Upload
liana-mos
View
217
Download
0
Embed Size (px)
Citation preview
7/29/2019 Green House Efect 2009 Nov Arad
1/37
Liana Mos, MD, PhDFaculty of Medicine, Pharmacy and Dentistry
West University Vasile Goldis Arad, Romania
Department of Internal Medicine
Arad, 28.11.2009
Greenhouse effect and
health
http://www.alzheimer-europe.org/Our-Research/Comparative-studieshttp://www.alzheimer-europe.org/Our-Research/Comparative-studieshttp://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
2/37
Climate change of the order and time frames
predicted by climate scientists poses fundamentalquestions of human security, survival and the stability
of nation states which necessitate judgments aboutpolitical and strategic risks as well as economic cost;
WHO estimates that in the year 2000, there were150,000 excess deaths per year due to climate change;
Climate change is already affecting health around theworld, and its impact on health will continue to grow.
Premises
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
3/37
Greenhouse effect - The Earth has a natural temperature control system
Certain atmospheric gases called greenhouses gases, consisting mostly of carbon dioxide(CO2), are critical for maintaining this system
7/29/2019 Green House Efect 2009 Nov Arad
4/37
Leading sources of greenhouse gas emissions are combustion of fossil fuels: coal, oil, and natural gas.Since pre-industrial times, the atmospheric concentration of greenhouse gases has increased
significantly - CO2 by about 31%, methane by about 150%, and nitrous oxide by about 16% (Watsonetal2001).
7/29/2019 Green House Efect 2009 Nov Arad
5/37
Global Contributors toGreenhouse Gas Emissions
Global carbon dioxide emissions are projected toincrease by at least 50% over the next 25 yearsunder current conditions.
The dangerous level of CO2 is at MOST 450 ppm,probably less.Were now at 386 ppm.
Deforestation releases carbon stored in trees, withcurrent annual emissions of CO2 amounting to 23
billion metric tons or about 1% of total CO2 in theatmosphere.
To stabilize below 450 ppm CO2 would require thatemissions peak by 2010, with a 610% annual declinethereafter to reduce emissions by 80% by 2050.
Adapted after L. Rudolph, 2008
7/29/2019 Green House Efect 2009 Nov Arad
6/37
Annual Carbon Dioxide Emissions - 2005
Source: U.S. Greenhouse Gas Emissions Inventory
U.S.per capita emissions of carbon are over 20 times higher than India, 12 times higherthan Brazil, and 7 times higher than China. The most current estimates state that China isabout to surpass the US in emissions and its rate of emissions is accelerating.
22,4%
18,4%
11,4%
5,6%
4,9%
4,6%
32,7%
0,0% 5,0% 10,0% 15,0% 20,0% 25,0% 30,0% 35,0%
U.S.
China
Russia
EU
India
Japan
Others
Total CO2measured in
thousands of metric tons
7/29/2019 Green House Efect 2009 Nov Arad
7/37
Historically, the earths climate has experienced significant changes over the last 400,000
years, going from very warm to an ice age in as rapidly as a few decades, suggesting that
our climate is quite sensitive to internal and external energies and feedback.
7/29/2019 Green House Efect 2009 Nov Arad
8/37
Climate Change is Happening Now
Source: IPCC 2007 (4th Assessment)
This episode of global warming is due to human activity.
It began with the Industrial Revolution two centuries ago, and accelerated
over the last 40 years.The 2007 report of the Intergovernmental Panel on Climate Change
7/29/2019 Green House Efect 2009 Nov Arad
9/37
The mean global surface temperature has increased by about0.3 to 0.6C since the late 19th century. In the past fourdecades, it has increased by about 0.2 to 0.3C, which is way
beyond natural climatic cycles would explain.
7/29/2019 Green House Efect 2009 Nov Arad
10/37
IPCC 2007: Human Impact is
Evident
Source: IPCC 2007 (4th Assessment)
7/29/2019 Green House Efect 2009 Nov Arad
11/37
1C 2C 5C4C3C
Sea level rise
Falling crop yields in many areas, particularlydeveloping regions
0C
Falling yields in many
developed regions
Extinction of animal & plant species
Increasing risk of dangerous feedbacks and
abrupt, large-scale shifts in the climate system
Significant decreases in water
availability in many areas, including
Mediterranean and Southern Africa
Small mountain glaciers
disappear water
supplies threatened in
several areas
Rising intensity of storms, forest fires, droughts, flooding and heat waves
Possible rising yields in
some high latitude regions450 ppm CO2 eq
650 ppm CO2 eq
Projected Impacts of GlobalTemperature Change
Source: L. Rudolph, 2008
Declining
food yields
Adapted after L. Rudolph, 2008
Food
Water
Ecosystems
ExtremeWeather
Events
Risk of Abrupt and
Major Irreversible
Changes
7/29/2019 Green House Efect 2009 Nov Arad
12/37
Climate Change: Sea Level Rise
Effects of rising sea level
Coastal areas will become
vulnerable to storms and
flooding
Loss of coastal wetlands and
erosion of beaches
Contamination of drinking
water
7/29/2019 Green House Efect 2009 Nov Arad
13/37
Climate Change: Floods & Droughts
Warmer temperatures can result
in premature and rapid
snowmelt
Severe floodingmay occur
during winter and spring, with
slower water flow duringsummer seasons
7/29/2019 Green House Efect 2009 Nov Arad
14/37
Climate Change: Wildfires
Wildfires
Climate models predict the
summer months will be longer,and hotter,due to global
warming
Result:dry soil and vegetation
become fuel for wildfires
7/29/2019 Green House Efect 2009 Nov Arad
15/37
Climate Changes Impacts on Health
Source: Haines, et al, JAMA 2004
7/29/2019 Green House Efect 2009 Nov Arad
16/37
Health Impacts of Heat Waves
Health impacts likely to be seen 1 to 3 daysafter the onset of the heat waves
Health effects of extreme and prolonged heat
exposure include: heat cramps, heat stroke, heatsyncope
Devastating heat wavesseen elsewhere
August 2003 European heat wave: 35,000 excessdeaths
7/29/2019 Green House Efect 2009 Nov Arad
17/37
Extreme Weather Events & Disease Clusters
Source: Epstein, Harvard Center for Health & Global Environment
7/29/2019 Green House Efect 2009 Nov Arad
18/37
Potential Environmental Impacts ofClimate Change: Air Quality
Increased temperature andincreased carbon dioxide inatmosphere leads to Increase in formation of ground-
level ozone (and smog)
Increased allergen production (e.g.
pollen) Longer seasons for allergen
producing weeds
Senior citizens, children, and people with respiratory and chronic diseasesare most vulnerable to high levels of ozone and increased allergens
Health effects of high levels of ozone exposure include: Reduced lung function
Respiratory discomfort
Exacerbation of chronic respiratory illnesses (e.g. asthma)
7/29/2019 Green House Efect 2009 Nov Arad
19/37
Health Effects of Air Pollution
Amount of goods transportedthrough California projected tonearly quadruple between 2000and 20201
Will have significant impact onair quality and health2
Diesel particulate matter (PM) concentrated around ports,
railyards, and heavily traffickedroads3
premature deaths
cancerrespiratory disease
lost workdays
global warming (2nd to CO2)
Annual Health Impacts in CAfrom PM and Ozone4
1 (Cal EPA, 2005); 2 (Pacific Institute, 2006)3 (CA/EPA Air Resources Board); 4 (CA/EPA Air Resources Board, 2004)
7/29/2019 Green House Efect 2009 Nov Arad
20/37
The most vulnerable ecological and socio-economic systems are those with the greatest
sensitivity to climate change and the least
ability to adapt.
Ecosystems that are already under stress are
particularly vulnerable. Socio-economicsystems tend to be more vulnerable in
developing countries with weaker economies
and institutions.
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
21/37
Adapting to Impacts of Climate
Change The potential impacts of climate change on the environment
and socio-economic systems can be understood in terms ofsensitivity, adaptabilityandvulnerabilityof the system;
Sensitivitydegree to which a system will respond to anygiven change in climate, e.g., the ecosystems composition,
structure & function; Adaptabilitydegree to which adjustments are possible in a
systems practices, processes or structures in response to, or inanticipation of the changed condition, whether spontaneous or
planned;
Vulnerabilityextent to which climate change may damage orharm a system. It depends not only on the systems sensitivity
but also on its ability to adapt.
7/29/2019 Green House Efect 2009 Nov Arad
22/37
What to Address?
Threatened food securitywarming could affectfood production and could reduce global food supply;
Inundation of coastal areasrise in sea level and
increased precipitation put to risk low-lying areasspecial in small islands;
Water shortage in inland areashigher temperaturesand intense hydrological cycles heighten effects of
drought or dry spells; Health risksclimate warming could bring about
new breed of disease-bearing organisms, heat waves;
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
23/37
Adaptation
We need to prepare now for the inevitable
effects of climate change
Good news: preparing for one type of
emergency prepares us for all types of
emergencies
Preparation minimizes impact of disasters and
fear/anxiety
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
24/37
Strategies for Adaptation
Preventing losses, for example, by building barriers against sealevel rise or reforesting hillsides to prevent erosion.
Reducing losses by redesigning crop mix to ensure aguaranteed minimum production even during the worstconditions.
Sharing burden with those worst affected by conducting reliefoperations and mobilizing resources.
Changing or shifting activity or relocating production sites toareas less vulnerable.
Restoring damage sites especially historical ones or those thatare of great cultural importance to communities.
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
25/37
Vulnerability
7/29/2019 Green House Efect 2009 Nov Arad
26/37
What Should We Do?
1. Reduce, Reuse, Recycle- Reduce energy usage and GHG emissions
- As individuals, at home
- As organizations, at work
2. Prepare for impact of climate change = Adaptation
- As individuals/families- As local health department
3. Advocate for healthy policies
- Support legislation that reduces GHG emissions
- Support sustainable lifestyles & communities
7/29/2019 Green House Efect 2009 Nov Arad
27/37
Multi-level prevention approachcan be taken to respond to climate change Primary prevention = climate change mitigation
Efforts to slow, stabilize, reverse climate change by reducing GHGemissions
Efforts will occur in sectors such as energy and transportation
Secondary/tertiary prevention = climate change adaptationEfforts to minimize health burden of climate change similar for other
uncertainties (e.g. pandemic flu, bioterrorist attack), in adaptation efforts
Health co-benefits
Benefits of climate change that have apositive effect on health
Example: promote cleaner energy production and cleaner fuels
Primary result = reduced GHG emissions from energy productionCo-benefit = less air pollution = less respiratory distress
Strategy: reducing vehicle miles traveled
Primary result = lower motor vehicle GHG emissions
Co-benefit = higher physical activity rate
Source: Frumkin, et al., AJPH 3/08
Ex. Reducing GHG Emissions
7/29/2019 Green House Efect 2009 Nov Arad
28/37
Transport
Fuel efficiency
Hybrids
Road to rail
Public transport
Non-motorizedtransport
Buildings
Day lighting
Energy efficiency
Improved cook stoves
Solar heating & cooling
Agriculture
Crop & land
management
Livestock & manure
management
Improved N fertilizer
use
Industry
Energy efficiency
Heat & power recovery
Energy supply Coal to gas
Nuclear power
Renewable energy* Items in green have health co-benefits!*The green ones on this list, for example, have health co-benefits. .
7/29/2019 Green House Efect 2009 Nov Arad
29/37
Ex - GHG reductions in 4 cities would avoid
(through 2020)
64,000 premature deaths
65,000 chronic bronchitis cases
37 million person-days of restricted activity or work
loss
Sources: IPCC (2001); Caton (2000); Blomqvist (2000); Cifuentes (2001)
7/29/2019 Green House Efect 2009 Nov Arad
30/37
Ex. Climate Benefits of ReducedMeat Consumption
Reductions
Greenhouse gas emissions
Antibiotic use
Water pollution (nitrates)
Air pollution
Soil erosion
Unsustainable H2O
consumption
Pesticide Use
Reductions
Ischemic heart disease
Obesity
Colorectal cancer
Breast & prostate cancers
Type II Diabetes
Antibiotic resistance
Respiratory disease
Pesticide health effects
Average European diet requires the production of extra 1.5 CO2 compared to a strictly vegetarian
diet. 2.2 pounds beef = CO2 of 155 miles driving. Meat consumption reduction of 20% = switch
from Camry sedan to Prius
Increases
Biodiversity
Global food security
Protein intake equity
Rural community
strength
Borrowed from L. Rudolph
7/29/2019 Green House Efect 2009 Nov Arad
31/37
What Can We Do to Combat GlobalWarming?
Establish recycling programs in the workplace andhome Recycling half of your household waste = hundreds of
lbs. of CO2 saved per year
Promote energy efficiency in the home and workplace
Changing regular light bulbs to compact fluorescentbulb throughout your house = hundreds of lbs of CO2/yr
Make small energy use changes on a broad scale E.g. replacing all light bulbs with energy efficient light
bulbs in all County buildings
Encourage renewable energy power sources (solarenergy and wind energy) and responsible use ofenergy Turning off your TV, computer, and other electronics =
thousands of lbs. of CO2 saved per year
http://systemsintegrationtechnologies.com/images/recycle.jpg7/29/2019 Green House Efect 2009 Nov Arad
32/37
Try to drive less and walk more! You save gas money and keep our air
cleaner for every mile you dont drive
Most car trips taken in your neighborhoodare short enough to walk or bike
Encourage carpooling towork/school
Encourage public transportation
use
Purchase fuel-efficient vehicles (e.g. electric, hybrid, CNG vehicles)
Every gallon of gas saved = tens of lbs. of CO2 saved
If you do take a car, maintain it
Properly inflated tires can improve gas mileage by 3%
7/29/2019 Green House Efect 2009 Nov Arad
33/37
What else Should We Do?
Educateourselves, public, and policy makers
Partnerships and collaboration
Behavior change
Carbon footprint reduction
Increase research: health co-benefits
Protect vulnerable populations
Monitor health impacts of climate change
Preparedness and adaptation
Borrowed from L. Rudolph
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
34/37
The Time for Inaction Has Past! Scale of threat is global: touches all, everywhere
Intensity of the threat: threatens all of our basic survival
mechanisms - food, water, shelter, and health. Scale of response: must engage every sector of society
Timeframe for response: we have at most 10 years - not 10years to decide upon action, but 10 years to alter fundamentally
the trajectory of global greenhouse emissions."
There is still time, but just barely. (Dr. JamesHansen, director of NASA Goddard Institute for Space
Studies)
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
35/37
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
36/37
Fighting climate change is aligned with protectingand promoting health, many of the proposedsolutions for climate change are healthy foreveryone
We have the appropriate skills:
Skills to effect behavior change;
Skills that can help people adopt greenerbehaviors too;
Policy and advocacy skills that will helpencourage organizational and societal changes.
http://www.alzheimer-europe.org/Our-Research/Comparative-studies7/29/2019 Green House Efect 2009 Nov Arad
37/37
...It is man-made and it can be overcome and eradicated
by the actions of human beings.
N l M d l
Plenty to be worried aboutbut bigchance to play a key role in achieving a
global solution, revitalised health
promotionand true sustainability!
http://www.alzheimer-europe.org/Our-Research/Comparative-studies