This study is the first attempt to investigate mortality seasonality and we
ather-mortality relationships in Hong Kong from 1980 to 1994. Monthly morta
lity data from all causes of death, neoplasm, circulatory and respiratory d
iseases were obtained from the Census and Statistics Department and the wea
ther data were obtained from the Hong Kong Observatory. Regression analyses
and ANOVA were employed. Significant winter peaks in sex specific and tota
l deaths from all causes, circulatory and respiratory diseases were ascerta
ined. Cancer mortality, however, was not seasonal. Mortality seasonality on
ly existed in age groups 45-64 and greater than or equal to 65, For the imp
act of weather on mortality, no significant relationship between weather va
riables and cancer mortality was observed. A significant negative associati
on between minimum temperature and a positive relationship between cloud an
d deaths were found. This suggests that colder and cloudy conditions may he
ighten mortality. Wind was discovered to have a negative association with m
ortality. This finding revealed that the stressful effect of wind on mortal
ity was negligible. There was no apparent sex difference. Deaths from the y
ounger age groups (0-24 yr old) were not weather related. Weak weather conn
ection with mortality for age group 25-44 was discovered, with Adj r(2) val
ues ranging from 0.05 to 0.07. The elderly (age greater than or equal to 65
) were more vulnerable to weather stress and strong weather-mortality relat
ionship was uncovered, with Adj r(2) values from 0.36 to 0.66. These result
s are important information for formulating public health policies. (C) 199
9 Elsevier Science Ltd. All rights reserved.