conference: climate change «climate change» friday 21 november 2014 gaia environmental center,...

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CONFERENCE: «Climate Change» FRIDAY 21 NOVEMBER 2014 GAIA Environmental Center, Goulandris Natural History Museum Climate Change: The impact on Health Dr. P. Nicolopoulou-Stamati MD. PhD.

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CONFERENCE:«Climate Change»

FRIDAY 21 NOVEMBER 2014

GAIA Environmental Center, Goulandris Natural History Museum

Climate Change: The impact on Health

Dr. P. Nicolopoulou-Stamati MD. PhD. Scientific Director of MSc "Environment and Health. Capacity building for Decision Making" Medical School of National and Kapodistrian University of Athens

21/11/2014

Climate change affects the social and environmental determinants of health – clean air, safe drinking water, sufficient food and secure shelter.

Between 2030 and 2050, climate change is expected to cause approximately 250.000 additional deaths per year, from malnutrition, malaria, diarrhoea and heat stress.

The direct damage costs to health (i.e. excluding costs in health-determining sectors such as agriculture and water and sanitation), is estimated to be between US$ 2-4 billion/year by 2030.

Areas with weak health infrastructure – mostly in developing countries – will be the least able to cope without assistance to prepare and respond.

Reducing emissions of greenhouse gases through better transport, food and energy-use choices can result in improved health, particularly through reduced air pollution.

WHO, Fact sheet N°266,Reviewed August 2014

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

What is the impact of climate change on health?

Although global warming may bring some localized benefits, such as fewer winter deaths in temperate climates and increased food production in certain areas, the overall health effects of a changing climate are likely to be overwhelmingly negative. Climate change affects social and environmental determinants of health – clean air, safe drinking water, sufficient food and secure shelter.

WHO, Fact sheet N°266,Reviewed August 2014

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Who is at risk? All populations will be affected by climate

change, but some are more vulnerable than others. People living in small island developing states and other coastal regions, megacities, and mountainous and polar regions are particularly vulnerable.

Children – in particular, children living in poor countries – are among the most vulnerable to the resulting health risks and will be exposed longer to the health consequences.

Elderly people - the health effects are also expected to be more severe for elderly people and people with infirmities or pre-existing medical conditions.

Areas with weak health infrastructure – mostly in developing countries – will be the least able to cope without assistance to prepare and respond.

WHO, Fact sheet N°266,Reviewed August 2014

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

WHO responseIn 2009, the World Health Assembly endorsed a new WHO work plan on climate change and health. This includes:

Advocacy: to raise awareness that climate change is a fundamental threat to human health.

Partnerships: to coordinate with partner agencies within the UN system, and ensure that health is properly represented in the climate change agenda.

Science and evidence: to coordinate reviews of the scientific evidence on the links between climate change and health, and develop a global research agenda.

Health system strengthening: to assist countries to assess their health vulnerabilities and build capacity to reduce health vulnerability to climate change.

WHO, Fact sheet N°266,Reviewed August 2014

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Major concern

Changing dynamics of disease transmission influenced by: Migration Land Use Environmental degradation

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Climate impacts on Human Health

Impacts from the Heat Waves Extreme weather events Reduced air quality Climate sensitive diseases Food and water security

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Heat Waves Heat stroke

most common cause of weather-related deaths

Dehydration

Mostly affects Vulnerable groups Children Older adults People with medical conditions People in poverty

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Extreme weather events

Reduce availability of fresh food and water Increase stomach and intestinal illness Contribute to mental health impacts such as

depression Interrupt communication of health care

services Contribute to carbon monoxide poisoning

from portable electric generators used during and after the storms

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Impacts from Reduced Air Quality

Increase in ozone

Changes in fine particulate matter

Changes in allergies

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Impacts from Climate-Sensitive Diseases

Changes in climate may enhance the spread of some diseases. Disease-causing agents (pathogens) that can be transmitted by food/water/animals climate change may affect all these transmitters

One Health

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

Climate Change and Human Health

A one health approach

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

About the One Health Initiative

The One Health concept is a worldwide strategy for expanding interdisciplinary collaborations and communications in all aspects of health care for humans, animals and the environment.

The synergism achieved will advance health care for the 21st century and beyond by accelerating biomedical research discoveries, enhancing public health efficacy, expeditiously expanding the scientific knowledge base, and improving medical education and clinical care.

When properly implemented, it will help protect and save untold millions of lives in our present and future generations.

http://www.onehealthinitiative.com/about.phpUoA Medical School MSc:Environment and Health. Capacity building for Decision Making

http://www.onehealthinitiative.com/about.php

21/11/2014

Climate change adds complexity and uncertainty to human health issues such as emerging infectious diseasesfood security national sustainability planning

that intensify the importance of interdisciplinary and collaborative research.

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

We have to address the issue by a multi-disciplinary approach as it entails uncertainty

Explicit knowledge is not adequate or sufficient to address the dynamic future

Tacit knowledge is requestedUoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

21/11/2014

We have to rely on expertise from the fields of environmental healthMedicalPublic healthVeterinary

These health professionals must take into account the dynamic nature of ecosystems in a changing climate

UoA Medical School MSc:Environment and Health. Capacity building for Decision Making

21/11/2014

"May there never develop in me the notion that my education is complete but give me the strength

 and leisure and zeal continually to enlarge my knowledge."

- Maimonides -

Thank you