Early warning system for high temperatures and heat waves: The need for a public health policy in Colombia
Abstract
The rise in global temperatures, accelerated by ongoing climate change, requires promotion of public health policies, such as the creation of early warning systems for high temperatures and heatwaves, to reduce the risk to the most vulnerable population groups, including children, pregnant women, and older people.
Scientific evidence supports that pregnant women are at greater risk of preterm birth during exposure to high temperatures; adults and children may be at risk of dehydration, and adults over 65 years may be at higher risk of heart disease.
This paper analyzes some of the early warning systems for high temperatures and heatwaves in various countries, with a focus on reducing risks to human health.
In Colombia, current regulations allow the creation of early warning systems for high temperatures. The Plan decenal de salud pública 2022-2031, established by Resolution 2367 of 2023, through strategic axis 5: “climate change, emergencies, disasters, and pandemics”, calls for the development of intersectoral work for health management associated with these phenomena. This plan has as its strategic territorial goal that the
different territories generate early warning systems by 2031 to reduce the impact of the threats exacerbated by climate change.
Finally, we present a climate-risk-based framework and invite government institutions to lead this process.
Downloads
References
Li T, Chen C, Cai W. The global need for smart heat-health warning systems. Lancet. 2022;400:1511-2. https://doi.org/10.1016/s0140-6736(22)01974-2
Hartinger SM, Palmeiro-Silva YK, Llerena-Cayo C, Blanco-Villafuerte L, Escobar LE, Diaz A, et al. The 2023 Latin America report of the Lancet Countdown on health and climate change: The imperative for health-centered climate-resilient development. Lancet Reg Health Am. 2024;33:100746. https://doi.org/10.1016/j.lana.2024.100746
Manterola C, Rivadeneira J, Delgado H, Sotelo C, Otzen T. ¿Cuántos tipos de revisiones de la literatura existen? Enumeración, descripción y clasificación. Revisión cualitativa. Int J Morphol. 2023;41:1240-53. https://doi.org/10.4067/s0717-95022023000401240
Ballester J, Quijal-Zamorano M, Méndez Turrubiates RF, Pegenaute F, Herrmann FR, Robine JM, et al. Heat-related mortality in Europe during the summer of 2022. Nat Med. 2023;29:1857-66. http://dx.doi.org/10.1038/s41591-023-02419-z
Intergovernmental Panel on Climate Change. Climate change 2021 – The physical science basis: Working group I contribution to the sixth assessment report of the intergovernmental panel on climate change. Cambridge, UK: Cambridge University Press; 2023. https://doi.org/10.1017/9781009157896
Copernicus Climate Change Service. Global climate highlights 2024. A second record breaking year, following the exceptional 2023. Fecha de consulta: 1° de marzo de 2025. Disponible en: https://climate.copernicus.eu/global-climate-highlights-2024
Wang Q, Chen C, Xu H, Liu Y, Zhong Y, Liu J, et al. The graded heat-health risk forecast and early warning with full-season coverage across China: A predicting model development and evaluation study. Lancet Reg Health West Pac. 2025;54:101266. https://doi.org/10.1016/j.lanwpc.2024.101266
García-León D, Masselot P, Mistry MN, Gasparrini A, Motta C, Feyen L, et al. Temperature related mortality burden and projected change in 1368 European regions: A modelling study. Lancet Public Health. 2024;9:e644-53. https://doi.org/10.1016/S2468-2667(24)00179-8
Lüthi S, Fairless C, Fischer EM, Scovronick N, Armstrong B, Coelho MD, et al. Rapid increase in the risk of heat-related mortality. Nat Commun. 2023;14:4894. https://doi.org/10.1038/s41467-023-40599-x
Vicedo-Cabrera AM, Scovronick N, Sera F, Royé D, Schneider R, Tobias A, et al. The burden of heat-related mortality attributable to recent human-induced climate change. Nat Clim Chang. 2021;11:492-500. https://doi.org/10.1038/s41558-021-01058-x
Borchers-Arriagada N, Gasparrini A, Rodríguez-Villamizar LA. The effect of non-optimal ambient temperature on daily mortality in Colombia 2010-2019. Environ Health Perspect. 2024;132:107001. https://doi.org/10.1289/isee.2024.0857
Brimicombe C, Runkle JD, Tuholske C, Domeisen DIV, Gao C, Toftum J, et al. Preventing eat-related deaths: The urgent need for a global early warning system for heat. PLOS Clim. 2024;3:e0000437. https://doi.org/10.1371/journal.pclm.0000437
Arsad FS, Hod R, Ahmad N, Ismail R, Mohamed N, Baharom M, et al. The impact of heatwaves on mortality and morbidity and the associated vulnerability factors: A systematic review. Int J Environ Res Public Health. 2022;19:16356.
https://doi.org/10.3390/ijerph192316356
Liu J, Varghese BM, Hansen A, Xiang J, Zhang Y, Dear K, et al. Is there an association between hot weather and poor mental health outcomes? A systematic review and metaanalysis. Environ Int. 2021;153:106533. https://doi.org/10.1016/j.envint.2021.106533
Sorensen C, Hess J. Treatment and prevention of heat-related illness. N Engl J Med. 2022;387:1404-13. https://doi.org/10.1056/NEJMcp2210623
Oberai M, Xu Z, Bach A, Forbes C, Jackman E, O’Connor F, et al. A digital heat early warning system for older adults. NPJ Digit Med. 2025;8:114. https://doi.org/10.1038/s41746-025-01505-5
Chersich MF, Pham MD, Areal A, Haghighi MM, Manyuchi A, Swift CP, et al. Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: Systematic review and meta-analysis. BMJ. 2020;371:m3811. https://doi.org/10.1136/bmj.m3811
Bekkar B, Pacheco S, Basu R, DeNicola N. Association of air pollution and heat exposure with preterm birth, low birth weight, and stillbirth in the US: A systematic review. JAMA Netw Open. 2020;3:e208243. https://doi.org/10.1001/jamanetworkopen.2020.8243
Thompson R, Hornigold R, Page L, Waite T. Associations between high ambient temperatures and heat waves with mental health outcomes: A systematic review. Public Health. 2018;161:171-91. https://doi.org/10.1016/j.puhe.2018.06.008
Thompson R, Lawrance EL, Roberts LF, Grailey K, Ashrafian H, Maheswaran H, et al. Ambient temperature and mental health: A systematic review and meta-analysis. Lancet Planet Health. 2023;7:e580-9. https://doi.org/10.1016/S2542-5196(23)00104-3
Cianconi P, Betrò S, Janiri L. The impact of climate change on mental health: A systematic descriptive review. Front Psychiatry. 2020;11:74. https://doi.org/10.3389/fpsyt.2020.00074
World Meteorological Organization and World Health Organization. Heatwaves and health: Guidance on warning-system development. Geneva: WHO; 2016. Fecha de consulta: 30 de enero de 2025. Disponible en: https://www.who.int/publications/m/item/heatwaves-andhealth--guidance-on-warning-system-development
McElroy S, Schwarz L, Green H, Corcos I, Guirguis K, Gershunov A, et al. Defining heat waves and extreme heat events using sub-regional meteorological data to maximize benefits of early warning systems to population health. Sci Total Environ. 2020;721:137678. https://doi.org/10.1016/j.scitotenv.2020.137678
Kim H, Yoo E-H, Senders A, Sergi C, Dodge HH, Bell SA, et al. Heat waves and adverse health events among dually eligible individuals 65 years and older. JAMA Health Forum. 2024;5:e243884. https://doi.org/10.1001/jamahealthforum.2024.3884
Khatana SAM, Werner RM, Groeneveld PW. Association of extreme heat with all-cause mortality in the contiguous US, 2008-2017. JAMA Netw Open. 2022;5:e2212957. https://doi.org/10.1001/jamanetworkopen.2022.12957
Pascal M, Lagarrigue R, Tabai A, Bonmarin I, Camail S, Laaidi K, et al. Evolving heat waves characteristics challenge heat warning systems and prevention plans. Int J Biometeorol. 2021;65:1683-94. https://doi.org/10.1007/s00484-021-02123-y
Early Warnings for All. Second advisory panel annual summary report for the UN Secretary- General’s Early Warnings for All Initiative. Geneva: United Nations; 2024. Fecha de consulta: 26 de julio de 2025. Disponible en: https://www.undrr.org/publication/secondadvisory-panel-annual-summary-report-un-secretary-generals-early-warnings-all
World Health Organization. 2021 WHO health and climate change global survey report. Geneva: World Health Organization; 2021. Fecha de consulta: 30 de enero de 2025. Disponible en: https://www.who.int/publications/i/item/9789240038509
European Climate and Health Observatory. Heat mortality and morbidity surveillance in European countries. Technical report. Copenhagen: European Environment Agency; 2024. Fecha de consulta: 25 de julio de 2025. Disponible en: https://climate-adapt.eea.europa.eu/en/observatory/evidence/health-effects/heat-and-health/2024-heat-mortality-technicalbackground-document.pdf/@@download/file
UK Health and Security Agency. Heat mortality monitoring report: 2023. London: UK Health Security Agency; 2023. Fecha de consulta: 26 de julio de 2025. Disponible en: https://www.gov.uk/government/publications/heat-mortality-monitoring-reports/heat-mortality-monitoringreport-2023
Sciensano. Epistat Dashboard. Belgian Mortality Monitoring. Brussels: Sciensano; 2015. Fecha de consulta: 26 de julio de 2025. Disponible en: https://epidata.sciensano.be/epistat/dashboard/#momo
Ministry of the Environment, Government of Japan. Heat illness prevention information: Heat stroke alert. 2025. Tokyo: Ministry of the Environment; 2025. Fecha de consulta: 25 de julio de 2025. Disponible en: https://www.wbgt.env.go.jp/en/alert.php
Dirección General de Epidemiología, Secretaría de Salud de México. Informes Semanales para la Vigilancia Epidemiológica de Temperaturas Naturales Extremas 2025. Ciudad de México: Secretaría de Salud; 2025. Fecha de consulta: 25 de julio de 2025. Disponible en: https://www.gob.mx/salud/documentos/informes-semanales-para-la-vigilanciaepidemiologica-de-temperaturas-naturales-extremas-2025
Météo France. Vigilance Météo-France Canicule Demain. Toulouse: Météo-France; 2025. Fecha de consulta: 25 de julio de 2025. Disponible en: https://vigilance.meteofrance.fr/fr/canicule/demain
Agencia Estatal de Meteorología. Riesgo Meteosalud. Madrid: AEMET; 2025. Fecha de consulta: 25 de julio de 2025. Disponible en: https://www.aemet.es/es/portada
Office of Emergency Management City of Philadelphia. Hot Weather Preparedness. Philadelphia: City of Philadelphia (PA); 2025. Fecha de consulta: 25 de julio de 2025. Disponible en: https://www.phila.gov/departments/oem/ready-or-not/how-to-get-ready/natural-hazards/hot-weather-preparedness/
Ministerio de Salud y Protección Social. Resolución número 2367 de 2023 (27 de junio de 2023) por la cual se adopta el lineamiento técnico para la gestión integral de residuos generados en la atención en salud y otras actividades. Bogotá: Ministerio de Salud y Protección Social; 2023. Fecha de consulta: 20 de febrero de 2025. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resoluci%C3%B3n%20No%202367%20de%202023.pdf
República de Colombia. Ley 1523 de 2012 (24 de abril de 2012): por la cual se adopta la política nacional de gestión del riesgo de desastres y se establece el Sistema Nacional de Gestión del Riesgo de Desastres. Bogotá: Presidencia de la República; 2012. Fecha de consulta: 20 de febrero de 2025. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=47141
República de Colombia. Ley 1931 de 2018 (27 de julio de 2018): por medio de la cual se establecen directrices para la gestión del cambio climático. Bogotá: Presidencia de la República; 2018. Fecha de consulta: 20 de febrero de 2025. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=87765
Intergovernmental Panel on Climate Change. Climate change 2022 – impacts, adaptation and vulnerability: Working group II contribution to the sixth assessment report of the intergovernmental panel on climate change. Cambridge (UK): University Press; 2023. https://doi.org/10.1017/9781009325844
United Nations Office for Disaster Risk Reduction. Technical guidance on comprehensive risk assessment and planning in the context of climate change. Geneva: UNDRR; 2022 Fecha de consulta: 25 de julio 25 de 2025. Disponible en: https://www.undrr.org/publication/technical-guidance-comprehensive-risk-assessment-and-planning-context-climate-change
Oberai M, Baker S, Bach AJE, Forbes C, Jackman E, Binnewies S, et al. Towards improvement of heatwave warnings for older adults: The case of Queensland Australia. J Prim Care Community Health. 2024;15:21501319241286584. https://doi.org/10.1177/21501319241286584
Kc A, Vaezghasemi M. “Too much, too little”: Heat wave impact during pregnancy and the need for adaptation measures. Glob Health Action. 2025;18:2476277. https://doi.org/10.1080/16549716.2025.2476277
Sheehan MC, Boned-Ombuena A, Cash-Gibson L, Damis-Wulff A, Fox MA. A global assessment of urban extreme weather early warning systems and public health engagement. Bull World Health Organ. 2025;103:294-303. https://doi.org/10.2471/BLT.24.292205
Some similar items:
- Nelsy Loango, Martha Lucía Gallego, Beatriz Restrepo, Patricia Landázuri, Gender, age and plasma lipids differences associated with apolipoprotein E polymorphism in school children , Biomedica: Vol. 29 No. 3 (2009)
- Rosa Magdalena Uscátegui, Adriana M. Correa, Jaime Carmona-Fonseca, Changes in retinol, hemoglobin and ferritin concentrations in Colombian children with malaria , Biomedica: Vol. 29 No. 2 (2009)
- Andrés Leonardo González, Ruth Aralí Martínez, Luis Ángel Villar, Clinical evolution of dengue in hospitalized patients , Biomedica: Vol. 28 No. 4 (2008)
- Elpidia Poveda, Diana Giraldo, Yibby Forero, Carlos Mendivil, Self-reported physical activity in comparison with anthropometric body fat indicators in school children , Biomedica: Vol. 28 No. 3 (2008)
- Luz Elena Velásquez, Catalina Gómez, Erika Valencia, Laura Salazar, Eudoro Casas, Paragonimosis in the peri-urban zone of Medellín, Antioquia , Biomedica: Vol. 28 No. 3 (2008)
- Ligia Inés Moncada, Sandra Milena Rios, Julián Alfredo Fernández, Fabio Rivas, María Luz Sáenz, Pediculosis prevalence and associated risk factors in a nursery school, Bogotá, Colombia , Biomedica: Vol. 28 No. 2 (2008)
- Elsa Villarreal, Yibby Forero, Elpidia Poveda, César Baracaldo, Elizabeth López, Cardiovascular risk markers in schoolchildren from five provinces of eastern Colombia , Biomedica: Vol. 28 No. 1 (2008)
- Jairo Echeverry, Carlos Mauricio Hurtado, Myriam Gutiérrez, Clinical manifestations of lead levels in children exposed to automobile battery recycling processes in Soacha and Bogotá, D.C. , Biomedica: Vol. 28 No. 1 (2008)
- Elpidia Poveda, Ney E. Callas, César M. Baracaldo, Carlina Castillo, Patricia Hernández, Leptin levels in school age children associated with anthropometric measurements and lipid profiles , Biomedica: Vol. 27 No. 4 (2007)
- Laura Andrea Rodríguez, Juan José Rey, Astrid Berena Herrera, Henry Castro, Jurg Niederbacher, Lina María Vera, Luz Libia Cala, Fabio Bolívar, Respiratory symptoms associated with asthma prevalence and air pollution in preschool children , Biomedica: Vol. 30 No. 1 (2010)
Copyright (c) 2025 Biomedica

This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |










