public health adaptation strategies
  to extreme weather events

  • Heat waves
    Heat waves
  • Floods
  • Wildfires
  • Cold spells
    Cold spells
  • Synergies with air pollution
    Synergies with air pollution
  • Susceptible subgroups
    Susceptible subgroups

WP 4 - Prevention of health effects of heat waves and cold spells

Work package 4 is maintained by the project coordinator based at the Department of Epidemiology of the Lazio Regional Health Service in Italy.

The aim of this work package is to define a framework of tools to reduce the health impacts of heat waves and cold spells. Tasks included in this package are:

  • To identify research gaps on the health impacts of heat waves and health exposures of cold spells (literature review, case studies);
  • To identify a set of indicators of the health impacts of heat waves and cold spells (mortality, hospital admissions, paediatric hospital admissions, General Practitioners consultations);
  • To provide tools for health surveillance and monitoring;
  • To perform an update of the overview of heat plans currently present in Europe;
  • To draw up a common methodology for the evaluation of heat plans in terms of warning systems performance and public health measures (including the evaluation of prevention measures targeted to vulnerable population subgroups);
  • To develop health plans to mitigate the impact of cold spells; and
  • To provide a framework of tools to improve preparedness for and response to the impact of heat waves and cold spells specifically tailored to vulnerable subgroups.


  • Protocol including methods for health impact assessment
  • Indicators to monitor the health impact
  • Procedures to implement/evaluate prevention measures and warning systems

Video interview: 

Matteo Scortichini, Department of Epidemiology, Lazio Regional Health Service ASL RM1 on annual variations in the health effects of heat waves 



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