Influence of the South Asian High and Western Pacific Subtropical High Pressure Systems on the Risk of Heat Stroke in Japan

Weather patterns substantially influence extreme weathers in Japan. Extreme high temperature events can cause serious health problems, including heat stroke. Therefore, understanding weather patterns, along with their impacts on human health, is critically important for developing effective public health measures. This study examines the impact of weather patterns on heat stroke risk, focusing on a two-tiered high-pressure system (DH: double high) consisting of a lower tropospheric western Pacific subtropical high (WPSH) and an overlapping upper tropospheric South Asian high (SAH), which is thought to cause high-temperature events in Japan. In this study, the self-organizing map technique was utilized to investigate the relationship between pressure patterns and the number of heat stroke patients in four populous cities. The study period covers July and August from 2008 to 2021. The results show that the average number of heat stroke patients in these cities is higher on DH days than on WPSH days in which SAH is absent. The probability of an extremely high daily number of heat stroke patients is more than twice as high on DH days compared to WPSH days. Notably, this result remains true even when WPSH and DH days are compared within the same air temperature range. This is attributable to the higher humidity and stronger solar radiation under DH conditions, which enhances the risk of heat stroke. Large-scale circulation anomalies similar to the Pacific–Japan teleconnection are found on DH days, suggesting that both high humidity and cloudless conditions are among the large-scale features controlled by this teleconnection. Early countermeasures to mitigate heat stroke risk, including advisories for outdoor activities, should be taken when DH-like weather patterns are predicted.