clinicians' climate update

85
Health Effects of Climate Change Clinicians' Update Clinicians' Update on Climate and on Climate and Health: Health: Public health impacts, Public health impacts, emerging diseases, and emerging diseases, and healthy solutions healthy solutions

Upload: wendy-ring

Post on 20-Jun-2015

1.169 views

Category:

Health & Medicine


0 download

DESCRIPTION

Grand Rounds or CME type presentation about health effects of climate change, health benefits of climate action, and what a healthy climate policy would look like

TRANSCRIPT

Page 1: Clinicians' Climate Update

Health Effects of Climate Change

Clinicians' Update on Clinicians' Update on Climate and Health:Climate and Health:

Public health impacts, Public health impacts, emerging diseases, and emerging diseases, and

healthy solutionshealthy solutions

Page 2: Clinicians' Climate Update
Page 3: Clinicians' Climate Update

Extreme Heat

1995 Chicago 2011

Page 5: Clinicians' Climate Update

CHICAGO Forecast

Heat Waves per 30 year period Extreme Heat Days

Journal of Great Lakes Research 36 (2010) 65–73 K Hayhoe

Page 6: Clinicians' Climate Update

Chicago Future Heat Mortality

Page 7: Clinicians' Climate Update

HR for Death per 1 degree C increase in Summer Temperature Variability

Zanobetti 2012

Page 8: Clinicians' Climate Update

Mitigating effect of green spaceExacerbating effect of % nonwhite

Zanobetti, 2012

Page 9: Clinicians' Climate Update

OZONE

LA Columbus, OH

Page 10: Clinicians' Climate Update

Mortality and Ground Level Ozone

Burnett RT, 2001Am J Epidemiol. Nov 1;154(9):817-26

Page 11: Clinicians' Climate Update

Ozone level and beta agonist use

Thurston GD Am J Respir Crit Care Med February 1, 1997 vol. 155 no. 2654-660

Page 12: Clinicians' Climate Update

Chronic Ozone Exposure and Pediatric Asthma Admission

Shao, L. Environ Health Perspect.  2008 December;  116(12): 1725–1730

Page 13: Clinicians' Climate Update

Ozone + Sports = Asthma

  2002 Feb 2;359(RMcConnell Lancet.304):386-91.

Page 15: Clinicians' Climate Update

Ziska, L. H. and F. A. Caulfield. Australian Journal of Plant Physiology, 2000. 27: 893− 898.

PollenMore Longer

Page 16: Clinicians' Climate Update

Mold and Asthma

Cedar Rapids, IA

Page 17: Clinicians' Climate Update

Rising Incidence Allergies and Asthma

von Hertzen L, Hanski I, Haahtela T. Natural Immunity. EMBO Reports 12:1089–1093, 2011

Page 18: Clinicians' Climate Update

Quest 2011 14 million IgE tests

Page 19: Clinicians' Climate Update

MMWR March 29, 2013 / 62(12);217-221

Valley FeverCoccidiodomycosis

Page 20: Clinicians' Climate Update

CONCERN: Erionite and Mesothelioma

Cappadocia, Turkey

Page 21: Clinicians' Climate Update

?

PHOENIX, AZ 2012

VALLEY FEVER ENDEMIC AREASERIONITE LOCATIONS

Page 22: Clinicians' Climate Update

BLOOD LEAD INCREASES IN WARM DRY WEATHER

Indianapolis

Laidlaw. Environ Health Perspect.  2005 June;  113(6): 793–800.

Page 23: Clinicians' Climate Update

Detroit, MI

Page 24: Clinicians' Climate Update

A. Rappolt et al, Environ Health Perspect.  2011 October;  119(10): 1415–1420

Cardiopulmonary ER Visits Colorado Springs 2013North Carolina 2008

Page 25: Clinicians' Climate Update

Wildfire Related Asthma ER Visits/Outcomes and County Characteristics

Page 26: Clinicians' Climate Update

Wildfire Related CHF ER Visits/Outcomesand County Characteristics

Page 27: Clinicians' Climate Update

PM 2.5 Dissemination Fire in NM Smoke in Denver, CO

Memorial Day 2012

Page 28: Clinicians' Climate Update

Fox Lake, IL 2013

Page 29: Clinicians' Climate Update

Pekin, IL Morehouse, MOApril 2013

Page 30: Clinicians' Climate Update

Combined Sewer Overflow

Pittsburgh, PAAllegheny River

Page 31: Clinicians' Climate Update

Sewage in the StreetsDuluth, MN 2012

Page 32: Clinicians' Climate Update

Gastroenteritis and RainfallPediatric ED Visits Wisconsin

P. Drayna et al, Environ Health Perspect.  2010 October;  118(10): 1439–1443.

Page 33: Clinicians' Climate Update

EMERGING:Leptospirosis

Y-L Chou, CDC Emerg Infect Dis May 2008.

Page 34: Clinicians' Climate Update

Recreational Water Borne Infectious Disease Outbreaks 1978-2008

Page 35: Clinicians' Climate Update

Chesapeake Bay Sea Surface Temperatures

V. parahemolyticus cells/gm oyster meat

Page 36: Clinicians' Climate Update

VIBRIO INCIDENCE MMWR 2012

Page 37: Clinicians' Climate Update

SHELLFISH POISONINGSan Mateo, CA

Page 38: Clinicians' Climate Update

AMOEBIC MENINGOENCEPHALITIS

CASES as of 2012 Lilly Lake, MN 2012

Page 39: Clinicians' Climate Update

BLUE GREEN ALGAE TOXINS

Lake Erie

Page 40: Clinicians' Climate Update
Page 41: Clinicians' Climate Update

CONCERN: AFLATOXIN and HCCMissouri 2012

Page 42: Clinicians' Climate Update

Crop mycotoxin map 10/12

Page 43: Clinicians' Climate Update

Aflatoxin and Hepatitis

Page 44: Clinicians' Climate Update

Rising Incidence of HCC in NAFLD with and without cirrhosis

Page 45: Clinicians' Climate Update

45-58% of Hispanics have NAFLD

Page 46: Clinicians' Climate Update

Incidence Liver and Bile Duct Cancer

Page 47: Clinicians' Climate Update

DROUGHT, GROUNDWATERDEPLETION, AND WATER QUALITY

Page 48: Clinicians' Climate Update

PUBLIC WATER SYSTEMS WITH ARSENIC > 10 ppb

Page 49: Clinicians' Climate Update

Arsenic in Drinking Waterand Cancer Risk

Page 50: Clinicians' Climate Update

Effects of Common Groundwater Contaminants

Arsenic Skin CancerBladder CancerDecreased Immune

response

Atrazine + nitrate Non Hodgkins Lymphoma

Nitrate Thyroid Cancer

Hypothyroidism Methemoglobinemia

Neural Tube Defects

Spontaneous Abortion

Page 51: Clinicians' Climate Update

West Nile Virus

Page 52: Clinicians' Climate Update

EMERGING: DENGUE FEVER

Florida 2012

Page 53: Clinicians' Climate Update

Dengue 1960 2005

Page 54: Clinicians' Climate Update

Dengue Weather Model

Page 55: Clinicians' Climate Update

EMERGING: CHAGAS DISEASE

Page 56: Clinicians' Climate Update

Triatomine Blood Meals AZ & CA

Page 57: Clinicians' Climate Update

ME EITHERME EITHER

Page 58: Clinicians' Climate Update

7-12DEGREES F

BY 2100

Page 59: Clinicians' Climate Update

HEALTH IS WHAT MAKES PEOPLE CARE ABOUT CLIMATE CHANGE

Page 60: Clinicians' Climate Update

Sources of GHG Top 10 causes of death

Page 61: Clinicians' Climate Update

Trends in US Transportation

Page 62: Clinicians' Climate Update

INTERNATIONAL COMPARISONACTIVE SHARE OF DAILY TRIPS

Page 63: Clinicians' Climate Update

HEART DISEASE,OBESITY, DIABETES; COLON CANCER, PROSTATE CANCER, AND RECURRENT BREAST CANCER

ONE THIRD

OF

ATTRIBUTABLE TOPHYSICAL INACTIVITY

Page 64: Clinicians' Climate Update

ACTIVE TRANSPORTATIONSMART DEVELOPMENT

SAFE BIKING AND WALKINGRAPID EFFICIENT PUBLIC TRANSIT

Page 65: Clinicians' Climate Update

10,000 colon cancers

215,000 heart attacks PREVENTED570,000 new diabetes cases each year

ANNUAL SAVINGS SF BAY AREA Maizlish, N. Am J Public Health. 1.4-22 BILLION DOLLARS PER YEAR 2013 Apr;103(4):703-9.

Page 66: Clinicians' Climate Update

NHS Annual SavingsLondon Active Travel

Page 67: Clinicians' Climate Update

ENERGY EFFICIENT CARS AND HOMESHOME RETROFITS, COMPETITIVE FUEL ECONOMY

ZERO EMISSIONS VEHICLES

118 mpg eqivalent Zero Energy Home

Page 68: Clinicians' Climate Update

INVEST AND INCENTIVIZE CLEAN ENERGYNO COAL EXPORTS

NO NEW COAL PLANTS COST OF DIRTY ENERGY UP FRONT

Page 69: Clinicians' Climate Update

20,000 Heart Attacks PREVENTED23,000 Deaths each year

SAVED: OVER 100 BILLION DOLLARS PER YEAREPA 2013

Page 70: Clinicians' Climate Update

SUBSIDIZE FARMERS WHO GROW WHAT WE SHOULD EAT

Page 71: Clinicians' Climate Update

300,000 Heart Attacks/Strokes PREVENTED260,000 New Diabetes Cases each year144,000 Cancer Deaths

Page 72: Clinicians' Climate Update
Page 73: Clinicians' Climate Update
Page 74: Clinicians' Climate Update

http://climateinteractive.org/scoreboardJune 2010 June 2013

Page 75: Clinicians' Climate Update
Page 76: Clinicians' Climate Update
Page 77: Clinicians' Climate Update
Page 78: Clinicians' Climate Update
Page 79: Clinicians' Climate Update

Rx for Climate Action Active Transportation

Efficient Cars and Homes

Clean energy

More vegetables

Page 80: Clinicians' Climate Update
Page 81: Clinicians' Climate Update

I'M TOO BUSY NOW. CAN'T I DO IT LATER?

World Carbon Budget (for a 2 degree F warmer world)

% Locked In By Existing Investment

2013 2015 2017

80% 90% 100%

Page 82: Clinicians' Climate Update

Atmospheric CO2 and Resulting TEMPERATURES

Committee on Stabilization Targets for Atmospheric Greenhouse Gas Concentrations; National Research Council, National Academy of Sciences 2011

Page 83: Clinicians' Climate Update
Page 84: Clinicians' Climate Update

HEALTHY PEOPLE = HEALTHY PLANET

www.climate911.org

Page 85: Clinicians' Climate Update

What About China?Outsourcing US Emissions