Impact of extreme heat on health in Australia: a scoping review

Abstract Climate change has been recognized as a driver of increased heatwave events in the Asia Pacific region, including Australia. This review systematically retrieved and summarized published evidence on heat-related health impacts in Australia, focusing on heat-associated deaths, morbidity, and...

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Main Authors: Patrick Amoatey, Zhiwei Xu, Chinonso Christian Odebeatu, Neha Singh, Nicholas J. Osborne, Dung Phung
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21677-9
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author Patrick Amoatey
Zhiwei Xu
Chinonso Christian Odebeatu
Neha Singh
Nicholas J. Osborne
Dung Phung
author_facet Patrick Amoatey
Zhiwei Xu
Chinonso Christian Odebeatu
Neha Singh
Nicholas J. Osborne
Dung Phung
author_sort Patrick Amoatey
collection DOAJ
description Abstract Climate change has been recognized as a driver of increased heatwave events in the Asia Pacific region, including Australia. This review systematically retrieved and summarized published evidence on heat-related health impacts in Australia, focusing on heat-associated deaths, morbidity, and vulnerability. We searched PubMed, Scopus, Embase, and Web of Science for heat-health studies published in Australia between 2007 and 2023. A total of 64 articles met the inclusion criteria and were included in our review. Most were epidemiological studies [56 (87.5%)], which accumulatively considered 85 different cause-specific diseases linked to deaths, hospital admissions, emergency department (ED) presentations, and ambulance callouts, while eight studies focused on heat vulnerability index (HVI) assessment. We found strong evidence of increasing risks for heat-associated deaths among individuals with mental/behavioral disorders, cardiovascular diseases, diabetes, and respiratory disease. Evidence supporting an increasing risk for renal/genitourinary-related deaths was limited. The majority of studies reported an increase in heat-associated hospitalization, particularly for patients with renal disease, neurological disease, stroke, mental disorders, diabetes, and ischemic heart disease. Heat-associated ambulance callouts was prominent for patients with cardiovascular and respiratory diseases. This evidence suggests that these heat-related diseases should be used as health indicators for developing and validating HVI in Australia. Most studies did not examine the long-term changes in vulnerability and lacked evaluation with cause-specific health data. Future research must incorporate HVI across diverse climate change scenarios to more accurately inform long-term adaptation measures among vulnerable communities. In addition, research should target nationwide longitudinal heat vulnerability and examine the benefits of using HVI in heatwave action plans.
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spelling doaj-art-1ef92a2589404f558306a301dd8da86a2025-02-09T12:57:36ZengBMCBMC Public Health1471-24582025-02-0125112010.1186/s12889-025-21677-9Impact of extreme heat on health in Australia: a scoping reviewPatrick Amoatey0Zhiwei Xu1Chinonso Christian Odebeatu2Neha Singh3Nicholas J. Osborne4Dung Phung5School of Public Health, Faculty of Health, Medicine and Behavioural Sciences (HMBS), The University of QueenslandSchool of Medicine and Dentistry, Griffith UniversitySchool of Public Health, Faculty of Health, Medicine and Behavioural Sciences (HMBS), The University of QueenslandSchool of Public Health, Faculty of Health, Medicine and Behavioural Sciences (HMBS), The University of QueenslandSchool of Public Health, Faculty of Health, Medicine and Behavioural Sciences (HMBS), The University of QueenslandSchool of Public Health, Faculty of Health, Medicine and Behavioural Sciences (HMBS), The University of QueenslandAbstract Climate change has been recognized as a driver of increased heatwave events in the Asia Pacific region, including Australia. This review systematically retrieved and summarized published evidence on heat-related health impacts in Australia, focusing on heat-associated deaths, morbidity, and vulnerability. We searched PubMed, Scopus, Embase, and Web of Science for heat-health studies published in Australia between 2007 and 2023. A total of 64 articles met the inclusion criteria and were included in our review. Most were epidemiological studies [56 (87.5%)], which accumulatively considered 85 different cause-specific diseases linked to deaths, hospital admissions, emergency department (ED) presentations, and ambulance callouts, while eight studies focused on heat vulnerability index (HVI) assessment. We found strong evidence of increasing risks for heat-associated deaths among individuals with mental/behavioral disorders, cardiovascular diseases, diabetes, and respiratory disease. Evidence supporting an increasing risk for renal/genitourinary-related deaths was limited. The majority of studies reported an increase in heat-associated hospitalization, particularly for patients with renal disease, neurological disease, stroke, mental disorders, diabetes, and ischemic heart disease. Heat-associated ambulance callouts was prominent for patients with cardiovascular and respiratory diseases. This evidence suggests that these heat-related diseases should be used as health indicators for developing and validating HVI in Australia. Most studies did not examine the long-term changes in vulnerability and lacked evaluation with cause-specific health data. Future research must incorporate HVI across diverse climate change scenarios to more accurately inform long-term adaptation measures among vulnerable communities. In addition, research should target nationwide longitudinal heat vulnerability and examine the benefits of using HVI in heatwave action plans.https://doi.org/10.1186/s12889-025-21677-9Extreme heatDeathsMorbidityHeat vulnerability indexSystematic reviewAustralia
spellingShingle Patrick Amoatey
Zhiwei Xu
Chinonso Christian Odebeatu
Neha Singh
Nicholas J. Osborne
Dung Phung
Impact of extreme heat on health in Australia: a scoping review
BMC Public Health
Extreme heat
Deaths
Morbidity
Heat vulnerability index
Systematic review
Australia
title Impact of extreme heat on health in Australia: a scoping review
title_full Impact of extreme heat on health in Australia: a scoping review
title_fullStr Impact of extreme heat on health in Australia: a scoping review
title_full_unstemmed Impact of extreme heat on health in Australia: a scoping review
title_short Impact of extreme heat on health in Australia: a scoping review
title_sort impact of extreme heat on health in australia a scoping review
topic Extreme heat
Deaths
Morbidity
Heat vulnerability index
Systematic review
Australia
url https://doi.org/10.1186/s12889-025-21677-9
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