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Heidi E. Brown, Ph.D., M.P.H. University of Arizona School of Geography and Development College of Public Health CLIMATE CHANGE AND HUMAN HEALTH Climate and Health • Climate-related exposures can be the direct cause of illness or death – such as death from hyperthermia • Climate-related exposures can also be a contributing cause of health problems by exacerbating an already existing medical condition – such as heart disease – or exert indirect effects, as by inducing changes in the ranges of organisms that transmit disease Climate Change & Health in the Southwest • More heat waves and urban warming • Longer and more severe ozone seasons • Increased pollen allergen production w/ earlier season start • Fungus/mold growth due to swings in precip/temp extremes • Risk of water-borne pathogens via flooding and higher water temperatures • Higher rainfall variability moderating rodentborne diseases • Marginal shifts in mosquito vector ranges, but w/ potential population impact Extreme Events Heat Related Deaths – Chicago Maximum Temperature and Heat Index July 11 -23, 1995 http://www.usgcrp.gov/usgcrp/Library/nationalassessment/LargerImages/SectorGraphics/Health/HeatDeaths.jpg Air Quality • Rising temps increase concentrations of ozone and possibly PM2.5 – Longer, more severe ozone season – Breathing problems, airway inflammation http://www.usgcrp.gov/usgcrp/Library/nationalassessment/LargerImages/SectorGraphics/Health/Ozone.jpg Water- & Food-borne Disease • Effects of precipitation & temperature Temperature increases and Salmonella cases # Salmonella cases/month Natural flooding and fecal bacteria (E. Coli) Ave. monthly temp (°C) http://www.niwascience.co.nz/pubs/wa/12-2/images/flood2_large.jpg http://www.who.int/globalchange/climate/en/fig4.2.gif Wildfires Wallow Wildfire, 2011 Credit: Brent Watcher IMET National Weather Service/US Forest Service • Smoke exposure associated with respiratory and eye symptoms, increased ER visits • Loss of property/home, • Increased mudslide risk Conclusions • Natural and human systems are complex • Warmer & more extreme climate shifts will lead to direct health impacts and exacerbate preexisting conditions. • Effects will be mediated by social & ecological factors – Disadvantaged population bear greater burden • New work on co-benefits – Climate change mitigation policies that provide ancillary health benefits