No abstract

Droughts have been recorded all across Canada and have had significant impacts on individuals and communities. With climate change, projections suggest an increasing risk of drought in Canada, particularly in the south and interior. However, there has been little research on the impacts of drought on human health and the implications of a changing climate. A review of the Canadian, U.S. and international literature relevant to the Canadian context was conducted to better define these impacts and adaptations available to protect health. Drought can impact respiratory health, mental health, illnesses related to exposure to toxins, food/water security, rates of injury and infectious diseases (including food-, water- and vector-borne diseases). A range of direct and indirect adaptation (e.g., agricultural adaptation) options exist to cope with drought. Many have already been employed by public health officials, such as communicable disease monitoring and surveillance and public education and outreach. However, gaps exist in our understanding of the impacts of short-term vs. prolonged drought on the health of Canadians, projections of drought and its characteristics at the regional level and the effectiveness of current adaptations. Further research will be critical to inform adaptation planning to reduce future drought-related risks to health.

The amount of information required to adapt to climate change is vast: downscaled climate projections, information on environmental impact, sectoral performance, external drivers, regional strategies, policies and practices. It can be argued that most of this information is accessible at the community/regional level, and thus, the important challenges to adaptation are not information gaps, but constraints created by fragmented planning decisions and a sector-by-sector basis for financial and human resource allocations. To strategically address this through adaptation planning, we developed and tested a place-based decision-making framework that creates an integrated platform for considering regional and global sectoral drivers in Eastern Ontario, Canada. Using available socioeconomic and biophysical information from regional authorities, alternative future scenarios were used to describe the range of socioeconomic futures and their vulnerabilities to climate change. We found that: (1) integration of diverse sets of available data (rather than narrowly focused sectoral assessments) helped identify shared common objectives (maximizing the long-term environmental, economic, social well-being within the region), (2) a high degree of congruence existed as the key drivers of change, irrespective of sector, (3) exploring the future scenarios highlighted shared regional priorities and helped identify adaptation priorities requiring more integrated regional planning.