1. CLIMATE CHANGE ANDMATERNAL AND CHILD HEALTH

2. MULTIPLE POINTS OF IMPACT PreconceptionPrenatalInfancyChildhood 3. PRECONCEPTION BODY BURDEN Chemicals and Heavy Metals Stored in FatCross PlacentaSecreted in Breast Milk 4. DIOXINS and Wildfires Smoke from Idaho Fires 2013 5. DIOXINS and Heavy Rainfall Origins of dioxins in SF Bay 6. Polycyclic Aromatic Hydrocarbons in Post Wildfire RunoffE. Stein, Environmental Toxicology and Chemistry Volume 31, Issue 11, pages 26252638, November 2012 7. PCBs Migrate from Warm to Cold by Volatilizing and Condensing 8. PERSISTENT ORGANIC POLLUTANTS (Dioxins, PCBs, PAH) BABYMOTHERLow birthweightCancerDecreased IQEndocrine AbnormalitiesMultiple chromosomal abnormalities Later cancer? 9. Mercury and Storm Runoff Rainfall and Mercury RunoffRiver Miles Under Fish Advisory 1993-2010 10. Differing Fish Consumption = Unequal Exposure 11. MERCURY BABY Impairs NeurologicDevelopment MemoryAttentionLanguageFine MotorVisual SpatialMOTHER At high levelsNeurologic Symptoms 12. PRENATAL Cross Placenta Affect Maternal Delivery of Nutrients or Oxygen Increase Maternal Vulnerability 13. Drought and Water Quality 14. Nitrates: Spontaneous Abortion Neural Tube DefectsNE Nitrate Impaired Wells and Waterways 15. Iowa Women's Health StudyThyroid Cancer Related to Nitrates in Water 16. Arsenic Owens Valley, CA Dust StormLow Birth Weight Neonatal Infections Abnormal Gene ExpressionGroundwater Arsenic Levels 17. Disinfection Byproducts in Drinking Water TRIHALOMETHANE DIBROMOCHLOROME THANE Low Birth WeightCongenital Anomalies 18. Marine Biotoxins in Shellfish 19. HARMFUL ALGAE BLOOMS DOMOIC ACID California 2012 20. PRE 1972INCREASE IN HARMFUL ALGAE BLOOMSPRESENT 21. AFLATOXIN Carcinogenic Hepatotoxic Teratogenic Immunosuppressive Concentrated by Placenta Transmitted in Breast Milk 22. AFLATOXIN in the US 200 82012 23. WILDFIRE SMOKE: Decreased Birth Weight 24. OZONE: IUGR, Low Birth WeightIUGR, Low Birth Weight 25. Coccidiodomycosis Valley Fever Dust Storm, Fresno, CAEndemic Area by Skin TestIncidence/100,000 1998-2011 26. INFANCY AND CHILDHOOD 27. NITRATES: Blue Baby Syndrome Methemoglobinemia 28. Mixtures of Cyanotoxins 29. AMOEBIC MENINGOENCEPHALITIS 30. Gastroenteritis and Rainfall Combined Sewer OverflowPediatric ER GE VisitsP. Drayna et al, Environ Health Perspect. 2010 October; 118(10): 14391443. 31. Ozone Causes and Worsens Asthma 3 Sports = Triple Risk for AsthmaInhaler UseAcute exposure increases bronchodilator useOzone ppb Thurston GD Am J Respir Crit Care Med February 1, 1997 vol. 155 no. 2654-660RMcConnell Lancet.304):386-91. 32. CHRONIC OZONE EXPOSURE AND PEDIATRIC ASTHMA ADMISSIONS 33. Pollen Higher CountsLonger SeasonZiska, L. H. and F. A. Caulfield. Australian Journal of Plant Physiology, 2000. 27: 893 898. 34. Mold exposure doubles asthma risk, increases ER visits & hospitalizations 35. US Childhood Asthma Rates Tripled 1960-2009L Akinbami, 2009 National Center for Health Statistics 36. Atmospheric Lead 37. Seasonal Variation Child Blood Lead 38. Probability of Low ScoresACHIEVEMENT TESTS AND LEAD LEVELSBlood Lead 39. Aflatoxin Biomarkers NHANES 1999-2000Schleicher, 2013 40. Aflatoxin Biomarkers and Risk Factors for Hepatocellular Carcinoma RISK FACTORS RATIOODDS+ Biomarker7Hepatitis B Ag alone + Biomarker + Hepatitis B Ag Fatty Liver Disease alone + Biomarker + Fatty Liver7-28 60 3-16 ?10% OF US KIDS & 40% OF OBESE US KIDS HAVE FATTY LIVER DISEASE 41. HEAT ILLNESS 9,000 US high school athletes/year40 heat deaths in cars/year 42. Severe Heat Waves that were every 30 yearswill be EVERY YEAR by 2040.Journal of Great Lakes Research 36 (2010) 6573 K Hayhoe 43. HEAT AND DROUGHT INCREASE INTERPERSONAL AND INTERGROUP VIOLENCE 44. + 2-3 DEGREES BY 2030 + 4-6 DEGREES BY 2050 45. Carbon Dioxide Is (pretty much)Forever. YEARS TO REMOVE CO2 FROM ATMOSPHERE HundredsTens of ThousandsThousands 46. EMERGENCY 2030 40% OBESE 44% CV DISEASE 1 in 5 DIABETES2050 1 in 2 OBESE AND CV DISEASE, 1 in 3 DIABETES 47. ME EITHER 48. SEDENTARY LIFESTYLE:ONE THIRDCAUSED BYHEART DISEASE, OBESITY, DIABETES; CANCERS: PROSTATE, COLON, UTERUS, RECURRENT BREASTPHYSICAL INACTIVITY 49. AIR POLLUTION:ASTHMA, CANCER, HEART DISEASE 50. UNHEALTHY DIET:HEART DISEASE, CANCER, DIABETES, OBESITY 51. LOW CARB(ON) DIET HOW MUCH?IN HALF BY 2030HOW FAST?IN HALF AGAIN BY 2050 52. CAN WE? YES!OVER 1000 US CITIES SHOWED US HOW 53. A Healthy PrescriptionFor Climate Action 54. CLEAN ELECTRICITY INVEST STOP EXPORTS REGULATE CARBON POLLUTION PUT A PRICE ON CARBON 55. IMPROVED ENERGY EFFICIENCY BUILDINGS FUEL ECONOMY CLEAN FUEL 56. 20,000 Heart Attacks 23,000 DeathsPREVENTED each yearSAVED: OVER 100 BILLION DOLLARS PER YEAR 57. GET CITY PEOPLE OUT OF THEIR CARS SMART GROWTH BIKEWAYS AND WALKWAYS BETTER PUBLIC TRANSIT 58. 10,000 colon cancers 215,000 heart attacks 570,000 new diabetes casesPREVENTED each yearANNUAL SAVINGS SF AREA $1.4-22 BILLION/YEAR 59. HEALTHY FARMS & HEALTHY FOODS SUBSIDIZE FRUITS AND VEGETABLES SUBSIDIZE SOIL CARBON DECREASE FOOD WASTE TURN WASTE INTO ENERGY 60. 300,000 Heart Attacks/Strokes 260,000 New Diabetes Cases 144,000 Cancer DeathsPREVENTED each year 61. THE LONGER WE WAIT, THE WORSE (AND MORE EXPENSIVE) IT WILL BE 62. A strong majority of US citizens across the country wants climate action 63. but a majority in our Congress doesn't even admit its happening 64. We can have a healthy high quality futureif we act now.* *but we're almost out of time. 65. HEALTHY PEOPLE = HEALTHY PLANETwww.climate911.org