Valleron Alain-Jacques, Boumendil Ariane
Unité de recherches (Inserm U444 et Université Pierre et Marie Curie), hôpital Saint-Antoine, 75571 Paris cedex 12, France.
C R Biol. 2004 Dec;327(12):1125-41. doi: 10.1016/j.crvi.2004.09.009.
Epidemiology and heat waves: analysis of the 2003 episode in France. The heat wave that struck France in 2003 has been accompanied with an estimated 15,000 excess deaths. This paper stresses the difficulties of the epidemiology of such an event. The relevant clinical and biological information is incomplete or even inaccessible and many of the deaths are due to multiple factors. The data presently available indicate that the deaths occurred in persons already vulnerable, and that the heat wave caused a five- to eight-month loss of lifetime for the affected individuals. There is a noteworthy similarity between the profiles of this exceptional summer mortality surge, and those of many past winters when similar or larger excess mortalities ave occurred without as yet eliciting much public attention.
对2003年法国事件的分析。2003年袭击法国的热浪估计导致了15000例额外死亡。本文强调了此类事件流行病学研究的困难。相关的临床和生物学信息不完整甚至无法获取，而且许多死亡是由多种因素导致的。目前可得的数据表明，死亡发生在本就脆弱的人群中，并且热浪使受影响个体的寿命损失了五到八个月。这个异常的夏季死亡率激增的情况，与过去许多冬季出现类似或更大的额外死亡人数但尚未引起太多公众关注的情况，在特征上有值得注意的相似之处。
