不同气候变化情景下未来中国热相关死亡风险的预估

预估气候变化背景下中国未来近期、中期及远期温度热相关人群超额死亡风险,为未来热相关人群健康风险防范提供科学依据。基于中国网格化日均气温数据集与3种排放情景下未来日均气温数据、历史人口数据与3种生育率情景下未来人口数据以及死因数据资料计算的热效应暴露-反应关系,计算每日热相关死亡人数。结果表明:（1）未来中国平均气温将持续升高,且北方地区升温幅度较大。（2）1986—2005年中国热相关非意外总死亡人数约为7.1（95%置信区间:5.7—8.5）万。（3）RCP2.6、RCP4.5情景下未来中国热相关非意外总死亡人数均呈现先升后降的变化趋势。21世纪末,不同情景下的热相关非意外总死亡人数均高于基准年代。（4）未来不同情景下中国热相关非意外总死亡人数在黄淮海地区以及成渝地区均呈上升趋势,在RCP2.6、RCP4.5情景下北方地区热相关非意外总死亡人数呈下降趋势,东南沿海地区在21世纪30年代后开始呈下降趋势。总体而言在全球变暖的背景下未来中国热相关死亡风险将上升,而在RCP2.6情景下可以有效抑制其上升趋势。 

Prediction of future heat-related death risk in China under different climate change scenarios

This study predicts the heat-related excess deaths in the short-term, mid-term and long-term in China under climate change and provides a scientific basis for preventing the heat-related health risk in the future. Based on present-day gridded daily average temperature dataset in China, future daily average temperature datasets under 3 emission scenarios, historical population data, future population data under 3 fertility scenarios and cause of death data, the heat-related exposure-response relationship is simulated and the number of heat-related deaths per day is calculated. The results show that: (1) The average temperature in China will continue to rise in the future, and the increase in northern China will be larger. (2) The total number of heat-related non-accidental deaths in China from 1986 to 2005 is approximately 71 (95%CI: 57—85) thousands. (3) The total number of heat-related non-accidental deaths in China in the future under the scenarios of RCP2.6 and RCP4.5 will increase first and then decrease. At the end of 21 century, the total number of heat-related non-accidental deaths under different scenarios is higher than in the baseline years. (4) The total number of heat-related non-accidental deaths in China under different scenarios in the future will show an upward trend in the Huanghuaihai and Chengdu-Chongqing regions. Under the RCP2.6 and RCP4.5 scenarios, the total number of heat-related non-accidental deaths in northern China will show a downward trend. At the same time, the number in the southeastern coastal area will show a downward trend after the 2030s. Overall, in the context of climate warming, the heat-related risk in China will increase in the future, and it can be effectively suppressed under the RCP2.6 scenario.