THE ROLE OF CLIMATEAustralia experiences a wide range of climatic conditions,varying from the tropical north to the temperatesouth, <strong>and</strong> is one of the continents most affected bythe El Niño/Southern Oscillation (ENSO) phenomenon,which also influences the occurrence of heatwaves (Bureau of Meteorology 2003). Heat waveshave caused more fatalities during the 20th century inAustralia than any other natural weather hazard (EMA2003).impacts of heat (Katsouyanni et al. 1993; Rainham etal. 2003; Sartor 1994). If (perhaps unusually) thehypothetical extreme heat wave in urban New SouthWales were not accompanied by increased air pollution,the expected impact on mortality would be less<strong>and</strong> our figures accord with the incremental risks seenat the high temperature end of the temperature-mortalitydose-response curves previously published for varioustemperate-zone cities (Hales et al. 2000; Huynenet al. 2001; Hajat et al. 20002; Pattenden et al.2003).While heat waves are not infrequent in Australia,recent extreme climate occurrences suggest that, asglobal warming proceeds, we will face more frequent<strong>and</strong> extreme hot days. Globally, June 2003 saw thesecond highest l<strong>and</strong> temperatures (0.96°C above thelong term mean) being recorded (NCDC 2003). In2002, South Australia recorded the highest ever maximumsummer temperatures (Bureau of Meteorology2002). Meanwhile, analysis of daily temperaturerecords from the Commonwealth Bureau ofMeteorology for Sydney airport for the period1964–2002 indicates that there has been a modestupward trend in the number of days per year withmaximum temperatures exceeding 35°C.What if Europe’s extreme summerof 2003 came to New SouthWales, Australia?Based on the 2003 French heat wave, a hypotheticalscenario was developed for urban New South Wales,which includes Sydney, Australia’s largest city <strong>and</strong> thecapital. In France, an approximate 10°C rise in temperatureover a 14-day period resulted in a 55%increase in mortality compared to the preceding year(InVS 2003). If NSW were to experience a heat-wavewith the variations from norm that France experienced,given an annual mortality rate for urban NSW of 591deaths per 100,000, <strong>and</strong> a population of approximately5,200,000, we estimate an overall excess of647 deaths over <strong>and</strong> above the 1,176 deaths otherwiseexpected in urban NSW during a 14-day period.The August 2003 mortality excess in France, especiallyin urban areas, was amplified by coexistent highlevels of photochemical ozone (Fiala et al. 2003).Ozone, while shown to increase deaths from cardiorespiratorydisease (Simpson et al. 1997; Morgan etal. 1998a,b), has also been shown to compound theAn excess mortality within the range 25-55% would bemuch greater than that usually experienced in pastheat waves in Australia. Historically, severe heatwaves in other nearby or similar parts of the worldhave typically caused 10-20% excess deaths(Pattenden et al. 2003; Huynen et al. 2001).However, there are certain factors that are likely tocontribute to increased impacts in the present <strong>and</strong>future. For example, Australia has an aging population(AIHW 1999). With increasing numbers of elderly, theoccurrence of chronic disease <strong>and</strong> co-morbiditiesincrease. Elderly with underlying disease, particularlycardiovascular disease, <strong>and</strong> people living alone, havebeen identified as being more susceptible to theeffects of heat waves. Australia also has a high levelof urbanization, with an estimated 84.7% of the populationliving in an urban location (UNCHS 2001). Thismeans that a high proportion of the population is likelyto be exposed to air pollutants <strong>and</strong> the urban heatisl<strong>and</strong>effect. While the air quality in Australia is relativelygood by international st<strong>and</strong>ards, it is important tonote the conditions are changing. In Sydney, for example,the annual number of days on which the photochemicalozone st<strong>and</strong>ard (0.10 ppm for a one-houraverage) was exceeded has risen from zero in 1995to 19 in 2001 (NSWH 2003). This increases the susceptibilityto the impacts of heat waves.Australia is also experiencing more hot days, with predictionsthat the number of summer days over 35°C inSydney will increase from current two days up toeleven days by 2070 (CSIRO 2001). Given all thesefactors, it is not unlikely that the adverse impact of heatwaves in Australia will increase with time.59 | EXTREME WEATHER EVENTSCASE STUDIES
60 | EXTREME WEATHER EVENTSFLOODSFOCUS ON THE 2002 FLOODSIN EUROPEKristie L. EbiBACKGROUNDWorldwide, from 1992 to 2001, there were 2,257reported extreme weather events, includingdroughts/famines, extreme temperature, floods, forest/scrubfires, cyclones <strong>and</strong> windstorms. The most frequentnatural weather disaster was flooding (43% of2,257 disasters), killing almost 100,000 people <strong>and</strong>affecting regions with more than 1.2 billion people(EM-DAT/CRED 2005).Floods are the most common natural disaster inEurope. During the past two decades, several extremeSan Marco Square, Venice, Italyfloods have occurred in Central European rivers, includingthe Rhine, Meuse, Po, Odra <strong>and</strong> Wisla, culminatingin the disastrous August 2002 flood in the ElbeRiver basin <strong>and</strong> parts of the Danube basin. Flood damagesof the magnitude seen in the August 2002 Elbeflood exceeded levels not seen since the 13th century,reaching a peak water level of 9.4 meters (31 feet)(Commission of the European Communities 2002).The 2002 flooding in Central Europe was of unprecedentedproportions, with scores of people losing theirlives, extensive damage to the socio<strong>economic</strong> infrastructure,<strong>and</strong> destruction of the natural <strong>and</strong> culturalheritage (Commission of the European Communities2002). Germany, the Czech Republic <strong>and</strong> Austriawere the three countries most severely affected. Heavy<strong>and</strong> widespread precipitation started on 6 August ineastern <strong>and</strong> southern Germany, Austria, Hungary <strong>and</strong>in the southwest Czech Republic (Munich Re NatCatService). Flood waves formed on several major rivers,including the Danube, Elbe, Vltava, Inn <strong>and</strong> Salzach,with extremely high water levels causing widespreadflooding in surrounding low-lying areas.The regions affected included those above, plus France,northern <strong>and</strong> central Italy, northeast Spain, the BlackSea coast <strong>and</strong> Slovakia. It was estimated that 80-100fatalities resulted from drowning (Munich Re NatCatCASE STUDIESSan Marco Square now floods many times each year.Image: Corbis
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Climate Change FuturesHealth, Ecolo
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Table of ContentsIntroductionPart I
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EXECUTIVE SUMMARYClimate is the con
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the past decade, an increasing prop
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110 | FINANCIAL IMPLICATIONSBRETTON
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112 | APPENDICESAppendix A. Summary
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Table B.1 Summer Percentage Frequen
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Climate sensitivity for small-scale
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diffuse and do not manifest in sing
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APPENDIX D.LIST OF PARTICIPANTS ATT
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Carmenza RobledoGruppe OekologieEMP
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126 | BIBLIOGRAPHYBibliographyAAAAI
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128 | BIBLIOGRAPHYChordas, L. Epide
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Ford, S.E. & Tripp, M.R. Diseases a
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132 | BIBLIOGRAPHYKalkstein, L. S.,
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134 | BIBLIOGRAPHYMills, E. The ins
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136 | BIBLIOGRAPHYRose, J. B., Epst
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138 | BIBLIOGRAPHYVandyk, J. K., Ba
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Infectious and Respiratory Diseases