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Explore how global climate change affects human health, including direct and indirect impacts, with a focus on adaptation strategies. Learn about the interconnected factors influencing vulnerability and the importance of public health and cross-sectoral measures in mitigating risks.
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Impacts of global climate change on human health Simon Hales Wellington School ofMedicine, Wellington, New Zealand
Readings • Many high quality reports and journal articles are available online • Some resources for researchers are also available, including climate data and scenarios
Overview • What is climate change? • What are the relevant health issues? • What factors affect vulnerability? • What options are available for adaptation?
Global climate change • Destabilization of the Earth’s climate due to altered composition of the atmosphere (increased concentrations of “greenhouse” gases such as CO2) • Greenhouse gases trap solar radiation leading to global warming
Likely effects of climate change • a rise in sea level of about 50cm by 2100 • A progressive increase in temperatures; an increased occurrence of very hot days, and a decrease in very cold days • an intensification of the global hydrological cycle, with altered global patterns of floods and droughts
Main types of potential health impact of global climate change • direct effects (relatively easy to assess) • indirect effects (more difficult to assess, but expected to predominate)
Direct effects • sea-level rise, with population displacement and damage to infrastructure • altered frequency of extreme events (deaths, injuries, psychological disorders) • exposure to thermal extremes (altered rates of heat and cold-related illness and death)
Indirect effects • altered local ecology of water-borne and food-borne infective agents • altered food production due to changes in climate, weather events, and associated diseases • effects on the range and activity of vectors and infective parasites
social, economic and demographic dislocations due to adverse climate change impacts on economy, infrastructure, and resources
IPCC’s conclusion • “climate change is likely to have wide-ranging and mostly adverse impacts on human health, with significant loss of life” (IPCC, 1996)
Some complexities... • Interdependence of climate change with other global issues • Complex mechanisms and feedbacks at local, regional and global scales
Some key implications • Human health is an “integrating” outcome of climate impacts • Impacts will be strongly dependent on non-climate factors (upon local and regional context or “vulnerability”) • Impacts might be greatly lessened by effective adaptations which reduce vulnerability
Determinants of vulnerability • Poverty and inequality • Resources: technical, economic, community,natural resources • Population trends: growth, urbanisation, migration
“Cross-sectoral” measures Public policies to reduce vulnerability, including promotion of social equity within and between countries; rescheduling or cancellation of foreign debt; alteration of trade rules
“Public health” measures Improved surveillance of disease incidence and vector populations; vector control measures; epidemic warnings; possibly quarantine measures; improved public health infrastructure
“Inter-sectoral” adaptation measures (outside the health sector): early warning systems; planning of human settlements; disaster preparedness programmes; civil engineering planning; safe water supplies; waste management; sanitation
Summary • Many “no regrets” measures are possible • These would address current health problems in the short term • In the long term, successful adaptation to climate change requires ecologically sustainable development