Cristina Linares

August 2003 was the month of the heatwave that killed 70,000 people in Europe. In France, with 14,800 deaths, the Minister of Health resigned, and in Spain, with 6,500, the first prevention plan for the extreme heat was put in motion, which came into force in 2004. Two decades later, campaigns and preventive measures in social services, nursing homes, and hospitals have generated the so-called "heat culture," and although temperatures continue to rise due to climate change, this adaptation is limiting its impact.

Twenty-three per cent of the world's population over the age of 69 will be living with acute heat exposure by 2050, compared to 14 per cent in 2020, according to a study published in Nature Communications. The research highlights southern Europe, parts of North and South America, Southeast Asia and all of Australia as areas of ‘increasing stress’, where higher heat exposure overlaps with an increasingly ageing population. The effects will be most severe in Asia and Africa, according to the study. 

On the eve of an episode of unusually high temperatures for this time of year, it is time to take stock of the summer we have experienced, characterised by a succession of extreme weather phenomena in the form of heat waves, drought and torrential rains. The seriousness and complexity of these problems and their repercussions in many areas, especially on health, make it urgent to set up the Health and Climate Change Observatory approved last July, with a stable and independent structure.

Counting deaths attributable to the effects of high temperatures is basic as a public health surveillance tool, but it should not become the only research objective. It is necessary to know why the population in some places adapts better than others to heat waves, what variables influence them, and to modify them when possible.

In 64 % of the cases, the temperature thresholds that define a heatwave according to the Ministry of Health are below the heatwave threshold established by AEMET. This implies that the population does not perceive situations of risk to their health when they do exist.

Last week saw the conclusion of the XL Annual Meeting of the Spanish Society of Epidemiology under the theme: "Challenges of the 21st Century: Environment, Climate Change and Social Inequalities". Climate change is the most important environmental challenge with an impact on public health facing society today. It is also a social challenge, as it further accentuates inequalities and inequities in health.