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Cold weather increases death rates from heart disease, stroke, and all
causes in western Europe. Donaldson et al studied mortality in Yakutsk
in east Siberia, where temperatures average
26.6°C from October to
March (p 978). Overall daily death rates did not rise even at
temperatures of
48.2°C. An increase in deaths from respiratory
disease below
20°C was balanced by a fall in deaths from injury at
this temperature. The stable death rate is attributed to very warm
outdoor clothing and housing as well as a reduction in outdoor trips at
temperatures below
20°C. The authors suggest that most of the
excess winter mortality in western Europe is preventable by personal
cold protection.