Trends in flash flood events versus convective precipitation in the Mediterranean region: The case of Catalonia

The aim of this paper is to analyse the potential relationship between flash flood events and convective precipitation in Catalonia, as well as any related trends. The paper starts with an overview of flash floods and their trends in the Mediterranean region, along with their associated factors, followed by the definition of, identification of, and trends in convective precipitation. After this introduction the paper focuses on the north-eastern Iberian Peninsula, for which there is a long-term precipitation series (since 1928) of 1-min precipitation from the Fabra Observatory, as well as a shorter (1996–2011) but more extensive precipitation series (43 rain gauges) of 5-min precipitation. Both series have been used to characterise the degree of convective contribution to rainfall, introducing the β parameter as the ratio between convective precipitation versus total precipitation in any period. Information about flood events was obtained from the INUNGAMA database (a flood database created by the GAMA team), with the aim of finding any potential links to convective precipitation. These flood data were gathered using information on damage where flood is treated as a multifactorial risk, and where any trend or anomaly might have been caused by one or more factors affecting hazard, vulnerability or exposure. Trend analysis has shown an increase in flash flood events. The fact that no trends were detected in terms of extreme values of precipitation on a daily scale, nor on the associated ETCCDI (Expert Team on Climate Change Detection and Indices) extreme index, could point to an increase in vulnerability, an increase in exposure, or changes in land use. However, the summer increase in convective precipitation was concentrated in less torrential events, which could partially explain this positive trend in flash flood events. The β parameter has been also used to characterise the type of flood event according to the features of the precipitation. The highest values correspond to short and local events, usually with daily β values above 0.5, while the minimum threshold of daily β for catastrophic flash floods is 0.31.Peer ReviewedPostprint (author's final draft

On the key role of droughts in the dynamics of summer fires in Mediterranean Europe

Summer fires frequently rage across Mediterranean Europe, often intensified by high temperatures and droughts. According to the state-of-the-art regional fire risk projections, in forthcoming decades climate effects are expected to become stronger and possibly overcome fire prevention efforts. However, significant uncertainties exist and the direct effect of climate change in regulating fuel moisture (e.g. warmer conditions increasing fuel dryness) could be counterbalanced by the indirect effects on fuel structure (e.g. warmer conditions limiting fuel amount), affecting the transition between climate-driven and fuel-limited fire regimes as temperatures increase. Here we analyse and model the impact of coincident drought and antecedent wet conditions (proxy for the climatic factor influencing total fuel and fine fuel structure) on the summer Burned Area (BA) across all eco-regions in Mediterranean Europe. This approach allows BA to be linked to the key drivers of fire in the region. We show a statistically significant relationship between fire and same-summer droughts in most regions, while antecedent climate conditions play a relatively minor role, except in few specific eco-regions. The presented models for individual eco-regions provide insights on the impacts of climate variability on BA, and appear to be promising for developing a seasonal forecast system supporting fire management strategies.We thank the European Forest Fire Information System-EFFIS (http://effis.jrc.ec.europa.eu) of the European Commission Joint Research Centre for the fire data. We acknowledge the SPEI data providers (http://sac.csic. es/spei/database.html). Special thanks to Joaquín Bedia, Esteve Canyameras, Xavier Castro and Andrej Ceglar for helpful discussions on the study. This work was partially funded by the Project of Interest “NextData” of the Italian Ministry for Education, University and Research and by the EU H2020 Project 641762 “ECOPOTENTIAL: Improving Future Ecosystem Benefits through Earth Observations”. Ricardo Trigo was supported by IMDROFLOOD funded by Portuguese FCT (WaterJPI/0004/2014).Peer ReviewedPostprint (published version

Adaptation to flood risk: Results of international paired flood event studies

As flood impacts are increasing in large parts of the world, understanding the primary drivers of changes in risk is essential for effective adaptation. To gain more knowledge on the basis of empirical case studies, we analyze eight paired floods, that is, consecutive flood events that occurred in the same region, with the second flood causing significantly lower damage. These success stories of risk reduction were selected across different socioeconomic and hydro-climatic contexts. The potential of societies to adapt is uncovered by describing triggered societal changes, as well as formal measures and spontaneous processes that reduced flood risk. This novel approach has the potential to build the basis for an international data collection and analysis effort to better understand and attribute changes in risk due to hydrological extremes in the framework of the IAHSs Panta Rhei initiative. Across all case studies, we find that lower damage caused by the second event was mainly due to significant reductions in vulnerability, for example, via raised risk awareness, preparedness, and improvements of organizational emergency management. Thus, vulnerability reduction plays an essential role for successful adaptation. Our work shows that there is a high potential to adapt, but there remains the challenge to stimulate measures that reduce vulnerability and risk in periods in which extreme events do not occur

The challenge of unprecedented floods and droughts in risk management

Risk management has reduced vulnerability to floods and droughts globally1,2, yet their impacts are still increasing3. An improved understanding of the causes of changing impacts is therefore needed, but has been hampered by a lack of empirical data4,5. On the basis of a global dataset of 45 pairs of events that occurred within the same area, we show that risk management generally reduces the impacts of floods and droughts but faces difficulties in reducing the impacts of unprecedented events of a magnitude not previously experienced. If the second event was much more hazardous than the first, its impact was almost always higher. This is because management was not designed to deal with such extreme events: for example, they exceeded the design levels of levees and reservoirs. In two success stories, the impact of the second, more hazardous, event was lower, as a result of improved risk management governance and high investment in integrated management. The observed difficulty of managing unprecedented events is alarming, given that more extreme hydrological events are projected owing to climate change3

Dynamics of disease characteristics and clinical management of critically ill COVID-19 patients over the time course of the pandemic: an analysis of the prospective, international, multicentre RISC-19-ICU registry.

BACKGROUND It remains elusive how the characteristics, the course of disease, the clinical management and the outcomes of critically ill COVID-19 patients admitted to intensive care units (ICU) worldwide have changed over the course of the pandemic. METHODS Prospective, observational registry constituted by 90 ICUs across 22 countries worldwide including patients with a laboratory-confirmed, critical presentation of COVID-19 requiring advanced organ support. Hierarchical, generalized linear mixed-effect models accounting for hospital and country variability were employed to analyse the continuous evolution of the studied variables over the pandemic. RESULTS Four thousand forty-one patients were included from March 2020 to September 2021. Over this period, the age of the admitted patients (62 [95% CI 60-63] years vs 64 [62-66] years, p < 0.001) and the severity of organ dysfunction at ICU admission decreased (Sequential Organ Failure Assessment 8.2 [7.6-9.0] vs 5.8 [5.3-6.4], p < 0.001) and increased, while more female patients (26 [23-29]% vs 41 [35-48]%, p < 0.001) were admitted. The time span between symptom onset and hospitalization as well as ICU admission became longer later in the pandemic (6.7 [6.2-7.2| days vs 9.7 [8.9-10.5] days, p < 0.001). The PaO2/FiO2 at admission was lower (132 [123-141] mmHg vs 101 [91-113] mmHg, p < 0.001) but showed faster improvements over the initial 5 days of ICU stay in late 2021 compared to early 2020 (34 [20-48] mmHg vs 70 [41-100] mmHg, p = 0.05). The number of patients treated with steroids and tocilizumab increased, while the use of therapeutic anticoagulation presented an inverse U-shaped behaviour over the course of the pandemic. The proportion of patients treated with high-flow oxygen (5 [4-7]% vs 20 [14-29], p < 0.001) and non-invasive mechanical ventilation (14 [11-18]% vs 24 [17-33]%, p < 0.001) throughout the pandemic increased concomitant to a decrease in invasive mechanical ventilation (82 [76-86]% vs 74 [64-82]%, p < 0.001). The ICU mortality (23 [19-26]% vs 17 [12-25]%, p < 0.001) and length of stay (14 [13-16] days vs 11 [10-13] days, p < 0.001) decreased over 19 months of the pandemic. CONCLUSION Characteristics and disease course of critically ill COVID-19 patients have continuously evolved, concomitant to the clinical management, throughout the pandemic leading to a younger, less severely ill ICU population with distinctly different clinical, pulmonary and inflammatory presentations than at the onset of the pandemic

Panta Rhei benchmark dataset: socio-hydrological data of paired events of floods and droughts

As the adverse impacts of hydrological extremes increase in many regions of the world, a better understanding of the drivers of changes in risk and impacts is essential for effective flood and drought risk management and climate adaptation. However, there is currently a lack of comprehensive, empirical data about the processes, interactions and feedbacks in complex human-water systems leading to flood and drought impacts. Here we present a benchmark dataset containing socio-hydrological data of paired events, i.e., two floods or two droughts that occurred in the same area. The 45 paired events occurred in 42 different study areas and cover a wide range of socio-economic and hydro-climatic conditions. The dataset is unique in covering both floods and droughts, in the number of cases assessed, and in the quantity of socio-hydrological data. The benchmark dataset comprises: 1) detailed review style reports about the events and key processes between the two events of a pair; 2) the key data table containing variables that assess the indicators which characterise management shortcomings, hazard, exposure, vulnerability and impacts of all events; 3) a table of the indicators-of-change that indicate the differences between the first and second event of a pair. The advantages of the dataset are that it enables comparative analyses across all the paired events based on the indicators-of-change and allows for detailed context- and location-specific assessments based on the extensive data and reports of the individual study areas. The dataset can be used by the scientific community for exploratory data analyses e.g. focused on causal links between risk management, changes in hazard, exposure and vulnerability and flood or drought impacts. The data can also be used for the development, calibration and validation of socio-hydrological models. The dataset is available to the public through the GFZ Data Services (Kreibich et al. 2023, link for review: https://dataservices.gfz-potsdam.de/panmetaworks/review/923c14519deb04f83815ce108b48dd2581d57b90ce069bec9c948361028b8c85/).</p

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Trends in flash flood events versus convective precipitation in the Mediterranean region: The case of Catalonia

The aim of this paper is to analyse the potential relationship between flash flood events and convective precipitation in Catalonia, as well as any related trends. The paper starts with an overview of flash floods and their trends in the Mediterranean region, along with their associated factors, followed by the definition of, identification of, and trends in convective precipitation. After this introduction the paper focuses on the north-eastern Iberian Peninsula, for which there is a long-term precipitation series (since 1928) of 1-min precipitation from the Fabra Observatory, as well as a shorter (1996–2011) but more extensive precipitation series (43 rain gauges) of 5-min precipitation. Both series have been used to characterise the degree of convective contribution to rainfall, introducing the β parameter as the ratio between convective precipitation versus total precipitation in any period. Information about flood events was obtained from the INUNGAMA database (a flood database created by the GAMA team), with the aim of finding any potential links to convective precipitation. These flood data were gathered using information on damage where flood is treated as a multifactorial risk, and where any trend or anomaly might have been caused by one or more factors affecting hazard, vulnerability or exposure. Trend analysis has shown an increase in flash flood events. The fact that no trends were detected in terms of extreme values of precipitation on a daily scale, nor on the associated ETCCDI (Expert Team on Climate Change Detection and Indices) extreme index, could point to an increase in vulnerability, an increase in exposure, or changes in land use. However, the summer increase in convective precipitation was concentrated in less torrential events, which could partially explain this positive trend in flash flood events. The β parameter has been also used to characterise the type of flood event according to the features of the precipitation. The highest values correspond to short and local events, usually with daily β values above 0.5, while the minimum threshold of daily β for catastrophic flash floods is 0.31.Peer Reviewe

Bias correction and downscaling of future RCM precipitation projections using a MOS-Analog technique

In this study we assess the suitability of a recently introduced analog-based Model Output Statistics (MOS) downscaling method (referred to as MOS-Analog) for climate change studies and compare the results with a quantile mapping bias correction method. To this aim, we focus on Spain and consider daily precipitation output from an ensemble of Regional Climate Models provided by the ENSEMBLES project. The reanalysis-driven Regional Climate Model (RCM) data provide the historical data (with day-to-day correspondence with observations induced by the forcing boundary conditions) to conduct the analog search of the control (20C3M) and future (A1B) global climate model (GCM)-driven RCM values. First, we show that the MOS-Analog method outperforms the raw RCM output in the control 20C3M scenario (period 1971–2000) for all considered regions and precipitation indices, although for the worst-performing models the method is less effective. Second, we show that the MOS-Analog method broadly preserves the original RCM climate change signal for different future periods (2011–2040, 2041–2070, 2071–2100), except for those indices related to extreme precipitation. This could be explained by the limitation of the analog method to extrapolate unobserved precipitation records. These results suggest that the MOS-Analog is a spatially consistent alternative to standard bias correction methods, although the limitation for extreme values should be taken with caution in cases where this aspect is relevant for the problem.This work was partially supported by the strategic action for energy and climate change by the Spanish R+D 2008–2011 Program ESTCENA (code 200800050084078), the project MULTI-SDM (CGL2015-66583- R, MINECO/FEDER), the Italian project of Interest NextData of the Italian Ministry for Education, University and Research, and by the European Science Foundation within the framework of COST ES1102 (Validating and integrating downscaling methods for climate change research). This paper has also been written under the framework of the International HYMEX project and the Spanish HOPE (CGL2014-52571-R) project. We also acknowledge the ENSEMBLES project (funded by the European Commission’s 6th Framework Programme through contract GOCE-CT-2003-505539) for the RCM data used in this work (http://ensemblesrt3.dmi.dk/). The authors thank AEMET and UC for the data provided for this work (Spain02 gridded precipitation data set, www.meteo.unican.es/es/datasets/spain02). Special thanks to the authors of the MeteoLab-Toolbox (www.meteo.unican.es/software/meteolab) which helped us to postprocess the data and to validate the method. Finally, we thank the anonymous referees for their useful comments.Peer Reviewe