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Extreme Weather

Public Health and Nutrition · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

Events that have extreme values of important meteorological variables.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (975 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Events that have extreme values of important meteorological variables. Extreme is generally defined as either taking maximum values or exceedance above pre-existing high thresholds. Such events are generally rare; for example, extreme wind speeds exceeding the 100-year return value, which have a probability of only 0.01 of occurring in any particular year. (Stephenson, 2008)

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Weather, Extreme.

Where it fits in the MeSH classification

Broader topics
Weather
Narrower topics
Extreme Cold; Extreme Heat

Research landscape

PubMed indexes 1,606 records tagged with the MeSH heading “Extreme Weather” (counts retrieved 2026-10-31). 1,135 of them (70.7%) were published from 2020 onward, and the busiest period so far is 2020 onward with 1,135 records.

Reviews account for 226 records (14.1%) and meta-analyses for 38. Randomized controlled trials number 7 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 27 records; 2000-2009: 27 records; 2010-2019: 417 records; 2020 onward: 1,135 records27through 1999272000-20094172010-20191,1352020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199927
2000-200927
2010-2019417
2020 onward1,135
Share of records by publication typeReviews: 14.1 percent; Meta-analyses: 2.4 percent; Randomized controlled trials: 0.4 percentReviews14.1% (226)Meta-analyses2.4% (38)Randomized controlled trials0.4% (7)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,606 PubMed records
TypeRecordsShare
Reviews22614.1%
Meta-analyses382.4%
Randomized controlled trials70.4%

Method: PubMed query "Extreme Weather"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in public health and nutrition

Population and nutrition studies mostly observe what people eat, breathe or are exposed to and then look for links with health, which shows association and not proof of cause. Self-reported diet is imprecise, people who eat or live differently also differ in other ways, and effects measured across a population may not apply to one person. Check the study design, how exposure was measured, what else was accounted for and the size of the effect, not only whether it was statistically significant.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Soil microbiomes show consistent and predictable responses to extreme events
Knight CG, Nicolitch O, Griffiths RI, Goodall T, Jones B, Weser C, et al.
2024Research article
Design not recorded in structured metadata
90cc by
PMID 39604724 · DOI · PMC11655354
A physiological approach for assessing human survivability and liveability to heat in a changing climate
Vanos J, Guzman-Echavarria G, Baldwin JW, Bongers C, Ebi KL, Jay O
2023Research article
Design not recorded in structured metadata
76cc by
PMID 38030628 · DOI · PMC10687011
Association of Extreme Heat With All-Cause Mortality in the Contiguous US, 2008-2017
Khatana SAM, Werner RM, Groeneveld PW
2022Research article
Design not recorded in structured metadata
71cc by
PMID 35587347 · DOI · PMC9121188
Are 'evidence-based' cooling strategies fit-for-purpose?-Investigating the gap between guidance and behaviour
Oberai M, Rutherford S, Paas KHW, Bach A, Forbes C, Jackman E, et al.
2026Research article
Design not recorded in structured metadata
2cc by
PMID 41992292 · DOI · PMC13202887

Soil microbiomes show consistent and predictable responses to extreme events [1]

Research article Knight CG, Nicolitch O, Griffiths RI, Goodall T, Jones B, Weser C, et al. · · 2024 · cited 90 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Increasing extreme climatic events threaten the functioning of terrestrial ecosystems1,2.
Closing excerpt
These findings advance our understanding of soil microbial responses to extreme events, and provide a first step for making general predictions about the impact of extreme climatic events on soil functioning.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (198 words)

Increasing extreme climatic events threaten the functioning of terrestrial ecosystems1,2. Because soil microbes govern key biogeochemical processes, understanding their response to climate extremes is crucial in predicting the consequences for ecosystem functioning3,4. Here we subjected soils from 30 grasslands across Europe to four contrasting extreme climatic events under common controlled conditions (drought, flood, freezing and heat), and compared the response of soil microbial communities and their functioning with those of undisturbed soils. Soil microbiomes exhibited a small, but highly consistent and phylogenetically conserved, response under the imposed extreme events. Heat treatment most strongly impacted soil microbiomes, enhancing dormancy and sporulation genes and decreasing metabolic versatility. Microbiome response to heat in particular could be predicted by local climatic conditions and soil properties, with soils that do not normally experience the extreme conditions being imposed being most vulnerable. Our results suggest that soil microbiomes from different climates share unified responses to extreme climatic events, but that predicting the extent of community change may require knowledge of the local microbiome. These findings advance our understanding of soil microbial responses to extreme events, and provide a first step for making general predictions about the impact of extreme climatic events on soil functioning.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39604724 · DOI · PMC11655354

A physiological approach for assessing human survivability and liveability to heat in a changing climate [2]

Research article Vanos J, Guzman-Echavarria G, Baldwin JW, Bongers C, Ebi KL, Jay O · · 2023 · cited 76 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Most studies projecting human survivability limits to extreme heat with climate change use a 35 °C wet-bulb temperature (Tw) threshold without integrating variations in human physiology.
Closing excerpt
Reductions in safe activity for younger and older adults between the present and future indicate a stronger impact from aging than warming.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (153 words)

Most studies projecting human survivability limits to extreme heat with climate change use a 35 °C wet-bulb temperature (Tw) threshold without integrating variations in human physiology. This study applies physiological and biophysical principles for young and older adults, in sun or shade, to improve current estimates of survivability and introduce liveability (maximum safe, sustained activity) under current and future climates. Our physiology-based survival limits show a vast underestimation of risks by the 35 °C Tw model in hot-dry conditions. Updated survivability limits correspond to Tw~25.8-34.1 °C (young) and ~21.9-33.7 °C (old)-0.9-13.1 °C lower than Tw = 35 °C. For older female adults, estimates are ~7.2-13.1 °C lower than 35 °C in dry conditions. Liveability declines with sun exposure and humidity, yet most dramatically with age (2.5-3.0 METs lower for older adults). Reductions in safe activity for younger and older adults between the present and future indicate a stronger impact from aging than warming.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38030628 · DOI · PMC10687011

Association of Extreme Heat With All-Cause Mortality in the Contiguous US, 2008-2017 [3]

Research article Khatana SAM, Werner RM, Groeneveld PW · · 2022 · cited 71 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
ImportanceThe number of extreme heat events is increasing because of climate change.
Closing excerpt
Without mitigation, the projected increase in extreme heat due to climate change may widen health disparities between groups.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (435 words)

ImportanceThe number of extreme heat events is increasing because of climate change. Previous studies showing an association between extreme heat and higher mortality rates generally have been limited to urban areas, and whether there is heterogeneity across different populations is not well studied; understanding whether this association varies across different communities, particularly minoritized racial and ethnic groups, may allow for more targeted mitigation efforts.ObjectiveTo the assess the association between extreme heat and all-cause mortality rates in the US.Design, setting, and participantsThis cross-sectional study involved a longitudinal analysis of the association between the number of extreme heat days in summer months from 2008 to 2017 (obtained from the Centers for Disease Control and Prevention's Environmental Public Health Tracking Program) and county-level all-cause mortality rates (obtained from the National Center for Health Statistics), using a linear fixed-effects model across all counties in the contiguous US among adults aged 20 years and older. Data analysis was performed from September 2021 to March 2022.ExposuresThe number of extreme heat days per month. Extreme heat was identified if the maximum heat index was greater than or equal to 90 °F (32.2 °C) and in the 99th percentile of the maximum heat index in the baseline period (1979 to 2007).Main outcomes and measuresCounty-level, age-adjusted, all-cause mortality rates.ResultsThere were 219 495 240 adults aged 20 years and older residing in the contiguous US in 2008, of whom 113 294 043 (51.6%) were female and 38 542 838 (17.6%) were older than 65 years. From 2008 to 2017, the median (IQR) number of extreme heat days during summer months in all 3108 counties in the contiguous US was 89 (61-122) days. After accounting for time-invariant confounding, secular time trends, and time-varying environmental and economic measures, each additional extreme heat day in a month was associated with 0.07 additional death per 100 000 adults (95% CI, 0.03-0.10 death per 100 000 adults; P = .001). In subgroup analyses, greater increases in mortality rates were found for older vs younger adults (0.19 death per 100 000 individuals; 95% CI, 0.04-0.34 death per 100 000 individuals), male vs female adults (0.12 death per 100 000 individuals; 95% CI, 0.05-0.18 death per 100 000 individuals), and non-Hispanic Black vs non-Hispanic White adults (0.11 death per 100 000 individuals; 95% CI, 0.02-0.20 death per 100 000 individuals).Conclusions and relevanceThese findings suggest that from 2008 to 2017, extreme heat was associated with higher all-cause mortality in the contiguous US, with a greater increase noted among older adults, men, and non-Hispanic Black individuals. Without mitigation, the projected increase in extreme heat due to climate change may widen health disparities between groups.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 35587347 · DOI · PMC9121188

Are 'evidence-based' cooling strategies fit-for-purpose?-Investigating the gap between guidance and behaviour [4]

Research article Oberai M, Rutherford S, Paas KHW, Bach A, Forbes C, Jackman E, et al. · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
OBJECTIVE: Across two summers self-report surveys were completed by a total of 130 older adults who were trialling a digital heat early warning system in Southeast Queensland.
Closing excerpt
These findings highlight an implementation gap between public health recommendations and self-reported willingness to use such strategies, underscoring the need for co-designed heat-health interventions.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (189 words)

OBJECTIVE: Across two summers self-report surveys were completed by a total of 130 older adults who were trialling a digital heat early warning system in Southeast Queensland. The purpose of the project was to assess participants’ access to (accessibility), and willingness to use (acceptability) commonly promoted cooling strategies, and to further explore the reasons for reluctance to use. RESULTS: Most participants reported access to all strategies (93–100%). Acceptability (mean response [95%CI]) was high for opening/closing windows or blinds (97 [94–100]%), fans, drinking cool water, sitting quietly, removing excess clothing (all 96 [93–99]%), cold showers (92 [87–96]%), and air-conditioning (90 [84–95] %). Conversely, hand/forearm baths (76 [69–84]%), icepacks (68 [60–76]%), dampened clothing (64 [56–72]%), foot baths (63 [54–71]%), and cold baths (49 [39–60]%) were less acceptable. Key reported barriers included messiness (n = 48), physical discomfort (n = 47), and preference for other strategies (n = 47). Among this sample of older adults, several widely promoted water-based cooling strategies were reported as unacceptable despite high accessibility. These findings highlight an implementation gap between public health recommendations and self-reported willingness to use such strategies, underscoring the need for co-designed heat-health interventions.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41992292 · DOI · PMC13202887

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Extreme Weather and Climate Change: Population Health and Health System Implications [5]
    Ebi KL, Vanos J, Baldwin JW, Bell JE, Hondula DM, Errett NA, et al. · Annu Rev Public Health · 2021 · cited 443 times (Europe PMC)
  • Research article Climate change and extreme heat events [6]
    Luber G, McGeehin M · Am J Prev Med · 2008 · cited 362 times (Europe PMC)
  • Research article Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy [7]
    Glaser J, Lemery J, Rajagopalan B, Diaz HF, García-Trabanino R, Taduri G, et al. · Clin J Am Soc Nephrol · 2016 · cited 310 times (Europe PMC)
  • Research article Impact of heatwave on mortality under different heatwave definitions: A systematic review and meta-analysis [8]
    Xu Z, FitzGerald G, Guo Y, Jalaludin B, Tong S · Environ Int · 2016 · cited 286 times (Europe PMC)
  • Research article Reducing the health effects of hot weather and heat extremes: from personal cooling strategies to green cities [9]
    Jay O, Capon A, Capon A, Berry P, Broderick C, de Dear R, et al. · Lancet · 2021 · cited 277 times (Europe PMC)
  • Research article Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies [10]
    Åström DO, Forsberg B, Rocklöv J · Maturitas · 2011 · cited 257 times (Europe PMC)

References

  1. Knight CG, Nicolitch O, Griffiths RI, Goodall T, Jones B, Weser C, et al.. Soil microbiomes show consistent and predictable responses to extreme events. . 2024. PMID 39604724 · DOI · PMC11655354
  2. Vanos J, Guzman-Echavarria G, Baldwin JW, Bongers C, Ebi KL, Jay O. A physiological approach for assessing human survivability and liveability to heat in a changing climate. . 2023. PMID 38030628 · DOI · PMC10687011
  3. Khatana SAM, Werner RM, Groeneveld PW. Association of Extreme Heat With All-Cause Mortality in the Contiguous US, 2008-2017. . 2022. PMID 35587347 · DOI · PMC9121188
  4. Oberai M, Rutherford S, Paas KHW, Bach A, Forbes C, Jackman E, et al.. Are 'evidence-based' cooling strategies fit-for-purpose?-Investigating the gap between guidance and behaviour. . 2026. PMID 41992292 · DOI · PMC13202887
  5. Ebi KL, Vanos J, Baldwin JW, Bell JE, Hondula DM, Errett NA, et al.. Extreme Weather and Climate Change: Population Health and Health System Implications. Annu Rev Public Health. 2021. PMID 33406378 · DOI · PMC9013542
  6. Luber G, McGeehin M. Climate change and extreme heat events. Am J Prev Med. 2008. PMID 18929969 · DOI
  7. Glaser J, Lemery J, Rajagopalan B, Diaz HF, García-Trabanino R, Taduri G, et al.. Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy. Clin J Am Soc Nephrol. 2016. PMID 27151892 · DOI · PMC4974898
  8. Xu Z, FitzGerald G, Guo Y, Jalaludin B, Tong S. Impact of heatwave on mortality under different heatwave definitions: A systematic review and meta-analysis. Environ Int. 2016. PMID 26878285 · DOI
  9. Jay O, Capon A, Capon A, Berry P, Broderick C, de Dear R, et al.. Reducing the health effects of hot weather and heat extremes: from personal cooling strategies to green cities. Lancet. 2021. PMID 34419206 · DOI
  10. Åström DO, Forsberg B, Rocklöv J. Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies. Maturitas. 2011. PMID 21477954 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

1,606
PubMed records on this heading
71%
published since 2020
226
review articles
7
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Extreme HeatPublic Health and Nutrition
  • TemperaturePublic Health and Nutrition
  • AirPublic Health and Nutrition
  • Air PressurePublic Health and Nutrition
  • Atmospheric PressurePublic Health and Nutrition

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