Rao Shilpa, Chaudhary Prayash, Budin-Ljøsne Isabelle, Sitoula Susan, Aunan Kristin, Chersich Matthew, De' Donato Francesca, Kazmierczak Aleksandra
Division for Climate and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Department of Addiction Medicine, Norwegian Research Center for Agonist Treatment of Substance Use Disorders (NORCATS) and Bergen Addiction Research (BAR), Haukeland University Hospital, Bergen, Norway.
Eur J Public Health. 2025 Feb 1;35(1):178-186. doi: 10.1093/eurpub/ckae203.
Heat-health early warning systems (HHWS) are an important collaborative activity between the meteorological and health communities. This study aimed to map the evidence on the socioeconomic assessment of HHWS and their effectiveness in terms of averting heat related health outcomes. It also aimed to map the technical, structural, and societal barriers and facilitators to implementation and use of HHWS. We use two methods: (i) a scoping review of literature on the economic assessment and health benefit of climate services for heat-health adaptation (ii) a set of interviews with climate service developers and providers in Europe and Africa to understand further technical and societal aspects as well as evaluation of such services. We find that HHWS can be a cost-effective adaptation option that can reduce heat-related mortality and morbidity, especially in vulnerable groups like the elderly. We find that challenges such as lack of long-term and reliable funding, difficulties in making the climate data relevant, comprehensible, and accessible to different end-users, cultural differences between climate and health professionals, and limited ability to assess the services' real impact need to be accounted for while implementing these services.
热健康预警系统（HHWS）是气象和健康领域之间一项重要的合作活动。本研究旨在梳理关于HHWS社会经济评估及其在避免与热相关的健康后果方面有效性的证据。它还旨在梳理实施和使用HHWS的技术、结构及社会障碍与促进因素。我们采用两种方法：（i）对气候服务用于热健康适应的经济评估和健康效益方面的文献进行范围综述；（ii）对欧洲和非洲的气候服务开发者及提供者进行一系列访谈，以进一步了解技术和社会方面以及对此类服务的评估。我们发现，HHWS可以是一种具有成本效益的适应方案，能够降低与热相关的死亡率和发病率，尤其是在老年人等弱势群体中。我们发现，在实施这些服务时，需要考虑一些挑战，如缺乏长期可靠的资金、使气候数据对不同终端用户具有相关性、可理解性和可获取性方面的困难、气候和健康专业人员之间的文化差异以及评估服务实际影响的能力有限等。
