摘要:We observed the daily trend in mortality rates during the 2003 heat wave in 13 of France’s largest cities. Mortality data were collected from July 25 to September 15 each year from 1999 through 2003. The conjunction of a maximum temperature of 35°C and a minimum temperature of 20°C was exceptional in 7 cities. An excess mortality rate was observed in the 13 towns, with disparities from +4% (Lille) to +142% (Paris). Heat waves are known to be associated with an increase in mortality. 1– 3 In the United States, an average of 400 deaths directly related to heat are recorded annually. 4 In France, the number of heat-related deaths had been poorly evaluated until 2003, when an unusual heat wave occurred. The Institut de Veille Sanitaire, 5 a French government public health agency, set up an observational study during the 2003 heat-wave period (August 1–19), which focused on the daily trend in mortality in 13 of France’s largest cities (Bordeaux, Dijon, Grenoble, Le Mans, Lille, Lyon, Marseille, Nice, Paris, Poitiers, Rennes, Strasbourg, and Toulouse).