Senior Advisor for Public Health Director, NIEHS-WHO Collaborating Centre for Environmental Health Sciences National Institute of Environmental Health Sciences
National Environmental Justice Conference and Training Program
Washington, DC March 13, 2015 National Institutes of Health U.S. Department of Health and Human Services
In a warming world, if youre cold, someone else is hot
Overview of climate projections for the US Health impacts of climate change and the role of social determinants What does climate justice through a public health lens mean? How the federal government is responding
National Institutes of Health
U.S. Department of Health and Human Services
National Institutes of Health
U.S. Department of Health and Human Services
Projected Temperature Change of
Hottest Days
Projected Change in Heavy
Precipitation Events
Extreme events trend upwards in US since 1980
National Institutes of Health
U.S. Department of Health and Human Services
Slide courtesy of Dr. George Luber, CDC
National Institutes of Health
U.S. Department of Health and Human Services
National Institutes of Health
U.S. Department of Health and Human Services
Heat: mortality in NYC linked to lack of air conditioning
Klein Rosenthal et al., 2014
National Institutes of Health
U.S. Department of Health and Human Services
National Institutes of Health
U.S. Department of Health and Human Services
Race, Social Capital, and the Health Impacts of Katrina
Significant racial differences persist in specific Katrinainduced health symptoms with African Americans
Adeola, Francis O., and J. Steven Picou. "Race, social capital, and the health impacts of Katrina: Evidence from the Louisiana and Mississippi Gulf Coast."Human Ecology Review 19.1 (2012): 10-24. National Institutes of Health U.S. Department of Health and Human Services
Vulnerability of NYC neighborhoods to chemical
hazards and extreme events
National Institutes of Health
U.S. Department of Health and Human Services
So what does climate
justice through a public health lens really mean? National Institutes of Health U.S. Department of Health and Human Services
A public health lens on climate justice can mean
Reducing health disparities is a climate justice imperative National Institutes of Health U.S. Department of Health and Human Services
? = National Institutes of Health U.S. Department of Health and Human Services
Sustainable, healthy communities are the foundation of transformation National Institutes of Health U.S. Department of Health and Human Services
Transformation is coming equity must be part of it
National Institutes of Health
U.S. Department of Health and Human Services
Green Jobs, Sustainable Communities
National Institutes of Health
U.S. Department of Health and Human Services
A public health lens on climate justice can mean
Special attention to those most at risk
National Institutes of Health
U.S. Department of Health and Human Services
Outdoor workers and heat stress- perfect heat storm?
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5724a1.htm National Institutes of Health U.S. Department of Health and Human Services
The Presidents Climate Action Plan- June 2013
National Institutes of Health
U.S. Department of Health and Human Services
Sustainable and Climate Resilient Health Care Facilities Initiative
3 Part Background Guide
5 Element Framework for Healthcare Facility Resilience Diagram and Descriptions
Compendium of Resources Matrix and Guide to Case Studies Bibliography Available at toolkit.climate.gov
National Institutes of Health
U.S. Department of Health and Human Services
The USGCRP Climate and Health
Assessment
Report on impacts of observed and projected climate change
on human health in the United States, with a strong focus on impact quantification where possible.
Builds upon the current NCA and 2008 US CCSP climate and health-focused report (SAP 4.6).
The USGCRP Climate and Health Assessment is a Highly
Influential Scientific Assessment.
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Draft Outline 1. Introduction 2. Thermal Extremes 3. Air Quality Impacts 4. Vectorborne and Zoonotic Disease 5. Waterborne and Foodborne Disease 6. Food Safety, Nutrition, and Access 7. Extreme Weather and Climate Events 8. Mental Health and Stress-Related Disorders 9. Risk Factors and Populations of Concern
Internal 6
Draft Outline Risk Factors - Social Determinants of 1. Introduction Health - Biological Sensitivity 2. Thermal Extremes - Exposure - Resilience 3. Air Quality Impacts Populations of Concern - Minority, Low Income, EJ 4. Vectorborne and Zoonotic Disease - Tribal Peoples 5. Waterborne and Foodborne Disease - Children and Pregnant Women 6. Food Safety, Nutrition, and Access - Older Adults groups 7. Extreme Weather and Climate -- Occupational Persons with disabilities Events - Persons with chronic diseases 8. Mental Health and Stress-Related Disorders 9. Risk Factors and Populations of Concern Internal 11
Draft Timeline The assessment is an interim report with an estimated publication date in spring 2016 between the Third NCA (May 2014) and Fourth NCA (expected 2018).
Second Order Draft
Second Order Draft of all chapters to steering
committee
December, 2014
Draft delivered to USGCRP for SGCR Principals
Review
January 2015
Peer Public Comment (Federal Register Notice) Review NRC Peer Review Draft Internal Internal Agency Reviews and Clearance Final Draft
March May, 2015
Final Release Draft
Authors Revise and Prepare Final Release Draft
Nov 2015 Feb
2016
Design and Production complete- Roll Out
March, 2016
March - June, 2015
Sept Nov, 2015
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Climate and Data Tools Initiative
National Institutes of Health
U.S. Department of Health and Human Services
Resources and activities for protecting health in a context of climate
Summary Climate justice, health disparities, sustainable communities are all tightly linked Climate change brings significant threats but can also force transformative positive change for health New tools, assessments, and data resources can help communities protect and promote health
