Climate change looms as the biggest threat of the 21st century, and its effect on urban mortality is exacerbated by urban heat islands. This study analyzes the impact of high temperatures, heatwaves, and the urban heat island on the cardiovascular and respiratory mortality of people over 65 years of age for the years 2002 to 2012. The area of application is Athens, Greece, an urban agglomeration experiencing an urban heat island of high intensity. The correlation of the daily cardiovascular and respiratory mortality count of people over 65 years of age with various temperature measures confirmed a U-shaped exposure response curve, with fewer deaths in the range of moderate temperatures. At high and very high temperatures, this mortality increased by 20 to 35% correspondingly, at a 99.9% significance level. Mortality was further investigated with ordinary least squares, Poisson, and negative binomial times series models, which, although suffering from poor fit, showed a one-day lag for the maximum temperature effect on mortality. Finally, cluster analysis for observations confined to May to September, confirmed by multiple discriminant analysis, showed the existence of six clusters, with the highest excess mortality count of 23% for the cluster that included the hottest days and 20.6% for the heatwave cluster. To this end, it is recommended that policies target high ambient temperatures and heatwaves as a priority.

This paper provides a review of the definitions, challenges and prospects toward resilient cities. It refers to the definitions provided by several researchers for resilience, links resilience to sustainability, discusses the role of spatial planning in strengthening urban resilience, identifies barriers to resilience, summarizes the requirements for creating resilient cities and exemplifies on cities, climate change and resilience. The paper concludes that the concept of resilience adds a new perspective to the issue of sustainability in the sense that resilience is needed for a sustainable environment. Finally, it refers to the link between climate change adaptation and mitigation plans for cities on the one hand and plans for resilient cities on the other.

Mitigation plans to counteract overheating in urban areas need to be based on a thorough knowledge of the state of the thermal environment, most importantly on the presence of areas which consistently demonstrate higher or lower urban land surface temperatures (hereinafter referred to as “hot spots” or “cold spots”, respectively). The main objective of this research study is to develop a methodological approach for the recognition of thermal “hot spots” and “cold spots” in urban areas during summer; this is accomplished with (a) the combined use of high and medium spatial resolution satellite data (Landsat 8 and Terra-MODIS, respectively); (b) the downscaling of the Terra-MODIS satellite data so as to acquire spatial resolution similar to the Landsat one and at the same time take advantage of the high revisit time as compared to the respective one of Landsat (16 days); and (c) the application of a statistical clustering technique to recognize “hot spots” and “cold spots”. The methodological approach was applied as a case study for the urban area of Athens, Greece for a summer period. Results demonstrated the capacity of the methodological approach to recognize “hot spots” and “cold spots”, revealed a strong relationship between land use and “hot spots” and “cold spots”, and showed that the average land surface temperature (LST) difference between the “hot spots” and “cold spots” can reach 9.1 °K.

Land Surface Temperature (LST) is a key parameter for the estimation of urban fluxes as well as for the assessment of the presence and strength of the surface urban heat island (SUHI). In an urban environment, LST depends on the way the city has been planned and developed over time. To this end, the estimation of LST needs adequate spatial and temporal data at the urban scale, especially with respect to land cover/land use. The present study is divided in two parts: at first, satellite data from MODIS-Terra 8-day product (MOD11A2) were used for the analysis of an eighteen-year time series (2001–2017) of the LST spatial and temporal distribution in five major cities of the Mediterranean during the summer months. LST trends were retrieved and assessed for their statistical significance. Secondly, LST values and trends for each city were examined in relation to land cover characteristics and patterns in order to define the contribution of urban development and planning on LST; this information is important for the drafting of smart urbanization policies and measures. Results revealed (a) positive LST trends in the urban areas especially during nighttime ranging from +0.412 °K in Marseille to +0.923 °K in Cairo and (b) the SUHI has intensified during the last eighteen years especially during daytime in European Mediterranean cities, such as Rome (+0.332 °K) and Barcelona (+0.307 °K).

Cities worldwide are getting warmer due to the combined effects of urban heat and climate change. To this end, local policy makers need to identify the most thermally vulnerable areas within cities. The Local Climate Zone (LCZ) scheme highlights local-scale variations; however, its classes, although highly valuable, are to a certain extent generalized in order to be universally applicable. High spatial resolution indicators have the potential to better reflect city-specific challenges; in this paper, the Urban Heat Exposure (UHeatEx) indicator is developed, integrating the physical processes that drive the urban heat island (UHI). In particular, the urban form is modeled using remote sensing and geographical information system (GIS) techniques, and used to estimate the canyon aspect ratio and the storage heat flux. The Bowen ratio is calculated using the aerodynamic resistance methodology and downscaled remotely sensed surface temperatures. The anthropogenic heat flux is estimated via a synergy of top–down and bottom–up inventory approaches. UHeatEx is applied to the city of Athens, Greece; it is correlated to air temperature measurements and compared to the LCZs classification. The results reveal that UHeatEx has the capacity to better reflect the strong intra-urban variability of the thermal environment in Athens, and thus can be supportive for adaptation responses. High-resolution climate projections from the EURO-CORDEX ensemble for the region show that the adverse effects of the existing thermal inequity are expected to worsen in the coming decades.

Variations in urban form lead to the development of distinctive intra-urban surface thermal patterns. Previous assessment of the relation between urban structure and satellite-based Land Surface Temperature (LST) has generally been limited to single-city cases. Here, examining 25 European cities (June–August 2017), we estimated the statistical association between surface parameters—the impervious fraction (λ_imp), the building fraction (λ_b), and the building height (H)—and the neighborhood scale (1000 × 1000 m) LST variations, as captured by the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor. Correlation analysis, multiple linear regression, and spatial regression were used. As expected, λ_imp had a consistent positive influence on LSTs. In contrast, the relation of LST with λ_b and H was generally weaker or negative in the daytime, whereas at night it shifted to a robust positive effect. In particular, daytime LSTs of densely built, high-rise European districts tended to have lower values. This was especially the case for the city of Athens, Greece, where a more focused analysis was conducted, using further surface parameters and the Local Climate Zone (LCZ) scheme. For the urban core of the city, the canyon aspect ratio H/W had a statistically significant (p <0.01) negative relationship with LST by day (Spearman’s rho = −0.68) and positive during nighttime (rho = 0.45). The prevailing intra-urban surface thermal variability in Athens was well reproduced by a 5-day numerical experiment using the meteorological Weather Research and Forecasting Model (WRF) model and a modified urban parameterization scheme. Although the simulation resulted in some systematic errors, the overall accuracy of the model was adequate, regarding the surface temperature (RMSE = 2.4 K) and the near-surface air temperature (RMSE = 1.7 K) estimations.