowycz K (2007) Heat-related and cold-related deaths in England and Wales: who is at risk? Occup Environ Med 64(2):93–100

    Article  Google Scholar 

  • Hoshi A, Inaba Y (2007) Prediction of heat disorders in Japan. Glogal Environ Res 11(1):45–50

    Google Scholar 

  • Hu MC, Pavlicova M, Nunes EV (2011) Zero-inflated and hurdle models of count data with extra zeros: examples from an HIV-risk reduction intervention trial. Am J Drug and Alcohol Abuse 37(5):367–375

    Article  Google Scholar 

  • Hůnová I, Brabec M, Malý M, Knobová V, Braniš M (2017) Major heat waves of 2003 and 2006 and health outcomes in Prague. Air Qual Atmo Health 1–12

  • Jeong D, Lem SH, Kim DW, Lee WS (2016) The effects of climate elements on heat-related illness in South Korea. J Clim Change Res 7(2):205–215 (in Korean with English abstract)

    Article  Google Scholar 

  • Kalkstein LS, Sheridan SC, Kalkstein AJ (2009) Heat/health warning systems: development, implementation, and intervention activities. In Biometeorology for adaptation to climate variability and change, Springer Netherlands, pp 33–48

  • Keatinge WR, Coleshaw SRK, Holmes J (1989) Changes in seasonal mortalities with improvement in home heating in England and Wales from 1964 to 1984. Int J Biometeorol 33(2):71–76

    Article  Google Scholar 

  • Kim J, Lee DG, Kysely J (2009) Characteristics of heat acclimatization for major Korean cities. Atmosphere 19(4):309–318

    Google Scholar 

  • Kim DW, Chung JH, Lee JS, Lee JS (2014) Characteristics of heat wave mortality in Korea. Atmosphere 24(2):225–234

    Article  Google Scholar 

  • Kim DW, Deo RC, Chung JH, Lee JS (2016) Projection of heat wave mortality related to climate change in Korea. Nat Hazards 80(1):623–637

    Article  Google Scholar 

  • Kim DW, Deo RC, Lee JS, Yeom JM (2017) Mapping heatwave vulnerability in Korea. Nat Hazards 89(1):35–55

    Article  Google Scholar 

  • Koppe C, Kovats S, Jendritzky G, Menne B (2004) Heat-waves: risks and responses. Health and Global Environmental Change Series no. 2 World Health Organization

  • Lee JS, Byun HR, Kim DW (2016a) Development of accumulated heat stress index based on time-weighted function. Theor Appl Climatol 124(3–4):541–554

    Article  Google Scholar 

  • Lee WK, Lee HA, Park H (2016b) Modifying effect of heat waves on the relationship between temperature and mortality. J Korean Med Sci 31(5):702–708

    Article  Google Scholar 

  • Levy M, Broccoli M, Cole G, Jenkins JL, Klein EY (2015) An analysis of the relationship between the heat index and arrivals in the emergency department. PLoS Curr 7

  • Li Y, Li C, Luo S, He J, Cheng Y, Jin Y (2017) Impacts of extremely high temperature and heatwave on heatstroke in Chongqing, China. Environ Sci Pollut Res 1–7

  • Manangan A, Uejio C, Saha S, Schramm P, Marinucci G, Brown C, Luber G (2014) Assessing health vulnerability to climate change: a guide for health departments. Climate and Health Technical Report Series

  • Masterton JM, Richardson FA (1979) Humidex, a method of quantifying human discomfort due to excessive heat and humidity. CLI 1–79 Environ Can pp. 45.

  • McGregor G, Bessemoulin P, Ebi K, Menne B (2010) Heat waves and health: guidance on warning system development. World Meteorological Organization

  • McMichael AJ, Anderson HR, Brunekree B, Cohen AJ (1998) Inappropriate use of daily mortality analyses to estimate longer-term mortality effects of air pollution. Int J Epidemiol 27(3):450–453

    Article  Google Scholar 

  • Michelozzi P, Nogueira PJ (2004) A national system for the prevention of heat health effects in Italy. In World Health Organization. Regional Office for Europe. Extreme weather and climate events and public health responses. Report on a WHO meeting in Bratislava, Slovakia, pp. 9–10

  • Park S-J, Kim D-W, Deo RC, Lee J-S (2018) Mapping hypothermia death vulnerability in Korea. Int J Disaster Risk Reduct 31:668–678

    Article  Google Scholar 

  • Reid CE, O'Neill MS, Gronlund CJ, Brines SJ, Brown DG, Diez-Roux AV, Schwartz J (2009) Mapping community determinants of heat vulnerability. Environ Health Perspect 117(11):1730–1736

    Article  Google Scholar 

  • Schifano P, Cappai G, De Sario M, Michelozzi P, Marino C, Bargagli AM, Perucci CA (2009) Susceptibility to heat wave-related mortality: a follow-up study of a cohort of elderly in Rome. Environ Health 8(1):1–14

    Article  Google Scholar 

  • Schuman SH (1972) Patterns of urban heat-wave deaths and implications for prevention: data from New York and St. Louis during July, 1966. Environ Res 5(1):59–75

    Article  Google Scholar 

  • Sheridan SC, Kalkstein LS (2004) Progress in heat watch–warning system technology. Bull Am Meteorol Soc 85(12):1931–1941

    Article  Google Scholar 

  • Shin HS, Lee SH (2014) Development of a climate change vulnerability index on the health care sector. J Environ Policy 13(1):69–93

    Article  Google Scholar 

  • Steadman RG (1984) A universal scale of apparent temperature. J Clim Appl Meteorol 23(12):1674–1687

    Article  Google Scholar 

  • Thacker MT, Lee R, Sabogal RI, Henderson A (2008) Overview of deaths associated with natural events, United States, 1979–2004. Disasters 32(2):303–315

    Article  Google Scholar 

  • Wolf T, McGregor G (2013) The development of a heat wave vulnerability index for London, United Kingdom. Weather and Climate Extremes 1:59–68

    Article  Google Scholar 

  • Zhu Q, Liu T, Lin H, Xiao J, Luo Y, Zeng W, Zeng S, Wel Y, Chu C, Baum S, Du Y (2014) The spatial distribution of health vulnerability to heatwaves in Guangdong Province, China. Glob Health Action 7:1–10

    Article  Google Scholar 

Download references

Acknowledgments

The data were provided by Statistics Korea. This research was supported by the National Disaster Management Research Institute (Korea).

Funding

Dr. R C Deo was supported by USQ Academic Division and Outside Studies (ADOSP, 2016) funding through University of Southern Queensland (USQ).

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Correspondence to Ravinesh C. Deo.

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Kim, DW., Deo, R.C., Park, SJ. et al. Weekly heat wave death prediction model using zero-inflated regression approach. Theor Appl Climatol 137, 823–838 (2019). https://doi.org/10.1007/s00704-018-2636-9

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  • DOI: https://doi.org/10.1007/s00704-018-2636-9

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