An Approach for Assessing Human Health Vulnerability and Public Health Interventions to Adapt to Climate Change

Ebi, Kristie L.; Kovats, RS; Menne, Bettina

doi:10.1289/ehp.8430

Cited by 225 publications

(171 citation statements)

References 12 publications

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“…[35][36][37] Drought conditions in the Southwest and Southeast create different challenges than in areas where annual rainfall is increasing. The effects of the "urban heat island" create different challenges than those faced in rural areas, where dependence on well water may cause residents to be vulnerable to ground water contamination in conditions of flood or ubiquitous rain.…”

Section: Regional Variationmentioning

confidence: 99%

5. The physicians’ response to climate change

Sarfaty

Abouzaid

2015

Handbook of Public Health in Natural Disasters

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Section: Regional Variationmentioning

confidence: 99%

5. The physicians’ response to climate change

Sarfaty

Abouzaid

2015

Handbook of Public Health in Natural Disasters

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“…KEYWORDS: Cardiovascular disease, elderly, influenza, mortality, respiratory disease, temperature I nterest in heat effects on mortality increased dramatically in Europe after the severe heatwave in 2003, and it has been further intensified by the growing interest in climate change and adaptation [1][2][3][4]. Longitudinal studies assessing the risks of high ambient temperature on population-level mortality traditionally incorporate time-series analysis or heat-episode analysis.…”

mentioning

confidence: 99%

Winter mortality modifies the heat-mortality association the following summer

Rocklöv¹,

Forsberg²,

Meister³

2008

Eur Respir J

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The present study aimed to investigate how the heat-related increase in deaths in summer and the extent of mortality displacement depend on influenza and other categories of mortality in the previous winter, which when low leaves a greater pool of susceptible individuals.Mortality data from Stockholm, Sweden, from 1990-2002 were stratified into a summer period and a winter period. A Poisson regression model was established for the daily mortality in the summer, with temperature and confounders as explanatory variables. In addition, indicators of total, respiratory, cardiovascular and influenza mortality of the winter period were incorporated as effect modifiers in the summer model, and lagged effects in strata defined by indicators were studied.A high rate of respiratory as well as cardiovascular mortality in winter reduced the heat effect the following summer, and influenza mortality tended to do so as well. The cumulative effect per uC increase was 0.95% below and 0.89% above a threshold (21.3uC) after a winter with low cardiovascular and respiratory mortality, but -0.23% below and 0.21% above the threshold after a winter with high cardiovascular and respiratory mortality.The current study shows that high respiratory, cardiovascular and influenza mortality in winter leads to lower temperature effects in the following summer. It also suggests that persons for whom influenza may be fatal are often also susceptible to heat and this subgroup might, therefore, not benefit as much as expected from influenza vaccinations.

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“…Additionally, partnerships were initiated with state and federal agencies, academic institutions and researchers. General understanding of the potential climate-sensitive disease burden was achieved through descriptions of the historical exposure-response relationships alongside environmental setting and etiological pathway (17,22). By synthesizing climate and disease data, preliminary climate change health effect pathways were identified.…”

Section: Methodsmentioning

confidence: 99%

“…ANTHC provides centralized community health services, village sewer and water construction, and operates a multi-specialty, tertiary care hospital. and have often incompletely considered health impacts (15).…”

Section: Introductionmentioning

confidence: 99%

Climate change health assessment: a novel approach for Alaska Native communities

Brubaker

Bell

Berner

et al. 2011

International Journal of Circumpolar Health

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Objectives. Develop a process for assessing climate change impacts on public health that identifies climate-health vulnerabilities and mechanisms and encourages adaptation. Study design. Multi-stakeholder, participatory, qualitative research. Methods. A Climate Change Health Assessment (CCHA) was developed that involved 4 steps: (1) scoping to describe local conditions and engage stakeholders; (2) surveying to collect descriptive and quantitative data; (3) analysis to evaluate the data; and (4) planning to communicate findings and explore appropriate actions with community members. The health effects related to extreme weather, thinning ice, erosion, flooding, thawing permafrost and changing conditions of water and food resources were considered. Results. The CCHA process was developed and performed in north-west Arctic villages. Refinement of the process took place in Point Hope, a coastal Inupiat village that practices whaling and a variety of other traditional subsistence harvest practices. Local observers identified climate change impacts that resulted in damaged health infrastructure, compromised food and water security and increased risk of injury. Priority health issues included thawing traditional ice cellars, diminished quality of the community water source and increased safety issues related to sea ice change. The CCHA increased awareness about health vulnerability and encouraged informed planning and decision-making. Conclusion. A community-scale assessment process guided by observation-based data can identify climate health impacts, raise awareness and encourage adaptive actions, thereby improving the response capacity of communities vulnerable to climate change.

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An Approach for Assessing Human Health Vulnerability and Public Health Interventions to Adapt to Climate Change

Cited by 225 publications

References 12 publications

5. The physicians’ response to climate change

5. The physicians’ response to climate change

Winter mortality modifies the heat-mortality association the following summer

Climate change health assessment: a novel approach for Alaska Native communities

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