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Sur 854 villes européennes passées au crible par une équipe internationale de chercheurs, Paris arrive en tête du classement le plus sinistre qui soit : celui des métropoles où l’on risque le plus de mourir de chaleur. Publiée dans The Lancet Planetary Health en 2023 par Pierre Masselot et ses collègues, cette étude couvrant deux décennies de données (2000-2019) ne laisse aucune place à l’ambiguïté. Amsterdam et Zagreb suivent dans ce palmarès funèbre, mais Paris les devance nettement.

Previous health impact assessments of temperature-related mortality in Europe indicated that the mortality burden attributable to cold is much larger than for heat. Questions remain as to whether climate change can result in a net decrease in temperature-related mortality. In this study, we estimated how climate change could affect future heat-related and cold-related mortality in 854 European urban areas, under several climate, demographic and adaptation scenarios. We showed that, with no adaptation to heat, the increase in heat-related deaths consistently exceeds any decrease in cold-related deaths across all considered scenarios in Europe. Under the lowest mitigation and adaptation scenario (SSP3-7.0), we estimate a net death burden due to climate change increasing by 49.9% and cumulating 2,345,410 (95% confidence interval = 327,603 to 4,775,853) climate change-related deaths between 2015 and 2099. This net effect would remain positive even under high adaptation scenarios, whereby a risk attenuation of 50%

Heat and cold are now established health risk factors, with several studies reporting important mortality effects in populations around the world.1, 2, 3 The associated health burden is expected to increase with climate change, especially under the most extreme scenarios of global warming.4, 5 However, robust estimates of excess mortality in the current and future periods are still challenging to obtain due to the numerous factors influencing vulnerability to heat and cold, including climatic, environmental, and socioeconomic conditions.6 These factors represent the main drivers of variation in mortality risks, which have been shown to differ geographically and across age groups.