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Government effectiveness and institutions as determinants of tropical cyclone mortality.

ABSTRACT: Strong institutions as well as economic development are generally understood to play critical roles in protecting societies from the adverse impacts of natural hazards, such as tropical cyclones. The independent effect of institutions on reducing these risks, however, has not been confirmed empirically in previous global studies. As a storm's path and intensity influence the severity of the damages and may be spatially correlated with human vulnerabilities, failing to accurately capture physical exposure in an econometric analysis may result in imprecise and biased estimates of the influence of the independent variables. Here, we develop an approach to control for physical exposure by spatially interacting meteorological and socioeconomic data for over 1,000 tropical cyclone disasters from 1979 to 2016. We find evidence that higher levels of national government effectiveness are associated with lower tropical cyclone mortality, even when controlling for average income and other socioeconomic conditions. Within countries, deaths are higher when strong winds are concentrated over areas of the country with elevated infant mortality rates, an indicator of institutional effectiveness through public service delivery. These results suggest that policies and programs to enhance institutional capacity and governance can support risk reduction from extreme weather events.

SUBMITTER: Tennant E

PROVIDER: S-EPMC7682563 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundMore intense tropical cyclones (TCs) are expected in the future under a warming climate scenario, but little is known about their mortality effect pattern across countries and over decades. We aim to evaluate the TC-specific mortality risks, periods of concern (POC) and characterize the spatiotemporal pattern and exposure-response (ER) relationships on a multicountry scale.Methods and findingsDaily all-cause, cardiovascular, and respiratory mortality among the general population were collected from 494 locations in 18 countries or territories during 1980 to 2019. Daily TC exposures were defined when the maximum sustained windspeed associated with a TC was ≥34 knots using a parametric wind field model at a 0.5° × 0.5° resolution. We first estimated the TC-specific mortality risks and POC using an advanced flexible statistical framework of mixed Poisson model, accounting for the population changes, natural variation, seasonal and day of the week effects. Then, a mixed meta-regression model was used to pool the TC-specific mortality risks to estimate the overall and country-specific ER relationships of TC characteristics (windspeed, rainfall, and year) with mortality. Overall, 47.7 million all-cause, 15.5 million cardiovascular, and 4.9 million respiratory deaths and 382 TCs were included in our analyses. An overall average POC of around 20 days was observed for TC-related all-cause and cardiopulmonary mortality, with relatively longer POC for the United States of America, Brazil, and Taiwan (>30 days). The TC-specific relative risks (RR) varied substantially, ranging from 1.04 to 1.42, 1.07 to 1.77, and 1.12 to 1.92 among the top 100 TCs with highest RRs for all-cause, cardiovascular, and respiratory mortality, respectively. At country level, relatively higher TC-related mortality risks were observed in Guatemala, Brazil, and New Zealand for all-cause, cardiovascular, and respiratory mortality, respectively. We found an overall monotonically increasing and approximately linear ER curve of TC-related maximum sustained windspeed and cumulative rainfall with mortality, with heterogeneous patterns across countries and regions. The TC-related mortality risks were generally decreasing from 1980 to 2019, especially for the Philippines, Taiwan, and the USA, whereas potentially increasing trends in TC-related all-cause and cardiovascular mortality risks were observed for Japan.ConclusionsThe TC mortality risks and POC varied greatly across TC events, locations, and countries. To minimize the TC-related health burdens, targeted strategies are particularly needed for different countries and regions, integrating epidemiological evidence on region-specific POC and ER curves that consider across-TC variability.

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Government effectiveness and institutions as determinants of tropical cyclone mortality.

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