Transcript Toronto

Climate Change and Public Health
Concerns in North America
Kristie L. Ebi, Ph.D., MPH
North America 2030: An Environmental
Outlook
25 June 2008
Pathways by Which Climate
Change May Affect Human Health
IPCC 2007
Health Impacts Depend on Multiple
Factors
 Geographic factors:
 Baseline climate
 Abundance of natural resources (i.e. soil, fresh water supplies)
 Elevation
 Biological sensitivity:
 Developmental stage
 Pre-existing medical conditions and/or acquired factors (i.e.
immunity)
 Genetic factors
 Socioeconomic factors:
 May increase likelihood of exposure to harmful agents/high risk
residences
 Associated with underlying diseases that mediate risk
 Affect ability to adapt or respond
Direction and Magnitude of Climate
Change Health Impacts
IPCC 2007
McGheehin
Extreme Weather
Projected Ozone-Related Deaths,
NY Metro Area, 2050s vs 1990s
Kinney et al. 2006
Distribution of Lyme Disease, 19912000 and 2020
Tick abundance at model equilibrium
Ogden et al. Int. J. Parasitol. 2005,
Temperature and Enteric Disease
T emp Alberta Salmonella
T emp Alberta Campylobacter
T emp Alberta E. coli
0.4
1.0
0.6
0.6
0.5
0.2
0.4
0.0
0.0
0.2
- 0.5
20
mean la g1
T emp Nfld-Lab Salmonella
- 30
- 20
- 10
0
10
20
mean la g1
T emp Nfld-Lab Campylobacter
- 1.5
10
lo ( me anlag1 , sp an = 0 .3)
0
- 0.8
- 10
lo ( me anlag1 , sp an = 0 .3)
- 0.2
- 20
- 0.4
0.0
lo ( me anlag1 , sp an = 0 .3)
- 30
- 30
- 20
- 10
0
10
20
mean la g1
2
3
RR of Salmonella increased by 1.2% per degree above - 10˚C
2
1
RR of Campylobacter increased by 2.2% (4.5% in Newfoundland)
per degree above - 10˚C
1
0
0
-1
-1
RR of E. coli increased by 6.0% per degree above - 10˚C
-2
lo ( me anlag1
-2
lo ( me anlag1
Fleury et al. 2006
EDF/George Mason/NACCHO
Survey of Public Health Directors
Department Has Expertise to Assess Health Risks?
Priority Issues to Address
 Increase resilience of public health systems
 Uniform data indicators and data systems
 Decision support tools for climate change and
health
 Explicitly incorporate climate change into
transboundary cooperation for:
• Air toxics
• Vectorborne diseases
 Health impact assessments of mitigation and
adaptation programs and activities across all
sectors
Thank-you
[email protected]