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Modification Effects of Population Expansion, Ageing, and Adaptation on Heat-Related Mortality Risks Under Different Climate Change Scenarios in Guangzhou, China

1
Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
2
State Key Laboratory of Resources and Environmental Information System, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing 100101, China
3
Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
4
School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
5
School of Medicine, Griffith University, Brisbane QLD 4111, Australia
6
Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, One University Pl, Rensselaer, NY 12148, USA
7
Guangdong Provincial Climate Center, Guangzhou 510080, China
8
Department of Earth Observation Science, Faculty of Geo-information Science and Earth Observation (ITC), University of Twente, 7500 Enschede, The Netherlands
9
International Initiative on Spatial Lifecourse Epidemiology (ISLE), 7500 Enschede, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(3), 376; https://doi.org/10.3390/ijerph16030376
Received: 12 October 2018 / Revised: 23 January 2019 / Accepted: 24 January 2019 / Published: 29 January 2019
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Abstract

(1) Background: Although the health effects of future climate change have been examined in previous studies, few have considered additive impacts of population expansion, ageing, and adaptation. We aimed to quantify the future heat-related years of life lost (YLLs) under different Representative Concentration Pathways (RCP) scenarios and global-scale General Circulation Models (GCMs), and further to examine relative contributions of population expansion, ageing, and adaptation on these projections. (2) Methods: We used downscaled and bias-corrected projections of daily temperature from 27 GCMs under RCP2.6, 4.5, and 8.5 scenarios to quantify the potential annual heat-related YLLs in Guangzhou, China in the 2030s, 2060s, and 2090s, compared to those in the 1980s as a baseline. We also explored the modification effects of a range of population expansion, ageing, and adaptation scenarios on the heat-related YLLs. (3) Results: Global warming, particularly under the RCP8.5 scenario, would lead to a substantial increase in the heat-related YLLs in the 2030s, 2060s, and 2090s for the majority of the GCMs. For the total population, the annual heat-related YLLs under the RCP8.5 in the 2030s, 2060s, and 2090s were 2.2, 7.0, and 11.4 thousand, respectively. The heat effects would be significantly exacerbated by rapid population expansion and ageing. However, substantial heat-related YLLs could be counteracted by the increased adaptation (75% for the total population and 20% for the elderly). (4) Conclusions: The rapid population expansion and ageing coinciding with climate change may present an important health challenge in China, which, however, could be partially counteracted by the increased adaptation of individuals. View Full-Text
Keywords: climate change; years of life lost; population expansion; ageing; adaptation; population health climate change; years of life lost; population expansion; ageing; adaptation; population health
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Liu, T.; Ren, Z.; Zhang, Y.; Feng, B.; Lin, H.; Xiao, J.; Zeng, W.; Li, X.; Li, Z.; Rutherford, S.; Xu, Y.; Lin, S.; Nasca, P.C.; Du, Y.; Wang, J.; Huang, C.; Jia, P.; Ma, W. Modification Effects of Population Expansion, Ageing, and Adaptation on Heat-Related Mortality Risks Under Different Climate Change Scenarios in Guangzhou, China. Int. J. Environ. Res. Public Health 2019, 16, 376.

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