MarketEffects of climate change on human health
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Effects of climate change on human health

Climate change affects human health in many ways, including an increase in heat-related illnesses and deaths, worsened air quality, the spread of infectious diseases, and health risks associated with extreme weather such as floods and storms. Rising global temperatures and changes in weather patterns are increasing the severity of heat waves and extreme weather events. These events in turn have direct and indirect impacts on human health. For example, when people are exposed to higher temperatures for longer time periods they might experience heat illness and heat-related death.

Overview of health effects and pathways
The effects of climate change on human health can be grouped into direct and indirect effects. These include worsening water quality, air pollution, reduced food availability, and faster spread of disease-carrying insects. Recent research highlights that these direct and indirect health impacts are increasingly interlinked, as climate change contributes simultaneously to worsening food and water insecurity, undernutrition, and infectious disease burdens across diverse populations. The World Health Organization likewise reports that climate change is already contributing to increases in undernutrition, vector-borne diseases, and heat-related mortality, with disproportionate impacts on vulnerable populations. Both direct and indirect health effects vary across the world and between different groups of people according to age, gender, mobility and other factors. For example, differences in health service provision or economic development will result in different health risks and outcomes, with less developed countries facing greater health risks. In many places, the combination of lower socioeconomic status and gender roles result in increased health risks to women and girls as a result of climate change, compared to those faced by men and boys (although the converse may apply in other instances). == Health risks from extreme weather and climate events ==
Health risks from extreme weather and climate events
Climate change is increasing the frequency and intensity of some extreme weather events. Extreme heat and cold events are the most likely to increase and worsen followed by more frequent heavy rain or snow and increases in the intensity of droughts. Extreme weather events, such as floods, hurricanes, heatwaves, droughts and wildfires can result in injuries, death and the spread of infectious diseases. For example, local epidemics can occur due to loss of infrastructure, such as hospitals and sanitation services, but also because of climate changes creating a more suitable weather for disease-carrying organisms. Heat Since the 1970s, temperature on the surface of Earth has become warmer each decade. This increase happened faster than in any other 50-year period over at least the last 2000 years. Compared to the second half of the 19th century, temperature in the 21st century show a warming of 1.09 °C. Extreme heat is a direct threat to health, especially for people over 65 years, children, people living in cities and those who have already existing health conditions. Rising global temperatures impact the health and well being of people in multiple ways. In the last few decades, people all over the world have become more vulnerable to heat and experienced an increasing number of life-threatening heatwave events. Physical exercise is beneficial for reducing the risk the many illnesses and for mental health. At the same time the number of hours per day when the temperature is dangerously high for outdoor exercise has been increasing. The rising heat also impacts people's ability to work and the number of hours when it is not safe to work outdoors (construction, agriculture, etc.) has also increased. Unless greenhouse gas emissions are reduced, regions inhabited by a third of the human population could become as hot as the hottest parts of the Sahara within 50 years. The projected annual average temperature of above 29 °C for these regions would be outside the biologically suitable temperature range for humans. Heat-related health effects for vulnerable people Exposure to extreme heat poses an acute health hazard, especially for people deemed as vulnerable. Vulnerable people with regard to heat illnesses include people with low incomes, minority groups, women (in particular pregnant women), children, older adults (over 65 years old), people with chronic diseases, disabilities and multiple long-term health conditions. Human responses to heat stress can include heat stroke and overheating (hyperthermia). Extreme heat is also linked to acute kidney injury, low quality sleep, and complications with pregnancy. The human body requires evaporation of sweat to cool down and prevent overheating, even with a low activity level. With excessive heat and humidity human bodies would no longer be able to adequately cool the skin. A wet-bulb temperature of 35 °C is regarded as the limit for humans (called the "physiological threshold for human adaptability" to heat and humidity). As of 2020, only two weather stations had recorded 35 °C wet-bulb temperatures, and only very briefly, but the frequency and duration of these events is expected to rise with ongoing climate change. Global warming above 1.5 degrees risks making parts of the tropics uninhabitable because the threshold for the wet bulb temperature may be passed. People with cognitive health issues (e.g. depression, dementia, Parkinson's disease) are more at risk when faced with high temperatures and ought to be extra careful as cognitive performance has been shown to be differentially affected by heat. People with diabetes and those who are overweight, have sleep deprivation, or have cardiovascular/cerebrovascular conditions should avoid too much heat exposure. The risk of dying from chronic lung disease during a heat wave has been estimated at 1.8–8.2% higher compared to average summer temperatures. An 8% increase in hospitalization rate for people with chronic obstructive pulmonary disease (COPD) has been estimated for every 1 °C increase in temperatures above 29 °C. This results from the way many cities are built. For example, they often have extensive areas of asphalt, reduced greenery along with many large heat-retaining buildings that physically block cooling breezes and ventilation. It increased by about 50% when the population growth in these cities is not taken into account. Also more than 2,000 people died in Karachi, Pakistan in June 2015 due to a severe heat wave with temperatures as high as . Due to climate change temperatures rose in Europe and heat mortality increased. From 2003–12 to 2013–22 alone, it increased by 17 deaths per 100,000 people, while women are more vulnerable than men. Increasing access to indoor cooling (air conditioning) will help prevent heat-related mortality but current air conditioning technology is generally unsustainable as it contributes to greenhouse gas emissions, air pollution, peak electricity demand, and urban heat islands. Heatwave early warning and response systems are important elements of heat action plans. Reduced labour capacity Heat exposure can affect people's ability to work. Working in extreme heat can lead to labor force productivity decreases as well as participation because employees' health may be weaker due to heat related health problems, such as dehydration, fatigue, dizziness, and confusion. It is also well established that regular physical activity is beneficial for human health, including mental health. Many of the consequences of droughts have effects on human health. But these effects go beyond direct physiological effects. Prolonged drought and environmental degradation can undermine livelihoods, especially in areas that depend on agriculture, and lead to the displacement of large populations seeking resources and economic opportunity. In the Lake Chad Basin, for example, the loss of water resources, desertification and reduced rainfall have displaced millions and decimated traditional livelihoods. Such large movements put pressure on the areas that receive them, increasing competition for scarce resources and possibly aggravating existing social and ethnic tensions.. Such conditions create environments of economic despair, political exclusion, and social unrest that violent extremist groups can exploit. For example, in northern Nigeria, declining agricultural productivity and widespread poverty associated with drought have increased the vulnerability of populations, especially young men, to recruitment by groups like Boko Haram that provide financial incentives, food security, or a sense of community . Drought, thus, functions as an environmental and public health stressor and an indirect driver of conflict and terrorism by changing population dynamics and increasing structural vulnerabilities. Floods Due to an increase in heavy rainfall events, floods are expected to become more severe in the future when they do occur. From a mid-term perspective, floods can seriously impact infrastructure, thereby disrupting emergency services and access to medical facilities such as hospitals. This disruption can even affect hospitals located far from the epicenter of the extreme event. For example, the 2022 Pakistan floods (which were likely more severe because of climate change) affected people's health directly and indirectly. There were outbreaks of diseases like malaria, dengue, and other skin diseases. from a surface fire in the western desert of Utah. Wildfires become more frequent and intense due to climate change. Wildfires Climate change increases wildfire potential and activity. Climate change leads to a warmer ground temperature and its effects include earlier snowmelt dates, drier than expected vegetation, increased number of potential fire days, increased occurrence of summer droughts, and a prolonged dry season. Wood smoke from wildfires produces particulate matter that has damaging effects to human health. The health effects of wildfire smoke exposure include exacerbation and development of respiratory illness such as asthma and chronic obstructive pulmonary disorder; increased risk of lung cancer, mesothelioma and tuberculosis; increased airway hyper-responsiveness; changes in levels of inflammatory mediators and coagulation factors; and respiratory tract infection. Furthermore, tropical cyclones and storm tracks are moving towards the poles. This means some regions will see large changes in maximum wind speeds. Scientists expect there will be fewer tropical cyclones. But they expect their strength to increase. == Health risks from climate-sensitive infectious diseases ==
Health risks from climate-sensitive infectious diseases
Vector-borne diseases such as malaria, dengue, Zika, and chikungunya, which are transmitted by mosquitoes (the vector), have expanded their geographical range and experienced longer transmission seasons. Rising temperatures have increased the suitability of climates that were already highly favorable in the southern hemisphere (e.g., Southeast Asia, South America, and Africa) for mosquitoes to carry these diseases. These illnesses are also spreading northward (e.g., into North America and Europe) as milder winters and higher temperatures make these regions more suitable for mosquito survival. Additionally, higher temperatures accelerate mosquito reproductive cycles and shorten the extrinsic incubation period of pathogens within mosquitoes. As a result, mosquitoes become infectious more quickly and transmit disease more efficiently. Standing water increases with higher rainfall and flooding associated with climate change in several regions, providing additional breeding sites for mosquitoes. Conversely, other regions experience increased drought, leading people to store more water in open containers, which also serve as breeding habitats for mosquitoes. Overall, these conditions contribute to increased mosquito populations and greater transmission of vector-borne diseases. Lastly, as vector-borne diseases spread more widely, co-infections (e.g., dengue and Zika) occur more frequently because these diseases share common vectors such as the Aedes aegypti mosquito. In co-endemic areas, antibody-dependent enhancement (ADE) between dengue and Zika may occur, potentially increasing both clinical severity and transmissibility of these diseases. These diseases are prevalent in arid and typically economically poorer countries where preventative infastructure and healthcare is inaccessible or underdeveloped and therefore cannot cope with this growing influx of disease treatment requirements as climate change increases the abundance of mosquitos and other disease spreading animals. Particularly, the spread of vector-borne diseases can be attributed to these economic inequalities, most notably, a household/ community's access to piped, clean water and insect prevention methods. With nearly 1 in 3 people globally not having access to clean drinking water, the chances of a water source becoming contaminated with diarrheal diseases, cholera, typhoid, hepatitis A, etc, is increased exponentially, as the hot weather creates favourable conditions for such bacteria and pathogens to live and spread. The adverse effects of an environment like this are numerous, not only effecting physical health, but also mental health and social well-being. The mental strain provided in a situation like this can be devastating and long-lasting, not only on an individual but more importantly on a given community who may be struck with such illnesses. While climate change effects people all around the world, it has great effects on people in low-income countries with already extreme weather conditions, as with the multitude of those effected and the access to treatment or prevention services are restricted due to factors such as geography or socio-economic status. == Health risks from changes in air quality ==
Health risks from changes in air quality
Indoor air quality Indoor air pollution is known to affect the health, comfort, and well-being of building occupants. It has also been linked to sick building syndrome, respiratory issues, reduced productivity, and impaired learning in schools. Indoor air quality is linked inextricably to outdoor air quality. Climate change can affect indoor air quality by increasing the level of outdoor air pollutants such as ozone and particulate matter, for example through emissions from wildfires caused by extreme heat and drought. There are numerous predictions for how indoor air pollutants will change in future. Models have attempted to predict how the forecasted scenarios will affect indoor air quality and indoor comfort parameters such as humidity and temperature. The net-zero challenge requires significant changes in the performance of both new and retrofitted buildings. Increased energy efficient housing (without good ventilation systems) can trap pollutants inside them, whether produced indoors or outdoors, and lead to an increase in human exposure. Ozone-related health burden , Houston indicating an ozone watch The relationship between surface ozone (also called ground-level ozone) and ambient temperature is complex. Changes in air temperature and water content affect the air's chemistry and the rates of chemical reactions that create and remove ozone. Many chemical reaction rates increase with temperature and lead to increased ozone production. Climate change projections show that rising temperatures and water vapour in the atmosphere will likely increase surface ozone in polluted areas like the eastern United States. On the other hand, ozone concentrations could decrease in a warming climate if anthropogenic ozone-precursor emissions (e.g., nitrogen oxides) continue to decrease through implementation of policies and practices. Therefore, future surface ozone concentrations depend on the climate change mitigation steps taken (more or less methane emissions) as well as air pollution control steps taken. High surface ozone concentrations often occur during heat waves in the United States. There is a great deal of evidence to show that surface ozone can harm lung function and irritate the respiratory system. Exposure to ozone (and the pollutants that produce it) is linked to premature death, asthma, bronchitis, heart attack, and other cardiopulmonary problems. High ozone concentrations irritate the lungs and thus affect respiratory function, especially among people with asthma. == Other health risks ==
Other health risks
Health risks from food and water insecurity Climate change affects many aspects of food security through "multiple and interconnected pathways". A modelling study from 2016 found "a climate change–associated net increase of 529,000 adult deaths worldwide [...] from expected reductions in food availability (particularly fruit and vegetables) by 2050, as compared with a reference scenario without climate change." A headline finding in 2021 regarding marine food security stated that: "In 2018–20, nearly 70% of countries showed increases in average sea surface temperature in their territorial waters compared within 2003–05, reflecting an increasing threat to their marine food productivity and marine food security". Subacute events, like prolonged droughts or extended heatwaves, persist for months and frequently result in indirect impacts, including chronic stress and livelihood strain; notably, a 1 °C rise in average temperature over five years has been linked to a 2% increase in mental health disorders, Eco-anxiety - also known as eco-distress, climate anxiety, climate distress, or climate worry - is another term that can be used to describe psychological responses (e.g., worry, fear, ecological grief, helplessness, or distress) to climate change and environmental changes. While much of the psychological distress related to environmental change is not associated with a diagnosable psychiatric disorder, psychiatric conditions (e.g., mood disorders, anxiety disorders, schizophrenia, suicidality, and substance misuse) may occur or existing conditions may worsen in relation to climate change. Increased emergency department visits and hospitalizations have been observed during periods of higher temperatures and following climate-related events (e.g., natural disasters). However, despite being a distressing emotion, eco-anxiety itself is not a clinical diagnosis. It is considered a rational and adaptive response that can motivate collective action and pro-environmental behavior. The rise in pollen also comes from rising CO2 concentrations in the atmosphere and resulting CO2 fertilisation effects. Also, during droughts, surface waters are even more susceptible to harmful algal blooms and microorganisms. Algal blooms increase water turbidity, suffocating aquatic plants, and can deplete oxygen, killing fish. Some kinds of blue-green algae (cyanobacteria) create neurotoxins, hepatoxins, cytotoxins or endotoxins that can cause serious and sometimes fatal neurological, liver and digestive diseases in humans. Cyanobacteria grow best in warmer temperatures (especially above 25 degrees Celsius), and so climate change makes harmful algal blooms to be more frequent and last longer. One of these toxin producing algae is Pseudo-nitzschia fraudulenta. This species produces a substance called domoic acid which is responsible for amnesic shellfish poisoning. The toxicity of this species has been shown to increase with greater CO2 concentrations associated with ocean acidification. Some of the more common illnesses reported from harmful algal blooms include; Ciguatera fish poisoning, paralytic shellfish poisoning, azaspiracid shellfish poisoning, diarrhetic shellfish poisoning, neurotoxic shellfish poisoning and the above-mentioned amnesic shellfish poisoning. == Potential health benefits ==
Potential health benefits
It is possible that a potential health benefit from global warming could result from fewer cold days in winter: Climate change mitigation is interconnected with various co-benefits (such as reduced air pollution and associated health benefits) and how it is carried out (in terms of e.g. policymaking) could also determine its effect on living standards (whether and how inequality and poverty are reduced). There are many health co-benefits associated with climate action. These include those of cleaner air, healthier diets (e.g. less red meat), more active lifestyles, and increased exposure to green urban spaces. Biking reduces greenhouse gas emissions while reducing the effects of a sedentary lifestyle at the same time According to PLoS Medicine: "obesity, diabetes, heart disease, and cancer, which are in part related to physical inactivity, may be reduced by a switch to low-carbon transport—including walking and cycling." Future sustainable pathways scenarios may result in an annual reduction of 1.18 million air pollution-related deaths, 5.86 million diet-related deaths, and 1.15 million deaths due to physical inactivity, across nine countries by 2040. These benefits were attributable to the mitigation of direct greenhouse gas emissions and the accompanying actions that reduce exposure to harmful pollutants, as well as improved diets and safe physical activity. Globally the cost of limiting warming to 2 °C is less than the value of the extra years of life due to cleaner air - and in India and China much less. Addressing inequality can assist with climate change mitigation efforts. Climate change mitigation policies can lead to lower emissions of co-emitted air pollutants, for instance by shifting away from fossil fuel combustion. Gases such as black carbon and methane contribute both to global warming and to air pollution. Their mitigation can bring benefits in terms of limiting global temperature increases as well as improving air quality. Implementation of the climate pledges made in the run-up to the Paris Agreement could therefore have significant benefits for human health by improving air quality. The replacement of coal-based energy with renewables can lower the number of premature deaths caused by air pollution and decrease health costs associated with coal-related respiratory diseases. This switch to renewable energy is crucial, as air pollution is responsible for over 13 million deaths annually. == Global estimates ==
Global estimates
Estimating deaths (mortality) or DALYs (morbidity) from the effects of climate change at the global level is very difficult. A 2014 study by the World Health Organization estimated the effect of climate change on human health, but not all of the effects of climate change were included. For example, the effects of more frequent and extreme storms were excluded. The study assessed deaths from heat exposure in elderly people, increases in diarrhea, malaria, dengue, coastal flooding, and childhood undernutrition. The authors estimated that climate change was projected to cause an additional 250,000 deaths per year between 2030 and 2050 but also stated that "these numbers do not represent a prediction of the overall impacts of climate change on health, since we could not quantify several important causal pathways". Total attributable mortality was about 0.2% of deaths in 2004; of these, 85% were child deaths. The effects of more frequent and extreme storms were excluded from this study. The health effects of climate change are expected to rise in line with projected ongoing global warming for different climate change scenarios. found if warming reaches or exceeds 2 °C this century, roughly 1 billion premature deaths would be caused by anthropogenic global warming. == Society and culture ==
Society and culture
Vulnerability A 2021 report published in The Lancet found that climate change does not affect people's health in an equal way. The greatest impact tends to fall on the most vulnerable such as the poor, women, children, the elderly, people with pre-existing health concerns, other minorities and outdoor workers. Climate justice and climate migrants Much of the health burden associated with climate change falls on vulnerable people (e.g. indigenous peoples and economically disadvantaged communities). As a result, people of disadvantaged sociodemographic groups experience unequal risks. Often these people will have made a disproportionately low contribution toward man-made global warming, thus leading to concerns over climate justice. Climate change has diverse effects on migration activities, and can lead to decreases or increases in the number of people who migrate. This is especially the case when comparing a health related framing to one that emphasised environmental doom, as was common in the media at least up until 2017. Communicating the co-benefits to health helps underpin greenhouse gas reduction strategies. climate change has become a major concern for public health policy. The United States Environmental Protection Agency had issued a 100-page report on global warming and human health back in 1989. By the early years of the 21st century, climate change was increasingly addressed as a public health concern at a global level, for example in 2006 at Nairobi by UN secretary general Kofi Annan. Since 2018, factors such as the 2018 heat wave, the Greta effect and the IPCC's 2018 Special Report on Global Warming of 1.5 °C further increased the urgency for responding to climate change as a global health issue. Placing health as a key focus of the Nationally Determined Contributions could present an opportunity to increase ambition and realize health co-benefits. In 2019, the Australian Medical Association formally declared climate change as a health emergency. Research shows that health professionals around the world agree that climate change is real, is caused by humans, and is causing increased health problems in their communities. Health professionals can act by informing people about health harms and ways to address them, by lobbying leaders to take action, and by taking steps to decarbonize their own homes and workplaces. ==See also==
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