Heat-related deaths: seniors are at a higher risk

Older people with pre-existing conditions particularly affected

Das Bild zeigt eine ältere Frau, die auf einer Parkbank im Schatten unter einem Baum sitzt und aus einer Wasserflasche trinkt.Click to enlarge
Heatwaves affect older people with pre-existing conditions
Source: MiguelAngel / stock.adobe.com

To mark National Heat Action Day, the German Environment Agency (UBA) has published a study commissioned by the Federal Ministry for the Environment (BMUKN) on heat-related mortality in Germany. For over four years, researchers from the UBA and the Robert Koch Institute (RKI) have worked to refine the calculation of heat-related deaths in Germany. It was found that around 3,000 heat-related deaths in Germany occurred in both summer 2023 and 2024. Those most affected were people over 75 years old with pre-existing conditions such as dementia, cardiovascular disease or respiratory disorders.

UBA President Dirk Messner says, ‘Today, climate change  in Germany already poses challenges to many areas of life —including health. It is essential to significantly improve our response to heat and ensure that vulnerable groups are adequately protected.’

According to the latest analysis by RKI , commissioned by UBA and BMUKN, even individual hot days create heat stress, which can lead to increased mortality if temperatures do not cool again overnight. This risk applies to days with a mean temperature above 20 °C, based on combined daytime and nighttime values. If it remains hot for several days in a row without night-time cooling, mortality continues to rise and reaches a consistently high level after about three to four days.

Cities more affected

In cities, heat stress is greater than in rural areas. Urban areas form ‘heat islands’ that are significantly warmer than their surrounding areas. As a result, heat-related mortality is also higher in cities than in rural regions. This phenomenon is most evident in western and southern Germany. In the north, the differences are less pronounced due to the region’s proximity to the sea. Nonetheless, during summer, even rural areas often experience a considerable heat burden, resulting in heat-related deaths.

‘Due to climate change, the problem of excess mortality in summer will become even more severe in the future,’ says UBA President Messner. ‘It is, therefore, all the more important that environmental and health protection authorities collaborate and support people through appropriate measures.’

More precise data collection required

The research project analysed various aspects of heat-related excess mortality in Germany. Among other things, the project was able to confirm that, especially in summers with short heat periods, daily analyses record heat-related deaths more comprehensively than analyses based on multi-day or weekly intervals.

The research project funded by BMUKN is part of the German climate change adaptation strategy . The results of the project have now been published as a final report in the UBA publication series ‘Environment and Health’.

Umweltbundesamt Headquarters

Wörlitzer Platz 1
06844 Dessau-Roßlau
Germany

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 climate change  heatwave  Climate Change and Health