title: Including the urban heat island in spatial heat health risk assessment strategies: a case study for Birmingham, UK.
abstract: BACKGROUND
  Heatwaves present a significant health risk and the hazard is likely to escalate with the increased future temperatures presently predicted by climate change models. The impact of heatwaves is often felt strongest in towns and cities where populations are concentrated and where the climate is often unintentionally modified to produce an urban heat island effect; where urban areas can be significantly warmer than surrounding rural areas. The purpose of this interdisciplinary study is to integrate remotely sensed urban heat island data alongside commercial social segmentation data via a spatial risk assessment methodology in order to highlight potential heat health risk areas and build the foundations for a climate change risk assessment. This paper uses the city of Birmingham, UK as a case study area.
  
  
  RESULTS
  When looking at vulnerable sections of the population, the analysis identifies a concentration of "very high" risk areas within the city centre, and a number of pockets of "high risk" areas scattered throughout the conurbation. Further analysis looks at household level data which yields a complicated picture with a considerable range of vulnerabilities at a neighbourhood scale.
  
  
  CONCLUSIONS
  The results illustrate that a concentration of "very high" risk people live within the urban heat island, and this should be taken into account by urban planners and city centre environmental managers when considering climate change adaptation strategies or heatwave alert schemes. The methodology has been designed to be transparent and to make use of powerful and readily available datasets so that it can be easily replicated in other urban areas.
authors.affiliation: School of Civil Engineering, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. cjt512@bham.ac.uk
authors.forename: Charlie J
authors.initials: CJ
authors.lastname: Tomlinson
authors.forename: Lee
authors.initials: L
authors.lastname: Chapman
authors.forename: John E
authors.initials: JE
authors.lastname: Thornes
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Baker
mesh_terms: D057231:Climate Change; D004739:England; D018883:Heat Stroke / Q000209:etiology*; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D018570:Risk Assessment / Q000379:methods; D014505:Urban Population