This indicator measures the health impact of heatwaves on the elderly population (aged 65 and over) across 27 Italian cities included in the National Heatwave Health Prevention and Warning Plan. The plan is implemented by the National Centre for Disease Prevention and Control (CCM) of the Ministry of Health and coordinated by the Epidemiology Department of the Lazio Regional Health Service (DEP Lazio). The cities are equipped with Heat Health Watch Warning (HHWW) systems to provide forecasts and alerts.

The summer of 2023 (15 May – 15 September) was characterized by temperatures above the seasonal reference average. Despite these elevated temperatures, observed mortality in the elderly population remained generally within expected levels. Monthly impact assessments highlighted increases in mortality rates associated with heatwave episodes during July and August in several monitored urban areas.

This indicator provides critical information for monitoring climate-related health risks and supports adaptation strategies aimed at reducing adverse health effects of heatwaves on vulnerable population groups.