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  Assessing global factors associated with tropical cyclone-related mortality: A population-based longitudinal study

Huang, W., Yang, Z., Otto, C., Mengel, M., Hales, S., Zhang, Y., Xu, R., Bell, M. L., Gasparrini, A., Kan, H., Sera, F., Schwartz, J., Lavigne, E., Hundessa, S., Yu, W., Carlos Chua, P. L., Seposo, X., Goodman, P., Zeka, A., Hashizume, M., Z. S. Coelho, M. S., Xu, Z., Ye, T., Yu, P., Wu, Y., Wen, B., Liu, Y., Li, S., Guo, Y., Roye, D., Kim, H., Tobias, A., Guo, Y. L., Pan, S.-C., Vicedo-Cabrera, A. M., Honda, Y., Huber, V., Jaakkola, J. J., Urban, A., Carlsen, H. K., Diaz, M. H., Félix Arellano, E. E., das Neves Pereira da Silva, S., Madureira, J., Lee, W., Íñiguez, C., Zanobetti, A., Dang, T. N., Dung, D. V., Pascal, M. (2026): Assessing global factors associated with tropical cyclone-related mortality: A population-based longitudinal study. - Environment International, 214, 110409.
https://doi.org/10.1016/j.envint.2026.110409

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 Creators:
Huang, Wenzhong1, Author
Yang, Zhengyu1, Author
Otto, Christian2, Author                 
Mengel, Matthias2, Author                 
Hales, Simon1, Author
Zhang, Yiwen1, Author
Xu, Rongbin1, Author
Bell, Michelle L.1, Author
Gasparrini, Antonio1, Author
Kan, Haidong1, Author
Sera, Francesco1, Author
Schwartz, Joel1, Author
Lavigne, Eric1, Author
Hundessa, Samuel1, Author
Yu, Wenhua1, Author
Carlos Chua, Paul Lester1, Author
Seposo, Xerxes1, Author
Goodman, Patrick1, Author
Zeka, Ariana1, Author
Hashizume, Masahiro1, Author
Z. S. Coelho, Micheline S.1, AuthorXu, Zhihu1, AuthorYe, Tingting1, AuthorYu, Pei1, AuthorWu, Yao1, AuthorWen, Bo1, AuthorLiu, Yanming1, AuthorLi, Shanshan1, AuthorGuo, Yuming1, AuthorRoye, Dominic1, AuthorKim, Ho1, AuthorTobias, Aurelio1, AuthorGuo, Yue Leon1, AuthorPan, Shih-Chun1, AuthorVicedo-Cabrera, Ana Maria1, AuthorHonda, Yasushi1, AuthorHuber, Veronika1, AuthorJaakkola, Jouni J.K.1, AuthorUrban, Aleš1, AuthorCarlsen, Hanne Krage1, AuthorDiaz, Magali Hurtado1, AuthorFélix Arellano, Eunice Elizabeth1, Authordas Neves Pereira da Silva, Susana1, AuthorMadureira, Joana1, AuthorLee, Whanhee1, AuthorÍñiguez, Carmen1, AuthorZanobetti, Antonella1, AuthorDang, Tran Ngoc1, AuthorDung, Do Van1, AuthorPascal, Mathilde1, Author more..
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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 Abstract: Background
The underlying factors associated with the substantial global tropical cyclone (TC)-related mortality burden, characterized by its highly variable spatiotemporal patterns, remain unclear. We aimed to identify and assess the key factors associated with TC-related mortality on a global scale.
Methods
We collected mortality records from 2034 locations in 68 countries/territories across five continents (2000–2019) to identify and assess the key factors associated with TC-related mortality on a global scale. Bayesian ensemble models were applied to estimate the associated mortality for each TC event in each location. A random forest regression (RFR) model was employed to assess the relative statistical importance of TC and location characteristics, as well as their interactions, regarding the TC-related mortality.
Findings
For TC physical characteristics, the TC-associated cumulative rainfall consistently exhibited stronger influence on mortality than TC-induced surge-driven flood depth or maximum sustained windspeed. However, sociodemographic factors, including population traits (e.g., population density, proportion of the population aged ≤ 9 years, percent of the population aged ≥ 65 years) and socioeconomic and infrastructure development (e.g., built-up ratio), showed greater relative importance than the TC physical attributes and accounted for the majority of the explained variations in TC-related mortality. Furthermore, cumulative rainfall interacted strongly with local sociodemographic conditions and was potentially the most important associated factor for disparities in mortality arising from factor interactions.
Interpretation
The findings highlight the critical role of sociodemographic factors in explaining the global spatiotemporal variability of TC-related mortality, surpassing the relative importance of TC intensity. TC-related rainfall could be a key associated physical factor of the global mortality burden.

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Language(s): eng - English
 Dates: 2026-03-122026-07-062026-07-072026-08-01
 Publication Status: Finally published
 Pages: 13
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1016/j.envint.2026.110409
Organisational keyword: RD3 - Transformation Pathways
PIKDOMAIN: RD3 - Transformation Pathways
Working Group: Event-based modeling of economic impacts of climate change
Working Group: Inter-Sectoral Impact Attribution and Future Risks
Regional keyword: Global
MDB-ID: No data to archive
Model / method: ISIMIP
Research topic keyword: Climate impacts
Research topic keyword: Extremes
OATYPE: Gold Open Access
 Degree: -

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Title: Environment International
Source Genre: Journal, SCI, Scopus, oa
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Publ. Info: -
Pages: - Volume / Issue: 214 Sequence Number: 110409 Start / End Page: - Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/environment-international
Publisher: Elsevier