Lessons from a cold climate

BMJ 1998; 316 doi: (Published 14 February 1998) Cite this as: BMJ 1998;316:0

When it comes to snow, the British are flummoxed: an inch will shut motorways, bring the railways to a halt, and produce dire warnings on the radio: we aren't used to snow and don't prepare for it well. The same message seems to emerge about cold weather in general from a fascinating paper from Yekaterinburg.

In western Europe as a whole, mortality rises as the temperature falls below 18°C. This is thought to be associated with cold stress. Over one winter in Yekaterinburg (850 miles east of Moscow, …

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