Green House Efect 2009 Nov Arad

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    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-studies
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    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-studies
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    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

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    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).

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    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

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    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

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    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.

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    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

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    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.

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    IPCC 2007: Human Impact is

    Evident

    Source: IPCC 2007 (4th Assessment)

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    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

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    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

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    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

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    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

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    Climate Changes Impacts on Health

    Source: Haines, et al, JAMA 2004

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    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

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    Extreme Weather Events & Disease Clusters

    Source: Epstein, Harvard Center for Health & Global Environment

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    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)

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    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)

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    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-studies
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    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.

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    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;

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    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

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    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.

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    Vulnerability

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    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

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    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

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    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. .

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    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)

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    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

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    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.jpg
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    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%

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    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-studies
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    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)

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    http://www.alzheimer-europe.org/Our-Research/Comparative-studies
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    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.

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    ...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