1. Protecting health in an environment challenged by climate change: European Regional Framework for Action Extreme temperatures Dr Bettina Menne

2. Protecting health in an environment challenged by climate change: European Regional Framework for Action 2 A deadly summer They got what they did not have before (Klinenberg… … cooling and medical attention…..

3. Protecting health in an environment challenged by climate change: European Regional Framework for Action 3 …. September: WHO 35,000 October ISRD 46,000 Eurosurveillance: 50,000 Etc etc 2007: Canicule:

4. Protecting health in an environment challenged by climate change: European Regional Framework for Action 4

5. 5 Legend 0.00 - 0.12 0.12 - 0.18 0.18 - 0.27 0.27 - 0.41 0.41 - 0.62 0.62 - 0.78 0.78 - 0.85 0.85 - 0.91 0.91 - 0.97 0.97 - 1.04 1.04 - 1.10 1.10 - 1.16 1.16 - 1.23 1.23 - 1.27 1.27 - 1.31 1.31 - 1.35 1.35 - 1.39 1.39 - 1.59 1.59 - 1.88 1.88 - 2.32 2.32 - 2.99 2.99 - 3.98 3.98 - 5.47 5.47 - 7.70 7.70 - 11.05 August the 12 th 2003 = DOY 224

6. Protecting health in an environment challenged by climate change: European Regional Framework for Action 6 EuroHEAT: Improving Public Health Responses to Extreme weather

7. Protecting health in an environment challenged by climate change: European Regional Framework for Action 7 Q 1: what do you want to measure? Heat-waves, cold wave frequency? Damage –Mortality attributable deaths? Summer/winter excess mortality? –Economic Agriculture losses?

8. Protecting health in an environment challenged by climate change: European Regional Framework for Action 8

9. 9 Number of daily mortality in Paris and min-max temperatures 25 June-19 August 2003. Paris Funeral Services (2003)

10. Protecting health in an environment challenged by climate change: European Regional Framework for Action

11. 11

12. Protecting health in an environment challenged by climate change: European Regional Framework for Action 12

13. Protecting health in an environment challenged by climate change: European Regional Framework for Action 13 Health effects of heat-waves

14. Protecting health in an environment challenged by climate change: European Regional Framework for Action 14 Scope For decision making – too late, simply too late For reporting purposes (lag 1 week) ok

15. Protecting health in an environment challenged by climate change: European Regional Framework for Action HHWSs in Europe Heat Health Warning Systems and Seasonal Climate Forecasting in Europe

16. Protecting health in an environment challenged by climate change: European Regional Framework for Action HHWSs in Europe Heat Health Warning Systems and Seasonal Climate Forecasting in Europe 16 countries with HHWSs could be identified most systems implemented after 2003 different methods (heat wave definitions) sometimes regional specific thresholds not all countries have heat plans lead times: 1 - 3 days

17. Protecting health in an environment challenged by climate change: European Regional Framework for Action 17 Seasonal forecasting http://www.euroheat-project.org/dwd/index.php

18. Protecting health in an environment challenged by climate change: European Regional Framework for Action Dr Bettina Menne WHO Regional Office for Europe Protecting health in an environment challenged by climate change www.euro.who.int/ globalchange www.euro.who.int/

19. Protecting health in an environment challenged by climate change: European Regional Framework for Action The ENHIS System Data from surveys International and national data bases Methodology for 22 core indicators

20. Protecting health in an environment challenged by climate change: European Regional Framework for Action 20 Share best practices, research, data, information, technology and tools at all levels Request to agencies to discuss the development of an information platform by 2014, building on available tools and information gathering processes Member States in the WHO European Region are called on to contribute, and support the provision of regular information to the platform. Overall strengthen research from improved risk assessment to applied research and improved economic assessments

21. Protecting health in an environment challenged by climate change: European Regional Framework for Action 21 For whom?