A heatwave that meets an ageing, dense and informally housed district
A conditional statement under stated assumptions, never a prediction.
Contents
- ·Edition home
- ·Executive summary
- 1People and places change together
- 2Key findings
- 3Systems and sectors at baseline
- 4Risks and capability
- 5A heatwave that meets an ageing, dense and informally housed district
- 6Readings from the other desks
- 7The 2027 agenda
- 8Systems in depth
- AMethodology
- BData appendix
- CReferences and record
- ·Complete edition, for print
5.1Assumptions
Scenario SCN-SR11-HEAT-01: what is assumed, and what is held constant.
- Baseline
- the 2026 reference state in this edition
- Drivers
- a multi-day heatwave in a dense district with many older residents, informal housing and a partial power loss
- Analogues
- Europe summer 2022 heat deaths; ageing-related heat mortality trend2116
- Interventions
- none modelled: the specification describes the unmitigated case
- Run state
- narrative specification; quantified run scheduled for 2027
5.2The cascade, step by step
- 1
CLI → HLT
heat raises illness and death among older residents
2022
- 2
ENE → HLT
cooling demand rises and a power loss removes cooling and refrigeration
2022
- 3
HLT → FIN
hospital and care costs rise while work hours are lost to heat
2024
- 4
DEV → HLT
informal housing holds heat and limits access to cooling
2022
- 5
WAT → HLT
water supply falls or runs on reserves
2022
- 6
FIN → INF
local budgets absorb losses and defer upgrades
2024
5.3The scenario as a table of steps
How the shock in scenario SCN-SR11-HEAT-01 would travel through Cities, Demography and Human Systems‘s coupled systems, step by step, under the assumptions the edition states.
| Step | What happens | Source |
|---|---|---|
| 01 Climate to health | Heat raises illness and death among older residents. Analogue or source: 2022. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 1 |
| 02 Energy to health | Cooling demand rises and a power loss removes cooling and refrigeration. Analogue or source: 2022. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 2 |
| 03 Health to finance | Hospital and care costs rise while work hours are lost to heat. Analogue or source: 2024. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 3 |
| 04 Development to health | Informal housing holds heat and limits access to cooling. Analogue or source: 2022. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 4 |
| 05 Water to health | Water supply falls or runs on reserves. Analogue or source: 2022. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 5 |
| 06 Finance to infrastructure | Local budgets absorb losses and defer upgrades. Analogue or source: 2024. | Edition SR-11, scenario SCN-SR11-HEAT-01, step 6 |
A teaching model of a conditional scenario under the edition’s stated assumptions: not a forecast, not a prediction and not a warning. Sources: Cities, Demography and Human Systems 2026, scenario SCN-SR11-HEAT-01 (2026); Cities, Demography and Human Systems 2026, references (NR-CIT-1) (2026).
Notes
Numbers are the edition’s reference numbers, so a note reads the same in every chapter. The full list, with every source and its licence, is in Annex C. Annex C, references
- 21WHO (ed.), Climate change, heat and health, fact sheet (page dated 31 July 2026; 489,000 heat-related deaths a year in 2000 to 2019, 45 per cent in Asia; over-65 mortality up about 85 per cent from 2000 to 2004 to 2017 to 2021). World Health Organization, Geneva. Observation year 2019. Accessed 2026-11-03.back
- 16WHO (ed.), news release on the 2025 report of the Lancet Countdown on health and climate change, 29 October 2025 (about 546,000 heat-related deaths a year; up 23 per cent since the 1990s; USD 261 billion cost among older adults). World Health Organization, Geneva. Observation year 2024. Accessed 2026-11-03.back
