© 1993 Oxford University Press
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Seasons, Temperature and Coronary Disease
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* Department of Community Health, Addis Ababa University Addis Ababa, Ethiopia
Centre for Clinical Epidemiology and Biostatistia, The Univenity of Newcastle New South Wales, 2308, Australia
Reprint requests to: Professor A J Dobson
Using data from a community-based register of heart disease (the WHO MONICA Project) associations btween daily temperature, rainfall and other seasonal effects were investigated in relation to fatal coronary events and non-fatal definite myocardial infarctions in an Australian population. Coronary events, both fatal and non-fatal, were 20–40% more likety to occur in winter and spring than at other times of the year. Coronary deaths were more likely to occur on days of low temperature (and to a much lesser extent, on days of high temperature). No differences were found between patterns of sudden and non-sudden deaths (those occurring later after the onset of symptoms) associated with weather conditions. Statistical models allowing simultaneously for longer-term seasonal effecta and daily temperature effects suggested that both exist. These results suggest that avoiding temperature stress could lead to reductions in the annual peaks In coronary events.
Revised 1 January 1993
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