Socio-cultural reflections on heat in Australia with implications for health and climate change adaptation

Background : Australia has a hot climate with maximum summer temperatures in its major cities frequently exceeding 35°C. Although ‘heat waves’ are an annual occurrence, the associated heat-related deaths among vulnerable groups, such as older people, suggest that Australians could be better prepared to deal with extreme heat. Objective : To understand ways in which a vulnerable sub-population adapt their personal behaviour to cope with heat within the context of Australians’ relationship with heat. Design : We draw upon scientific, historical and literary sources and on a set of repeat interviews in the suburbs of Western Sydney with eight older participants and two focus group discussions. We discuss ways in which this group of older people modifies their behaviour to adapt to heat, and reflect on manifestations of Australians’ ambivalence towards heat. Results : Participants reported a number of methods for coping with extreme heat, including a number of methods of personal cooling, changing patterns of daily activity and altering dietary habits. The use of air-conditioning was near universal, but with recognition that increasing energy costs may become more prohibitive over time. Conclusions : While a number of methods are employed by older people to stay cool, these may become limited in the future. Australians’ attitudes may contribute to the ill-health and mortality associated with excessive heat.

[1]  Pavla Vaneckova,et al.  Effect of temperature on mortality during the six warmer months in Sydney, Australia, between 1993 and 2004. , 2008, Environmental research.

[2]  Tim Sherratt,et al.  A Change in the Weather: Climate and Culture in Australia , 2005 .

[3]  T. Kjellstrom,et al.  Climate change and health: impacts, vulnerability, adaptation and mitigation. , 2009, New South Wales public health bulletin.

[4]  A. Nightingale Warming up the Climate Change Debate: A Challenge to Policy based on Adaptation , 2009 .

[5]  Monika Nitschke,et al.  Morbidity and mortality during heatwaves in metropolitan Adelaide , 2007, The Medical journal of Australia.

[6]  J. B. Worfolk,et al.  Heat waves: their impact on the health of elders. , 2000, Geriatric nursing.

[7]  D. Black,et al.  Heatwaves and the elderly - The role of the GP in reducing morbidity. , 2011, Australian family physician.

[8]  M. Alston,et al.  The Big Dry , 2008 .

[9]  J. Cotter,et al.  Ventilatory changes in heat-stressed humans with spinal-cord injury , 2006, Spinal Cord.

[10]  P. Bi,et al.  The effect of heat waves on hospital admissions for renal disease in a temperate city of Australia. , 2008, International journal of epidemiology.

[11]  S. Hales,et al.  Climate change: a time of need and opportunity for the health sector , 2009, The Lancet.

[12]  M. Pelling,et al.  The social impacts of heat waves. , 2007 .

[13]  E. Blakely,et al.  Suffer a Sea Change? Contrasting perspectives towards urban policy and migration in coastal Australia , 2007 .

[14]  Chris G. Collier,et al.  The impact of urban areas on weather , 2006 .

[15]  R W Byard,et al.  An Analysis of Factors Contributing to a Series of Deaths Caused by Exposure to High Environmental Temperatures , 2001, The American journal of forensic medicine and pathology.

[16]  Clive Hamilton,et al.  Downshifting in Australia: A sea-change in the pursuit of happiness , 2003 .

[17]  M. Hulme Meet the humanities , 2011 .

[18]  J. Monteith,et al.  Boundary Layer Climates. , 1979 .

[19]  P. Warren,et al.  Australia and New Zealand. , 2000, Ultrasound in medicine & biology.

[20]  W. Adger,et al.  Defining and Experiencing Dangerous Climate Change , 2004 .

[21]  N. Nicholls,et al.  When the heat is on: Threshold temperatures for AMI admissions to hospital in Melbourne Australia , 2010 .

[22]  Alana Hansen,et al.  The Effect of Heat Waves on Mental Health in a Temperate Australian City , 2008, Environmental health perspectives.

[23]  C. Butler,et al.  Primary, secondary and tertiary effects of eco-climatic change: the medical response , 2010, Postgraduate Medical Journal.

[24]  E. Shove Comfort, Cleanliness and Convenience: The Social Organization of Normality , 2003 .

[25]  E. Klinenberg Denaturalizing disaster: A social autopsy of the 1995 Chicago heat wave , 1999 .