title: Distinct atmospheric patterns and associations with acute heat-induced mortality in five regions of England.
abstract: The main objective of this paper was to identify possible acute heat-induced summer mortality in five regions of England namely the Yorkshire and the Humber, West Midlands, North East, North West and South East regions and reveal associations with specific air flows. For this purpose, backward air mass trajectories corresponding to daily episodes of increased temperatures were produced and divided to clusters, in order to define atmospheric pathways associated with warm air mass intrusions. A statistically significant at 95 % confidence interval increase in daily total mortality (DTMORT) was observed during the selected episodes at all five regions and thus, heat-induced mortality was indicated. The calculated raise was more intense in the West Midlands, North West and South East regions, whereas the results in the North East and Yorkshire and the Humber regions were less evident. Large fractions of thermal episodes, elevated average temperature values and higher average DTMORT levels were primarily associated with the short-medium range South West (SW) and/or East-South East (E-SE) trajectory clusters, suggesting relations among heat-induced mortality and specific atmospheric circulations. Short-medium length of SW and E-SE airflows, calculated by an application of Haversine formula along the centroid trajectory of each cluster, implies the arrival of slow moving air masses. Atmospheric stagnation could enhance human thermal stress due to low wind speed.
authors.affiliation: Laboratory of Meteorology, Department of Physics, University of Ioannina, 45 110, Ioannina, Greece.
authors.forename: Ilias
authors.initials: I
authors.lastname: Petrou
authors.affiliation: Laboratory of Meteorology, Department of Physics, University of Ioannina, 45 110, Ioannina, Greece. kdimitriou80@gmail.com.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Dimitriou
authors.affiliation: Laboratory of Meteorology, Department of Physics, University of Ioannina, 45 110, Ioannina, Greece.
authors.forename: Pavlos
authors.initials: P
authors.lastname: Kassomenos
mesh_terms: D000392:Air Movements; D004739:England / Q000453:epidemiology; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D009026:Mortality / Q000639:trends*; D012621:Seasons
keywords: Air mass trajectories; England; Heat; Mortality; Temperature; Thermal stress