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Examination of extreme events has revealed challenges in capturing the full extent of “heat-related” deaths.Since 1999, people aged 65+ have been several times more likely to die from heat-related cardiovascular disease than the general population, while non-Hispanic Blacks generally have had higher-than-average rates (see Figure 2).Overall, the interaction of heat and cardiovascular disease caused about one-fourth of the heat-related deaths recorded in the “underlying and contributing causes” analysis since 1999 (see Figures 1 and 2). The death rate from heat-related cardiovascular disease ranged from 0.08 deaths per million people in 2004 to 1.08 deaths per million people in 1999 (see Figure 2).The indicator shows a peak in heat-related deaths in 2006, a year that was associated with widespread heat waves and was one of the hottest years on record in the contiguous 48 states (see the U.S.For years in which the two records overlap (1999–2018), accounting for those additional deaths in which heat was listed as a contributing factor results in a higher death rate-nearly double for some years-compared with the estimate that only includes deaths where heat was listed as the underlying cause (see Figure 1).Overall, a total of more than 11,000 Americans have died from heat-related causes since 1979, according to death certificates.
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14 However, studies that compared the total number of deaths during this heat wave (regardless of the recorded cause of death) with the long-term average of daily deaths found that the heat wave likely led to about 700 more deaths than would otherwise have been expected. For example, during a severe heat wave that hit Chicago* between July 11 and July 27, 1995, 465 heat-related deaths were recorded on death certificates in Cook County. 13 Studies of heat waves are one way to better understand health impacts, but different methods can lead to very different estimates of heat-related deaths. Many factors can influence the nature, extent, and timing of health consequences associated with extreme heat events.