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Michigan Building Resilience Against Climate Health Effect s

Michigan Building Resilience Against Climate Health Effect s. Lorri Cameron, MPH, PhD Michigan Climate & Health Program (MICHAP) Division of Environmental Health, MDCH Daniel Brown, MS Great Lakes Sciences + Assessment Center (GLISA) Michigan Premier Public Health Conference

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Michigan Building Resilience Against Climate Health Effect s

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  1. Michigan Building Resilience AgainstClimate Health Effects Lorri Cameron, MPH, PhD Michigan Climate & Health Program (MICHAP) Division of Environmental Health, MDCH Daniel Brown, MS Great Lakes Sciences + Assessment Center (GLISA) Michigan Premier Public Health Conference October 22, 2014

  2. The Michigan Climate & HealthAdaptation ProgramMICHAP Federal/ State /Local Partnership Integrating Climate Adaptation into Public Health Practice Promote Adaptation Strategies to Protect Public Health

  3. http://www.cdc.gov/climateandhealth/default.htm

  4. MICHAP Activities • 2010 Strategic Plan & priorities • Key indicators surveillance • Tools, resources, interventions • Professional training, public education • Partnerships: • Incorporating health into planning • Emergency preparedness

  5. Priority Climate-Related Health Impacts • Heat Illness • CO poisoning due to power outage* • Respiratory conditions • Water – borne diseases • Vector – borne diseases

  6. Surveillance: CO Poisoning related ED visits, MI Disease Surveillance System 10/1/13-12/31/13 2013 Ice Storm Data analysis by Fatema Mamou, Region 6 Epidemiologist

  7. Tool example: For copies, e-mail: beggsj@michigan.gov

  8. CDC’s BRACE Framework BuildingResilience AgainstClimate Effects

  9. MI BRACE Activities • Michigan Climate and Health Profile(CHPR)- Summary of historic & forecast climate patterns; distribution of key health outcomes Vulnerability assessment • Burden of Disease Projection - Estimates of climate-related health effects based on climate forecasts; for planning at the state and regional level 3. Intervention Assessment - Test & evaluate strategies at state, regional & community level 4,5. Revise activities, inc. Strategic plan

  10. CHPR Approach

  11. CHPR Prediction

  12. Who is affected by Climate Change? Everyone is impacted; however, some more likely to be harmed than others. • The most vulnerable people are: • Elderly, especially those living alone • Young children • Persons with pre-existing conditions • Persons taking certain medications • Socially isolated • Low income • Outdoor workers

  13. Vulnerability Assessment Process • Identify characteristics indicating climate vulnerabilities • Biophysical Exposure • Sensitivity • Map vulnerability distribution • Collaborate, integrate with existing regional initiatives • Use to support resiliency/adaptation

  14. What is Vulnerability? • Basically: Exposure X Sensitivity

  15. Biophysical Exposure influences risk of disease/injury Geographic Urban/Rural Topography/Flood Plain Historic Storm Risks/Projections Ecological Risk Factors (eg tick habitat) Infrastructural Sewage Systems Green Space Housing Private Wells

  16. Biophysical Exposure Maps

  17. Sensitivity influences disease susceptibility Sociodemographic age, race, ethnicity social isolation transportation access income Medical conditions heart or lung disease obesity cognitive impairment medications

  18. Maps of Population Sensitivity

  19. Collaborative Vulnerability Initiatives University of Michigan Taubman College of Architecture and Urban Planning & Detroit Climate Action Collaborative (DCAC) Heat Flooding Detroit Climate Action Planning Framework

  20. Collaborative Vulnerability Initiatives Land Information Access Association (LIAA) Flooding Resilient Communities Program Heat

  21. Collaborative Vulnerability Initiatives University of Michigan Great Lakes Adaptation Assessment for Cities & Headwaters Economics Socioeconomics and Climate Change in the Great Lakes Region

  22. Public Health Strategies toPromote Resilience • Monitoring conditions, informing the public • Warnings: Extreme heat events, Air Quality Index • Vectorborne disease risk maps (tick & mosquito counts) • Identify, map & target vulnerable groups • Community & infrastructure planning • Rain gardens, sewer & septic upgrades reduce run-off & mosquitoes • Green space to reduce heat stress in urban areas • Modify public areas to reduce tick/human contact • Health Impact Assessment (HIA) • Emergency Preparedness • Plans for severe storms, extreme heat, power outage • Toolkits for HABs, Floods & cleanup, others

  23. What do YOU need to build resilience? • Local surveillance data: • Tick counts, ED visits, AQI alerts? • Local climate risk, vulnerability info? • Regional ‘climate profile’ • Vulnerability maps, fact sheets • Grab & go Emergency Response ‘Toolkits? • Topics? • Connection to community resources? • Municipal planners, nonprofit groups

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