Climate Change and Human Health dioxide contributes the largest at 77%, followed by methane (14%) and then nitrous oxide (8%). Greenhouse Gas Emission: Philippine Setting In the Philippines, the sector with the highest percent change of greenhouse gas emissions from 1990 to 2000 is the energy sector accounting for 91%, followed by industrial processes at 88%. The transportation sector alone (under energy sector) accounted for the highest percentage change of greenhouse gas emission from 1990 to 2000 at 279% (Table 1). The projected trending of carbon dioxide emission intensity in the Philippines is shown in Figure 3. The CO2 emissions per GDP and per capita show an increasing trend of increase over the years. However, it can be observed that carbon dioxide emissions per gross domestic product (GDP) show a gradual downward slope. The other two important greenhouse gases, methane and nitrous oxides, show increasing pattern of emission intensity. Figure 1. Combined Risk to Climate Disaster. Source: Manila Observatory and DENR (http://www.observatory.ph/vm/ findings.html). Greenhouse Gas Accumulation Methods The study is a review of climate change and its effect on human health. Data were gathered from national and international sources. Extensive and exhaustive reviews on literature, articles, and other data were done. Figure 2 shows a simplified procedure in assessing the potential health impacts of climate change. Climate change is mainly caused by greenhouse gas accumulation affecting the environmental systems vis-a-vis the human health loop. Socio-Economic and Cultural Modifiers Presentation of Data Gathered of the Risks to Human Health Sources of Greenhouse Gases (by sector) As for sources of greenhouse gases, the energy and transportation sector accounts for the highest percentage of worldwide emission of greenhouse gases at about 60%. This is followed by land use change at 18.2%, and agriculture at 13.5%. Of the all the greenhouse gases emitted, carbon Climate Change Changes in the Environmental Systems that Determine Human Health Impacts upon Human Health Figure 2. Schematic Diagram of Assessment of Health Impacts of Climate Change. Adapted from: WHO, 2000. 14 Table 1. Greenhouse Gas Emissions by Sector in the Philippines Sector Energy Electricity & Heat Manufacturing & Construction Transportation Other fuel combustion Fugitive emissions Industrial processes Land use Change and Forestry Total 1990 Mt CO2 36 14.2 8.3 6.2 7.4 0 3.2 79.4 118.6 2000 % 30.4 11.9 7 5.2 6.2 0 2.7 66.9 Mt CO2 68.9 26.8 9.2 23.5 9.4 0 6 94.9 169.8 2004 % 40.6 15.8 5.4 13.9 5.5 0 3.5 55.9 Mt CO2 72.6 28.9 11.2 25.4 6.8 0.3 6.5 NA 79.1 Change 1990-2000 % 91.8 36.5 14.1 32.1 8.6 0.4 8.2 NA 91% 89% 11% 279% 27% 0% 88% 20% 43% Source: Climate Analysis Indicators Tool (CAIT), 2010. 15 92 ACTA MEDICA PHILIPPINA VOL. 50 NO. 2 2016

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