The study assesses the eventual changes in the seasonal distribution of temperature-related mortality from respiratory diseases in Spain between 1980 and 2016.The findings show the complete reversal of the seasonality of temperature-attributable mortality, with a significant shift of the maximum monthly incidence from winter to summer, and the minimum monthly incidence from early and late summer to winter. The reversal in the seasonal distribution of the attributable deaths is not driven by the observed warming in both winter and summer temperatures, but rather by a larger adaptation to cold than heat.

The study analyses trends in temperature-related mortality from cardiovascular diseases in Spain between 1980 and 2016. The main findings show that deaths attributable to heat for the period 2002-2016 were more than 42% lower in men and more than 36% lower in women than in 1980-1994, while deaths attributable to cold were 30% lower in women and nearly 45% lower in men. The study concludes that the observed warming of the climate in Spain has occurred in parallel with substantial adaptation to both high and low temperatures.

The objective of the study was to ascertain whether the pattern of mortality in Europe was procyclical or countercyclical, that is, whether the downward trend in the death rate accelerates or slows down during periods of economic recession. We showed that the decline in mortality accelerated during the recession years, and the tendency towards a reduction in mortality was more marked in the countries and regions where the recession was most severe. The study also considered the daily temperatures recorded during the whole study period to determine whether the trends observed were affected by the seasons, revealing that the relationship between variations in GDP and mortality was accentuated during the coldest months of the year.