Australia has a generally warm and temperate climate, with hot summers and mild winters across most of the country. Despite the pleasant climate, there are large increases in the number of deaths and hospitalisations during winter in many Australian cities.1,2 In Brisbane, an estimated 5000years of life are lost to cold related deaths each year.3 This is surprising as Brisbane has a subtropical climate, with an average July (winter) minimum daily temperature of 10C (Australian Bureau of Meteorology data from 1999 to 2012).Places with mild winters have a greater risk of cold related deaths than places with harsh winters. Previous European studies have shown that warm countries like Greece and Portugal have larger increases in the number of deaths during winter than Scandinavian countries.4,5 A greater impact of cold in warmer climates has also been found by comparing winter deaths in southern and northern cities in the USA.6 Observational studies comparing clothing and housing in northern and southern Europe found that people in warmer southern European countries wore fewer and less appropriate clothes on cold days,5,7 and that houses in cold climates were better insulated and warmer on cold days.5,8 If clothing and housing in warm climates were improved, then the large increases in the number of deaths and hospitalisations during winter could be reduced.
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