• Nurfatehar Ramly Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Cheras, Kuala Lumpur, Malaysia
  • Rozita Hod Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Cheras, Kuala Lumpur, Malaysia
  • Mohd Rohaizat Hassan Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000, Cheras, Kuala Lumpur, Malaysia
  • Fadly Syah Arsad Environmental Health Research Center, Institute for Medical Research, National Institute of Health, Persiaran Setia Murni, 40170, Setia Alam, Selangor, Malaysia
  • Mohd Firdaus Mohd Radi Cawangan Perkembangan Perkhidmatan Perubatan, Bahagian Perkembangan Perubatan, Kementerian Kesihatan Malaysia, 62590, Putrajaya, Malaysia
  • Rohaida Ismail Environmental Health Research Center, Institute for Medical Research, National Institute of Health, Persiaran Setia Murni, 40170, Setia Alam, Selangor, Malaysia


Urban heat island, health impacts , mortality, morbidity


Rising the temperature in urban area compare to surrounding area is known as urban heat islands phenomenon. This phenomenon can be caused by multiple reason such as increase of human activities which lead to increase carbon dioxide emissions, unsustainable building structure, increase of land-use and others. This will lead to various impacts to environment and importantly to human health. Thus this systematic review aims to identify the impact of urban heat islands especially on human health. Two databases ( PubMed and Web of Science) were used to collect the relevant articles using the proposed keywords and the inclusion criteria ( Original article published in English language from 2012 to 2022 ). Two pair of independent reviewers screened the titles and abstract of the extracted article, transferred in Microsoft Excel and Mendeley. The included articles will be critically appraised to assess the quality of the studies using the Mixed Method Appraisal (MMAT) Tool. 16 articles were included in this study from initial 612 collected articles. From this review we found that urban heat islands had an impact on human health especially on morbidity and mortality regarding cardiovascular disease, respiratory disease, heat related illnesses and mental health. Finally, mitigating measures should be implemented to improve the quality of life of those affected by this phenomenon.


Santamouris M, Papanikolaou N, Livada I, et al. On the impact of urban climate on the energy consumption of buildings. Sol Energy. 2001;70(3):201-216. doi:

Takebayashi H, Moriyama M. Chapter 1 - Background and purpose. In: Takebayashi H, Moriyama MBT-AM for UHI, eds. Adaptation Measures for Urban Heat Islands. Academic Press; 2020:1-8. doi:

Howard L. The Climate of London: Deduced From Meteorological Observations Made In The Metropolis And At Various Places Around It. Vol 3.; 1833.

Schmidt W. Die Verteilung der Minimum temperaturen in der Frostnacht des 12 Mai 1927 im Gemeindegebiet von Wien. Fortschritte der Landwirstschaft. 1927;2:681-686.

Peppler A. Das auto als hilfsmittel der meteorologischen forschung. Das Wetter. 1929;46:305-308.

Matthews HA. The Reality in Climate: The Results of Recent Microclimatological Studies , with Special Reference to Temperature. Geography. 1937;22(2):87–10.

Yang L, Qian F, Song D-X, Zheng K-J. Research on Urban Heat-Island Effect. Procedia Eng. 2016;169:11-18. doi:

Mohajerani A, Bakaric J, Jeffrey-Bailey T. The urban heat island effect, its causes, and mitigation, with reference to the thermal properties of asphalt concrete. J Environ Manage. 2017;197:522-538. doi:

Chen R, You X. Reduction of urban heat island and associated greenhouse gas emissions. Mitig Adapt Strateg Glob Chang. 2020;25. doi:10.1007/s11027-019-09886-1

Putra CD, Ramadhani A, Fatimah E. Increasing Urban Heat Island area in Jakarta and it’s relation to land use changes. IOP Conf Ser Earth Environ Sci. 2021;737(1):12002. doi:10.1088/1755-1315/737/1/012002

Sarrat C, Lemonsu A, Masson V, Guedalia D. Impact of urban heat island on regional atmospheric pollution. Atmos Environ. 2006;40:1743-1758. doi:10.1016/j.atmosenv.2005.11.037

United States Environment Protection Agency. Heat Island Impacts. Published 2021. Accessed July 10, 2022.

Shahmohamadi P, Che-Ani AI, Maulud KNA, Tawil NM, Abdullah NAG. The Impact of Anthropogenic Heat on Formation of Urban Heat Island and Energy Consumption Balance. Skaburskis A, ed. Urban Stud Res. 2011;2011:497524. doi:10.1155/2011/497524

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery 88:.

Munn Z, Stern C, Aromataris E, Lockwood C, Jordan Z (2018) What kind of systematic review should i conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC Med Res Methodol 18

Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon MP, Griffiths F, Nicolau B, O’Cathain A, Rousseau MC, Vedel I, Pluye P (2018) The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information 34:285–291.

Taylor J, Wilkinson P, Davies M, et al. Mapping the effects of urban heat island, housing, and age on excess heat-related mortality in London. Urban Clim. 2015;14:517-528. doi:

Heaviside C, Vardoulakis S, Cai X-M. Attribution of mortality to the urban heat island during heatwaves in the West Midlands, UK. Environ Heal. 2016;15(1):S27. doi:10.1186/s12940-016-0100-9

Macintyre HL, Heaviside C, Cai X, Phalkey R. The winter urban heat island: Impacts on cold-related mortality in a highly urbanized European region for present and future climate. Environ Int. 2021;154:106530. doi:

Lowe SA. An energy and mortality impact assessment of the urban heat island in the US. Environ Impact Assess Rev. 2016;56:139-144. doi:10.1016/j.eiar.2015.10.004

Urban A, Davídkovová H, Kyselý J. Heat- and cold-stress effects on cardiovascular mortality and morbidity among urban and rural populations in the Czech Republic. Int J Biometeorol. 2014;58(6):1057-1068. doi:10.1007/s00484-013-0693-4

Pyrgou A, Santamouris M. Increasing Probability of Heat-Related Mortality in a Mediterranean City Due to Urban Warming. Int J Environ Res Public Health. 2018;15(8). doi:10.3390/ijerph15081571

Mirzaei M, Verrelst J, Arbabi M, Shaklabadi Z, Lotfizadeh M. Urban Heat Island Monitoring and Impacts on Citizen’s General Health Status in Isfahan Metropolis: A Remote Sensing and Field Survey Approach. Remote Sens . 2020;12(8). doi:10.3390/rs12081350

Huang H, Yang H, Deng X, et al. Influencing Mechanisms of Urban Heat Island on Respiratory Diseases. Iran J Public Health. 2019;48(9):1636-1646.

Huang H, Deng X, Yang H, Zhou X, Jia Q. Spatio-Temporal Mechanism Underlying the Effect of Urban Heat Island on Cardiovascular Diseases. Iran J Public Health. 2020;49(8):1455-1466. doi:10.18502/ijph.v49i8.3889

Huang H, Deng X, Yang H, Li S, Li M. Spatial Evolution of the Effects of Urban Heat Island on Residents ’ Health. Teh vjesni. 2020;27(5):1427-1435.

Zhu D, Zhou Q, Liu M, Bi J. Non-optimum temperature-related mortality burden in China: Addressing the dual influences of climate change and urban heat islands. Sci Total Environ. 2021;782:146760. doi:

Goggins WB, Chan EYY, Ng E, Ren C, Chen L. Effect Modification of the Association between Short-term Meteorological Factors and Mortality by Urban Heat Islands in Hong Kong. PLoS One. 2012;7(6):e38551.

Dang TN, Van DQ, Kusaka H, Seposo XT, Honda Y. Green Space and Deaths Attributable to the Urban Heat Island Effect in Ho Chi Minh City. Am J Public Health. 2018;108(S2):S137-S143. doi:10.2105/AJPH.2017.304123

Arifwidodo SD, Chandrasiri O. Urban heat stress and human health in Bangkok, Thailand. Environ Res. 2020;185:109398. doi:

Wong LP, Alias H, Aghamohammadi N, Aghazadeh S, Nik Sulaiman NM. Urban heat island experience, control measures and health impact: A survey among working community in the city of Kuala Lumpur. Sustain Cities Soc. 2017;35:660-668. doi:

Aghamohammadi N, Fong CS, Idrus MHM, Ramakreshnan L, Sulaiman NM. Environmental heat-related health symptoms among community in a tropical city. Sci Total Environ. 2021;782:146611. doi:

Wong LP, Alias H, Aghamohammadi N, Aghazadeh S, Nik Sulaiman NM. Physical, Psychological, and Social Health Impact of Temperature Rise Due to Urban Heat Island Phenomenon and Its Associated Factors. Biomed Environ Sci. 2018;31(7):545-550. doi:10.3967/bes2018.074

Vaidyanathan A, Saha S, Vicedo-Cabrera AM, et al. Assessment of extreme heat and hospitalizations to inform early warning systems. Proc Natl Acad Sci U S A. 2019;116(12):5420-5427. doi:10.1073/pnas.1806393116

De Blois J, Kjellstrom T, Agewall S, Ezekowitz JA, Armstrong PW, Atar D. The Effects of Climate Change on Cardiac Health. Cardiology. 2015;131(4):209-217. doi:10.1159/000398787

Bazett HC. The Effect of Heat On the Blood Volume And Circulation. J Am Med Assoc. 1938;111(20):1841-1845. doi:10.1001/jama.1938.72790460005009

Cui J, Sinoway LI. Cardiovascular responses to heat stress in chronic heart failure. Curr Heart Fail Rep. 2014;11(2):139-145. doi:10.1007/s11897-014-0191-y

Cui J, Arbab-Zadeh A, Prasad A, Durand S, Levine BD, Crandall CG. Effects of Heat Stress on Thermoregulatory Responses in Congestive Heart Failure Patients. Circulation. 2005;112(15):2286-2292. doi:10.1161/CIRCULATIONAHA.105.540773

Hajat S, Kosatky T. Heat-related mortality: a review and exploration of heterogeneity. J Epidemiol Community Health. 2010;64(9):753-760. doi:10.1136/jech.2009.087999

Li T, Ban J, Horton RM, et al. Heat-related mortality projections for cardiovascular and respiratory disease under the changing climate in Beijing, China. Sci Rep. 2015;5(1):11441. doi:10.1038/srep11441

Xing Q, Sun Z, Tao Y, et al. Impacts of urbanization on the temperature-cardiovascular mortality relationship in Beijing, China. Environ Res. 2020;191:110234. doi:

Gao Z, Chen Z, Sun A, Deng X. Gender differences in cardiovascular disease. Med Nov Technol Devices. 2019;4:100025. doi:

Gordon CJ. Role of environmental stress in the physiological response to chemical toxicants. Environ Res. 2003;92(1):1-7.

Diesel DA, Lebel JL, Tucker A. Pulmonary particle deposition and airway mucociliary clearance in cold-exposed calves. Am J Vet Res. 1991;52(10):1665-1671.

Larsson K, Tornling G, Gavhed D, Muller-Suur C, Palmberg L. Inhalation of cold air increases the number of inflammatory cells in the lungs in healthy subjects. Eur Respir J. 1998;12(4):825-830.

Miao J, Feng S, Wang M, et al. Life-time summer heat exposure and lung function in young adults: A retrospective cohort study in Shandong China. Environ Int. 2022;160:107058. doi:

Collaco JM, McGready J, Green DM, et al. Effect of temperature on cystic fibrosis lung disease and infections: a replicated cohort study. PLoS One. 2011;6(11):e27784.

Li S, Baker PJ, Jalaludin BB, Marks GB, Denison LS, Williams GM. Ambient temperature and lung function in children with asthma in Australia. Eur Respir J. 2014;43(4):1059-1066.

McMichael AJ, Woodruff RE, Hales S. Climate change and human health: present and future risks. Lancet. 2006;367(9513):859-869.

Woodruff RE, McMichael T, Butler C, Hales S. Action on climate change: the health risks of procrastinating. Aust N Z J Public Health. 2006;30(6):567-571.

Page LA, Hajat S, Kovats RS. Relationship between daily suicide counts and temperature in England and Wales. Br J Psychiatry. 2007;191(2):106-112.

Liu J, Varghese BM, Hansen A, et al. Is there an association between hot weather and poor mental health outcomes? A systematic review and meta-analysis. Environ Int. 2021;153:106533. doi:

Nori-Sarma A, Sun S, Sun Y, et al. Association Between Ambient Heat and Risk of Emergency Department Visits for Mental Health Among US Adults, 2010 to 2019. JAMA Psychiatry. 2022;79(4):341-349. doi:10.1001/jamapsychiatry.2021.4369




How to Cite

Ramly, N., Hod, R., Hassan, M. R., Arsad, F. S., Mohd Radi, M. F., & Ismail, R. (2024). IMPACT OF URBAN HEAT ISLAND ON HUMAN HEALTH: A SYSTEMATIC REVIEW: A SYSTEMATIC REVIEW. Malaysian Journal of Public Health Medicine, 24(1), 172–186. Retrieved from