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More or Less

Does Europe suffer more heat deaths than the US?

17 Jun 2026

Transcription

Transcript generated automatically by AI and may contain errors.

Chapter 1: Does Europe really have more heat deaths than the US?

0.031 - 23.297 Tim Harford

Hello and welcome to More or Less, your weekly guide to the numbers in the news and in Wales. I'm Tim Harford. This week, Conservative backbenchers were conspicuous by their absence in a recent Prime Minister's Questions. Running scared or a run of bad luck? We'll run the numbers. Are white eggs really more environmentally friendly than brown eggs? If so, why?

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23.337 - 47.74 Tim Harford

And our listeners ask if Wales is actually bigger than England, once you take into account all the lovely crinkly bits. But first, some hot takes on the internet have left some of us feeling cold. Posts comparing deaths from high temperatures in the US and Europe, then for some reason comparing that to US gun deaths, swept across the Twittersphere.

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Chapter 2: How do air conditioning rates affect heat-related deaths?

48.023 - 54.894

As summer comes into view, always remember that more Europeans regularly die in heatwaves than Americans die in gun violence.

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55.555 - 81.072 Tim Harford

The tweet was illustrated by a bar chart showing that almost 70,000 Europeans died because of heat in 2024, compared to around 2,000 Americans. The chart also shows that almost 50,000 Americans died due to gun violence – Now, we're not going to waste time comparing gun deaths in a country of 330 million people to a continent of 740 million.

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81.793 - 110.125 Tim Harford

That would be silly, and not just because a gun death is much easier to define and arguably prevent than a heat death. But it is eyebrow-raising that the US has so few heat deaths when compared to Europe. After all, a lot of the US is hot. Really hot. They have deserts. They have Death Valley. We have the Y Valley. So what's going on?

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110.806 - 117.715 Tim Harford

Well, some other Twitterers, tweeters, twits, believe they have the answer. Aircon.

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118.216 - 128.59

Economists estimate that if Europeans used AC as much as Americans do, it would save up to 100,000 European lives every year.

129.091 - 144.652 Tim Harford

Your heat-related deaths are higher and it's hotter in the US. It's empirical. You have the data. Ooh, to add some calm into proceedings is our ever-clement climate correspondent, Lizzie McNeill. Hello, Lizzie.

Chapter 3: What is the carbon footprint difference between white and brown eggs?

144.812 - 157.14

Hi, Tim. Should we get the big bit of information out of the way first? Sure. First, we are talking about deaths from when it's too hot, so not when it's cold or when it's ambient. Secondly, you cannot compare these stats.

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157.12 - 159.585 Tim Harford

But comparing these stats is what we do.

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159.665 - 177.441

I know it is, but we can't compare the figures in the viral graph because they're not really counting the same thing. You see, the US and Europe estimate and record heat deaths differently. Europe uses excess mortality, whereas the US used whether heat appeared as a contributing or underlying factor on death certificates.

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177.421 - 189.232 Tim Harford

So Europe looks at how many more people died than would have been expected to die and ties all that to heat, whereas the US just counts cases where heat was explicitly named as a factor.

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189.252 - 189.692

Exactly.

190.693 - 197.019 Tim Harford

Well, are the two figures correct? Were there just under 70,000 excess deaths in Europe due to summer heat?

197.56 - 206.348

So the figure is from a peer-reviewed paper. It's from a Spanish study that tried to quantify how many deaths occur across 32 European countries due to heat.

Chapter 4: What are the implications of Sainsbury's switch to white eggs?

206.328 - 224.916

And the team used daily regional temperature and mortality records from 2015 to 2019 as the baseline for how many deaths they'd expect to see. They then looked at the temperature observations and forecasts and weekly mortality for each year from 2022 to 2024 to calculate how many more people died due to hot weather.

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225.156 - 231.846

And yep, they found that across those 32 countries, there were 67,000 excess deaths in 2024.

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231.826 - 244.992 Tim Harford

Wow. OK, so these are all excess deaths. We don't know for sure whether the deaths were directly caused by the heat. Is that a better way of counting deaths than looking at death certificates?

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245.393 - 266.052

So the Centers for Disease Control and Prevention seem to think so, as they've announced they're going to try and start using excess death data too. The problem with heat deaths is that it's generally not people dying of something measurable like heat, stroke or exposure. It's generally vulnerable people with pre-existing health conditions whose condition is exacerbated due to the heat.

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266.032 - 280.165

That's why we sometimes see an effect that's somewhat morbidly known as harvesting, where mortality is higher than expected levels during heatwaves, then lower than expected levels in the following months, as some of the vulnerable people who might have died later die a bit sooner.

280.885 - 293.457 Tim Harford

So a rise in mortality during a heatwave could mean these people had pre-existing conditions or gravely ill, and they might have been expected to die within a few months. And the heatwave meant they died sooner than they otherwise would.

293.517 - 293.997

Yeah.

295.023 - 296.406 Tim Harford

Well, that's the European figure.

Chapter 5: Are Conservative MPs avoiding questions during PMQs?

296.446 - 297.669 Tim Harford

What about the American figure?

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298.13 - 306.67

Yeah, so as mentioned, the Centers for Disease Control, CDC, currently only counts deaths when heat is explicitly mentioned on the death certificate.

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306.717 - 315.488 Tim Harford

Well, that might be a problem because from what you've told me about heat deaths, many of them are due to underlying conditions. So you might have a heart attack or a respiratory failure.

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315.688 - 335.273

Yeah, and so that's what would be recorded on the death certificate. Now, heat does sometimes get recorded, for example, if someone died of heat stroke. But for other more complex cases, it requires an investigation. States also fill out death certificates differently and just don't have the staffing power to assess every death during hot weather to ascertain whether heat played a part.

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335.253 - 337.397 Tim Harford

But what headline number do they report?

337.417 - 342.986

So the CDC reports that heat plays a part in around 2,300 deaths a year in the US.

343.707 - 347.834 Tim Harford

And has anybody in the US tried to measure excess deaths during hot periods?

348.455 - 361.817

So the CDC is apparently currently working on a methodology for that. A group of researchers have also looked at data from the late 90s to early 2000s, and they estimate that the number of excess deaths during hot periods were more like 10,000 a year.

362.253 - 369.124 Tim Harford

Overall, it sounds as though the European figures might be over-counting heat deaths and the US ones are under-counting.

Chapter 6: What role does probability play in political questions?

374.291 - 383.085

Ultimately, this is a policy argument, sometimes childish and sometimes thoughtful, about whether Europe should just get serious about installing more air conditioning.

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383.506 - 390.977 Tim Harford

It does make sense that air conditioning could be beneficial, even though if you look at excess mortality in the US, it still goes up during heatwaves.

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390.957 - 407.375

Yeah, absolutely. I think most scientists would agree that air con is beneficial to keep a constant temperature, so people aren't subjected to sudden extremes they don't have time to acclimatise to. It's this jump in temperature that causes the body to become overstressed, and it's the stress that often exacerbates existing conditions.

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407.916 - 417.687

However, there are many countries, for example Italy, which have widespread AC use, but large excess mortality during heatwaves, so it's definitely not a silver bullet.

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418.347 - 444.117 Tim Harford

Thank you, Lizzie. You, our dear loyal listeners, are often inspired to get in touch by the most worthy of causes. Disinformation. Democratic accountability. The fiscal sustainability of the state itself. And eggs. Not just any old eggs. White eggs.

444.097 - 458.293 Tim Harford

A surprising number of you emailed more or less at bbc.co.uk to ask us to look into a recent decision by the supermarket chain Sainsbury's to stop selling brown eggs in its own brand ranges.

Chapter 7: How does topography affect the size of Wales?

458.833 - 481.02 Tim Harford

They are switching to white eggs only. The justification for this, they say, is that white eggs have a 12.7% lower carbon footprint. Can this really be true, you asked? What is it about the colour of an egg that gives it a smaller carbon footprint? To be honest, we are not really egg men, so we are someone who is.

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481.561 - 505.132 Gary Ford

My name's Gary Ford. I'm a policy advisor at the British Free Range Egg Producers Association. I'm comfortable being referred to as the egg man. Which makes me the walrus. That's fine. So, eggs. Essentially, the only difference between white eggs and brown eggs is the shell colour, the contents. are the same.

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505.852 - 513.94 Tim Harford

Eggs is eggs, essentially. However, in terms of the colour, there is an important relationship between chicken and earth.

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Chapter 8: What is the impact of measurement methods on land area calculations?

514.48 - 531.816 Gary Ford

It's simple from the colour of the hen laying the egg point of view because white layers lay white eggs and brown layers or brown coloured birds lay brown eggs.

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531.796 - 556.266 Tim Harford

Fancy that. Every day's a school day on Radio 4. Now, for the commercial breeds used in industrial-scale egg production, white hens lay white eggs and brown hens lay brown. Gary says there are about 40 million laying hens in the UK, about 80% of which are brown commercial breeds. We're a brown egg nation. Although it hasn't always been that way.

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556.786 - 567.362 Gary Ford

As recent as the 1970s and before, We were predominantly white egg consumers and it was very unusual to see a brown egg.

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567.842 - 577.918 Tim Harford

Brown egg dominance is not a universal phenomenon. In the US, Asia and some European countries, the white egg rules supreme.

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577.898 - 607.888 Gary Ford

But in the UK, brown eggs were seen as a premium in the 1970s into the 1980s. So supply pivoted to meet that increasing consumer demand for brown eggs and hence where we are today. But over the last few years, we have seen a significant increase, typically 5% year on year growth in the number of white layers in the national laying flock.

607.868 - 619.316 Tim Harford

OK, let's get to the carbon footprint. Eggs have a low carbon footprint compared to other forms of animal protein, and most of it is determined by the food that the chickens eat.

619.336 - 647.832 Gary Ford

80% of the carbon footprint... an egg is made up of the feed that we give the the hen and the big driver of the carbon content is soya but that's a protein it's a soya bean grown in North America South America China and that is the the main driver to the carbon footprint

647.812 - 669.45 Tim Harford

The carbon footprint of the soya itself massively depends on the land that the soya is grown on and what it replaced. For example, if the soya crop is replacing rainforest, the carbon footprint of that soya is high. However, these calculations are subject to debate and recalculation and they change all the time.

670.952 - 693.466 Tim Harford

As for the rest of the carbon footprint of an egg, a big component is the rearing of the young bird to egg-laying age. If a young bird goes on to lay more eggs over its productive lifetime and does so eating less food, then it will likely have a lower carbon footprint. And that calculation is where the white hens have an edge.

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