<p>Residents of low-latitude megacities face growing vulnerability to humid-heat stress under urbanization and global warming, yet limited research has assessed the morbidity burden of mental and behavioral disorders (MBDs) linked to humid-heat exposures in these cities. Here we quantify the hospital admissions of MBDs in Shanghai, a megacity of over 25 million inhabitants, attributable to humid heat, and project future burdens under various greenhouse gas (GHG)-emission and population scenarios. Humid heat drives a higher morbidity burden than high temperature alone, especially in humid-heat nights. Without population change, the humid-heat-related morbidity burden of MBDs would increase by 68.2% (95% empirical confidence interval 56.7%–81.6%) under the highest-GHG-emission scenario by the 2090s, while 8,465 (95% empirical confidence interval 6,928–10,053) cases would be avoided by reducing emissions to the lowest pathway. With projected population decline, the attributable hospital admissions will decrease toward century’s end. These findings highlight the benefit of GHG mitigation in reducing the growing MBD risks posed by extreme humid heat.</p>

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Projecting the morbidity burden of mental and behavioral disorders associated with increasing humid heat in Shanghai

  • Chen Liang,
  • Jiacan Yuan,
  • Renhe Zhang,
  • Xu Tang,
  • Gunter Schumann,
  • Esther Hitchen,
  • Elli Polemiti,
  • Emin Serin,
  • Hedi Kebir,
  • Tristram A. Lett,
  • Nilakshi Vaidya,
  • Jean-Charles Roy,
  • Henrik Walter,
  • Andreas Heinz,
  • Markus Ralser,
  • Sven Twardziok,
  • Roland Eils,
  • Marcel Jentsch,
  • Ulrike-Helene Taron,
  • Tatjana Schütz,
  • Kerstin Schepanski,
  • Tobias Banaschewski,
  • Maja Neidhart,
  • Andreas Meyer-Lindenberg,
  • Heike Tost,
  • Nathalie Holz,
  • Emanuel Schwarz,
  • Argyris Stringaris,
  • Nina Christmann,
  • Karina Janson,
  • Frauke Nees,
  • Maja Neidhart,
  • Beke Seefried,
  • Rieke Aden,
  • Ole A. Andreassen,
  • Lars T. Westlye,
  • Dennis van der Meer,
  • Sara Fernández-Cabello,
  • Rikka Kjelkenes,
  • Helga Ask,
  • Michael Rapp,
  • Mira Tschorn,
  • Sarah Jane Böttger,
  • Andre Marquand,
  • Antoine Bernas,
  • Gaia Novarino,
  • Mel Slater,
  • Jaime Gallego,
  • Álvaro Pastor,
  • Guillem Feixas,
  • Francisco José Eiroa-Orosa,
  • Markus M. Nöthen,
  • Andreas J. Forstner,
  • Isabelle Claus,
  • Carina Mathey,
  • Stefanie Heilmann-Heimbach,
  • Per Hoffmann,
  • Abigail Miller,
  • Peter Sommer,
  • Karen Schmitt,
  • Johannes Wilbertz,
  • Myrto Patraskaki,
  • Viktor Jirsa,
  • Spase Petkoski,
  • Anastasios-Polykarpos Athanasiadis,
  • Bernhard Spanlang,
  • Charlie Pearmund,
  • Sören Hese,
  • Paul Renner,
  • Tianye Jia,
  • Xiao Chang,
  • Yuxiang Dai,
  • Yunman Xia,
  • Yuzhu Li,
  • Yanqing Zhang,
  • Vince Calhoun,
  • Paul Thompson,
  • Nicholas Clinton,
  • Sylvane Desrivières,
  • Kofoworola Agunbiade,
  • Xinyang Yu,
  • Zuo Zhang,
  • Di Chen,
  • Allan H. Young,
  • Ameli Schwalber,
  • Vanessa Köhler,
  • Bernd Stahl,
  • George Ogoh,
  • Tamara Schikowski,
  • Ragnhild Brandlistuen

摘要

Residents of low-latitude megacities face growing vulnerability to humid-heat stress under urbanization and global warming, yet limited research has assessed the morbidity burden of mental and behavioral disorders (MBDs) linked to humid-heat exposures in these cities. Here we quantify the hospital admissions of MBDs in Shanghai, a megacity of over 25 million inhabitants, attributable to humid heat, and project future burdens under various greenhouse gas (GHG)-emission and population scenarios. Humid heat drives a higher morbidity burden than high temperature alone, especially in humid-heat nights. Without population change, the humid-heat-related morbidity burden of MBDs would increase by 68.2% (95% empirical confidence interval 56.7%–81.6%) under the highest-GHG-emission scenario by the 2090s, while 8,465 (95% empirical confidence interval 6,928–10,053) cases would be avoided by reducing emissions to the lowest pathway. With projected population decline, the attributable hospital admissions will decrease toward century’s end. These findings highlight the benefit of GHG mitigation in reducing the growing MBD risks posed by extreme humid heat.