VIEWS: 8 PAGES: 30 POSTED ON: 8/30/2012
Public Health Impacts and Climate Change Adaptation Environmental Public Health Police Home EMS Community Churches Corrections Health Centers MCOs Health Department Parks Schools Elected Doctors Hospitals Officials Nursing Mass Transit Philanthropist Homes Environmental Civic Groups Health CHCs Fire Tribal Health Laboratory Economic Drug Mental Employers Facilities Development Treatment Health HEALTH IMPACTS OF CLIMATE CHANGE Fourth Assessment Report of the Intergovernmental Panel on Climate Change, 2007 Potential Health Effects of Climate Change Heat Air pollution Severe weather Vectorborne diseases Waterborne diseases Foodborne diseases Water and Food supply Mental health Environmental Refugees ENVIRONMENTAL PUBLIC HEALTH HAZARDS Cuyahoga County, OH Mortality Injuries Total SEVERE WEATHER 27.44 80.14 107.58 HEAT/DROUGHT 18 56 74 WINTER WEATHER 15.15 87.27 102.42 TORNADO 14.15 149.5 163.65 LIGHTNING 14.01 31.25 45.26 FLOODING 6.24 14.83 21.07 Pop: 1,275,709 source: SHELDUS, 1960-2009 0 COASTAL 0 0 (2009 U.S. Census est) Organic Enrichment Nutrient Enrichment Low In-stream Dissolved Oxygen Toxicity Sedimentation Habitat Degradation Hydrocarbons Too Much Water Bacteria Heavy Metals Yet Unknown Impairment ENVIRONMENTAL PUBLIC HEALTH HAZARDS Water Quality** Cause of Pops Most Adaptation Pollution Health Effects Affected Diseases Measures Combined Water Shortages Low SES Cholera Public Education Storm and Cyclospora Food- Water-, & Elderly Cryptosporidiosis Watershed Sanitary Vector-borne Campylobacter Management Sewers Children Diseases Leptospirosis Water Treatment Nonpoint Swimmers Hantavirus Exposure to Toxic Source Malaria Vector Control Chemicals Outdoor Pollution Dengue Recreation Medical Care Water Rift Valley Scarcity Fever Food Safety Encephalitis Hazardous Chikungunya Algal Blooms mycotoxins data sources: Food Insecurity algal toxins Disease Surveillance Lyme ED/Ambulatory Visits Focused Observation Babeosis RMSF ENVIRONMENTAL PUBLIC HEALTH HAZARDS Water Quality Facilities Releasing Toxic Chemicals, 2007 Location of Combined Sewers U.S. EPA, 2007 Projected Changes in Annual Runoff PollutionWatch, 2010 U.S. Global Change Research Program, 2009 ENVIRONMENTAL PUBLIC HEALTH HAZARDS Extreme Heat Weather Adaptation Event Health Effected Affected Measures Heat Waves Heat Stress and Elderly Architecture exhaustion Athletes Air Conditioning/ 1995 Chicago Cardiovascular cooling centers heat wave, Socially Isolated failure 106 degrees Early Warning Fahrenheit, Poor Respiratory Systems with a heat distress index of 126 Community degrees for Response, one week, networks and 525 people neighbor support died over a 5- day period Data sources: Data sources: Daily ED/ambulatory visits Tmin/Tmax Hospitalization Humidity admissions Soil moisture Mortality Air Quality in a Changing Climate Air Temperature + Air Stagnancy + Emissions = Pollen, Ozone, Asthma, Allergic reactions, COPD, Cardio vascular issues Air Quality ENVIRONMENTAL PUBLIC HEALTH HAZARDS Severe Weather Weather Adaptation Event Health Effects Pops Most Affected Measures Anomalies Slips and Falls Dwellers in Northern Public Education Climates (rain, ice, fog, Motor Vehicle Mass Transit hail, severe Crashes Elderly Work at home thunderstorm, Flooding Drivers wind, drought, Early warning Waterborne disease systems etc.) Hypothermia Enhanced Food/ Water Delivery Fatalities Food & Water Shortages Malnutrition data sources: ED Visits ENVIRONMENTAL PUBLIC HEALTH HAZARDS Winter Weather Year Hypothermia Other Deaths Total deaths Primary w/ mention of associated w/ Underlying hypothermia hypothermia Cause 2005 16 27 43 2006 13 14 27 2007 21 18 39 2008 19 27 46 2009 15 21 36 Ohio Department of Health, Center for Public Health Top Ten Worst Winter Statistics and Informatics (source: ohio.gov, Ohio Committee for Severe Weather Awareness) Cities 1. Cleveland 8. Columbus ENVIRONMENTAL PUBLIC HEALTH HAZARDS Severe Weather/Tornados Population, Number of Catastrophes, and Losses in U.S. Over Time Credit: Easterling et. al., 2000 Mental Health Concerns • Anxiety, despair, depression, post traumatic stress Societal Concerns • Forced migration • Civil conflict • Refugees Which climate change health impact(s) are likely in Northeast Ohio? 1. Vector borne diseases 50% 50% 2. Waterborne diseases 3. Respiratory diseases and conditions 4. Chronic diseases 5. Mental health and stress disorders 6. Foodborne diseases/access to food 7. Forced migration 8. All of the above 0% 0% 0% 0% 0% 0% 1 2 3 4 5 6 7 8 What is the role of public health in environmental sustainability & climate change? INTERNATIONAL 1. Integrate public health into policy goals 2. Applied research of policies (WHO, 2009) FEDERAL 1. Educate policymakers 2. Evaluate proposed policies (Frumkin et al., 2008) STATE 1. Public health surveillance 2. Incorporate health into climate change action plans and adaptation plans (Trust for America’s Health, 2009) LOCAL 1. Emergency preparedness and response 2. Adaptation planning (Trust for America’s Health, 2009) Emergency Preparedness • National Incident Management System • State Emergency Management Agency • Cuyahoga Co. Emergency Management • Local Emergency Coordinators • Contract agencies and entities • Local Emergency Planning Committee • Individuals Plan & Prepare • Communication Plan Develop a family communication plan. • Emergency Supply Kit Create an emergency supply kit. • Citizen Corp Learn how you can be involved in your community. Prepare for All Hazards Dam Failure Earthquake Fire or Wildfire Flood Hazardous Material Heat Landslide Nuclear Power Plant Emergency Terrorism Thunderstorm Tornado Winter Storm • http://ja.cuyahogacounty.us/en-US/preparedness-links.aspx Protect Your Family • Get informed • Plan for emergencies • Assemble a disaster supplies kit • Effectively shelter – Prepare a safe room – Guidelines for managing water supplies – Guidelines for managing food supplies • Get your children involved (kids site) • Special needs & concerns • Care for pets and livestock Protect Your Property Everyone faces the risk of natural disaster • FEMA strongly encourages property owners and renters to fully explore their insurance needs and obtain adequate coverage before a disaster strikes. • Buy flood insurance • Is your home or prospective home is in a flood zone • Get informed on the full range of insurance coverage available to individuals and businesses • Prepare financially for disasters • "How-to" Guides • http://www.fema.gov/plan/index.shtm Defining Our Local Public Health Roles in Environmental Sustainability & Climate Change? A Joint Workshop between the Cuyahoga County Board of Health, the Summit County Health District and Key Community Partners May 13, 2010 8:00 am – 12:00 pm Adele Houghton President Furnace Run Park, Brushwood Pavilion Adele Houghton Consulting, LLC 4955 Townsend Rd., Richfield PUBLIC HEALTH POLICY STRATEGY I. Perform a regional scan of environmental hazards II. Identify the scope of influence III. Perform a gap analysis IV. Build a coalition of stakeholders V. Prioritize recommendations for action Would you participate in a coordinated gap analysis and needs assessment related to public health on climate change? 1. Yes 2. No FOCUS ON CORE DISCIPLINES Food Service Water Quality Solid Waste Air Quality Credit: Institute for Active Credit: James Gathany, CDC Living, Columbus, OH Chronic Disease Public Health Image Library Credit: Ahleong, Wikimedia Credit: Benchill, Wikimedia Credit: James M. Pease, NIH Do we need a coordinated climate change awareness, forecasting and response system in Northeast Ohio? 1. Yes 2. No Thank you John McLeod, Director Environmental Public Health Cuyahoga County Board of Health 5550 Venture Drive Parma, Ohio 44130 email@example.com 216-201-2001 x1200 Citations • http://www.thedailygreen.com/environmental-news/latest/heat-waves- 47121801#ixzz0TkpwKSSU<http://www.thedailygreen.com/environmental- news/latest/heat-waves-47121801> • World Health Organization. Protecting Health from Climate Change: Global Research Priorities. 2009:26. Available at: http://whqlibdoc.who.int/publications/2009/9789241598187_eng.pdf. • Health Problems Heat Up: Climate Change and the Public's Health. Trust for America's Health; 2009:58. • http://healthyamericans.org/reports/environment/TFAHClimateChangeWeb.pdf • Frumkin et. al., Climate Change: The Public Health Response, Am J Public Health. 2008;98:435–445. • EPA, A Screening Assessment of the Potential Impacts of Climate Change on Combined Sewer Overflow Mitigation in the Great Lakes and New England Regions, February 2008. • Houghton, Adele, Defining Our Local Public Health Roles in Environmental Sustainability & Climate Change. Richfield, Ohio May 13, 2010
"McLeod_Public Health Impacts"