Human Health Vulnerability to Summer Heat Extremes in Romanian-Bulgarian Cross-Border Area
Publication: Natural Hazards Review
Volume 22, Issue 2
Abstract
Human health vulnerability (HHV) to different climate change-related phenomena, that is, summer heat extremes, is related to the exposure, sensitivity, and adaptive capacity of the affected entities. The current research is an empirical regional assessment of the human health effects of summer heat extremes in the Romania-Bulgarian Danube floodplain Calafat-Vidin–Turnu Măgurele-Nikopol (CV-TMN) sector. The external biophysical and socioeconomic factors that shape the vulnerability are supported by the climate approach. The research relies on processing meteorological data from the most representative climate stations in the study area based on which some indicators—significant for measuring the impact on human health—were computed (e.g., number of extremely hot days, number of tropical days, number of tropical nights) and integrated into a composite summer heat extremes index (SHEI). To assess HHV to summer heat extremes, the vulnerability framework was completed by the internal socioeconomic factors revealed by the characteristics of the population living in urban and rural settlements in terms of demographic, health provisions, and quality of indoor living spaces. Finally, the authors computed the index of human health vulnerability to summer heat extremes (HHVI) as the Hull Score at the level of territorial local administrative units.
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Data Availability Statement
All data, models, and code generated or used during the study appear in the published article.
Acknowledgments
This paper was carried out in the framework of the EU Romania–Bulgaria Cross Border Cooperation Programme project: “Romanian–Bulgarian cross-border joint natural and technological hazards assessment in the Danube floodplain. The Calafat-Vidin–Turnu Măgurele-Nikopole sector (ROBUHAZ-DUN).” Additionally, some of the research stages were conducted under the “The assessment of the natural and anthropogenic hazards al national, regional and local territorial levels” and “Climate hazard assessment in the Romanian Plain” projects carried out under the research plan of the Institute of Geography, Romanian Academy.
All authors contributed equally to all stages of the article, that is, data acquisition, processing, analysis and interpretation, and study conceptualization.
References
Adger, W. N., N. Brooks, G. Bentham, M. Agnew, and S. Eriksen. 2004. New indicators of vulnerability and adaptive capacity. Norwich, UK: Tyndall Centre for Climate Change Research, University of East Anglia.
Adger, W. N., and P. M. Kelly. 1999. “Social vulnerability to climate change and the architecture of entitlements.” Mitigation Adapt. Strategies Global Change 4 (3–4): 253–266. https://doi.org/10.1023/A:1009601904210.
Alexandrov, V. 2011. Methods for monitoring and estimation of drought vulnerability in Bulgaria. Sofia, Bulgaria: National Institute of Meteorology and Hydrology and Bulgarian Academy of Sciences.
Aminipouri, M., A. Knudby, and H. C. Ho. 2016. “Using multiple disparate data sources to map heat vulnerability: Vancouver case study.” Can. Geogr. 60 (3): 356–368. https://doi.org/10.1111/cag.12282.
Anton, S., et al. 2014. Diagnostics and policy advice for supporting Roma inclusion in Romania. Washington, DC: World Bank Group.
Armaş, I., and A. Gavriş. 2013. “Social vulnerability assessment using spatial multi-criteria analysis (SEVI model) and the social vulnerability index (SoVI model)—A case study for Bucharest, Romania.” Nat. Hazards Earth Syst. Sci. 13 (6): 1481–1499.
Atanasova Todorova, S., and D. Lulcheva. 2005. “Economic and social effects of land fragmentation on Bulgarian agriculture.” J. Central Eur. Agri. 6 (4): 555–562.
Balbus, J., and C. Malina. 2009. “Identifying vulnerable subpopulations for climate change health effects in the United States.” J. Occup. Environ. Med. 51 (1): 33–37. https://doi.org/10.1097/JOM.0b013e318193e12e.
Bălteanu, D., D. Dogaru, C. Dragotă, I. Grigorescu, M. Dumitraşcu, A. Corbu, M. Sima, G. Kucsicsa, and D. Călin. 2013a. “Dryness and drought phenomena in the Danube Floodplain: The Calafat-Vidin–Turnu Măgurele-Nikopole Sector. A local community-based participatory approach.” In Vol. 1 of Proc., Int. Multidisciplinary Scientific GeoConference: SGEM: Surveying Geology & Mining Ecology Management, 291–298.
Bălteanu, D., D. Dogaru, G. Zhelezov, and B. Kulov. 2013b. Study-area description in Hazards assessment and mitigation in the Danube Floodplian (Calafat-Vidin–Turnu Măgurele-Nikopol sector), Technical Guide. 13–20. Craiova, Romania: Editura Universitaria Craiova.
Bălteanu, D., C. S. Dragotă, A. Popovici, M. Dumitraşcu, G. Kucsicsa, and I. Grigorescu. 2013c. “Land use and crop dynamics related to climate change signals during the post-communist period in the south Oltenia, Romania.” Proc. Rom. Acad. 15 (3): 265–278.
Basu, R. 2009. “High ambient temperature and mortality: A review of epidemiologic studies from 2001 to 2008.” Environ. Health 8 (1): 40. https://doi.org/10.1186/1476-069X-8-40.
Basu, R., and J. M. Samet. 2002. “Relation between elevated ambient temperature and mortality: A review of the epidemiologic evidence.” Epidemiologic Rev. 24 (2): 190–202. https://doi.org/10.1093/epirev/mxf007.
Birsan, M. V., A. Dumitrescu, D. M. Micu, and S. Cheval. 2014. “Changes in annual temperature extremes in the Carpathians since AD 1961.” Nat. Hazards 74 (3): 1899–1910. https://doi.org/10.1007/s11069-014-1290-5.
Bruno Soares, M., A. S. Gagnon, and R. M. Doherty. 2012. “Conceptual elements of climate change vulnerability assessments: A review.” Int. J. Clim. Change Strategies Manage. 4 (1): 6–35. https://doi.org/10.1108/17568691211200191.
Burton, C., S. Rufat, and E. Tate. 2018. “Social vulnerability: Conceptual foundations and geospatial modeling.” In Vulnerability and resilience to natural hazards. Cambridge, UK: Cambridge University Press.
Busuioc, A., M. Caian, S. Cheval, R. Bojariu, C. Boroneanţ, M. Baciu, and A. Dumitrescu. 2010. Variabilitatea şi schimbarea climei în România. Bucureşti, Romania: Editura PRO Universitaria.
Cardona, O. D., M. K. van Aalst, J. Birkmann, M. Fordham, G. McGregor, R. Perez, R. S. Pulwarty, E. L. F. Schipper, and B. T. Sinh. 2012. “Determinants of risk: Exposure and vulnerability.” In Managing the risks of extreme events and disasters to advance climate change adaptation, edited by Field, et al., 65–108. Cambridge, UK: Cambridge University Press.
CDC (Centers for Disease Control and Prevention). 2009. “Heat waves.” Accessed September 12, 2018. http://www.cdc.gov/climatechange/effects/heat.htm.
Chiriac, D., A. Geicu, C. Humă, and A. Bleahu. 2005. “Efecte socioeconomice ale secetei asupra calităţii vieţii comunităţilor umane din România.” Revista Calitatea Vieţii 16 (3–4): 313–331.
Chiriac, D., C. Humă, and C. Tudor. 2001. “Impactul socio-economic al apei asupra calităţii vieţii populaţiei din România.” In Calitatea Vieţii, XII, 1–4. Bucureşti, Romania: Editura Academiei Române.
Chow, W. T., W. C. Chuang, and P. Gober. 2012. “Vulnerability to extreme heat in metropolitan Phoenix: Spatial, temporal, and demographic dimensions.” Prof. Geographer 64 (2): 286–302. https://doi.org/10.1080/00330124.2011.600225.
Coates, L., K. Haynes, J. O’Brien, J. McAneney, and F. D. De Oliveira. 2014. “Exploring 167 years of vulnerability: An examination of extreme heat events in Australia 1844–2010.” Environ. Sci. Policy 42 (Oct): 33–44. https://doi.org/10.1016/j.envsci.2014.05.003.
Confalonieri, U., B. Menne, R. Akhtar, K. L. Ebi, M. Hauengue, R. S. Kovats, B. Revich, and A. Woodward. 2007. “Human health. Climate change 2007: Impacts, adaptation and vulnerability.” In Proc., Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, edited by M. L. Parry, O. F. Canziani, J. P. Palutikof, P. J. van der Linden, and C. E. Hanson, 391–431. Cambridge, UK: Cambridge University Press.
Cook, B., G. F. Wayne, A. Valentine, A. Lessios, and E. Yeh. 2013. “Revisiting the evidence on health and health care disparities among the Roma: A systematic review 2003–2012.” Int. J. Public Health 58 (6): 885–911. https://doi.org/10.1007/s00038-013-0518-6.
Croitoru, A. E., and A. Piticar. 2013. “Changes in daily extreme temperatures in the extra-Carpathians regions of Romania.” Int. J. Climatol. 33 (8): 1987–2001. https://doi.org/10.1002/joc.3567.
Croitoru, A. E., A. Piticar, A. M. Imbroane, and D. C. Burada. 2013. “Spatiotemporal distribution of aridity indices based on temperature and precipitation in the extra-Carpathian regions of Romania.” Theor. Appl. Climatol. 112 (3–4): 597–607. https://doi.org/10.1007/s00704-012-0755-2.
Cutter, S., B. Boruff, and W. Shirley. 2003. “Social vulnerability to environmental hazards.” Soc. Sci. Q. 84 (2): 242–261. https://doi.org/10.1111/1540-6237.8402002.
Das, S., B. Pradhan, P. K. Shit, and A. M. Alamri. 2020. “Assessment of wetland ecosystem health using the pressure–State–Response (PSR) model: A case study of Mursidabad District of West Bengal (India).” Sustainability 12 (15): 5932. https://doi.org/10.3390/su12155932.
De Sherbinin, A., et al. 2019. “Climate vulnerability mapping: A systematic review and future prospects.” Wiley Interdiscip. Rev. Clim. Change 10 (5): e600.
Dimitrov, D. 2016. “Factors for the economic marginalization of the northwestern statistical region and tools for its overcoming.” Zbornik radova-Geografski fakultet Univerziteta u Beogradu 64: 131–144. https://doi.org/10.5937/zrgfub1664131D.
Dragotă, C. S., M. Dumitraşcu, I. Grigorescu, and G. Kucsicsa. 2011a. “The climatic water deficit in South Oltenia using the Thornthwaite method.” In Vol. 10 of Forum geografic, 140–148. Craiova, Romania: Univ. of Craiova.
Dragotă, C. S., M. Dumitraşcu, G. Kucsica, I. Grigorescu, and C. Dumitraşcu. 2011b. “Assessing dryness and drought phenomena in the south Oltenia.” In Proc., 12th Int. Conf. on Environmental Science and Technology. http://www.srcosmos.gr/srcosmos/showpub.aspx?aa=15024.
Dragotă, C. S., I. Grigorescu, M. Nikolova, and G. Kucsicsa. 2013. Climatic hazards, in Hazard assessment and mitigation in the Danube Floodplain (Calafat-Vidin–Turnu Măgurele-Nikopol sector) Technical Guide, 127–134. Craiova, Romania: Editura Universitaria Craiova.
Dumitrache, L., M. Nae, D. Dumbrăveanu, G. Simion, and B. Suditu. 2016. “Contrasting clustering in health care provision in Romania: Spatial and aspatial limitations.” Procedia Environ. Sci. 32: 290–299. https://doi.org/10.1016/j.proenv.2016.03.034.
Dumitraşcu, M., I. Mocanu, B. Mitrică, C. Dragotă, I. Grigorescu, and C. Dumitrică. 2018. “The assessment of socio-economic vulnerability to drought in Southern Romania (Oltenia Plain).” Int. J. Disaster Risk Reduct. 27 (Mar): 142–154. https://doi.org/10.1016/j.ijdrr.2017.09.049.
Dumitrescu, A., R. Bojariu, M. V. Birsan, L. Marin, and A. Manea. 2015. “Recent climatic changes in Romania from observational data (1961–2013).” Theor. Appl. Climatol. 122 (1–2): 111–119. https://doi.org/10.1007/s00704-014-1290-0.
eCensus. 2011. “Population and housing census in the Rupublic of Bulgaria 2011.” Accessed March 18, 2017. http://www.nsi.bg/census2011/indexen.php.
EPA. 2006. Excessive heat events guidebook, united states environmental protection agency (EPA) 430-B-06-005. Washington, DC: USEPA.
EPA. 2016. Climate change and extreme heat, EPA 430-R-16-061. Washington, DC: USEPA.
Füssel, H. M. 2007. “Vulnerability: A generally applicable conceptual framework for climate change research.” Global Environ. Change 17 (2): 155–167. https://doi.org/10.1016/j.gloenvcha.2006.05.002.
Grigorescu, I., C. Dragota, G. Kucsicsa, and M. Nikolova. 2013. “Joint assessment of climate hazards in the Danube Floodplain: The Calafat-Vidin–Turnu Măgurele-Nikopole sector.” In Proc., A Preliminary Approach, Bulgaria, Int. Multidisciplinary Scientific GeoConference: SGEM: Surveying Geology & Mining Ecology Management, Energy and Clean Technologies Conf. Section Air Pollution and Climate Change, 689–695. Sofia, Bulgaria: Surveying, Geology and Mining, Ecology and Management.
Haines, A., R. S. Kovats, D. Campbell-Lendrum, and C. Corvalán. 2006. “Climate change and human health: Impacts, vulnerability and public health.” Public Health 120 (7): 585–596. https://doi.org/10.1016/j.puhe.2006.01.002.
Haki, Z., Z. Akyuerek, and S. Duezguen. 2004. “Assessment of social vulnerability using geographic information systems: Pendik, Istanbul case study.” In Proc., 7th AGILE Conf. on Geographic Information Science (Heraklion, Greece, 2004), S413–S423. Ankara, Turkey: Middle East Technical Univ. of Ankara.
Hălbac-Cotoară-Zamfir, R., S. Keesstra, and Z. Kalantari. 2019. “The impact of political, socio-economic and cultural factors on implementing environment friendly techniques for sustainable land management and climate change mitigation in Romania.” Sci. Total Environ. 654 (Mar): 418–429. https://doi.org/10.1016/j.scitotenv.2018.11.160.
Hansen, A., P. Bi, M. Nitschke, P. Ryan, D. Pisaniello, and G. Tucker. 2008. “The effect of heat waves on mental health in a temperate Australian city.” Environ. Health Perspect. 116 (10): 1369–1375. https://doi.org/10.1289/ehp.11339.
Horton, R. M., J. S. Mankin, C. Lesk, E. Coffel, and C. Raymond. 2016. “A review of recent advances in research on extreme heat events.” Curr. Clim. Change Rep. 2 (4): 242–259. https://doi.org/10.1007/s40641-016-0042-x.
Ianoş, I. 1997. “Individualizarea şi analiza disparităţilor intraregionale.” Aplicaţie la judeţul Alba. Comunicări de geografie 1: 105.
Ilieva, M. 2013. “Regional differences and regional cohesion: Case study of Bulgaria.” J. Urban Reg. Anal. 5 (2): 153–168.
IME (Institute for Market Economics). 2016. “Regional profiles: Indicators of development.” Accessed April 17, 2018. https://www.regionalprofiles.bg/en/news/regional-profiles-indicators-of-development-2016/.
Inostroza, L., M. Palme, and F. de la Barrera. 2016. “A heat vulnerability index: Spatial patterns of exposure, sensitivity and adaptive capacity for Santiago de Chile.” PLoS One 11 (9): e0162464. https://doi.org/10.1371/journal.pone.0162464.
IPCC (Intergovernmental Panel on Climate Change). 2007. “Climate Change 2007. Impacts, adaptation and vulnerability.” In Proc., Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, edited by M. L. Parry, O. F. Canziani, J. P. Palutikof, P. J. Van Der Linde, and C. E. Hanson, 7–22. Cambridge, UK: Cambridge University Press.
IPCC (Intergovernmental Panel on Climate Change). 2013. “Climate change 2013: The physical science basis.” In Proc., Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change, edited by T. F. Stocker, D. Qin, G.-K. Plattner, M. Tignor, S. K. Allen, J. Boschung, et al., 153. Cambridge, UK: Cambridge University Press.
IPCC (Intergovernmental Panel on Climate Change). 2014. “Summary for policymakers.” In Proc., Climate Change 2014: Impacts, Adaptation, and Vulnerability. Part A: Global and Sectoral Aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change, edited by C. B. Field, et al., 1–32. Cambridge, UK: Cambridge University Press.
IPCC (Intergovernmental Panel on Climate Change). 2018. “Expert meeting of the intergovernmental panel on climate change on assessing climate information for regions.” In Proc., IPCC Working Group I Technical Support Unit, edited by W. Moufouma-Okia, et al. Saint Aubin, France: Université Paris Saclay.
Johnson, D. P., A. Stanforth, V. Lulla, and G. Luber. 2012. “Developing an applied extreme heat vulnerability index utilizing socioeconomic and environmental data.” Appl. Geogr. 35 (1–2): 23–31. https://doi.org/10.1016/j.apgeog.2012.04.006.
Johnson, D. P., and J. S. Wilson. 2009. “The socio-spatial dynamics of extreme urban heat events: The case of heat-related deaths in Philadelphia.” Appl. Geogr. 29 (3): 419. https://doi.org/10.1016/j.apgeog.2008.11.004.
Kelly, P. M., and W. N. Adger. 2000. “Theory and practice in assessing vulnerability to climate change and facilitating adaptation.” Clim. Change 47 (4): 325–352. https://doi.org/10.1023/A:1005627828199.
Khosla, R., and K. K. Guntupalli. 1999. “Heat-related illnesses.” Critical Care Clinics 15 (2): 251–263. https://doi.org/10.1016/S0749-0704(05)70053-1.
Klinenberg, E. 2002. Heat wave: A social autopsy of disaster in Chicago. Chicago: Univ. of Chicago Press.
Knight, G. G., I. Raev, and M. Staneva. 2017. Drought in Bulgaria: A contemporary analog for climate change. London: Routledge.
Koleva, E., and V. Alexandrov. 2008. “Drought in the Bulgarian low regions during the 20th century.” Theor. Appl. Climatol. 92 (1–2): 113–120. https://doi.org/10.1007/s00704-007-0297-1.
Kopralev, I. 2010. Bulgarian geographic atlas. Sofia, Bulgaria: Institute of Geography, Bulgarian Academy of Sciences.
Kotsev, T., A. Benderev, G. Zhelezov, C. Roman, A. Bela, M. Miclean, M. Sima, and M. Dumitraşcu. 2013. Technological hazards, in Hazards assessment and mitigation in the Danube Floodplain (Calafat-Vidin–Turnu Măgurele-Nikopol sector), Technical Guide (in Bulgarian and English). Sofia, Bulgaria: SofiaTerArt Publishing House.
Kovats, R. S., et al. 2003. “Methods of assessing human health vulnerability and public health adaptation to climate change. Ottawa: WHO Health Canada, UNEP, WMO.
Kyselý, J. 2004. “Mortality and displaced mortality during heat waves in the Czech Republic.” Int. J. Biometeorol. 49 (2): 91–97.
Lioubimtseva, E. 2015. “A multi-scale assessment of human vulnerability to climate change in the Aral sea basin.” Environ. Earth Sci. 73 (2): 719–729. https://doi.org/10.1007/s12665-014-3104-1.
Louis, C., and M. Holliday. 2001. Practical statistics for students: An introductory text. London: Paul Chapman Publishing.
Luber, G., et al. 2014. “Chap. 9: Human health.” In Climate change impacts in the United States: The third national climate assessment US global change research program, edited by J. M. Melillo, T. T. C. Richmond, and G. W. Yohe, 220–256. Washington, DC: US Global Change Research Program.
Luber, G., and M. McGeehin. 2008. “Climate change and extreme heat events.” Am. J. Preventive Med. 35 (5): 429–435. https://doi.org/10.1016/j.amepre.2008.08.021.
Lundgren Kownacki, K., C. Gao, K. Kuklane, and A. Wierzbicka. 2019. “Heat stress in indoor environments of Scandinavian urban areas: A literature review.” Int. J. Environ. Res. Public Health 16 (4): 560. https://doi.org/10.3390/ijerph16040560.
Macintyre, S., A. Ellaway, and S. Cummins. 2002. “Place effects on health: How can we conceptualise, operationalise and measure them?” Soc. Sci. Med. 55 (1): 125–139. https://doi.org/10.1016/S0277-9536(01)00214-3.
Maller, C. J., and Y. Strengers. 2011. “Housing, heat stress and health in a changing climate: Promoting the adaptive capacity of vulnerable households, a suggested way forward.” Health Promotion Int. 26 (4): 492–498. https://doi.org/10.1093/heapro/dar003.
Mateeva, Z. 2002. “Rainfall and snow cover.” In Geography of Bulgaria. Physical and socio-economic geography, edited by I. Kopralev. [In Bulgarian.] Sofia, Bulgaria: ForkCom. https://doi.org/10.1007/978-3-030-28191-5_7.
Mateeva, Z. 2018. “Health sector.” Accessed August 25, 2018. https://www.moew.government.bg/en/proposal-for-a-national-climate-change-adaptation-strategy-and-action-plan/.
Mateeva, Z. 2020. “Climate change: Human health-related risks and vulnerability—Some global and local (Bulgarian) pictures.” In Smart geography. Key challenges in geography (EUROGEO book series), edited by S. Nedkov, 75–89. Cham, Switzerland: Springer. https://doi.org/10.1007/978-3-030-28191-5_7.
Mateeva, Z., C. S. Dragotă, and I. Grigorescu. 2013a. “Hazardous bioclimatic conditions in the Danube river adjacent regions during the warm part of the year (Calafat-Vidin–Turnu Măgurele-Nikopol Sector).” In Vol. 1 of Proc., 13th SGEM GeoConference on Ecology, Economics, Education and Legislation, 523–530. Sofia, Bulgaria: Surveying, Geology and Mining, Ecology and Management. https://doi.org/10.5593/SGEM2013/BE5.V1/S20.069.
Mateeva, Z., C. S. Dragotă, and I. Grigorescu. 2013b. “Hot bioclimatic hazard.” In Hazard assessment and mitigation in the Danube floodplain (Calafat-Vidin—Turnu Magurele-Nikopol sector), edited by G. Zhelezov. Sofia, Bulgaria: TerArt.
Matthies, F., G. Bickler, N. C. Marín, and S. Hales, eds. 2008. Heat-health action plans: Guidance. Geneva: World Health Organization.
McCarthy, J. J., O. F. Canziani, N. A. Leary, D. J. Dokken, and K. S. White, eds. 2001. Vol. 2 of Climate change 2001: Impacts, adaptation, and vulnerability: Contribution of working group II to the third assessment report of the intergovernmental panel on climate change. Cambridge, UK: Cambridge University Press.
McMichael, A. J. 2003. “Global climate change and health: An old story writ large.” In Climate change and human health: Risks and responses. Geneva: World Health Organization.
Méndez-Lázaro, P., F. E. Muller-Karger, D. Otis, M. J. McCarthy, and E. Rodríguez. 2017. “A heat vulnerability index to improve urban public health management in San Juan, Puerto Rico.” Int. J. Biometeorol. 62 (5): 709–722. https://doi.org/10.1007/s00484-017-1319-z.
Mititelu-Ionuş, O., D. Simulescu, and S. M. Popescu. 2019. “Environmental assessment of agricultural activities and groundwater nitrate pollution susceptibility: A regional case study (Southwestern Romania).” Environ. Monit. Assess. 191 (8): 501. https://doi.org/10.1007/s10661-019-7648-0.
Mitrică, B., I. Mocanu, M. Dumitraşcu, and I. Grigorescu. 2017. “Socio-economic disparities in the development of the Romania’s border areas.” Social Indic. Res. 134 (3): 899–916. https://doi.org/10.1007/s11205-016-1462-7.
Mocanu, I., M. Dumitrascu, B. Dumitrescu, and A. Popovici. 2011. “The drinking water infrastructure in the Oltenia Plain over the last decade.” In Vol. 10 of Territorial characteristics and quantitative aspects of production and consumption, forum geografic, 364–371. Craiova, Romania: Univ. of Craiova.
Mocanu, I., L. Guran, N. Damian, and L. Dumitrache. 2016. “Elemente de geografie socială.” In RomâniaNatură şi societate, edited by D. Bălteanu, M. Dumitraşcu, S. Geacu, B. Mitrică, and M. Sima. Bucureşti, Romania: Editura Academiei Române.
Morath, D. P. 2010. “Social vulnerability and public health: Developing a metric for medical emergency management.” Master’s thesis, Dept. of Geography, Univ. of South Carolina.
MRDPW (Ministry of Regional Development and Public Works). 2012. “Updated national strategy for demographic development of the population in the Republic of Bulgaria 2012–2030.” Accessed August 26, 2018. http://www.strategy.bg/StrategicDocuments/View.aspx?lang=bg-BG&Id=778.
Mushore, T. D., O. Mutanga, J. Odindi, and T. Dube. 2018. “Determining extreme heat vulnerability of Harare Metropolitan City using multispectral remote sensing and socio-economic data.” J. Spatial Sci. 63 (1): 173–191. https://doi.org/10.1080/14498596.2017.1290558.
Nayak, S. G., S. Shrestha, P. L. Kinney, Z. Ross, S. C. Sheridan, C. I. Pantea, W. H. Hsu, N. Muscatiello, and S. A. Hwang. 2018. “Development of a heat vulnerability index for New York State.” Public Health 161 (Aug): 127–137. https://doi.org/10.1016/j.puhe.2017.09.006.
Newman, S. 2013. Adaptive capacity of human communities to environmental disturbance. Pullman, WA: Washington State Univ.
Nikolova, M. 2001. Natural hazards in Bulgaria, problems of geography. Sofia, Bulgaria: National Institute of Geophysics, Geodesy and Geography.
Nikolova, M. 2002. “Unfavourable agro-climatic phenomena in Bulgaria.” In Geography of Bulgaria. Physical Geography. Social- Economic Geography, monograph, ForKom, 163–168. [In Bulgarian.] Sofia, Bulgaria: ForKom.
NSI (National Statistical Institute of Bulgaria). 2011. “National Statistical Institute of Bulgaria.” Accessed January 15, 2017. http://www.nsi.bg/census2011/index.php.
O’Brien, K., S. E. Eriksen, A. Schjolden, and L. P. Nygaard. 2004a. “What’s in a word? Conflicting interpretations of vulnerability in climate change research.” In CICERO Working Paper. Oslo, Norway: Center for International Climate Research.
O’Brien, K., L. Sygna, and J. E. Haugen. 2004b. “Vulnerable or resilient? A multi-scale assessment of climate impacts and vulnerability in Norway.” Clim. Change 64 (1–2): 193–225.
O’Neill, M. S. 2003. “Air conditioning and heat-related health effects.” Appl. Environ. Sci. Public Health 1 (1): 9–12.
Orimoloye, I. R., S. P. Mazinyo, A. M. Kalumba, O. Y. Ekundayo, and W. Nel. 2019. “Implications of climate variability and change on urban and human health: A review.” Cities 91 (Aug): 213–223. https://doi.org/10.1016/j.cities.2019.01.009.
Păltineanu, C., I. F. Mihăilescu, I. Seceleanu, C. Dragotă, and F. Vasenciuc. 2007. “Using aridity indices to describe some climate and soil features in Eastern Europe: A Romanian case study.” Theor. Appl. Climatol. 90 (3–4): 263–274.
Păltineanu, C. R., I. F. Mihăilescu, Z. Prefac, C. Dragotă, F. Vasenciuc, and N. Claudia. 2009. “Combining the standardized precipitation index and climatic water deficit in characterizing droughts: A case study in Romania.” Theor. Appl. Climatol. 97 (3–4): 219–233.
Parente, J., M. G. Pereira, M. Amraoui, and E. M. Fischer. 2018. “Heat waves in Portugal: Current regime, changes in future climate and impacts on extreme wildfires.” Sci. Total Environ. 631–632 (Aug): 534–549. https://doi.org/10.1016/j.scitotenv.2018.03.044.
Patt, A. G., D. Schröter, A. C. de la Vega-Leiner, and R. J. Klein. 2012. “Vulnerability research and assessment to support adaptation and mitigation: Common themes from the diversity of approaches.” In Assessing vulnerability to global environmental change, 24–48. London: Routledge.
Perčič, S., A. Kukec, T. Cegnar, and A. Hojs. 2018. “Number of heat wave deaths by diagnosis, sex, age groups, and area, in Slovenia, 2015 vs. 2003.” Int. J. Environ. Res. Public Health 15 (1): 173. https://doi.org/10.3390/ijerph15010173.
Popovici, E. A., A. Costache, D. Bălteanu, D. Dogaru, and M. Sima. 2013. “Vulnerability assessment of rural communities to floods in the western part of Romania (Banat Plain).” In Vol. 1 of Proc., International Multidisciplinary Scientific GeoConference: SGEM: Surveying Geology & Mining Ecology Management, 1161. Sofia, Bulgaria: SCImago Institutions Rankings.
Popovici, E.-A., G. Kucsicsa, D. Bălteanu, I. Grigorescu, B. Mitrică, M. Dumitraşcu, and N. Damian. 2018a. “and future land use/cover flows related to agricultural lands in Romania. An assessment using Clue-s model and Corine land cover database.” Carpathian J. Earth Environ. Sci. 13 (2): 613–628. https://doi.org/10.26471/cjees/2018/013/052.
Popovici, E.-A., B. Mitrică, and I. Mocanu. 2018b. “Land concentration and land grabbing: Implications for the socio-economic development of rural communities in South-Eastern Romania.” Outlook Agri. 47 (3): 204–213. https://doi.org/10.1177/0030727018781138.
Posea, G. 2005. “The floodplain.” In Vol. 5 of The geography of Romania. [In Romanian.] Bucharest, Romania: The Publishing House of the Romanian Academy.
Prăvălie, R. 2013. “Climate issues on aridity trends of Southern Oltenia in the last five decades.” Geographia Technica 17 (1): 70–79.
Reid, C. E., M. S. O’Neill, C. J. Gronlund, S. J. Brines, D. G. Brown, A. V. Diez-Roux, and J. Schwartz. 2009. “Mapping community determinants of heat vulnerability.” Environ. Health Perspect. 117 (11): 1730. https://doi.org/10.1289/ehp.0900683.
Rufat, S., E. Tate, C. G. Burton, and A. S. Maroof. 2015. “Social vulnerability to floods: Review of case studies and implications for measurement.” Int. J. Disaster Risk Reduct. 14: 470–486. https://doi.org/10.1016/j.ijdrr.2015.09.013.
Sampson, N. R., C. J. Gronlund, M. A. Buxton, L. Catalano, J. L. White-Newsome, K. C. Conlon, M. S. O’Neill, S. McCormick, and E. A. Parker. 2013. “Staying cool in a changing climate: Reaching vulnerable populations during heat events.” Global Environ. Change 23 (2): 475–484. https://doi.org/10.1016/j.gloenvcha.2012.12.011.
Sandu, I., Elena Mateescu, and V. Vatamanu. 2010. Schimbări climatice în România şi efectele asupra agriculturii. Craiova, Romania: SITECH.
Schmeltz, M. T., and P. J. Marcotullio. 2019. “Examination of human health impacts due to adverse climate events through the use of vulnerability mapping: A scoping review.” Int. J. Environ. Res. Public Health 16 (17): 3091. https://doi.org/10.3390/ijerph16173091.
Schneiderbauer, S. 2007. “Risk and vulnerability to natural disasters from broad view to focused perspective (Doctoral dissertation).” Accessed June 15, 2017. https://refubium.fu-berlin.de/bitstream/handle/fub188/7448/07_annexes.pdf?sequence=8&isAllowed=y.
Scovronick, N., F. Sera, F. Acquaotta, D. Garzena, S. Fratianni, C. Y. Wright, and A. Gasparrini. 2018. “The association between ambient temperature and mortality in South Africa: A time-series analysis.” Environ. Res. 161 (Feb): 229–235. https://doi.org/10.1016/j.envres.2017.11.001.
Sellers, S., K. L. Ebi, and J. Hess. 2019. “Climate change, human health, and social stability: Addressing inter linkages.” Environ. Health Perspect. 127 (4): 045002. https://doi.org/10.1289/EHP4534.
Sharma, J., and N. H. Ravindranath. 2019. “Applying IPCC 2014 framework for hazard-specific vulnerability assessment under climate change.” Environ. Res. Commun. 1 (5): 051004. https://doi.org/10.1088/2515-7620/ab24ed/meta.
Sima, M., P. Enciu, G. Kucsicsa, and A. Bela. 2013. “Water quality in the rural communities In the Romanian Danube Floodplain (Calafat-Turnu Magurele Sector).” In Proc., Int. Multidisciplinary Scientific GeoConference: SGEM: Surveying Geology & Mining Ecology Management, 455–462. Sofia, Bulgaria: Surveying, Geology and Mining, Ecology and Management. https://search.proquest.com/openview/1bef0fe18deac82a9a2c11c9d1311341/1?pq-origsite=gscholar&cbl=1536338.
Sivic, S., A. Huremovic, and H. Djerzic. 2013. “Social exclusion as a determining health factor of the Roma population.” Med. Arch. 67 (1): 60. https://doi.org/10.5455/medarh.2013.67.60-62.
Smit, B., I. Burton, R. J. Klein, and R. Street. 1999. “The science of adaptation: A framework for assessment.” Mitigation Adapt. Strategies Global Change 4 (3–4): 199–213. https://doi.org/10.1023/A:1009652531101.
Smit, B., and O. Pilifosova. 2003. “From adaptation to adaptive capacity and vulnerability reduction.” In Climate change, adaptive capacity and development, edited by J. B. Smith, R. J. T. Klein, and S. Huq, 9–28. London: Imperial College Press.
Smit, B., O. Pilifosova, I. Burton, B. Challenger, S. Huq, R. J. T. Klein, and G. Yoh. 2001. “Climate change 2001: Impacts, adaptation and vulnerability.” In Proc., Contribution of the Working Group II to the Third Assessment Report of the Intergovernmental Panel on Climate Change, edited by J. J. McCarthy, O. F. Canziani, N. A. Leary, D. J. Dokken, and K. S. White, 877–912. Cambridge, UK: Cambridge University Press.
Smit, B., and J. Wandel. 2006. “Adaptation, adaptive capacity and vulnerability.” Global Environ. Change 16 (3): 282–292. https://doi.org/10.1016/j.gloenvcha.2006.03.008.
Smith, K. R., A. Woodward, D. Campbell-Lendrum, D. D. Chadee, Y. Honda, Q. Liu, J. M. Olwoch, B. Revich, and R. Sauerborn. 2014. “Human health: Impacts, adaptation, and co-benefits.” In Climate Change 2014: Impacts, adaptation, and vulnerability, edited by Field, et al. 709–754. Cambridge, UK: Cambridge University Press.
Stângă, I. C., and A. Grozavu. 2012. “Quantifying human vulnerability in rural areas: Case study of Tutova Hills (Eastern Romania).” Nat. Hazards Earth Syst. Sci. 12 (6): 1987–2001. https://doi.org/10.5194/nhess-12-1987-2012.
Sweileh, W. M. 2020. “Bibliometric analysis of scientific publications on ‘sustainable development goals’ with emphasis on ‘good health and well-being’ goal (2015–2019).” Globalization Health 16 (1): 1–13. https://doi.org/10.1186/s12992-020-00602-2.
Tudor, M., and M. Rusu. 2011. Romanian rural area typology by the inequality level—A multicriterial approach, Scientific papers, Series I, Volume XIII. Timişoara, Romania: USAMVBT—Faculty of Agricol Management, Agroprint Publishing House.
Turner, B. L., et al. 2003. “A framework for vulnerability analysis in sustainability science.” Proc. Natl. Acad. Sci. 100 (14): 8074–8079. https://doi.org/10.1073/pnas.1231335100.
Uejio, C. K., O. V. Wilhelmi, J. S. Golden, D. M. Mills, S. P. Gulino, and J. P. Samenow. 2011. “Intra-urban societal vulnerability to extreme heat: The role of heat exposure and the built environment, socioeconomics, and neighborhood stability.” Health Place 17 (2): 498–507. https://doi.org/10.1016/j.healthplace.2010.12.005.
UNDP (United Nations Development Programme). 2004. Reducing disaster risk: A challenge for development. New York: UNDP.
Ungureanu, E., C. F. Baldan, and R. F. Popescu. 2013. “Social-economic inequalities existing at rural level—South west Oltenia region.” USV Ann. Econ. Public Admin. 13 (1): 7–15.
UNISDR (United Nations International Strategy for Disaster Reduction). 2004. Living with risk. Geneva, Switzerland: UNISDR.
Uzzoli, A., D. Szilágyi, and A. Bán. 2018. “Climate vulnerability regarding heat waves—A case study in Hungary.” DETUROPE: Central Eur. J. Tourism Reg. Dev. 10 (3): 53–69.
Vijulie, I., M. Preda, A. I. Lequeux-Dincă, R. Cuculici, E. Matei, A. Mareci, G. Manea, and A. Tudoricu. 2019. “Economic productivity vs. ecological protection in Danube floodplain. Case Study: Danube’s Sector between Olt and Vedea.” Sustainability 11 (22): 6391. https://doi.org/10.3390/su11226391.
Vogel, C., and K. O’Brien. 2004. “Vulnerability and global environmental change: Rhetoric and reality.” In Aviso: An information bulletin on global environmental change and human security. Ottawa: International Human Dimensions Programme on Global Environmental Change.
Wilbanks, T. J., P. Romero Lankao, M. Bao, F. Berkhout, S. Cairncross, J.-P. Ceron, M. Kapshe, R. Muir-Wood, and R. Zapata-Marti. 2007. “Industry, settlement and society.” In Proc., Climate Change 2007. Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, edited by M. L. Parry, O. F. Canziani, J. P. Palutikof, P. J. Van Der Linde, and C. E. Hanson, 357–390. Cambridge, UK: Cambridge University Press.
Wilhelmi, O. V., and M. H. Hayden. 2010. “Connecting people and place: A new framework for reducing urban vulnerability to extreme heat.” Environ. Res. Lett. 5 (1): 014021. https://doi.org/10.1088/1748-9326/5/1/014021.
Wolf, T., and G. McGregor. 2013. “The development of a heat wave vulnerability index for London, United Kingdom.” Weather Clim. Extremes 1 (Sep): 59–68. https://doi.org/10.1016/j.wace.2013.07.004.
Wolf, T., G. McGregor, and A. Analitis. 2009. “Assessing vulnerability to heat stress in urban areas. The example of greater London.” Epidemiology 20 (6): S24. https://doi.org/10.1097/01.ede.0000362249.11577.19.
Wolf, T., G. McGregor, and A. Analitis. 2014. “Performance assessment of a heat wave vulnerability index for greater London, United Kingdom.” Weather Clim. Soc. 6 (1): 32–46. https://doi.org/10.1175/WCAS-D-13-00014.1.
Yohe, G., and R. S. Tol. 2002. “Indicators for social and economic coping capacity—Moving toward a working definition of adaptive capacity.” Global Environ. Change 12 (1): 25–40. https://doi.org/10.1016/S0959-3780(01)00026-7.
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Received: Feb 12, 2020
Accepted: Sep 11, 2020
Published online: Jan 7, 2021
Published in print: May 1, 2021
Discussion open until: Jun 7, 2021
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