Excess mortality during the 2003 heat wave in Paris, France
Florence Canoui-Poitrine, Service de Santé Publique et d'Epidémiologie
Emmanuelle Cadot, Service de Santé publique et d'Epidémiologie - Hôpital Bicêtre-Assistance Publique-Hôpitaux de Paris
Alfred Spira, Service de Santé Publique et d'Epidémiologie - Hôpital Bicêtre-Assistance Publique-Hôpitaux de Paris
Background : during the 2003 heat wave in France in 2003, about 15,000 deaths in excess occured. The Paris area was one of the most affected (mortality excess = 210%). The aim of our study was to describe the distribution of excess mortality in Paris and to analyze the contributing individual and contextual factors associated with it. Methods : we compared the characteristics of Parisians who died in Paris (1-20 August 2003) to those who died in 2000, 2001, 2002. Results : the Southern and Eastern districts of Paris had the highest mortality excess. Factors associated with excess mortality were : age over 70 years (OR=1,70[1,28-2,25]), female sex (OR=1,41[1,09-1,83]), and social isolation (OR=1,68[1,28-2,22]). The geographic zone of residency (OR=2,69[1,81-4,02] for the south of Paris) although contributed. Conclusions: The risk of excess mortality during the heat wave in an urban area is associated not only with individual factors, but also with socioeconomic, geographic and urbanistic factors.
Presented in Poster Session 5