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H
ealth
For Germany’s HHWS the meteorological statistics had to be
linked with the mortality data, which were available for Baden-
Württemberg, for different European cities outside Germany
(Budapest, London, Lisbon and Madrid) and for the Netherlands due
to DWD’s participation in the European cCASHh-project. The goal
was to estimate excess mortality as a function of the heat load, and
this required mortality statistics to be corrected for changes in popu-
lation and the annual cycle. For all analysed mortality time series,
on days with a strong or higher heat load, mortality was increased
by 10 per cent or more. When selecting the threshold value for
issuing warnings and triggering interventions, various aspects must
be considered: too frequent warnings will lead to warning-fatigue,
while if warnings are too rare users might forget what they ought to
do. So we used days with a strong (category +3) or extreme (category
+4) heat load to trigger heat warnings in Germany. Within the 36
analysed years, 121 days fell within these categories.
Germany’s HHWS is based on a combination of DWD’s weather
forecast output and a health-related assessment of the thermal envi-
ronment. The latter combines a complete heat budget model with a
short-term adaptation approach.
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Four fundamental meteorologi-
cal factors are needed to assess the human thermal environments:
air temperature, mean radiant temperature, humidity and wind
velocity. In addition, physiological parameters like the metabolic
rate or weight and clothing worn by a person are needed to assess
the thermal load. Since no information is available about an indi-
vidual’s physiological parameters, the assessment is made for a
standardized person. DWD uses a complete heat budget model of
the human body, which takes into account all relevant mechanisms
of heat exchange with the atmospheric environment. Heat exchange
is modelled for a standard male, known as ‘Klima-Michel’, who
chooses his clothing to maintain thermal comfort as far as possible.
Based on the calculated perceived temperature (PT),
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nine physi-
ological stress categories from ‘extreme cold stress’ to ‘extreme heat
load’ have been defined.
Warnings are issued for ‘strong heat load’ and
‘extreme heat load’ periods of at least two consecutive
days. On each day, when the PT at 12 Universal Time
Coordinated exceeds a threshold of around 32° C, a
warning is issued by DWD at about 10am covering a
two-day period. The warning threshold is not fixed. It
takes into account that humans adapt to their thermal
environments and can cope better with heat if they are
used to it. Therefore the thresholds are a bit higher
in Germany’s warmer regions and in late summer.
An additional requirement for a warning to be issued
is that night-time temperatures stay above a certain
threshold (15-18° C), as high minimum temperatures
prevent people from recovering sufficiently.
While DWD is responsible for the meteorological
component of the HHWS, partners are needed to make
sure the information reaches those who need it most
– elderly and very young people – and to introduce a
set of interventions. Due to the federal structure of the
German health system, these partners are the respective
federal health authorities and DWD had to negotiate
and sign contracts with all 16 Federal Laender (federal
states) to make sure the warnings get through. In some
Laender, interventions vary between a warning for a
‘strong’ and an ‘extreme’ heat load. For DWD however,
the communication strategy remains the same inde-
pendent of the level of warning.
Warnings are issued for all counties across
Germany during the warm season (typically May to
September), for six different altitude categories in
line with DWD’s general warning strategy. Before a
heat warning is issued, the automatically-generated
warning guidance is reviewed by a biometeorologist.
In addition to the information from the heat stress
model, a building simulation model provides infor-
mation about indoor conditions.
All the HHWS warnings are issued to the general
public through the DWD warning platform on the
Internet, and are accessible through the multilingual
Meteoalarm platform. Newsletter systems are also
available for the general public and elderly care and
nursing homes. The relevant health and supervisory
authorities are directly notified; they are responsible
for defining and monitoring the implementation of
intervention measures. They also have the option of
broadcasting the warning more widely to the public
on radio and television.
4
Administrative challenges
Among DWD’s duties is “the provision of meteorologi-
cal services for the general public or for individual
customers and users, especially in the fields of …
public health.”
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It also includes regulations on remu-
neration. In general “The Deutscher Wetterdienst
shall charge a remuneration for the provision of its
services.”
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The aim was to provide the HHWS service
free of charge, so a series of internal discussions was
needed to establish that this type of service is an essen-
tial product and can be part of DWD’s Global Data
Image: Thomas Max Müller/pixelio.de
Warnings call on the public to behave heat-related