{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T23:29:35Z","timestamp":1791674975679,"version":"4.3.4"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Storm Daniel, characterized as the most severe 21st century flood event in Greece, struck the Regions of Thessaly and Central Greece in early September 2023, resulting in 17 reported direct fatalities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study evaluated all-cause excess mortality in the prefectures of Fthiotida, Karditsa\/Trikala and Magnesia affected by Storm Daniel. We compared weekly deaths during the first week and the 90\u00a0days following the flood, to expected deaths based on historical trends 2015\u20132019.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the week of the flooding event, Fthiotida, Karditsa\/Trikala and Magnesia prefectures experienced mortality increases of 57% (95%CI: 19%\u201395%), 40% (95%CI: 13%\u201366%) and 39% (95%CI: 7%\u201370%) over expected levels, respectively. A total of 54 (95% CI: 31\u201377) excess deaths were recorded during the week of Storm Daniel\u2019s landfall, with the cumulative number of excess deaths reaching to 335 (95% CI: 250\u2013420) over subsequent 90\u00a0days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Conventional approaches that focus solely on immediate and direct flood fatalities underestimate the overall and actual health risks faced by flood-affected communities. Floods have complex and long-term health effects, necessitating continuous monitoring of the affected communities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdaf015","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T05:07:59Z","timestamp":1739423279000},"page":"217-221","source":"Crossref","is-referenced-by-count":9,"title":["All-cause excess mortality following Storm Daniel flood event in Greece"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0625-9454","authenticated-orcid":false,"given":"Evdoxia","family":"Valavani","sequence":"first","affiliation":[{"name":"Laboratory of Primary Health Care, General Medicine and Health Services Research, School of Medicine, Aristotle University of Thessaloniki , 54124 Thessaloniki ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6739-3836","authenticated-orcid":false,"given":"Vasilis","family":"Bellos","sequence":"additional","affiliation":[{"name":"Laboratory of Ecological Engineering and Technology, Department of Environmental Engineering, Democritus University of Thrace , 67100 Xanthi ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fani","family":"Apostolidou-Kiouti","sequence":"additional","affiliation":[{"name":"Laboratory of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki , 54124 Thessaloniki ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5397-9385","authenticated-orcid":false,"given":"Alexis","family":"Benos","sequence":"additional","affiliation":[{"name":"Laboratory of Primary Health Care, General Medicine and Health Services Research, School of Medicine, Aristotle University of Thessaloniki , 54124 Thessaloniki ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9592-2830","authenticated-orcid":false,"given":"Elias","family":"Kondilis","sequence":"additional","affiliation":[{"name":"Laboratory of Primary Health Care, General Medicine and Health Services Research, School of Medicine, Aristotle University of Thessaloniki , 54124 Thessaloniki ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"issue":"10465","key":"2025053004272097800_ref1","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1016\/S0140-6736(24)01822-1","article-title":"The 2024 report of the lancet countdown on health and climate change: Facing record-breaking threats from delayed action","volume":"404","author":"Romanello","year":"2024","journal-title":"Lancet"},{"key":"2025053004272097800_ref2","volume-title":"WMO Atlas of Mortality and Economic Losses from Weather, Climate and Water Extremes (1970\u20132010)","author":"World Meteorological Organization","year":"2021"},{"issue":"7","key":"2025053004272097800_ref3","doi-asserted-by":"crossref","first-page":"980","DOI":"10.3390\/w16070980","article-title":"Post-analysis of Daniel extreme flood event in Thessaly, Central Greece: Practical lessons and the value of state-of-the-art water-monitoring networks","volume":"16","author":"Dimitriou","year":"2024","journal-title":"Water"},{"key":"2025053004272097800_ref4","first-page":"2023","article-title":"European Centre for Disease Prevention and Control. 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Week 39, 24-30 September 2023"},{"key":"2025053004272097800_ref5","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.puhe.2021.06.025","article-title":"Essential public healthcare services utilization and excess non-COVID-19 mortality in Greece","volume":"198","author":"Kondilis","year":"2021","journal-title":"Public Health"},{"issue":"3","key":"2025053004272097800_ref6","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/EDE.0000000000001445","article-title":"A flexible statistical framework for estimating excess mortality","volume":"33","author":"Acosta","year":"2022","journal-title":"Epidemiology"},{"issue":"9","key":"2025053004272097800_ref7","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1093\/cid\/ciy227","article-title":"Health risks of flood disasters","volume":"67","author":"Paterson","year":"2018","journal-title":"Clin Infect Dis"},{"issue":"3","key":"2025053004272097800_ref8","first-page":"454","article-title":"Controlled survey of effects on health of local community disaster","volume":"1970","author":"Bristol","year":"1968","journal-title":"BMJ"},{"issue":"1","key":"2025053004272097800_ref9","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1476-069X-10-11","article-title":"Long-term effects of flooding on mortality in England and Wales, 1994-2005: Controlled interrupted time-series analysis","volume":"10","author":"Milojevic","year":"2011","journal-title":"Environ Health"},{"key":"2025053004272097800_ref10","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1017\/dmp.2014.111","article-title":"Effects of the July 1997 floods in the Czech Republic on cardiac mortality","volume":"8","author":"Obrov\u00e1","year":"2014","journal-title":"Disaster Med Public Health Prep"},{"key":"2025053004272097800_ref11","doi-asserted-by":"crossref","first-page":"e075081","DOI":"10.1136\/bmj-2023-075081","article-title":"Mortality risks associated with floods in 761 communities worldwide: Time series study","volume":"383","author":"Yang","year":"2023","journal-title":"BMJ"},{"key":"2025053004272097800_ref12","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/jfr3.12166","article-title":"Flood fatalities in Greece: 1970\u20132010","volume":"10","author":"Diakakis","year":"2017","journal-title":"J Flood Risk Manag"}],"container-title":["Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jpubhealth\/article-pdf\/47\/2\/217\/61865461\/fdaf015.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jpubhealth\/article-pdf\/47\/2\/217\/61865461\/fdaf015.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T08:27:29Z","timestamp":1748593649000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpubhealth\/article\/47\/2\/217\/8010872"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,13]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,13]]},"published-print":{"date-parts":[[2025,5,29]]}},"URL":"https:\/\/doi.org\/10.1093\/pubmed\/fdaf015","relation":{},"ISSN":["1741-3842","1741-3850"],"issn-type":[{"value":"1741-3842","type":"print"},{"value":"1741-3850","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,2,13]]}}}