Background: Several studies suggest that environmental and climatic factors are linked to the risk of mortality due to cardiovascular and respiratory diseases; however, it is still unclear which are the most influential ones. This study sheds light on the potentiality of a data-driven statistical approach by providing a case study analysis. Methods: Daily admissions to the emergency room for cardiovascular and respiratory diseases are jointly analyzed with daily environmental and climatic parameter values (temperature, atmospheric pressure, relative humidity, carbon monoxide, ozone, particulate matter, and nitrogen dioxide). The Random Forest (RF) model and feature importance measure (FMI) techniques (permutation feature importance (PFI), Shapley Additive exPlanations (SHAP) feature importance, and the derivative-based importance measure (${\kappa }^{ALE}$)) are applied for discriminating the role of each environmental and climatic parameter. Data are pre-processed to remove trend and seasonal behavior using the Seasonal Trend Decomposition (STL) method and preliminary analyzed to avoid redundancy of information. Results: The RF performance is encouraging, being able to predict cardiovascular and respiratory disease admissions with a mean absolute relative error of 0.04 and 0.05 cases per day, respectively. Feature importance measures discriminate parameter behaviors providing importance rankings. Indeed, only three parameters (temperature, atmospheric pressure, and carbon monoxide) were responsible for most of the total prediction accuracy. Conclusions: Data-driven and statistical tools, like the feature importance measure, are promising for discriminating the role of environmental and climatic factors in predicting the risk related to cardiovascular and respiratory diseases. Our results reveal the potential of employing these tools in public health policy applications for the development of early warning systems that address health risks associated with climate change, and improving disease prevention strategies.

The Urban Heat Island (UHI) phenomenon prevalently concerns industrialized countries. It consists of a significant increase in temperatures, especially in industrialized and urbanized areas, in particular, during extreme warm periods like summer. This paper explores the climate variability of temperatures in two stations located in Matera city (Southern Italy), evaluating the increase in temperatures from 1988 to 2015. Moreover, the Corine Land Covers (1990–2000–2006–2012) were used in order to investigate the effect of land use on temperatures. The results obtained confirm the prevalence of UHI phenomena for industrialized areas, highlighting the proposal that the spreading of settlements may further drive these effects on the microclimate. In particular, the presence of industrial structures, even in rural areas, shows a clear increase in summer maximum temperatures. This does not occur in the period before 2000, probably due to the absence of the industrial settlement. On the contrary, from 2000 to 2015, changes are not relevant, but the maximum temperatures have always been higher than in the suburban area (station localized in green zone) during daylight hours.

Climate change increasingly affects every aspect of human life. Recent studies report a close correlation with human health and it is estimated that global death rates will increase by 73 per 100,000 by 2100 due to changes in temperature. In this context, the present work aims to study the correlation between climate change and human health, on a global scale, using artificial intelligence techniques. Starting from previous studies on a smaller scale, that represent climate change and which at the same time can be linked to human health, four factors were chosen. Four causes of mortality, strongly correlated with the environment and climatic variability, were subsequently selected. Various analyses were carried out, using neural networks and machine learning to find a correlation between mortality due to certain diseases and the leading causes of climate change. Our findings suggest that anthropogenic climate change is strongly correlated with human health; some diseases are mainly related to risk factors while others require a more significant number of variables to derive a correlation. In addition, a forecast of victims related to climate change was formulated. The predicted scenario confirms that a prevalently increasing trend in climate change factors corresponds to an increase in victims.

Background: Cardiovascular diseases (CVD) remain the predominant global cause of mortality, with both low and high temperatures increasing CVD-related mortalities. Climate change impacts human health directly through temperature fluctuations and indirectly via factors like disease vectors. Elevated and reduced temperatures have been linked to increases in CVD-related hospitalizations and mortality, with various studies worldwide confirming the significant health implications of temperature variations and air pollution on cardiovascular outcomes. Methods: A database of daily Emergency Room admissions at the Giovanni XIII Polyclinic in Bari (Southern Italy) was developed, spanning from 2013 to 2019, including weather and air quality data. A Random Forest (RF) supervised machine learning model was used to simulate the trend of hospital admissions for CVD. The Seasonal and Trend decomposition using Loess (STL) decomposition model separated the trend component, while cross-validation techniques were employed to prevent overfitting. Model performance was assessed using specific metrics and error analysis. Additionally, the SHapley Additive exPlanations (SHAP) method, a feature importance technique within the eXplainable Artificial Intelligence (XAI) framework, was used to identify the feature importance. Results: An R2 of 0.97 and a Mean Absolute Error of 0.36 admissions were achieved by the model. Atmospheric pressure, minimum temperature, and carbon monoxide were found to collectively contribute about 74% to the model’s predictive power, with atmospheric pressure being the dominant factor at 37%. Conclusions: This research underscores the significant influence of weather-climate variables on cardiovascular diseases. The identified key climate factors provide a practical framework for policymakers and healthcare professionals to mitigate the adverse effects of climate change on CVD and devise preventive strategies.

The present study provides an assessment of the climate variability at a subnational scale, focusing on the case of the Apulia region, in Southeastern Italy. The variables considered for the purpose of a trend analysis were the minimum, maximum, and mean temperatures, and reference evapotranspiration. These are very important in an urban–rural planning context. The study was based on 38 monitoring stations and consisted in the application of the nonparametric Mann–Kendall test and a progressive trend analysis, both used to detect the changes. The 1950–2003 period was investigated on seasonal and annual scales. The results generally showed a warming process and an acceleration of the atmospheric evaporative demand which took place especially since the mid-1970s. The latter had a significant positive trend, while the period before the break point of the 70s had a cooling effect. Finally, the warming effect was more pronounced for minimum temperatures.