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Climate Adaptation and Public Health  

Sarah E. Scales, Julia Massi, and Jennifer A. Horney

Climate change is affecting every region of the world and is accelerating at an alarming rate. International efforts for mitigating climate change, like the Paris Agreement, through reductions in greenhouse gases are vital for slowing the global increase in temperatures. However, these mitigation measures will not have immediate impact, so urgent action is needed to address negative impacts currently posed by climate change. Adaptation measures are central to this response now, and will continue to be critical for protecting human health as temperatures rise and climate-related disasters increase in both frequency and severity. To maximize the effectiveness of adaptation measures, the health impacts of disasters should be well-characterized at the global, regional, national, and local levels. Surveillance and early warning systems are vital tools for early identification and warning of hazards and their potential impacts. Increasing global capacity to identify causes of morbidity and mortality directly and indirectly attributable to disasters are in line with the objectives of the Sustainable Development Goals and Bangkok Principles of the Sendai Framework for Disaster Risk Reduction. Both improving data collected in disaster settings and more effectively using that information in real time are central to reducing the human-health impacts of disasters. The human-health impacts of climate change and associated disasters are interrelated. Climate change and commensurate changes in environmental suitability, vector viability, and human migration strongly influence the prevalence and seasonality of infectious and communicable diseases. Both drought and flood contribute to food and water insecurity, leading to a higher prevalence of undernourishment and malnourishment, especially in children. Compromised nutritional status, in conjunction with resulting human migration, leave individuals immunocompromised and populations at a high risk for spread of infectious disease. Extreme heat exposure likewise compromises individuals’ ability to regulate their physiological response to external stressors. Disasters of all classifications can result in exposure to environmental hazards, decrease air quality, and negatively affect mental health. Accordingly, health adaptation measures to climate change must be equally interrelated, addressing needs across disciplines, at both individual and community levels, and incorporating the many facets of the health needs of affected populations.

Article

The Emergence of Environment as a Security Imperative  

Felix Dodds

The emergence of environment as a security imperative is something that could have been avoided. Early indications showed that if governments did not pay attention to critical environmental issues, these would move up the security agenda. As far back as the Club of Rome 1972 report, Limits to Growth, variables highlighted for policy makers included world population, industrialization, pollution, food production, and resource depletion, all of which impact how we live on this planet. The term environmental security didn’t come into general use until the 2000s. It had its first substantive framing in 1977, with the Lester Brown Worldwatch Paper 14, “Redefining Security.” Brown argued that the traditional view of national security was based on the “assumption that the principal threat to security comes from other nations.” He went on to argue that future security “may now arise less from the relationship of nation to nation and more from the relationship between man to nature.” Of the major documents to come out of the Earth Summit in 1992, the Rio Declaration on Environment and Development is probably the first time governments have tried to frame environmental security. Principle 2 says: “States have, in accordance with the Charter of the United Nations and the principles of international law, the sovereign right to exploit their own resources pursuant to their own environmental and developmental policies, and the responsibility to ensure that activities within their jurisdiction or control do not cause damage to the environment of other States or of areas beyond the limits of national.” In 1994, the UN Development Program defined Human Security into distinct categories, including: • Economic security (assured and adequate basic incomes). • Food security (physical and affordable access to food). • Health security. • Environmental security (access to safe water, clean air and non-degraded land). By the time of the World Summit on Sustainable Development, in 2002, water had begun to be identified as a security issue, first at the Rio+5 conference, and as a food security issue at the 1996 FAO Summit. In 2003, UN Secretary General Kofi Annan set up a High-Level Panel on “Threats, Challenges, and Change,” to help the UN prevent and remove threats to peace. It started to lay down new concepts on collective security, identifying six clusters for member states to consider. These included economic and social threats, such as poverty, infectious disease, and environmental degradation. By 2007, health was being recognized as a part of the environmental security discourse, with World Health Day celebrating “International Health Security (IHS).” In particular, it looked at emerging diseases, economic stability, international crises, humanitarian emergencies, and chemical, radioactive, and biological terror threats. Environmental and climate changes have a growing impact on health. The 2007 Fourth Assessment Report (AR4) of the UN Intergovernmental Panel on Climate Change (IPCC) identified climate security as a key challenge for the 21st century. This was followed up in 2009 by the UCL-Lancet Commission on Managing the Health Effects of Climate Change—linking health and climate change. In the run-up to Rio+20 and the launch of the Sustainable Development Goals, the issue of the climate-food-water-energy nexus, or rather, inter-linkages, between these issues was highlighted. The dialogue on environmental security has moved from a fringe discussion to being central to our political discourse—this is because of the lack of implementation of previous international agreements.

Article

Deforestation: Drivers, Implications, and Policy Responses  

Christiane W. Runyan and Jeff Stehm

Over the last 8,000 years, cumulative forest loss amounted to approximately 2.2 billion hectares, reducing forest cover from about 47% of Earth’s land surface to roughly 30% in 2015. These losses mostly occurred in tropical forests (58%), followed by boreal (27%) and temperate forests (8%). The rate of loss has slowed from 7.3 Mha/year between 1990–2000 to 3.3 Mha/year between 2010–2015. Globally since the 1980s, the net loss in the tropics has been outweighed by a net gain in the subtropical, temperate, and boreal climate zones. Deforestation is driven by a number of complex direct and indirect factors. Agricultural expansion (both commercial and subsistence) is the primary driver, followed by mining, infrastructure extension, and urban expansion. In turn, population and economic growth drive the demand for agricultural, mining, and timber products as well as supporting infrastructure. Population growth and changing consumer preferences, for instance, will increase global food demand 50% by 2050, possibly requiring a net increase of approximately 70 million ha of arable land under cultivation. This increase is unlikely to be offset entirely by agricultural intensification due to limits on yield increases and land quality. Deforestation is also affected by other factors such as land tenure uncertainties, poor governance, low capacity of public forestry agencies, and inadequate planning and monitoring. Forest loss has a number of environmental, economic, and social implications. Forests provide an expansive range of environmental benefits across local, regional, and global scales, including: hydrological benefits (e.g., regulating water supply and river discharge), climate benefits (e.g., precipitation recycling, regulating local and global temperature, and carbon sequestration), biogeochemical benefits (e.g., enhancing nutrient availability and reducing nutrient losses), biodiversity benefits, and the support of ecosystem stability and resiliency. The long-term loss of forest resources also negatively affects societies and economies. The forest sector in 2011 contributed roughly 0.9% of global GDP or USD 600 billion. About 850 million people globally live in forest ecosystems, with an estimated 350 million people entirely dependent on forest ecosystems for their livelihoods. Understanding how to best manage remaining forest resources in order to preserve their unique qualities will be a challenge that requires an integrated set of policy responses. Developing and implementing effective policies will require a better understanding of the socio-ecological dynamics of forests, a more accurate and timely ability to measure and monitor forest resources, sound methodologies to assess the effectiveness of policies, and more efficacious methodologies for valuing trade-offs between competing objectives.

Article

Pollen, Allergens, and Human Health  

Rachel N. McInnes

Allergenic pollen is produced by the flowers of a number of trees, grasses, and weeds found throughout the world. Human exposure to such pollen grains can exacerbate pollen-related asthma and allergenic conditions such as allergic rhinitis (hay fever). While allergenic pollen comes from three main groups of plants—certain trees, grasses, and weeds—many people are sensitive to pollen from one or a few taxa only. Weather, climate, and environmental conditions have a significant impact on the levels and varieties of pollen grains present in the air. These allergenic conditions significantly reduce the quality of life of affected individuals and have been shown to have a major economic impact. Pollen production depends on both the current meteorological conditions (including day length, temperature, irradiation, precipitation, and wind speed/direction), and the water availability and other environmental and meteorological conditions experienced in the previous year. The climate affects the types of vegetation and taxa that can grow in a particular location through availability of different habitats. Land-use or land management is also crucial, and so this field of study has implications for vegetation management practices and policy. Given the influential effects of weather and climate on pollen, and the significant health impacts globally, the total effect of any future environmental and climatic changes on aeroallergen production and spread will be significant. The overall impact of climate change on pollen production and spread remains highly uncertain, and there is a need for further understanding of pollen-related health impact information. There are a number of ways air quality interacts with the impact of pollen. Further understanding of the risks of co-exposure to both pollen and air pollutants is needed to better inform public health policy. Furthermore, thunderstorms have been linked to asthma epidemics, especially during the grass pollen seasons. It is thought that allergenic pollen plays a role in this “thunderstorm asthma.” To reduce the exposure to, or impact from, pollen grains in the air, a number of adaptation and mitigation options may be adopted. Many of these would need to be done either through policy changes, or at a local or regional level, although some can be done by individuals to minimize their exposure to pollen they are sensitive to. Improved aeroallergen forecast models could be developed to provide detailed taxon-specific, localized information to the public. One challenge will be combining the many different sources of aeroallergen data that are likely to become available in future into numerical forecast systems. Examples of these potential inputs are automated observations of aeroallergens, real-time phenological observations and remote sensing of vegetation, social sensing, DNA analysis of specific aeroallergens, and data from symptom trackers or personal monitors. All of these have the potential to improve the forecasts and information available to the public.

Article

Ecosystem Services and Human Health  

Elisabet Lindgren and Thomas Elmqvist

Ecosystem services refer to benefits for human societies and well-being obtained from ecosystems. Research on health effects of ecosystem services have until recently mostly focused on beneficial effects on physical and mental health from spending time in nature or having access to urban green space. However, nearly all of the different ecosystem services may have impacts on health, either directly or indirectly. Ecosystem services can be divided into provisioning services that provide food and water; regulating services that provide, for example, clean air, moderate extreme events, and regulate the local climate; supporting services that help maintain biodiversity and infectious disease control; and cultural services. With a rapidly growing global population, the demand for food and water will increase. Knowledge about ecosystems will provide opportunities for sustainable agriculture production in both terrestrial and marine environments. Diarrheal diseases and associated childhood deaths are strongly linked to poor water quality, sanitation, and hygiene. Even though improvements are being made, nearly 750 million people still lack access to reliable water sources. Ecosystems such as forests, wetlands, and lakes capture, filter, and store water used for drinking, irrigation, and other human purposes. Wetlands also store and treat solid waste and wastewater, and such ecosystem services could become of increasing use for sustainable development. Ecosystems contribute to local climate regulation and are of importance for climate change mitigation and adaptation. Coastal ecosystems, such as mangrove and coral reefs, act as natural barriers against storm surges and flooding. Flooding is associated with increased risk of deaths, epidemic outbreaks, and negative health impacts from destroyed infrastructure. Vegetation reduces the risk of flooding, also in cities, by increasing permeability and reducing surface runoff following precipitation events. The urban heat island effect will increase city-center temperatures during heatwaves. The elderly, people with chronic cardiovascular and respiratory diseases, and outdoor workers in cities where temperatures soar during heatwaves are in particular vulnerable to heat. Vegetation and especially trees help in different ways to reduce temperatures by shading and evapotranspiration. Air pollution increases the mortality and morbidity risks during heatwaves. Vegetation has been shown also to contribute to improved air quality by, depending on plant species, filtering out gases and airborne particulates. Greenery also has a noise-reducing effect, thereby decreasing noise-related illnesses and annoyances. Biological control uses the knowledge of ecosystems and biodiversity to help control human and animal diseases. Natural surroundings and urban parks and gardens have direct beneficial effects on people’s physical and mental health and well-being. Increased physical activities have well-known health benefits. Spending time in natural environments has also been linked to aesthetic benefits, life enrichments, social cohesion, and spiritual experience. Even living close to or with a view of nature has been shown to reduce stress and increase a sense of well-being.