2003 France Heat Wave.

In France, there were 14,802 heat-related deaths (mostly among the elderly) during the heat wave, according to the French National Institute of Health. France does not commonly have very hot summers, particularly in the northern areas, but seven days with temperatures of more than 40 °C (104 °F) were recorded in Auxerre, Yonne during July and August 2003. Because of the usually relatively mild summers, most people did not know how to react to very high temperatures (for instance, with respect to rehydration), and most single-family homes and residential facilities built in the last 50 years were not equipped with air conditioning. Furthermore, while there were contingency plans for a variety of natural and man-made catastrophes, high temperatures had rarely been considered a major hazard.
The catastrophe occurred in August, a month in which many people, including government ministers and physicians, are on holiday. Many bodies were not claimed for many weeks because relatives were on holiday. A refrigerated warehouse outside Paris was used by undertakers as they did not have enough space in their own facilities. On September 3, 2003, fifty-seven bodies still left unclaimed in the Paris area were buried.
The high number of deaths can be explained by the conjunction of seemingly unrelated events. Most nights in France are cool, even in summer. As a consequence, houses (usually of stone, concrete or brick construction) do not warm too much during the daytime and radiate minimal heat at night, and air conditioning is usually unnecessary. During the heat wave, temperatures remained at record highs even at night, preventing the usual cooling cycle. Elderly persons living by themselves had never faced such extreme heat before and did not know how to react or were too mentally or physically impaired by the heat to make the necessary adaptations themselves. Elderly persons with family support or those residing in nursing homes were more likely to have others who could make the adjustments for them. This led to statistically improbable survival rates with the weakest group having fewer deaths than more physically fit persons; most of the heat victims came from the group of elderly persons not requiring constant medical care or living alone without immediate family.
That shortcomings of the nation's health system could allow such a death toll is a matter of controversy in France. The administration of President Jacques Chirac and Prime Minister Jean-Pierre Raffarin laid the blame on families who had left their elderly behind without caring for them, the 35-hour workweek, which affected the amount of time doctors could work and family practitioners vacationing in August. Many companies traditionally closed in August, so people had no choice about when to vacation. Family doctors were still in the habit of vacationing at the same time. It is not clear that more physicians would have helped as the main limitation was not the health system but locating old people needing assistance.
The opposition, as well as many of the editorials of the local press, have blamed the administration. Many blamed Health Minister Jean-François Mattei for failing to return from his vacation when the heat wave became serious, and his aides for blocking emergency measures in public hospitals (such as the recalling of physicians). A particularly vocal critic was Dr. Patrick Pelloux, head of the union of emergency physicians, who blamed the Raffarin administration for ignoring warnings from health and emergency professionals and trying to minimize the crisis. Mattei lost his ministerial post in a cabinet reshuffle on March 31, 2004.
Not everyone blamed the government. "The French family structure is more dislocated than elsewhere in Europe, and prevailing social attitudes hold that once older people are closed behind their apartment doors or in nursing homes, they are someone else's problem," said Stéphane Mantion, an official with the French Red Cross. "These thousands of elderly victims didn't die from a heat wave as such, but from the isolation and insufficient assistance they lived with day in and out, and which almost any crisis situation could render fatal."