<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0188-4611</journal-id>
<journal-title><![CDATA[Investigaciones geográficas]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. Geog]]></abbrev-journal-title>
<issn>0188-4611</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Instituto de Geografía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0188-46112024000200104</article-id>
<article-id pub-id-type="doi">10.14350/rig.60848</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las ondas cálidas en Mexicali, Baja California, México: morbilidad, mortalidad y vulnerabilidad al calor]]></article-title>
<article-title xml:lang="en"><![CDATA[Heat waves in Mexicali, Baja California, Mexico: morbidity, mortality and vulnerability to heat]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Cueto]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ley García]]></surname>
<given-names><![CDATA[Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Baja California Instituto de Ingeniería ]]></institution>
<addr-line><![CDATA[Mexicali B.C.]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Baja California Instituto de Investigaciones Sociales ]]></institution>
<addr-line><![CDATA[Mexicali B.C.]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<numero>114</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0188-46112024000200104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0188-46112024000200104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0188-46112024000200104&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Los desastres se presentan cada vez con mayor frecuencia en todo el mundo y como resultado ha crecido de forma considerable la pérdida de vidas humanas. En sentido estricto, los desastres no son naturales, sino que se deben a la presencia de un fenómeno natural combinado con la presencia humana en su entorno. Los fenómenos atmosféricos o climáticos pueden generar un desastre cuando la sociedad y los ecosistemas son incapaces de enfrentarse a ellos con eficiencia; tal es el caso de las ondas cálidas, que, en múltiples ocasiones, en muchos países se han convertido en desastres de salud pública. Las ondas cálidas son períodos de tiempo inusualmente cálido y seco o cálido y húmedo, con un sutil inicio y cese, duración de al menos dos o tres días, responsables de una alta tasa de mortalidad y morbilidad y que varían en carácter e impacto aún en una misma localidad, es decir, son relativas al clima de un lugar. La capacidad de adaptación climática, sumada a características demográficas y socioeconómicas, puede determinar un nivel individual de riesgo; las ondas cálidas tienen mayor probabilidad de impactar a las siguientes poblaciones vulnerables: personas mayores y niños, individuos con condiciones de enfermedad preexistentes, que viven socialmente aislados, sin aire acondicionado, sin hogar, sin acceso a información oportuna de las temperaturas y afectaciones en la salud, incapacitados para moverse, propensos a sufrir alguna enfermedad mental, que no ser capaces de cuidarse y se encuentran en condiciones de pobreza en zonas urbanas. Vale destacar que las ondas cálidas incrementarán su intensidad, duración y frecuencia de acuerdo con los escenarios climáticos globales y regionales. Por lo anterior, en este texto se propuso cuantificar, para el período 2002-2023, el papel que las ondas cálidas han tenido en la salud de los habitantes y evaluar mediante la estimación de un índice de riesgo físico la vulnerabilidad humana al calor. Se eligió a Mexicali, Baja California, México, porque es la ciudad que durante el verano registra las temperaturas más altas de todo el país y anualmente se presentan afectaciones a la salud, producto de esas temperaturas extremas. Para tal fin se utilizaron dos enfoques. El primero se orientó a cuantificar las afectaciones a la salud ocasionadas por las temperaturas cálidas extremas, mediante los boletines epidemiológicos semanales que la Secretaría de Salud, dependiente del gobierno de México, pone a disposición de cualquier usuario interesado. Esta información se complementó con estudios locales, respaldados por instituciones de salud locales y el servicio médico forense. El segundo enfoque se orientó a estimar el riesgo físico por las temperaturas cálidas extremas mediante criterios de vulnerabilidad física y social por áreas geoestadísticas básicas. Se encontró que, debido a las ondas cálidas, el número total de personas afectadas fue de 1054, de las cuales 418 (39.7%) fueron por golpe de calor, 627 (59.5%) de agotamiento por calor y 9 (0.8%) por quemadura solar. Por la forma que la Secretaría de Salud agrupa los datos sobre golpes de calor, que incluye insolación, no fallecen todos los que se reportan en esta clasificación. Las defunciones, certificadas por el médico legista, alcanzaron un total de 332, con un valor máximo de 45 en el año 2023. Con el índice de riesgo físico se ratificó que las zonas más vulnerables al calor se ubican en zonas de la ciudad de Mexicali donde el nivel socioeconómico es bajo, los servicios públicos básicos son deficientes y los ingresos reducidos. Se concluye que las ondas cálidas en Mexicali son un problema de salud pública y que una posible solución para su mitigación es la de una planeación estratégica en la que participen gobierno, academia y empresas, vinculada a una red de comunicación, tanto de difusión gubernamental, como por el uso de redes sociales. También, se propone la creación de más áreas verdes o realizar reforestación urbana en las zonas más vulnerables, lo que podría servir como un recurso para disminuir la intensidad de la isla de calor urbano y de las ondas cálidas, y con ello generar zonas confortables al interior de la ciudad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Disasters are occurring more frequently throughout the world and the loss of human lives due to them is increasing considerably. Strictly speaking, disasters are not natural, but are due to the presence of a natural phenomenon combined with the presence of man in his environment. In the case of atmospheric or climatic phenomena, they can generate a disaster when society and ecosystems are incapable of dealing with them efficiently; such is the case of warm waves, which, on multiple occasions, in many countries have become public health disasters. Warm waves are periods of unusually hot and dry or hot and humid weather, with a subtle onset and cessation, lasting at least two or three days, responsible for a high mortality and morbidity rate and varying in character and impact even in the same locality, i.e., they are relative to the climate of a place. The capacity for climatic adaptation added to demographic and socioeconomic characteristics can determine an individual level of risk; warm waves are more likely to impact the following vulnerable populations: the elderly and children, individuals with pre-existing disease conditions, living in social isolation, without air conditioning, homeless, not having access to timely information on temperatures and health effects, being unable to move, suffering from a mental illness, not being able to take care of oneself, and poverty in urban areas. Likewise, warm waves will increase in intensity, duration and frequency according to global and regional climate scenarios. Therefore, in this article, in the period from 2002 to 2023, we proposed to quantify the role that warm waves have had on the health of the inhabitants and to evaluate human vulnerability to heat by estimating a physical risk index. Mexicali, Baja California, Mexico, was chosen because it is the city with the highest temperatures in the country during the summer, and health problems occur annually as a result of these extreme hot temperatures. For this purpose, two approaches were used. The first one was oriented to quantify the health effects caused by extreme hot temperatures, through the weekly epidemiological bulletins that the Ministry of Health, which is part of the Mexican government, has available for any user interested in obtaining it; the information on health effects was complemented with local studies, which are supported by local health institutions and the forensic medical service. The second approach was oriented to estimate the physical risk due to extreme warm temperatures using physical and social vulnerability criteria by basic geostatistical areas. It was found that due to the warm waves the total number of people affected was 1054, of which 418 (39.7%) were from heat stroke, 627 (59.5%) from heat exhaustion and 9 (0.8%) from sunburn. Due to the grouping of heat stroke by the Ministry of Health, which includes heat stroke, not all deaths are reported in this classification. Deaths, certified by the medical examiner, totaled 332, with a maximum value of 45 in the year 2023. The physical risk index confirmed that the areas most vulnerable to heat are located in areas of the city of Mexicali where the socioeconomic level is low, with deficiencies in basic public services and the population has a low income. It is concluded that warm waves in Mexicali are a public health problem and that a possible solution for their mitigation is a strategic planning in which government, academia and companies participate, linked to a communication network, both through governmental dissemination and the use of social networks. It is also proposed the creation of more green areas and/or urban reforestation in the most vulnerable areas, which could serve as a resource to reduce the intensity of the urban heat island and the intensity of the warm waves, and thus generate comfortable areas within the city.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[temperaturas cálidas extremas]]></kwd>
<kwd lng="es"><![CDATA[defunciones]]></kwd>
<kwd lng="es"><![CDATA[riesgo]]></kwd>
<kwd lng="es"><![CDATA[mitigación]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad física]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad social]]></kwd>
<kwd lng="en"><![CDATA[extreme warm temperatures]]></kwd>
<kwd lng="en"><![CDATA[deaths]]></kwd>
<kwd lng="en"><![CDATA[risk]]></kwd>
<kwd lng="en"><![CDATA[mitigation]]></kwd>
<kwd lng="en"><![CDATA[physical vulnerability]]></kwd>
<kwd lng="en"><![CDATA[social vulnerability]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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