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Footprints of the Nature in Cities; Urban Heat Island Effects
                       and the Role of Afforestation Efforts in Reduction of These Effects

            The direct health effects of extreme heat and the potential diseases it may
            cause can be listed as follows (Table 1).


                             Heat Stress: UHI can cause extreme temperature increases during the
                             summer months. This situation can lead to health issues such as heat
                            stress, fainting, and dehydration, particularly for the elderly, children, and
               Heat Caused
              Health Problems             individuals with chronic illnesses.
                              Heat Stroke: High temperatures can overwhelm the body’s cooling
                            mechanisms, leading to heat stroke. Heat stroke can be fatal if not treat-
                                        ed promptly (Luber & McGeehin, 2008).




                             Air Pollution: The UHI effect can increase air pollution in cities. As tem-
                            peratures rise, the formation of ozone and other harmful gases increases.
                              This can trigger asthma, bronchitis, and other respiratory diseases.
                Respiratory    Particulate Matter Pollution: A hotter urban atmosphere can rause
                 Diseases
                              the risk of respiratory and cardiovascular diseases by increasing the
                             concentration of particulate matter (PM2.5 and PM10) in the air. (Bell et
                                                  al., 2004).



                             High temperatures caused by the UHI effect increase the risk of cardi-
               Cardiovascular    ovascular events such as heart attacks and strokes. Extreme heat puts
                 Diseases    additional stress on the heart, which can be particularly dangerous for
                             the elderly and individuals with heart conditions (Basu & Samet, 2002).


                             High temperatures can promote the spread of vector-borne diseases.
                Spread of     Especially mosquitoes thrive in hot climates, which increases the risk
                Infectious    of the spread of diseases such as malaria, Zika virus, and dengue. The
                 Diseases    high temperatures caused by the UHI effect can lead to these diseases
                                    becoming more widespread (Hopp & Foley, 2001).



                              High nighttime temperatures can make it difficult for people to cool
                             down adequately, negatively affecting sleep quality. Low sleep quality
              Sleep Disorders   can have negative consequences on both physical and mental health.
             and Psychological  Psychological Stress and Depression: Extreme temperatures can increase
                 Effects    anxiety, depression, and other mental health issues. Psychological stress
                              levels can significantly rise, especially during prolonged heatwaves
                                               (Smolander, 2002).



                             The UHI effect often has a greater impact on low-income communities.
                 Health     This is because these areas have less green space, more concrete build-
                Inequalities  ings, and energy-inefficient housing. This leads to these communities
                                  being more affected by extreme heat (Reid et al., 2009).




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