Abstract
Public health planning needs the support of evidence-based information on current and future climate, which could be used by health professionals and decision makers to better understand and respond to the health impacts of extreme heat. Climate models provide information regarding the expected increase in temperatures and extreme heat events with climate change and can help predict the severity of future health impacts, which can be used in the public health sector for the development of adaptation strategies to reduce heat-related morbidity and mortality. This study analyzes the evolution of extreme temperature indices specifically defined to characterize heat events associated with health risks, in the context of a changing climate. The analysis is performed by using temperature projections from the Canadian Regional Climate Model. A quantile-based statistical correction is applied to the projected temperatures, in order to reduce model biases and account for the representativeness error. Moreover, generalized Pareto distributions are used to extend the temperature distribution upper tails and extrapolate the statistical correction to extremes that are not observed in the present but that might occur in the future. The largest increase in extreme daytime temperatures occurs in southern Manitoba, Canada, where the already overly dry climate and lack of soil moisture can lead to an uncontrolled enhancement of hot extremes. The occurrence of warm nights and heat waves, on the other hand, is already large and will increase substantially in the communities of the Great Lakes region, characterized by a humid climate. Impact and adaptation studies need to account for the temperature variability due to local effects, since it can be considerably larger than the model natural variability.
