Heat waves (HWs) are recognized as a serious threat for human health worldwide, with urban areas being more vulnerable due to the urban heat island (UHI) effect and population density. Yet, in the climate change context, HWs are becoming more frequent, stronger and longer, which, coupled with intensifying urbanization exacerbates thermal risk for urban residents. Despite the profound impact of this global phenomenon there is no clear consensus so far on possible synergies between UHIs and HWs. The study sheds light on the complex synergies between UHIs and HWs focusing on coastal sites. A quite challenging period comprising five HW episodes during summer 2012 in Athens (Greece) was selected for analysis. A positive feedback between UHIs and HWs was found, with intensification of the average UHI magnitude by up to 3.5 °C during HWs, compared to summer background conditions. Our results contribute significantly to understanding synergies between UHIs and HWs that may strongly increase thermal risk in cities and vulnerability of urban population.

The Mediterranean has been identified as a ‘climate change hot spot’, already experiencing faster warming rates than the global average, along with an increased occurrence of heat waves (HWs), prolonged droughts, and forest fires. During summer 2021, the Mediterranean faced prolonged and severe HWs, triggering hundreds of wildfires across the region. Greece, in particular, was hit by one of the most intense HWs in its modern history, with national all-time record temperatures being observed from 28 July to 6 August 2021. The HW was associated with extreme wildfires in many parts of the country, with catastrophic environmental and societal consequences. The study accentuated the rarity and special characteristics of this HW (HW2021) through the analysis of the historical climate record of the National Observatory of Athens (NOA) on a centennial time scale and comparison with previous HWs. The findings showed that HW2021 was ranked first in terms of persistence (with a total duration of 10 days) and highest observed nighttime temperatures, as well as ‘cumulative heat’, accounting for both the duration and intensity of the event. Exceptionally hot conditions during nighttime were intensified by the urban heat island effect in the city of Athens. Human exposure to heat-related stress during the event was further assessed by the use of bioclimatic indices such as the Universal Thermal Climate Index (UTCI). The study points to the interconnected climate risks in the area and especially to the increased exposure of urban populations to conditions of heat stress, due to the additive urban effect.

The increasing frequency, intensity and duration of heat waves seem to follow the observed global warming in recent decades. Vulnerability to heat waves is expected to increase in urban environments mainly due to population density and the effect of the urban heat island that make cities hotter than surrounding non-urban areas. The present study focuses on a vulnerable area of the eastern Mediterranean, already characterized as a ‘hot spot’ with respect to heat-related risk and investigates the change in heat stress levels during heat wave compared to non-heat wave conditions as well as the way that heat stress levels respond to heat waves in urban, compared to non-urban, environments. The adoption of a metric accounting for both the intensity and duration of the hot event yielded a total of 46 heat wave episodes over a nearly 60-year period, but with very rare occurrence until the late 1990s and a profound increased frequency thereafter. The results reveal a difference of at least one thermal stress category between heat wave and non-heat wave periods, which is apparent across the entire range of the thermal stress distribution. The analysis demonstrates a robust intensification of nighttime heat stress conditions in urban, compared to non-urban, sites during severe heat waves. Nevertheless, severe heat waves almost equalize heat stress conditions between urban and non-urban sites during midday.

This study explores the interdecadal variability and trends of surface horizontal visibility at the urban area of Athens from 1931 to 2013, using the historical archives of the National Observatory of Athens (NOA). A prominent deterioration of visibility in the city was detected, with the long-term linear trend amounting to −2.8 km decade⁻¹ (p < 0.001), over the entire study period. This was not accompanied by any significant trend in relative humidity or precipitation over the same period. A slight recovery of visibility levels seems to be established in the recent decade (2004–2013). It was found that very good visibility (> 20 km) occurred at a frequency of 34 % before the 1950s, while this percentage drops to just 2 % during the decade 2004–2013. The rapid impairment of the visual air quality in Athens around the 1950s points to the increased levels of air pollution on a local and/or regional scale, related to high urbanization rates and/or increased anthropogenic emissions on a global scale at that period. Visibility was found to be negatively/positively correlated with relative humidity/wind speed, the correlation being statistically valid at certain periods. Wind regime and mainly wind direction and corresponding air mass origin were found to highly control visibility levels in Athens. The comparison of visibility variation in Athens and at a non-urban reference site on Crete island revealed similar negative trends over the common period of observations. This suggests that apart local sources, visibility in Athens is highly determined by aerosol load of regional origin. AVHRR and MODIS satellite-derived aerosol optical depth (AOD) retrievals over Athens and surface measurements of PM₁₀ confirmed the relation of visibility to aerosol load.

Intensification of extreme temperatures combined with other socioeconomic factors may exacerbate human thermal risk. The disastrous impacts of extreme weather during the last two decades demonstrated the increased vulnerability of populations even in developed countries from Europe, which are expected to efficiently manage adverse weather. The study aims to assess trends in the exposure of European populations to extreme weather using updated historical climatic data in large European cities of different local climates and a set of climatic and bioclimatic indices. Colder cities experience higher warming rates in winter (exceeding 1 °C/decade since the mid-1970s) and warmer cities in summer. Hot extremes have almost tripled in most cities during the last two or three decades with simultaneous advancing of hot weather, while northernmost cities have experienced an unprecedented increase in the heat waves frequency only during the last decade. Bioclimatic indices suggested a robust tendency towards less cold-related stress (mainly in cold cities) and more heat-related stress in all cities. A doubling or tripling in the frequency of heat-related ‘great discomfort’ was found in southern cities, while in the cities of northern Europe, heat-related ‘discomfort’ conditions are becoming increasingly more frequent and have nearly quadrupled during the last decade.

Spatial variability in temperature exists within metropolitan areas but very few studies have investigated intra-urban differentiation in the temperature-mortality effects. We investigated whether local characteristics of 42 Municipalities within the Greater Athens Area lead to modified temperature effects on mortality and if effect modifiers can be identified. Generalized Estimating Equations models were used to assess the effect of high ambient temperature on the total and cause-specific daily number of deaths and meta-regression to investigate effect modification. We found significant effects of daily temperature increases on all-cause, cardiovascular, and respiratory mortality (e.g., for all ages 4.16% (95% CI: 3.73,4.60%) per 1 °C increase in daily temperature (lags 0–3). Heterogeneity in the effect estimates between Municipalities was observed in several outcomes and environmental and socio-economic effect modifying variables were identified, such as % area coverage of buildings, length of roads/km², population density, % unemployed, % born outside the EU countries and mean daily temperature. To further examine the role of temperature, we alternatively used modelled temperature per Municipality and calculated the effects. We found that heterogeneity was reduced but not eliminated. It appears that there are socioeconomic status and environmental determinants of the magnitude of heat-related effects on mortality, which are detected with some consistency and should be further investigated.