“…The complex interactions of both climate change and disasters with social, environmental and biological factors on individual and systems levels make their health impacts difficult to measure [ 9 , 10 , 15 , 16 ]. The true extent of health impacts of disasters is often underrepresented due to the reliance on mortality rates as indicators of health impacts, complexity of interactions leading to health impacts, and challenges in collecting data during, and in the aftermath of, disaster events [ 9 , 10 , 17 , 18 ]. Similarly, health impacts of climate change are notably difficult to measure due to the time and spatial scales over which health impacts arise, the complex pathways that involve both ecosystems and human systems, numerous stakeholder groups involved in coordinating and collecting data, as well as limited baseline data [ 15 , 16 , 19 , 20 ].…”