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MARCO Research and Innovation Action (RIA) This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 730272. Start date : 2016-11-01 Duration : 24 Months Vulnerability assessment in forecasting perspective,data & report Authors : Ms. Bay LISA (DTU), Kirsten HALSNAES (DTU), Per Skougard KASPERSEN (DTU) MARCO - D6.1 - Issued on 2018-11-12 14:53:38 by DTU
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MARCOResearch and Innovation Action (RIA)

This project has received funding from the EuropeanUnion's Horizon 2020 research and innovation programme

under grant agreement No 730272.

Start date : 2016-11-01 Duration : 24 Months

Vulnerability assessment in forecasting perspective,data & report

Authors : Ms. Bay LISA (DTU), Kirsten HALSNAES (DTU), Per Skougard KASPERSEN (DTU)

MARCO - D6.1 - Issued on 2018-11-12 14:53:38 by DTU

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MARCO - D6.1 - Issued on 2018-11-12 14:53:38 by DTU

MARCO - Contract Number: 730272MArket Research for a Climate Services Observatory

Document title Vulnerability assessment in forecasting perspective,data & report

Author(s) Ms. Bay LISA, Kirsten HALSNAES (DTU), Per Skougard KASPERSEN (DTU)

Number of pages 29

Document type Deliverable

Work Package WP6

Document number D6.1

Issued by DTU

Date of completion 2018-11-12 14:53:38

Dissemination level Public

Summary

The present analysis of climate change vulnerabilities in Europe in a forecasting perspective assess three European sectors:tourism, health, and cities, at NUTS 1 and NUTS 2 level. All three sectors were found to have increased vulnerabilities withoutadaptation. In addition, regional differences in the vulnerability was found, especially in the tourism sector. Increasingtemperatures towards 2030 both challenge and bring opportunities to the tourism sector. Whether the sector in different regionsis facing risks or opportunities, the tourism sector has to adapt to the changing conditions. The demand for accurate anddetailed climate services are therefore expected to increase in order for the tourism industry to adapt, minimise risk and takeadvantage of new opportunities posed by climate change. Certain population groups will be most vulnerable to heat waves.These are people with age +65 years old, chronical disease, obesity, decreased mobility are in high risk during heat waves.European countries are facing an increased proportion of both the elderly population and people with obesity. Especially theEastern European, Baltic and Iberian countries are facing both high proportions of elderly persons in their populations and highproportions of overweight persons - a combination that indicates high vulnerability to health in the population of these regions.Incorporating climate services for early warning systems could prevent increases in morbidity and mortality rates during longerperiods with high summer temperatures. Urban areas are projected to increase in size, population density and economicactivity in all of Europe. Both increasing temperatures and extreme events, such as heat waves and heavy precipitation arethreatening the livelihood of urban populations. The resilience of cities are therefore highly important to decrease risk of climatechange, and climate services are needed for intelligently planned urban development and adaptation taking into account toreduce flood risk and the urban heat island effect.

Approval

Date By

2018-11-20 15:33:04 Pr. Kirsten HALSNæS (DTU)

2018-12-10 15:21:24 Dr. Thanh-Tam LE (CKIC)

MARCO - D6.1 - Issued on 2018-11-12 14:53:38 by DTU

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This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 730272

Table of content

List of Figures ..................................................................................................................... 1

1 Key findings ......................................................................................................................... 3

2 Introduction ........................................................................................................................ 3 2.1 General economic indicator – The Gross Domestic Product (GDP) ............................................. 4 2.2 Tourism ................................................................................................................................... 6 2.3 Health ................................................................................................................................... 14 2.4 Cities ..................................................................................................................................... 21

3 Conclusion......................................................................................................................... 25

4 Bibliography ...................................................................................................................... 27

List of Figures

Figure 1. (left) GDP/inhabitant in year 2015 expressed in Purchasing Power Standards (PPS) and (right) projected annual growth (%/year) in PPS towards 2050 for NUTS2 regions in EU for the trend scenario. Data is based on downscaled GDP ECFIN and population projections available for download from the SWICCA project data portal (http://swicca.eu/climate-impacts-maps/). ................................................. 6

Figure 2. (left) Million number of nights spent at tourist accommodation establishments in eastern, western, northern and southern Europe respectively in 2017, (right) at a NUTS 2 level in 2016. (Sources: Eurostat (tour_occ_nim) and (tour_occ_nin2d)). .................................................................................................... 6

Figure 3. Total length of ski slopes in km per 106 ha at NUTS3 level in European countries (left) and average skier days in the top 8 European countries (right). (Adopted from Koeberl et al. (2018)) ...................... 7

Figure 4. Tourist Comfort Index (TCI) scores in summer in the 1961-1990 (a) and the 2080s (right), A2 - high emission scenario (b) and B2 - low emission scenario (c). (Figure from Amelung & Moreno (2009)) ..... 9

Figure 5. Share of ski areas in Austria reliable on a 30 cm deep snow cover for at least 100 days of the season, with and without technical snow production. As found in study by Steiger & Abegg (2013) and Abegg et al. (2007) (Figure from Steiger & Abegg, 2013). ...................................................................................... 11

Figure 6. Change in temperature in 2050 compared to the reference period 1971-2000 for 10th percentile of all daily data (coldest days) for the emission scenario RCP 4.5 (left) and RCP 8.5 (middle) (SWICCA, 2018). The total length of ski slopes in km per 106 ha at NUTS3 level (Koeberl et al., 2018a) is shown (right). 12

Figure 7. Life expectancy in years (2016), and total health care expenditure as percentage of GDP (2015) across European countries. Based on data from Eurostat (2018a;b)...................................................... 14

Figure 8. Change in temperature in 2050 compared to the reference period 1971-2000 for 90th percentile of all daily data for the emission scenario RCP 4.5 (left) and RCP 8.5 (right). ............................................. 15

Figure 9. Projected vulnerabilities by number of reporting countries. (Figure from WHO Regional Office for Europe, 2015). ......................................................................................................................................... 16

Figure 10. Projected proportion of population aged 65 years and more in 2017, 2030 and 2050. Based on data from Eurostat (2018e; 2017). .................................................................................................................. 17

Figure 11. Percentage of population being overweight (BMI>25kg/m2) in 2016, projected 2030 and the growth between the periods (based on data from OECD (2018b;c) and Eurostat (2018d). Shaded areas indicate missing data. .............................................................................................................................. 19

Figure 13. Percentage relative change in precipitation intensity max in 2050 as compared to the reference period 1971-2000. 99th percentile of all daily data, RCP 4.5 (left) and RCP 8.5 (right). Based on data from SWICCA (2018a). ...................................................................................................................................... 22

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Figure 14. Total population in 2015 (a), annual total growth in population 2015-2050 (b) and the annual percentage growth 2015-2050 (c) on 10 km grid cells (based on data from SWICCA, 2018d). .............. 23

Figure 15. Percentage of population residing in urban areas in 2015 and by 2050 (United Nations, 2018). . 24

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1 Key findings

• The present analysis of climate change vulnerabilities in Europe in a forecasting perspective assess

three European sectors: tourism, health, and cities, at NUTS 1 and NUTS 2 level.

• All three sectors were found to have increased vulnerabilities without adaptation. In addition, regional differences in the vulnerability was found, especially in the tourism sector.

• Increasing temperatures towards 2030 both challenge and bring opportunities to the tourism sector. Whether the sector in different regions is facing risks or opportunities, the tourism sector

has to adapt to the changing conditions. The demand for accurate and detailed climate services are therefore expected to increase in order for the tourism industry to adapt, minimise risk and take

advantage of new opportunities posed by climate change.

• Certain population groups will be most vulnerable to heat waves. These are people with age +65 years old, chronical disease, obesity, decreased mobility are in high risk during heat waves.

European countries are facing an increased proportion of both the elderly population and people with obesity.

• Especially the Eastern European, Baltic and Iberian countries are facing both high proportions of elderly persons in their populations and high proportions of overweight persons - a combination

that indicates high vulnerability to health in the population of these regions. Incorporating climate services for early warning systems could prevent increases in morbidity and mortality rates during

longer periods with high summer temperatures.

• Urban areas are projected to increase in size, population density and economic activity in all of Europe. Both increasing temperatures and extreme events, such as heat waves and heavy

precipitation are threatening the livelihood of urban populations. The resilience of cities are therefore highly important to decrease risk of climate change, and climate services are needed for

intelligently planned urban development and adaptation taking into account to reduce flood risk and the urban heat island effect.

2 Introduction

This report forms part of MArket Research for a Climate services Observatory (MARCO), a research project funded through the European Commission’s Horizon 2020 Environment and Resources programme. With

growing appreciation of the risks (and ‘opportunities’) that climate change presents, climate services are helping organisations to mitigate, adapt, and become future-resilient. However, relatively little is known

about the climate services market, with unaddressed gaps existing between supply and demand. MARCO endeavours to understand these gaps by providing a 360° view of Europe’s climate services market,

endowing suppliers and users alike with the insight to predict the sector’s future direction and growth.

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The findings of Task 6.1 Future Climate Vulnerability Analysis is presented in this report. The report builds

on the findings presented in Deliverable 4.1 Climate Vulnerability Analysis at NUTS2 Scale. On this basis, a vulnerability analysis based on future climate conditions is conducted by combining projections of extreme

climate events and forecasts of climate vulnerable activities for important economic sectors within the EU. Three specific economic sectors are included for in-depth analysis. This concerns Tourism, Health and Cities, all of which have high employment rates within EU and/or are of major importance for the European

economy. In addition, these sectors are expected to be adversely impacted by climate change, in particular through changes in the intensity and frequency of extreme climate events such as heat waves, storm

surges, cloudbursts and windstorms. The report will begin with a summary of the current vulnerability of the sectors, drawing on results from the MARCO vulnerability analysis (D4.1), MARCO case studies,

literature review and Eurostat data. This will highlight the importance of the sectors and investigate how the sectors in a European context is vulnerable towards climate change. Furthermore, we will elaborate on

socio-economic and demographic factors influencing the vulnerability and explore geographical differences. By forecasting both climatic, socio-economic and demographic factors, we can explore the vulnerabilities

towards 2030. In some instances, forecasts are only available for 2050 or 2080. Since climate adaptation will depend on long-term climate forecasting, the vulnerability assessment will move beyond 2030 where

forecasts are only available for 2050 or 2080. It is important to highlight that this vulnerability assessment forecast cannot incorporate all factors influencing vulnerability for all sectors, e.g. political framework,

technological development, etc. The forecast is therefore indicative of where regional differences can occur and what trends in demographics and the economy that can affect vulnerability looking towards 2030. The vulnerability assessment will feed into the forecast of the market for climate services (MARCO D6.5) given

the assumption that high vulnerability could be met by both short- and long-term adaptation efforts.

2.1 General economic indicator – The Gross Domestic Product (GDP)

The Gross Domestic Product (GDP) is a commonly used indicator of the economic health of countries and regional/local administrative regions as it comprises the economic value of all produced goods and services

within a given area at in a specific year. Economic growth has an impact on economic sector activity and the vulnerability. The data used here is a disaggregated version of the GDP European Commission

Directorate General for Economic and Financial Affairs (ECFIN) data. The data is based on the European Commission’s ECFIN 2015 scenarios and includes GDP projections for the EU for the period 2015-2060

(ECFIN, 2015). The original data have been modified through three pre-processing steps:

1. A disaggregation from country level to a 10km grid using Eurostat population scenarios

(Europop2013) 2. A regionalization to NUTS 2 level using spatial analysis tools in GIS

3. Calculation of GDP per capita

The GDP ECFIN data at a 10km grid was downloaded from the data portal of the SWICCA project (Service

for Water Indicators in Climate Change Adaptation) prior to the regionalisation to NUTS 2 level, which has been conducted as part of this project (SWICCA, 2018a). The data is available for both the ECFIN trend and

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convergence scenarios. The trend scenario projects current GDP trends while the convergence scenarios

assumes the GDP levels in the EU will converge over time (less difference between regions in the future). The GDP per capita was calculated by merging the GDP ECFIN projections with population scenarios for the

SSP2 (Shared Socio-Economic Pathways - SSPs), which represent a “middle of the road” projection of future population trends. The shared Socio-Economic Pathways (SSP) are storylines of future socio-economic development that are consistent with the different GHG emissions scenarios as represented by the

Representative Concentration Pathways (RCPs) in the latest IPCC report (AR5). The resulting data includes GDP values expressed in purchasing power standards (PPS) at a NUTS2 level in the EU for 5-year time slices

covering the period 2015-2060. Figure 1 show PPS per capita in 2015 and projected annual growth rates towards 2050 for the trend scenario at a NUTS2 level in the EU. The PPS per capita values ranges from EUR

approximately EUR 10,000 to > EUR 50,000 with higher values observed for regions in central and northern Europe and for areas where major cities are located, such as Paris, Madrid, London, Rome, Brussels,

Copenhagen, Stockholm, Helsinki and Warzaw. On the other hand, southeast and southern Europe are characterized by relatively low PPS per capita (Figure 1 – left). The projected annual growth rates in PPS

under the GDP ECFIN Trend scenario towards 2050 ranges from below 1-2 % in Greece, Bulgaria and parts of the UK and Germany to > 3-4 % in many regions in eastern and northern Europe including Poland,

Romania, Hungary, Denmark and Sweden (Figure 1 - right). Several of the areas characterized by high PPS per capita (Figure 1 - left) are characterized by relatively low projected growth rates (Figure 1 – right),

leading to a general convergence in GDP across the EU, with smaller differences between wealthier and poorer regions.

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Figure 1. (left) GDP/inhabitant in year 2015 expressed in Purchasing Power Standards (PPS) and (right) projected annual growth (%/year) in PPS towards 2050 for NUTS2 regions in EU for the trend

scenario. Data is based on downscaled GDP ECFIN and population projections available for download from the SWICCA project data portal (http://swicca.eu/climate-impacts-maps/).

2.2 Tourism

Europe is the most established travel and tourism region in the world, both due to touristic sites such as the

cultural heritage and architecture, but also due to the global and international business and intergovernmental headquarters located in Europe (WTTC, 2017). Because of this, the tourism sector is

important in the European economies. In 2013, 12 million persons were employed in the tourism sector in the EU (Eurostat, 2015), and in 2016 the sector was estimated to have a total contribution1 to GDP of €2

trillion, accounting for 10% of GDP in the EU (WTTC, 2018). Tourism thus accounts for large economic flows within Europe.

The flow of tourists is not spread evenly throughout Europe or the year. Summer is high season for tourism and the western and southern Europe are the most visited. Figure 2 (both graph and map) shows what

parts of Europe have most tourists (expressed in nights spent at tourist accommodation). The majority of tourists visit southern Europe, where Spain and Italy account for more than 80% of the market and Western Europe, where France and Germany has a 60% market share (Eurostat, 2018). Within Europe, the flow of

tourists typically goes from the northern regions to the southern regions. This flow is the largest flow of tourists across the globe, accounting for 116 million tourists per year in 2000 (Todd, 2003). From Figure 2

(left) it appears how tourists are unevenly distributed throughout the year and that summer tourism is important in Europe, with June-September as high season.

Figure 2. (left) Million number of nights spent at tourist accommodation establishments in eastern, western, northern and southern Europe respectively in 2017, (right) at a NUTS 2 level in 2016.

(Sources: Eurostat (tour_occ_nim) and (tour_occ_nin2d)).

1 This includes both goods and services directly linked to tourism like accommodation, attraction and food services, but also indirectly such as government collective spending (on security, sanitation, etc.) and investments in the sector (e.g. construction of new hotels) (WTTC, 2018).

0

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100

150

200

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Jan

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Mar Ap

r

May Jun Jul

Aug

Sep

Oct

Nov De

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Eastern Western Northern Southern

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In addition to summer tourism, winter tourism is important in Europe. The figure below (adopted from Koeberl et al., 2018), shows the European countries with the largest amount of skiing slopes. The skiing

areas are highly concentrated around the large mountain regions of the Alps, but are also covering large areas in the Scandinavian countries (Figure 3). In these regions, the revenue from winter tourism are important to the economies. For instance in Austria, the expenditures of ropeway-using winter tourists

were estimated to €7.9 billion in the winter season 2015/16 (Koeberl et al., 2018) accounting for 2.3% of total GDP in 20152.

2.2.1 Climate impact on risk in the tourist sector

Tourism consists of a wide variety of holiday types and associated activities. These activities requires different climatic conditions, which are optimal: e.g. dry and cooler weather for hiking, warm temperatures

for sunbathing and snow for skiing ( Amelung & Moreno, 2009). Here we consider two types of tourism, sight-seeing (or similar activities) and alpine winter sports tourism, where previous studies exists. Both

types of tourism and the associated activities can be expected to be altered by climate change.

Several studies have assessed how climate conditions impact tourism (e.g. Amelung & Moreno, 2009; Ciscar

et al., 2014; Rosselló & Santana-Gallego, 2014). They are mostly based on the tourism climatic index (TCI), a measure defined by Mieczkowski (1985). The TCI is used to assess the climatic well-being of tourists for

common tourist activities, such as sight-seeing. The TCI represents a standardized rating system based on the climatic elements: daily temperature, daily humidity, precipitation, hours of sunshine and wind speed

(Mieczkowski, 1985). It ranges from 100 (ideal) to below 9 (impossible). The climate is however not the only relevant factor for tourism. Factors such as income, distance, prices and cultural heritage are also

2 Own calculation, GDP in 2015, current prices: 344,493.2 million Euros (Eurostat, t_nama_10_gdp).

Figure 3. Total length of ski slopes in km per 106 ha at NUTS3 level in European countries (left) and average skier days in the top 8 European countries (right).

(Adopted from Koeberl et al. (2018))

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important. However, Amelung & Moreno (2009) showed by statistical analysis that the TCI were able to

explain 72% of the variation in the tourists arrival in Mediterranean countries (r2 = 0.72). This result is supported in a study by Rosselló & Santana-Gallego (2014), in which they find that the number of tourist in

a region correlates positively with temperature and number of dry days and also the length of coastline.

Alpine winter sports are also very dependent on weather - precipitation in the form of snow and low temperatures can prolong the snow season. The success of the winter tourism depends highly on

favourable snow conditions and the snow-reliability in the skiing area (Steiger & Abegg, 2013). A certain depth of snow cover is needed to ensure safety, ground protection and enjoyable conditions for the

tourists (Steiger & Abegg, 2013). In Austria, Alpine winter sports tourism represents the tourism demand segment, which faces the highest climate risks (Koeberl et al., 2018). As an example, in the extraordinary

warm winter season of 2006/07 (+3°C above mean) 11% fewer ski tourists visited the ski areas of Tyrol in Austria (Steiger & Stötter, 2013). The decline was higher for ski areas at lower elevation and among small to

medium sized areas, which experienced a decline of up to 30-40% visitors on average (Steiger & Stötter, 2013).

Thus, climate variability is an important factor and climate change can be expected to alter the tourist activities in vulnerable regions, whether it is summer or winter activities.

2.2.2 Future climate risk

According to the World Travel and Tourism Council (2017), by 2027 the travel and tourism sector is

expected to grow to 17 million jobs and €2.8 trillion in contributions to GDP, accounting for 10.9% of total GDP in Europe (WTTC, 2017). These forecasts do, however, not include the effects of climate change

scenarios. Whether climate change will lead to net losses or gains in the tourism sector from changing climate conditions will depend on the change in the valuation of climatic elements determining the choice

of tourist destinations (Barrios & Ibanez, 2013). If tourists value warm weather high, regions, which are colder now, might experience net gains, if the temperatures are rising in the regions. On the other hand,

warm regions might experience a decline in tourism, if the temperature becomes too high for what is comfortable. The choice of tourist destination could be expected to differentiate between regions,

dependent on the tourists home climate conditions (Barrios & Ibanez, 2013). Besides general climatic conditions, the occurrence of extreme events affect demand (Scott & Lemieux, 2010). Dangerous wild fires,

storms, heatwaves and drought are examples of extreme events that shift tourist demand (Scott & Lemieux, 2010). Changes in the climate might therefore affect the tourism flow in multiple ways. Tourists

might adapt to climate changes by changing their activities when on holiday, or choose to visit the destinations in different seasons during the year. However, the climate might also alter where the tourists choose to visit. Climate variability does not only affect demand, but also influences tourism operations. This

includes water supply and quality, heating/cooling capacity and costs, technical snowmaking, irrigation, evacuations, etc. (Scott & Lemieux, 2010).

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2.2.2.1 Summer tourism

Amelung and Moreno (2009) show how especially summer tourism is affected negatively in southern Europe and positively in northern Europe. They find that by 2080, the zone of excellent conditions for summer tourism will expand from the Mediterranean to the northern part of Europe, such as Finland,

southern Scandinavia and southern England. However, this will happen at the expense of regions in Spain, Italy, Turkey and Greece (see Figure 4; Amelung & Moreno, 2009).

Figure 4 shows the calculated TCI at the baseline (1961-1990) and in 2080 for emission scenarios A2

(corresponding to the updated RCP8.5) and B2 (corresponding to a 2.4°C temperature increase by 2100 (IPCC, 2007)). The figure indicates how tourists may find the weather too warm for visiting and could be

expected to change time of year to visit or change holiday destination. Climatic elements can however be very subjective and sunshine as an example can be perceived more positively after a long winter

(Mieczkowski, 1985).

The studies only account for change in average climate variables, such as precipitation and temperature

and not the effect of more frequent extreme events, which could be expected to have an impact on the destination choices of tourists. Furthermore, climate change does not only imply a change in temperature

and the amount of precipitation. Other factors important to tourism might change, e.g. biodiversity, landscape changes and drought (Amelung & Moreno, 2009).

Figure 4. Tourist Comfort Index (TCI) scores in summer in the 1961-1990 (a) and the 2080s (right), A2 - high emission scenario (b) and B2 - low emission scenario (c). (Figure from

Amelung & Moreno (2009))

(a) 1961-1990

(b) 2080s, A2

(c) 2080s, B2

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It can have large economic impacts if the jobs and financial flows shift from one region to another. In the

PESETA II Project (2013), Barrios & Rivas (2013) show how a 2°C change (long-term forecast, year 2100) could reduce tourism industry revenue by 0.1% of total EU GDP. The results are based on hedonic price

index calculations of climate variables and hotel prices to simulate how climate change impact tourism expenditure related to hotel occupancy during the year in different regions of Europe. Barrios & Rivas (2013) find that southern EU Mediterranean countries would have the largest reductions in tourism

revenue of between -0.45% and -0.31% of total GDP in the region according to the 2°C change simulations (Barrios & Rivas, 2013; Ciscar et al., 2014). The northern European region and the British Isles, on the other

hand, could increase their tourism revenue with 0.32% and 0.29% of GDP respectively.

According to the studies on the projected TCI a 2°C increase, will change the climatic conditions from

excellent or ideal to acceptable or marginal in the southern Europe, and vice versa for the northern part of Europe (see Figure 4). Following the results from the PESETA II project (2013) the changing condition can

have large economic impacts on regions dependent on tourism.

2.2.2.2 Winter sports tourism

Other studies have investigated the consequences of climate change on the European winter tourism. Steiger & Abegg (2013) investigate the sensitivity of 228 Austrian ski areas with warming scenarios of up to

4°C. Using a 100-day rule3, under current climatic conditions 69% of 228 Austrian ski areas are considered to be naturally snow-reliable (meaning that technical snow-making is not necessary) (Steiger & Abegg, 2013). Both natural snow and the possibility to produce technical snow are projected to decline with

climate change. This will reduce the snow reliability. In their assessment, Steiger & Abegg (2013) show a decline in the share of snow-reliable ski areas over time; a warming of 1°C, 2°C and 4°C would reduce the

share of naturally snow-reliable to 53%, 28% and 8%, respectively (see Figure 5). Under present climate conditions, 96% of the ski areas are snow-reliable, if technical snowmaking is included. However, with

warmer temperatures this would be reduced to 81%, 57% and 18%, respectively, using the 100-day rule (see Figure 5; Steiger & Abegg, 2013).

3 The 100-day rule definition: To successfully drive a ski area a snow depth of at least 30 cm should be sustained for at least 100 days (Steiger & Abegg, 2013).

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Figure 5. Share of ski areas in Austria reliable on a 30 cm deep snow cover for at least 100 days of the season, with and without technical snow production. As found in study by Steiger & Abegg

(2013) (Figure from Steiger & Abegg, 2013).

This study shows the large consequences of warmer temperature on the availability of both natural and

technical snow in ski areas. With a high temperature increase, many ski areas are projected to lose their snow reliability leading to great losses in winter sport tourism. The change is not evenly distrusted among

ski areas, and especially skiing areas at lower altitude are less snow-reliable than at higher altitude. This change would lead to a concentration of snow-reliable ski areas (Steiger & Abegg, 2013). Thus, some ski

areas might grow in popularity and others decline. The impact on the economy might therefore be a change in geography and not in size.

Figure 6 show the projected change in temperature in 2050 for the 10th percentile day, meaning a change in approximately the 36 coldest days. The figure of ski slope length has been included for better comparison

(see also Figure 3). Data are withdrawn the from SWICCA database4. The 10th percentiles of all daily data in the 30-year period has been used to represent extreme temperature (SWICCA, 2018b). For the reference period, 1971-2000, absolute values are provided and the future periods are given as changes in terms of

difference to the reference period in °C. The data are derived from daily series, but represent statistics over a longer period, and does therefore not have a temporal resolution. The data origins from hydrological

impact modelling performed within the EU FP7 project IMPACT2C. For the indicators chosen, we have used data from the climate-model ensemble for the Representative Concentration Pathway (RPC) 4.5 and 8.5,

Global Circulation Models (GCM) EC-EARTH, HadGEM2-ES and MPI-ESM-LR, and Regional Climate Models (RCM) RCA4, REMO2009 and RACMO22E.

In the low emission scenario, RCP 4.5, the northern and Baltic countries are projected to have >2°C temperature rise in the coldest days. The ski slope-rich areas of the Alps, Pyrenees and Carpathian

Mountains are also seen to have projected rising temperatures of 1.5-2 degrees in the RCP 4.5 emission

4 Service for Water Indicators in Climate Change Adaptation, a service run by the Swedish Meteorological and Hydrological Institute (SMHI) (SWICCA, 2018a).

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scenario, while temperatures are projected to increase up to 2-3°C in these areas in the RCP 8.5 emission

scenario.

Total length of ski slopes in km per 106 ha

Figure 6. Change in temperature in 2050 compared to the reference period 1971-2000 for 10th percentile of all daily data (coldest days) for the emission scenario RCP 4.5 (left) and RCP 8.5

(middle) (SWICCA, 2018a). The total length of ski slopes in km per 106 ha at NUTS3 level (Koeberl et al., 2018) is shown (right).

With a projected increase in temperature of 1.5-3 degrees in areas with a high concentration of ski slopes

the vulnerability of the winter sports tourism is evident.

2.2.2.3 Tourism sector risks and the benefits of climate services

The projected climate changes towards 2030 and up to 2080 are expected to increase temperatures and increase the frequency of extreme weather events. The higher temperatures in the summer months might lead to a shift in the where tourists consider it being comfortable to spend their holidays. The popular tourist destinations in the southern regions of Europe might get warmer and more humid posing a risk to the tourism sector. However, at the same time this brings opportunities to other regions of Europe, where warmer temperatures can attract the tourists normally seeking the warmth of the south. In the analysis, we have not included the risks of extreme weather events to the tourism sector. The risk of flooding and heat waves in coastal areas and cities, where most tourism activity is seen, could also have a large impact on the choice of destination for tourists. Regarding winter sports tourism, we found how the higher temperatures can alter the reliability of both natural snow and technical snowmaking, posing a risk to the winter sports activities.

Whether the sector is facing risk or opportunities, the tourism sector has to adapt to the changing conditions. The demand for accurate and detailed climate services are therefore expected to increase in order for the tourism industry to adapt, minimise risk and take advantage of new opportunities posed by climate change (Scott & Lemieux, 2010). Benefits of climate services use depend on the type and purpose of the service provided. Climate services should be tailored to the specific needs and tourism destinations and activities. This ensures that climate services can help in planning investments and managing operations.

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Due to the high costs of technical snowmaking and an increasing pressure to provide highest quality standards to visitors, there is a potential need of ski areas for CS supporting the optimization of their snow management. A ski area operator may be provided with ski area specific data on investment plans, visitor numbers, turnover, profit & loss, balance sheets, operating days, snowmaking capacity and strategy, etc. (Koeberl et al., 2018). This information could optimize decisions regarding snowmaking strategies and provide guidance on investments and alternative business models.

Successful use of climate services for these purposes is already happening around the world. In Austria, examples from the alpine winter sports tourism sector include: expert reports on a region’s climatic suitability for skiing, monitoring of climatic conditions and economic performance, evaluations of macroeconomic impacts resulting from climate change effects on winter tourism, analyses of a ski resort’s energy/ecological footprint and it’s climate impact, index-based vulnerability assessments, consultancy on strategic developments, avalanche warning services, tailored weather forecasts, and weather-based predictions on visitor numbers or sales figures (Koeberl et al., 2018).

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2.3 Health

Climate change poses a risk to the health of the European population, which is unequally distributed across regions and demographics. The section will examine how demographics affects vulnerability, and which

European regions thereby are facing higher vulnerability of climate change impacts on health.

In 2015, health spending accounted for nearly 10% of GDP in the EU (OECD/EU, 2016), and life expectancy

has increased by more than six years across EU members states since the 1990. However, inequalities still exist across and within countries (OECD/EU, 2016). Figure 7 shows the level of health spending in 2015 and the life expectancy in 2016 across European countries. From the figure, it appears how life expectancy is

lower among Eastern and Central European countries compared to the rest of Europe (blue line), and how health expenditure differs across countries, from 5% to up to 11% of GDP (red bars).

Figure 7. Life expectancy in years (2016), and total health care expenditure as percentage of GDP (2015) across European countries. Based on data from Eurostat (2018a;b).

It is thus seen how inequalities in health exists within Europe. In the next section, we will further assess

whether there exists regional differences in how vulnerable populations are towards climate change impact, and how this could affect the status quo.

Climate change has serious consequences affecting health including heat waves, flooding, water scarcity, food security and disease transmission. In addition, heavy precipitation with flooding as a consequence

pose a high risk to health, but also local changes in temperature and rainfall have altered the distribution of some waterborne illness and the emergence of invasive species transmitting diseases (WHO Regional Office

for Europe, 2015). Human health is affected to some degree by all types of climate extremes, with heat waves being the major cause of most climate-related fatalities in Europe (World Health Organization,

2014). Thus, the focus of this vulnerability foresight on health will be on heatwaves.

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2.3.1 Hazard: Heat forecast in 2050

Figure 8 show the projected change in temperature in 2050 for the 90th percentile day, meaning a change in approximately the 36 warmest days. The data presented are obtained from the SWICCA (Service for Water

Indicator in Climate Change Adaptation) database (SWICCA, 2018a). The 90th percentile of all daily data in the 30-year period has been used to represent extreme temperature (SWICCA, 2018b). For the reference

period, 1971-2000, absolute values are provided and the future periods are given as changes in terms of difference to the reference period in °C. The data are derived from daily series, but represent statistics over

a longer period, and does therefore not have a temporal resolution. The data origins from hydrological impact modelling performed within the EU FP7 project IMPACT2C. For the indicators chosen, we have used

data from the climate-model ensemble for the Representative Concentration Pathway (RPC) 4.5 and 8.5, Global Circulation Models (GCM) EC-EARTH, HadGEM2-ES and MPI-ESM-LR, and Regional Climate Models

(RCM) RCA4, REMO2009 and RACMO22E (SWICCA, 2018b).

Figure 8. Change in temperature in 2050 compared to the reference period 1971-2000 for 90th percentile of all daily data for the emission scenario RCP 4.5 (left) and RCP 8.5 (right).

By 2050, the highest temperature increase is seen in the North and in the South of Europe in both the low

and high emission scenarios (RCP 4.5 and 8.5, respectively). The temperature is projected to increase with 2-3 °C in these areas and above 3 °C in the RCP 8.5 scenario. In the RCP 8.5 emission scenario, all European

countries are projected to see temperature increases of above 2°C by 2050 with only a few exceptions.

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2.3.2 Vulnerability of the health sector to heat waves

Health impacts will depend on the underlying health of affected populations, which is affected by future

socioeconomic conditions and other factors (World Health Organisation, 2014). Whether people live in coastal, urban or rural areas determines climate exposure and the demographic composition makes some

population groups more vulnerable than others (World Health Organisation, 2014).

In the period 2000-2013, 32 Member States of the World Health Organisation (WHO) European Region

developed national health vulnerability, impact and adaptation assessments of climate change projections (WHO Regional Office for Europe, 2015). Figure 9, shows the result of the projected vulnerabilities as

reported by the countries (WHO Regional Office for Europe, 2015).

From Figure 9 it appears the countries especially report the elderly population and people, who are either chronically ill or socially deprived to be the most vulnerable population groups to climate change health

impacts. The reported factors affecting the vulnerability of the population groups are for all climate change impacts. However, most countries report temperature change and heatwaves as projected climate change risks (WHO Regional Office for Europe, 2015).

The above results are confirmed in a review study on the effects of heat on human health by Kenny et al. (2010). The authors find that population groups who are either above 60 years old, with obesity, has a

cardiovascular disease, a pulmonary disease or long-standing diabetes are at increased risk of heat-related illness during heat waves (Kenny et al., 2010). The risk is also higher for people having a homebound

lifestyle, lack contact with other people or have decreased mobility (Kenny et al., 2010).

Since high age and obesity are population groups at high risk of heat stress, we will examine the foresight

of these population groups for the European countries, and use these as indicators of how the vulnerability to climate change of the European populations.

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Figure 9. Projected climate change vulnerabilities towards end 21st century identified by number of reporting countries. (Figure 8 from WHO Regional Office for Europe, 2015).

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2.3.2.1 Health vulnerability indicator: Population above 65 years old, 2050

The location of high numbers of elderly in Europe provides a good indicator of the vulnerability of the health sector to heat waves. Elderly people are more vulnerable due to several reasons, including that some already have a chronic disease, lives isolated and have low mobility (World Health Organisation,

2014). Areas with population in the age group +65 years old are highest in northern Italy, southeast France and southern Spain (Kaspersen et al., 2017). In addition, there is a tendency towards high number of elderly

population in the major European cities Paris, Madrid, Milan and Barcelona, each with above 1 million people +65 years old (Kaspersen et al., 2017). The impact of heat waves on mortality therefore vary

considerably between different European regions. When comparing the locations of elderly persons with the locations of fatalities caused by heat waves, a high number of fatalities is seen in the same areas

(Kaspersen et al., 2017). A study of the health impact of heat waves in nine European cities in 1990-2004, observed large geographical variation in the response of mortality rates, ranging from an increase of 7.6%

in Munich to 33.6% in Milan (D’Ippoliti et al., 2010). In addition, a greater impact was observed for the Mediterranean (+21.8%) as compared to continental cities in the north (12.4%) (D’Ippoliti et al., 2010). In

general, the highest impact was observed for women aged 75-84 years and for fatalities related to respiratory diseases, but all age groups above 65 years were found to be severely affected by heat waves

(Kaspersen et al., 2017).

In most countries, demographic changes are dominated by an aging population, implying that populations will be more even more vulnerable to climate change and environmental hazards (WHO Regional Office for

Europe, 2015). Figure 10 shows the projected share of population aged 65 years or more in the EU Member States (including the UK) by 2050.

Figure 10. Projected proportion of population aged 65 years and more in 2017, 2030 and 2050. Based on data from Eurostat (2018e; 2017).

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The data are extracted from Eurostat’s population projection, which uses year 2015 as base year and

considers both fertility rates and immigration rates. The indicator ‘proportion of population’ has been chosen, which is the projected proportion of persons +65 years in the total population (European

Commission, 2017). Especially Greece, Portugal, Italy, Lithuania, and Spain are projected to have high shares of elder persons with around 1/3 of their populations aged 65 or above. Thus, Italy and Spain are projected to still being among countries with the highest share of elderly population. For some countries

the growth in the proportion of elderly persons is expected to be high, e.g. growing from 15% to 29%.

An assessment by World Health Organization (2014) estimated the annual climate change-attributable

mortality in 2030 and 20505, using climate change scenario A1b with 1961-1990 as baseline climate. They found that climate change was projected to have substantial adverse impacts on future mortality, even

under optimistic scenarios of future economic growth (World Health Organization, 2014). Part of the assessment studied the heat-related mortality under emission scenario A1b, focusing on the population

above 65 years old. The results can be seen in Table 1.

Table 1. Climate change-attributable heat-related additional deaths for population aged +65 years

Climate change-attributable heat-

related excess number

of deaths for people aged 65 years.

Total for: Albania, Bosnia and

Herzegovina, Bulgaria,

Croatia, Czech Republic,

Hungary, Montenegro,

Poland, Romania, Serbia,

Slovakia, Slovenia, and

Macadonia

Total for: Belarus, Estonia,

Latvia, Lithuania, Moldova,

Russia, and Ukraine

Total for the rest of the

European countries

Assumption on adaptation

2030 2050 2030 2050 2030 2050

No adaptation 2,279 4,373 4,988 8,745 6,261 14,148

All numbers are ensemble means, under A1b scenario emissions and base case socioeconomic scenario (World Health Organization,

2014). The assessment uses the distribution of daily temperature and does not account for extreme heatwave events. Heat-related

deaths were estimated under the following assumptions, that optimum temperature (=OT) was 83.8 percentile value of Tmax, the

number of deaths at OT = daily mean number of deaths * 0.9. The model assumes no emigration/immigration. Shared

Socioeconomic Pathway 2 (SSP2), which assumes continued socioeconomic growth, was used as the reference pathways:

http://www.who.int/globalchange/resources/reference-document.pdf

5 The health impacts of climate change assessed were heat-related mortality (rising average temperature, not heat waves), coastal flood mortality (sea level rise, not extreme precipitation), diarrheal disease, malaria, dengue, and undernutrition.

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2.3.2.2 Health vulnerability indicator: Overweight in population, 2030

Data on overweight (defined here as BMI ≥ 25kg/m2) was retrieved from the OECD database using sources from both the Eurostat EHIS Surveys and national statistics (OECD, 2018a). The forecasts are calculated as a linear growth based on self-reported data from 1990 (or nearest) to 2016 (or nearest), except the United

Kingdom and Luxembourg, which are based on measured data. If data was missing from the OECD database (OECD, 2018b,c), data was retrieved from Eurostat (Eurostat, 2018b) (for Bulgaria, Croatia, Cyprus,

Lithuania, Malta, Romania, Iceland, Norway and Turkey). The Eurostat data are based on the EHIS Survey for 2014 (Eurostat, 2018c). The results are shown in Figure 11 below.

Figure 11. Percentage of population being overweight (BMI>25kg/m2) in 2016, projected 2030 and the growth between the periods (based on data from OECD (2018b;c) and Eurostat (2018d). Shaded areas

indicate missing data.

In general, we find that the overweight levels are projected to increase resulting in that all countries have a

proportion of overweight persons at or above 50%. Especially United Kingdoms, Ireland, Luxembourg, Finland, Slovakia, Poland, Czech Republic and Latvia are projected to have high proportions of overweight

persons in the population, exceeding 60% of their total populations. However, Hungary, Estonia, Spain and France could be more vulnerable with proportions of overweight persons in the population between 57-

60%. The other countries are closely following.

With a focus on the two indicators of the vulnerability of the health sector to heat waves, age above 65

years and overweight, we get an overview of which countries are facing challenges with both overweight and high shares of persons +65 years old. We find that especially the Eastern European, Baltic and Iberian countries are facing both high proportions of elderly persons in their populations and high proportions of

overweight persons.

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2.3.3 Climate services

The health sector relies heavily on timely and accurate climate information on local to regional scales to support informed decision-making aimed at reducing the exposure of vulnerable population groups,

including the elderly (people age 65+ years). Collaboration between the health sector and climate services is therefore critical. Various types of climate information are relevant for health decision-making in relation

to different application areas, including climate change scenarios and the modelling of long-term health infrastructure investments and short-term (daily or weekly) weather forecasts for early-warning systems

and short-term risk announcements. For example, following the 2003 heatwave, 18 European countries established heat–health action plans (WHO Regional Office for Europe, 2015). The action plans identified

weather situations that adversely affect human health, addressed the monitoring of meteorological forecasts, mechanisms to disseminate warnings, and public health activities to reduce or prevent heat-

related illness and death (WHO Regional Office for Europe, 2015).

Incorporating climate information in health-watch systems will assist in reducing mortality rates during

heat waves and enable efficient use of resources through the provision of a solid knowledge base targeting populations in high-risk areas. The development of climate services to reduce the impact of heat waves in

Europe will therefore benefit from being targeted towards the most vulnerable regions. Early-warning systems are most effective in combination with a health-specific response plan or a decision-making process integrating early-warnings (WHO Regional Office for Europe, 2015).

Climate information is currently used in early warning systems for several densely populated urban areas globally to prevent increases in morbidity and mortality rates during longer periods with high summer

temperatures (Ebi et al., 2004; 2016). Different types of weather early-warning systems are in place throughout the WHO European Region, addressing heatwaves, flooding, cold waves, fires and droughts,

mostly provided by meteorological services (WHO Regional Office for Europe, 2015). Including climate information in early-warning systems can reduce increases in mortality rates considerably during heat

waves (Ebi et al., 2004). For Philadelphia (US), Ebi et al. (2004) estimated that the inclusion of six weather indicators (i.e. tailored climate services) as a central element in the Philadelphia Hot Weather-Health

Watch/Warning System contributed considerably to saving 117 lives over a period of years. In addition, it was concluded that the cost of running the warning system was marginal compared to the economic

benefits of the reduced number of fatalities (Ebi et al., 2004).

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2.4 Cities

The resilience of cities are important for both of the above sectors health and tourism, due to a high concentration of economic activity and population densities. The extent of urban land cover has

dramatically increased through time, as have concentrations of assets and economic activities in cities worldwide (Angel et al., 2011; Field et al., 2012). As urban areas are increasing in size the resilience and

thus climate services will play a larger role. Some of the key factors that affect the risks to urban areas include climate change, which are leading to increases in the frequency and intensity of extreme precipitation events, in combination with the general population growth in urban areas during the late 20th

and early 21st centuries (Kaspersen et al., 2017). In this section we will analyse, how exposed and vulnerable European cities are toward climate change impacts by assessing population growth in urban

areas.

Due to the high percentage of impermeable surface and the urban heat island effect, cities are especially

vulnerable towards increase in the intensity and frequency in extreme precipitation and the increase in temperatures. The trend in increasing temperatures across Europe was shown in Figure 6. Figure 13, below,

present the found results on projections for the maximum hourly precipitation intensities (Precipitation Intensity Max). This indicator represents the average of all annual maximum hourly precipitation intensities

within a 30-year period (SWICCA, 2018c). For the reference period, 1971-2000, absolute values are provided (as mm/day – hourly time resolution up-scaled to daily resolution) and the future periods are

given as relative change in percentage (%). The data are derived from daily series, but represent statistics over a longer period, and does therefore not have a temporal resolution. For the precipitation-indicator, we

have used data from the climate-model ensemble for the Representative Concentration Pathway (RPC) 4.5 and 8.5, Global Circulation Models (GCM) CNRM-C5, HadGEM2-ES, MPI-ESM-LR and IPSL-CM5A-MR, and the Regional Climate Model (RCM) RCA4.

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Figure 12. Percentage relative change in precipitation intensity max in 2050 as compared to the reference period 1971-2000. 99th percentile of all daily data, RCP 4.5 (left) and RCP 8.5 (right). Based

on data from SWICCA (2018a).

The data shows how there in general can be an expected increase in the maximum precipitation intensity in

2050 as compared to the period 1971-2000 for most of Europe (4%-16%). Especially the Northern part of Europe is projected to have an increase of 12% to more than 16% in the precipitation intensity max in both

scenario RCP4.5 and RCP8.5. In the high-end scenario RCP 8.5, countries in Central Europe and the Baltic Countries are projected to experience a similar increase in precipitation intensity max. However, in the most southern parts of Europe, Southern Spain, Portugal, and Greece, the precipitation intensity max is

projected to decrease by up to more than 4% (Figure 13).

2.4.1 Exposure: Urban population is projected to grow in the future

The exposure of cities to climate change impacts such as heavy precipitation and heat waves is amongst

other dependent on the population density. Figure 14 shows population projections based on data from SWICCA’s population scenarios. SWICCA’s population scenarios are based on a) EuroStat’s EUROPOP 2013

based trend and convergence scenarios and b) Wittgenstein Centre’s five Shared Socio-economic Pathways (SSPs) (SWICCA, 2018d). The EUROPOP 2013 scenario was originally modelled for NUTS 3 regions, while the

SSP scenarios were modelled for NUTS 0. Both types of scenarios were disaggregated to 10 km grid cells on the basis of the 2011 GEOSTAT 1 km population density grid (SWICCA, 2018d).

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Figure 13. Total population in 2015 (a), annual total growth in population 2015-2050 (b) and the annual percentage growth 2015-2050 (c) on 10 km grid cells (based on data from SWICCA, 2018d).

Figure 14 shows how high population densities are concentrated in and around the large European cities in 2015. It furthermore shows the trend of people moving from the rural areas to the large cities, amplifying

the high density of the cities. Around many main cities in Europe, an annual growth of 0.5% to above 1% percentage growth is seen in the period 2015-2050. This trend is leading to larger proportions residing in the urban areas, as is seen in Figure 15. Figure 15 is based on data from the 2018 Revision of World

Urbanization Prospects (United Nations, 2018).

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Figure 14. Percentage of population residing in urban areas in 2015 and by 2050 (United Nations, 2018).

Figure 15 shows that by 2050, 79.4% of Europe’s population is projected to be urban. This is a growth of 5.4

%-point from today (United Nations, 2018). The growth is both driven by an overall increase in population, but also a shift in the share of people living in rural areas to urban areas (United Nations, 2018). In the top,

we see smaller nations such as Belgium, Malta, the Netherlands, Iceland, Luxembourg and Denmark with more than 90 % of their populations being projected to be urban by 2050.

Thus, the European cities are projected to grow in size and population density, and the percentage of the European population residing in urban areas will increase by up to 5.4%-point from today. As a result,

urban areas are expected to become even more exposed and vulnerable to flooding and heat waves in the future. A key feature of most cities is the high proportion of impervious surfaces (IS) in the form of roads,

buildings, parking lots and other paved areas. The proportion and location of ISs have consequences for the impact of both flooding and heat waves. Changes in the quantity and location of ISs have important

implications for the hydrological responses of catchments, since ISs generally reduces infiltration capacity, surface storage capacity and evapotranspiration among others (Butler, 2011; Hall et al., 2014). Regarding

heat waves, a high share of IS contributes to the urban heat-island effect, which causes urban areas to be warmer than the surrounding rural areas (Kaspersen et al., 2017). In short, ISs alters the surface energy budget by decreasing the albedo and latent heat flux (evaporation), while at the same time increasing the

sensible heat flux (warming of air). This combination causes an increase in temperatures near the surface (Kaspersen et al., 2017). Accordingly, the urban heat-island effect may have catastrophic consequences in

relation to heat waves (Kaspersen et al., 2017). Impervious surfaces are therefore a key indicator of urban vulnerability. In MARCO D.4.1 (Kaspersen et al., 2017) it was found how regions characterized by high

degrees of imperviousness are located in areas with major European cities. With the projected increase in population size and urban areas, the amount of impervious surfaces can be expected to grow, thus

increasing vulnerability. Careful urban planning and adaptation solutions are therefore important aspects of the future growth in urban development.

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3 Conclusion

The report presented the findings of the MARCO project Task 6.1 Vulnerability assessment in a forecasting

perspective. The vulnerability was assessed for three European sectors: tourism, health, and cities, at NUTS 1 and NUTS 2 level. With climate changes and increased impacts from extreme events such as heat waves

and flooding, all three sectors were found to have increased vulnerabilities without adaptation. Regional differences in the vulnerability was found, especially in the tourism sector. Most tourism activities (e.g.

sightseeing, beach vacation, etc.) are very dependent on weather factors. Expected increasing temperatures towards 2030 might therefore challenge present popular tourist destinations. The higher

temperatures in the summer months might lead to a shift in the where tourists consider it being comfortable to spend their holidays. The popular tourist destinations in the southern regions of Europe

might get warmer and more humid posing a risk to the tourism sector. This could threaten economic activities linked to tourism in these areas. On the other hand, this brings opportunities to other regions of Europe, where warmer temperatures can attract the tourists normally seeking the warmth of the south. In

addition to summer tourism, winter sports tourism is highly vulnerable to climate change. Increased temperatures hinders both natural and technical snowmaking, shifting tourist to other destinations with

more reliable snowmaking. Whether the sector in different regions is facing risks or opportunities, the tourism sector has to adapt to the changing conditions. The demand for accurate and detailed climate

services are therefore expected to increase in order for the tourism industry to adapt, minimise risk and take advantage of new opportunities posed by climate change.

European health will also be challenged by climate change and especially certain population groups will be vulnerable to heat waves. Especially people who are above 65 years old, have a chronical disease or

obesity, or have decreased mobility are in high risk during heat waves. In our analysis, we found that in general all European countries are facing an increased proportion of the elderly population and an

increased share of people with overweight or obesity. However, we found that especially the Eastern European, Baltic and Iberian countries are facing both high proportions of elderly persons in their

populations and high proportions of overweight persons - a combination that indicates high vulnerability to health in the population of these regions. The health sector relies heavily on timely and accurate climate service on local to regional scales to support informed decision-making aimed at reducing the exposure of

vulnerable population groups. Various types of climate services are relevant for health decision-making in relation to different application areas, including climate change scenarios and the modelling of long-term

health infrastructure investments and short-term (daily or weekly) weather forecasts for early warning systems and short-term risk announcements. Incorporating climate services for early warning systems (heat

warning systems) could prevent increases in morbidity and mortality rates during longer periods with high summer temperatures.

Urban areas are projected to increase in size, population density and economic activity. This is the general pattern for all of Europe. Since large proportion of the European population and economic activity are

projected to be with cities, the resilience of cities are highly important to decrease risk of climate change.

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Both increasing temperatures and extreme events, such as heat waves and heavy precipitation are

threatening the livelihood of urban populations. Climate services are needed for intelligently planned urban development and adaptation taking into account to reduce flood risk and the urban heat island effect.

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