Hospitalization risk and burden for cause-specific cardiovascular diseases following tropical cyclones: A multicountry study
Issued Date
2025-08-01
Resource Type
eISSN
23752548
Scopus ID
2-s2.0-105012910292
Pubmed ID
40749061
Journal Title
Science Advances
Volume
11
Issue
31
Rights Holder(s)
SCOPUS
Bibliographic Citation
Science Advances Vol.11 No.31 (2025) , eadr0800
Suggested Citation
Huang W., Yang Z., Zhang Y., Vogt T., Park J., Yu W., Xu R., Hales S., Hundessa S., Otto C., Yu P., Liu Y., Ju K., Lavigne E., Ye T., Wen B., Wu Y., Zhang Y., Kliengchuay W., Tantrakarnapa K., Guo Y.L., Kim H., Phung D., Ritchie E.A., Li S., Guo Y. Hospitalization risk and burden for cause-specific cardiovascular diseases following tropical cyclones: A multicountry study. Science Advances Vol.11 No.31 (2025) , eadr0800. doi:10.1126/sciadv.adr0800 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/111706
Title
Hospitalization risk and burden for cause-specific cardiovascular diseases following tropical cyclones: A multicountry study
Author's Affiliation
The University of Sydney
The University of Queensland
Monash University
Seoul National University
National Taiwan University
University of Ottawa
University of Otago
National Health Research Institutes Taiwan
Health Canada
Faculty of Tropical Medicine, Mahidol University
Potsdam Institut fur Klimafolgenforschung
Chongqing Emergency Medical Center
The University of Queensland
Monash University
Seoul National University
National Taiwan University
University of Ottawa
University of Otago
National Health Research Institutes Taiwan
Health Canada
Faculty of Tropical Medicine, Mahidol University
Potsdam Institut fur Klimafolgenforschung
Chongqing Emergency Medical Center
Corresponding Author(s)
Other Contributor(s)
Abstract
The indirect health risks of tropical cyclones (TCs), the costliest climate extremes, remain unclear, with cardiovascular diseases (CVDs) being a major contributor. We applied two-stage time-series analysis to 6.54 million CVD hospitalizations across six countries/territories (Canada, New Zealand, South Korea, Taiwan, Thailand, and Vietnam) between 2000 and 2019 to quantify the long-term risks and burden of CVD hospitalizations following TCs. Hospitalization risks for cause-specific CVDs consistently increased following TC exposure, generally peaking around 2 months postexposure and dissipating by 6 months. Overall, each additional TC day was associated with a 13% (95% confidence interval, 7 to 19%) increase in CVD hospitalizations in 6 months following TCs. Particularly high TC-attributable burden was found for ischemic heart diseases and stroke, especially among males, individuals aged 20 to 59 years, and those with higher levels of socioeconomic deprivation. The TC-attributable proportions of CVD hospitalizations showed decreasing trends in less deprived populations and increasing trends in more deprived populations from 2000 to 2019.