Something that the article did not cover, which I find particularly outrageous is that Europe used to be at the forefront of reducing deaths due to extreme temperatures in the early 20th century, but then AC came in and the US took the lead. To flesh this out a bit, let’s consider some recent research on this field, including my own, that is comparable to the article by Barreca et al. referenced in the post, the following points are important:

• Summers became increasingly deadly during the 19th century as a result of urbanization and overcrowding. They were incredibly deadly, mostly, for infants who died in disproportionate amounts due to gastrointestinal diseases. Children and adults died as well from heatstrokes and the like, but their relative importance in the death statistics was rather small

• The turning point in Europe happened in the 1900s and 1910s.

  • For instance, in Germany summers began being less deadly after ca. 1905, as a result of investments in water provision, healthcare and infant care. (See my own paper on this  in the EHES Working Paper Series, no. 290)

  • In England the turning point is somewhere around WWI (see Hanlon et al., 2021, JEH), possibly due to improvements in the disease environment.

• In the United States, before the arrival of AC, summer diarrheal disease that largely affected infants would only go down much later during the 1920s and 1930s (see Anderson et al., 2022, EEH). A few decades after European cities had progressed substantially in this regard…

• This reversal does not get much attention in accounts of current differences in the deadliness of extreme temperatures. This is unfortunate because from an early-20th century perspective, it was far from obvious at the time that this would happen. But the lack of willingness to adopt the arrival of a very useful technology (AC) was something that we (Europeans) have brought onto ourselves over many decades, and this is largely independent from recent phenomena such as rising global temperatures, inequality trends, etc. This is simply inefficient governance and lack of attention to a problem that takes the lives of many.