The effects of summer ambient temperature on total mortality in Serbia.

In the context of recent climate change, temperature-attributable mortality has become an important public health threat worldwide. A large number of studies in Europe have identified a relationship between temperature and mortality, while only a limited number of scholars provided evidence for Serbia. In order to provide more evidence for better management of health resources at the regional and local level, this study aims to assess the impact of summer temperature on the population in Serbia, using daily average temperature (Ta) and mortality (CDR (crude death rate) per 100,000). The analysis was done for five areas (Belgrade, Novi Sad, Nis, Loznica, and Vranje), covering the summer (June-August) period of 2001-2015. In order to quantify the Ta-related CDR, a generalized additive model (GAM) assuming a quasi-Poisson distribution with log as the link function was used. Five regression models were constructed, for each area, revealing a statistically significant positive relationship between Ta and CDR in four areas. The effect of Ta on CDR was defined as the relative risk (RR), which was obtained as the exponential regression coefficient of the models. RR indicates that a 1 °C increase in Ta at lag0 was associated with an increase in CDR of 1.7% for Belgrade, Novi Sad, and Nis and 2% for Loznica. The model for Vranje did not quantify a statistically significant increase in CDR due to Ta (RR=1.006, 95% CI 0.991-1.020). Similar results were confirmed for gender, with a slightly higher risk for women. Analysis across lag structure showed different exposure, but the highest effect of Ta mainly occurs over the short term and persists for 3 days.

Analysis of long- and short-term biometeorological conditions in the Republic of Serbia.

Long- and short-term biometeorological conditions in the Republic of Serbia were analyzed using official meteorological data from numerous weather stations located across the country. Selected biometeorological indices HUMIDEX, Physiologically Equivalent Temperature (PET), and Universal Thermal Climate Index (UTCI) are calculated based on air temperature, relative humidity, wind speed, and cloudiness data from the meteorological stations on annual and summer level as well as during selected heat wave periods during 2000-2020. Application of different biometeorological indices provides similar but somewhat different results. For example, average annual HUMIDEX and UTCI values indicate no thermal stress and no discomfort at all stations, while PET indicates the occurrence of slight to moderate cold stress at all stations. Average summer PET and UTCI indicate the occurrence of slight to moderate heat stress throughout the country, while HUMIDEX indicates no discomfort. Trends of biometeorological indices on annual and summer level show a general increase throughout the country. Furthermore, heat wave analysis indicated that the most populated cities of Serbia are under dangerous and extreme heat stress during these extreme temperature events, which can influence human health and well-being. The obtained biometeorological information can be used for the preparation of climate adaptation strategies that consider the human biometeorological conditions, with a special focus on developing climate-sensitive and comfortable cities.

Hospital admission tendencies caused by day-to-day temperature changes during summer: a case study for the city of Novi Sad (Serbia).

Increased temperature risk in cities threatens the health and well-being of urban population and is fueled by climate change and intensive urbanization. Consequently, further steps must be taken for assessing temperature conditions in cities and their association with public health, in order to improve public health prevention at local or regional level. This study contributes to solving the problems by analyzing the connection between extreme temperatures and the tendencies of all-cause hospital admissions. The analyses used (a) 1-h air temperature data, and (b) daily data of all-cause hospital admissions. The datasets include the summer period (June, July, August) for the years 2016 and 2017. We tested the effects of two temperature indices, day-to-day change in maximum temperature - Tmax,c and daily temperature range - Tr, with all-cause hospital admission subgroups, such as all-cause cases - Ha, hospital admissions in the population below 65 - Ha<65, and hospital admissions in the population aged 65 and over - Ha≥65. The results show the highest values of Ha when Tmax,c is between 6 and 10 °C. Therefore, more intensive hospital admissions can be expected when Tmax increases from day-to-day (positive values of Tmax,c), and it is more visible for Ha and Ha<65 (1 °C = 1% increase in hospital admissions). Also, Tr values between 10 °C and 14 °C cause an increase in the number of hospital admissions, and it is more noticeable for Ha≥65.

Mask wearing behavior in hot urban spaces of Novi Sad during the COVID-19 pandemic.

Urban overheating (due to climate change and urbanization) and COVID-19 are two converging crises that must be addressed in tandem. Fine-scale, place-based, people-centric biometeorological and behavioral data are needed to implement context-specific preventative measures such as mask-wearing. This study collected local biometeorological measurements in diverse urban spaces (square, urban park, river quay) in Novi Sad, Serbia on hot sunny summer days (27-30 August 2020) during the COVID-19 pandemic. Observations were supplemented by an online survey asking questions about thermal sensation, comfort, and concurrent protective behavior of the local population. Biometeorological measurements show that the main square in the city center was the most thermally uncomfortable area. According to the survey, it was also perceived as the least safe space to not contract the virus. The urban park was perceived as the most thermally comfortable area in the morning and during midday. It was also considered the safest urban space for outdoor activities. In the evening, the river quay was the most thermally comfortable area in the city. Intra-urban differences in Physiologically Equivalent Temperatures were highest during midday, while differences in air temperatures were highest in the evening. More than 70% of the respondents did not wear face masks when it was hot because of breathing issues and feeling warmer than without mask. Most people wearing a mask felt "slightly warm" in the morning and evening, while the majority of respondents felt "hot" during midday. Only 3% of the respondents felt comfortable while wearing a mask, while 97% experienced some degree of discomfort (from slight discomfort to very uncomfortable). Our study shows that fine scale temporal and spatial urban biometeorological data and population surveys should be included in decision-making processes during the pandemic to develop climate-sensitive health services that are place-based, people-centric, and facilitate planning towards green, resilient, and inclusive cities.

Analysis of air temperature dynamics in the "local climate zones" of Novi Sad (Serbia) based on long-term database from an urban meteorological network.

A comprehensive analysis of air temperature (Ta) dynamics in "local climate zones" (LCZs) of Novi Sad (Serbia) was based on measurements from 17 stations during 3 years. Hourly changes of Ta, cooling rates (CR), heating rates (HR), and urban heat island (UHI) intensity were assessed on seasonal and annual level and during heat wave (HW) and cold wave (CW) periods. Substantial differences are observed for minimum (Tmin) and mean temperatures (Tmean) between LCZs. Two-phase nocturnal cooling was recognized with the first cooling phase characterized by intensive LCZ dependent cooling starting at 1-3 h before sunset and lasting until 3-4 h after sunset. The second cooling phase lasts until sunrise and is characterized by less intensive and LCZ nondependent cooling. The most intensive cooling (CRpeak) was observed in first cooling phase of HW and ranged from - 1.6 °C h-1 in street canyon (LCZ 2) to - 3.9 °C h-1 in forest (LCZ A). Furthermore, a new cooling indicator (CRtotal) was introduced. Due to cooling differences, the most intensive UHI of 5.5 °C was noticed between LCZs 2 and A at sunset + 1 h during HW. Two-phase diurnal heating was also recognized in LCZs with the first heating phase characterized by intensive LCZ dependent heating starting at sunrise and lasting until 4-7 h afterwards. The most intensive heating (HRpeak) ranged from 2.0 °C h-1 in street canyon to 3.0 °C h-1 in industrial area (LCZ 8) during HW. The second heating phase lasts until sunset and is characterized by less intensive heating and smaller HR differences between LCZs.