Using the vital statistics in Japan, we studied regional differences in mortality due to heat disorders, as well as differences between before and after 1995, the year of application of ICD (International Statistical Classification of Diseases and related Health Problems: 10th revision).
The number of deaths due to heat disorders during the 33 years from 1975 through 2007 was 5,877, or 178 per year. The mortality and age-adjusted mortality rate due to heat disorders after 1995 were significantly higher than those before 1994. In all age groups, the mortality rate was significantly higher after 1995, compared with before 1994. Concerning the place of death, the number of deaths due to heat disorders was higher after 1995 than before 1994 in all places except sports and athletics facility and other specified places.
Classified by prefectures, the highest mortality rate was shown in Akita, followed by Kagoshima and Gunma. On the other hand, it was lower in Kanagawa and Miyagi, and the lowest in Hokkaido. The age-adjusted mortality rate, eliminating the effect of the age distribution in each prefecture, was the highest in Okinawa, followed by Kagoshima and Gunma, while it was lower in Hokkaido, Kanagawa, and Nagano. The highest annual temperature, mortality rate, and age-adjusted mortality rate were significantly correlated, indicating that the highest annual temperature is one of the factors affecting regional mortality due to heat disorders.
In conclusion, the mortality and age-adjusted mortality rates due to heat disorders tended to be higher in areas along the Sea of Japan, and lower in areas along the Pacific Ocean in northern Japan, and were also higher in inland areas such as Gunma, Saitama, and Yamanashi Prefectures. On the other hand, these rates were higher in Okinawa and Kagoshima Prefectures, and lower in Hokkaido. These prefecture-specific differences in the mortality and age-adjusted mortality rates due to heat disorders are considered to be attributable to differences in the summer-time heat environment, the intensity of heat wave.
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