THE EFFECT OF TEMPERATURE AND HEAT WAVES ON DAILY

EMERGENCY AMBULANCE CALLS IN BUDAPEST, HUNGARY, 1998-2004

J Bobvos *, A Páldy **, A Vámos *, L Gorove ***

** -- Capital Institute of the National Public Health Service, Capital Institute of the National Public Health Service, BudapestBudapest

**** - - “Fodor József” National Center for Public Health, “Fodor József” National Center for Public Health, National Institute of Environmental Health, BudapestNational Institute of Environmental Health, Budapest

*** - *** - Budapest Centre of Ambulance Service Budapest Centre of Ambulance Service

• Daily emergency ambulance calls Daily emergency ambulance calls were were studied: studied:

• cardiovascular diseases: a sum of cardiovascular diseases: a sum of the the following diagnoses: ICD-9: 386, 394-438, following diagnoses: ICD-9: 386, 394-438, 458, heat stroke 992; 458, heat stroke 992;

• respiratory diseasesrespiratory diseases: : ICD-9ICD-9 490-519; 490-519; • ill defined symptoms: 780, 781, 784- 786;. ill defined symptoms: 780, 781, 784- 786;.

• During the studied period During the studied period • 474474 507 emergency calls 507 emergency calls were were registered, out of registered, out of

themthem• 18,5% 18,5% were due to were due to cardiovascular diseasecardiovascular diseasess,,• 3,7%- 3,7%- due to due to respiratory diseases,respiratory diseases,• 9,36% 9,36% due to due to ill defined symptoms. ill defined symptoms.

Percentage of calls due to different groups of diseases in Budapest, 1998-2004

case

18,5% 3,7%

63,8%

4,6%

9,4%card

resp

symp

death

other

Number of calls due to cardiovascular, respiratory diseases and ill defined symptoms

by age groups in Budapest, 1998-2004

0

10000

20000

30000

40000

50000

60000

card resp symp

0-14

15-64

> 65

Effect of Temp on emergency calls

TEMP

s(T

EM

P, 2

)

0 5 10 15 20 25 30

-50

5

Effect of 10 oC increase of daily mean temperature on the increase emergency calls in percentage in Budapest

1998-2004 due to cardiovascular diseases

cardiovascular diseases (%)

-10

-5

0

5

10

C15L0

C15L1

C15L2

C15L3

C65L0

C65L1

C65L2

C65L3 CL0 CL1 CL2 CL3

Effect of 10 oC increase of daily mean temperature on the increase emergency calls in percentage

in Budapest 1998-2004 due to respiratory diseases

respiratory diseases (%)

-10

-5

0

5

10

R15L0

R15L1

R15L2

R15L3

R65L0

R65L1

R65L2

R65L3 RL0 RL1 RL2 RL3

Effect of 10 oC increase of daily mean temperature on

the increase emergency calls in percentage in

Budapest 1998-2004 due to ill defined symptoms ill defined symptoms (%)

-10

0

10

20

30

40

50

S0L0

S0L1

S0L2

S0L3

S15L0

S15L1

S15L2

S15L3

S65L0

S65L1

S65L2

S65L3 SL0 SL1 SL2 SL3