There are questions that worry me profoundly as a population- and environmental-health scientist. Will we have enough food for a growing global population? How will we take care of more people in the next pandemic? What will heat do to millions with hypertension? Will countries wage water wars because of increasing droughts? These risks all have three things in common: health, climate change and a growing population that the
United Nations forecast
would pass eight billion people on 15 November, 2022 — double the population of just 48 years ago. In my
40-year career
, first working in the Amazon rainforest and the Centers for Disease Control and Prevention, and then in academia, I have encountered many public health threats, but none so intransigent and pervasive as climate change. Of the multitude of climate-related adverse health effects, the following four represent the greatest public health concerns for a growing population. Infectious diseases Researchers have found that
over half of all human infectious diseases
can be worsened by climate change. Flooding, for example, can affect water quality and the habitats where dangerous bacteria and vectors like mosquitoes can breed and transmit infectious diseases to people. [caption id=“attachment_11638491” align=“alignnone” width=“640”] Dengue has become more common due to climate change. Image used for representational purposes/Pixabay[/caption] Dengue, a painful mosquito-borne viral disease that sickens
about 100 million
people a year, becomes more common in warm, wet environments. Its R0, or basic reproduction number — a gauge of how quickly it spreads —
increased by about 12 per cent
from the 1950s to the average in 2012-2021, according to the 2022 Lancet Countdown report. Malaria’s season expanded by 31 per cent in highland areas of Latin America and nearly 14 per cent in Africa’s highlands as temperatures rose over the same period. Flooding can also spread waterborne organisms that cause
hepatitis
and
diarrheal diseases
, such as cholera, particularly when large numbers of people are displaced by disasters and living in areas with poor water quality for drinking or washing.
Droughts
, too, can degrade drinking water quality. As a result, more rodent populations enter into human communities in search of food, increasing the
potential to spread hantavirus
. Extreme heat Another serious health risk is rising temperatures. Excessive heat can
exacerbate existing health problems
, such as
cardiovascular
and respiratory diseases. And when heat stress becomes
heat stroke
, it can
damage the heart, brain and kidneys
and become lethal. Today, about 30 per cent of the global population is exposed to potentially deadly heat stress each year. The Intergovernmental Panel on Climate Change estimates that percentage will rise
to at least 48 per cent and as high as 76 per cent
by the end of this century. In addition to lives lost, heat exposure was projected to have resulted in
470 billion potential work hours lost
globally in 2021, with associated income losses totalling up to $669 billion. As populations grow and heat rises, more people will be relying on air conditioning powered by fossil fuels, which
further contributes to climate change
. Food and water security Heat also affects food and water security for a growing population. The Lancet review found that high temperatures in 2021
shortened the growing season
by about 9.3 days on average for corn, or maize, and six days for wheat compared with the 1981-2020 average. Warming oceans, meanwhile, can kill shellfish and shift
fisheries that coastal communities rely on
. Heat waves in 2020 alone resulted in
98 million more
people facing food insecurity compared with the 1981-2010 average. Rising temperatures also affect freshwater supplies through evaporation and by shrinking
mountain glaciers
and
snowpack
that historically have kept water flowing through the summer months. Water scarcity and drought have the potential to displace almost
700 million people by 2030
, according to UN estimates. Combined with population growth and growing energy needs, they can also fuel geopolitical conflicts as countries face food shortages and compete for water. Poor air quality Air pollution can be
exacerbated by the drivers of climate change
. Hot weather and the same fossil fuel gases warming the planet
contribute to ground-level ozone
, a key component of smog. That can exacerbate allergies, asthma and other respiratory problems, as well as cardiovascular disease. Wildfires fuelled by hot, dry landscapes
add to the air pollution health risk
. Wildfire smoke is laden with tiny particles that can travel deep into the lungs,
causing heart and respiratory problems
. [caption id=“attachment_11638501” align=“alignnone” width=“640”]
Wildfires fuelled by hot, dry landscapes add to the air pollution health risk. Image used for representational purposes/Pixabay[/caption] What can we do about it? Many groups and medical experts are working to counter this cascade of negative climate consequences on human health. The US National Academy of Medicine has embarked on an ambitious
grand challenge in climate change, human health, and equity
to ramp up research. At many academic institutions, including the University of Pittsburgh’s School of Public Health, where I am dean, climate and health are being embedded in research, teaching and service. Addressing the health burden on low- and middle-income countries is pivotal. Often, the
most vulnerable
people in these countries
face the greatest harms from climate change
without having the resources to protect their health and environment. Population growth can
deepen these iniquities
.
Adaptation assessments
can help high-risk countries prepare for the effects of climate change. Development groups are also leading projects to
expand the cultivation of crops
that can thrive in dry conditions. The
Pan American Health Organization
, which focuses on the Caribbean, is an example of how countries are working to reduce communicable diseases and advance regional capacity to counter the impact of climate change. Ultimately, reducing the health risks will require
reducing the greenhouse gas emissions
that are driving climate change. Countries worldwide
committed in 1992
to reduce greenhouse gas emissions. Thirty years later, global emissions are
only beginning to flatten
, and communities around the world are increasingly suffering extreme heat waves and devastating floods and droughts. The
UN climate change talks
, which in my view aren’t focusing enough on health, can help bring attention to key climate impacts that harm health. As UN Secretary-General António Guterres noted: While we celebrate our advances, “at the same time, it is a reminder of our shared responsibility to care for our planet and a moment to reflect on where we still fall short of our commitments to one another.” This article is republished from
The Conversation
under a Creative Commons license. Read the
original article
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