Projected heat-related mortality under climate change in the metropolitan area of Skopje

Abstract Background Excessive summer heat is a serious environmental health problem in Skopje, the capital and largest city of the former Yugoslav Republic of Macedonia. This paper attempts to forecast the impact of heat on mortality in Skopje in two future periods under climate change and compare it with a historical baseline period. Methods After ascertaining the relationship between daily mean ambient air temperature and daily mortality in Skopje, we modelled the evolution of ambient temperatures in the city under a Representative Concentration Pathway scenario (RCP8.5) and the evolution of the city population in two future time periods: 2026–2045 and 2081–2100, and in a past time period (1986–2005) to serve as baseline for comparison. We then calculated the projected average annual mortality attributable to heat in the absence of adaptation or acclimatization during those time windows, and evaluated the contribution of each source of uncertainty on the final impact. Results Our estimates suggest that, compared to the baseline period (1986–2005), heat-related mortality in Skopje would more than double in 2026–2045, and more than quadruple in 2081–2100. When considering the impact in 2081–2100, sampling variability around the heat–mortality relationship and climate model explained 40.3 and 46.6 % of total variability. Conclusion These results highlight the importance of a long-term perspective in the public health prevention of heat exposure, particularly in the context of a changing climate

The Public Health Impacts of Climate Change in the former Yugoslav Republic of Macedonia

Projected climatic changes for the former Yugoslav Republic of Macedonia for the period 2025–2100 will be most intense in the warmest period of the year with more frequent and more intense heat-waves, droughts and flood events compared with the period 1961–1990. The country has examined their vulnerabilities to climate change and many public health impacts have been projected. A variety of qualitative and quantitative methodologies were used in the assessment: literature reviews, interviews, focus groups, time series and regression analysis, damage and adaptation cost estimation, and scenario-based assessment. Policies and interventions to minimize the risks and development of long-term adaptation strategies have been explored. The generation of a robust evidence base and the development of stakeholder engagement have been used to support the development of an adaptation strategy and to promote adaptive capacity by improving the resilience of public health systems to climate change. Climate change adaptation has been established as a priority within existing national policy instruments. The lessons learnt from the process are applicable to countries considering how best to improve adaptive capacity and resilience of health systems to climate variability and its associated impacts

The Impacts of Maximum Temperature and Climate Change to Current and Future Pollen Distribution in Skopje, Republic of Macedonia

BACKGROUND. The goal of the present paper was to assess the impact of current and future burden of the ambient temperature to pollen distributions in Skopje. METHODS. In the study we have evaluated a correlation between the concentration of pollen grains in the atmosphere of Skopje and maximum temperature, during the vegetation period of 1996, 2003, 2007 and 2009 as a current burden in context of climate change. For our analysis we have selected 9 representative of each phytoallergen group (trees, grasses, weeds). The concentration of pollen grains has been monitored by a Lanzoni volumetric pollen trap. The correlation between the concentration of pollen grains in the atmosphere and selected meteorological variable from weekly monitoring has been studied with the help of linear regression and correlation coefficients. RESULTS. The prevalence of the sensibilization of standard pollen allergens in Skopje during the some period shows increasing from 16,9% in 1996 to 19,8% in 2009. We detect differences in onset of flowering, maximum and end of the length of seasons for pollen. The pollen distributions and risk increases in 3 main periods: early spring, spring and summer which are the main cause of allergies during these seasons. The largest increase of air temperature due to climate change in Skopje is expected in the summer season. CONCLUSION. The impacts of climate change by increasing of the temperature in the next decades very likely will include impacts on pollen production and differences in current pollen season. [TAF Prev Med Bull 2012; 11(1.000): 35-40

Additional file 1: of Projected heat-related mortality under climate change in the metropolitan area of Skopje

Population Growth Models. (DOCX 19 kb