Climate Change and Human Health 400 Emission of other GHGs 350 2500 300 2000 250 200 1500 150 1000 100 50 500 0 1980 2002 2010 2020 2030 CO2 emissions per GDP (tonnes per USD million) 0 1990 1995 2000 2005 CH4 CO2 emissions per capita (tonnes per capita) Source: APERC (2006) 2010 2015 2020 N2O Source: EPA (2006) Figure 3. Carbon dioxide and other Greenhouse Gases Emission Intensity in the Philippines. Table 2. Diagrammatic Representation of Pathways Depicting How Climate Change Affects Human Health. Adapted from Haines, et al, 2004.17 Natural and Human Influences Climate variability and change Regional and local weather change Extreme weather precipitation temperature Change in sea level Change in intermediate effects None Air pollution concentration and distribution Pollen production Microbial contamination and transmission Crop yields Coastal flooding; Coastal aquifer salinity Adverse health effects Health related illnesses and deaths Extreme weather-related health effects Air pollution-related health effects Allergic diseases Infectious diseases (water-borne, food-borne, vector-borne and rodent-borne disease) Malnutrition Storm-surge-related drowning ad injuries Health problems of displaced populations Table 3. Diagrammatic Representation of the Direct and Indirect Health Impacts of Climate Change. Adapted from Martens, 1998.19 Climate change Direct Indirect Thermal stress Ecological mediation Vector-borne diseases Marine-borne diseases Food productivity Air pollution Weather disasters sea-level rise Cardiovascular and respiratory morbidity and mortality Malaria, Dengue, Schistosomiasis Toxic algae and cholera Malnutrition Asthma and cardiorespiratory diseases Deaths, injuries, damage to health infrastructure, increased risk of infectious diseases, conflicts Health Impacts of Climate Change Table 2 shows the epidemiologic framework in understanding the impact of climate change to overall human health, including both the immediate and secondary impacts. Immediate effects of climate change include extreme weather patterns and sea level rise. Secondary effects include changes in air pollution concentration and distribution causing pollution-related health effects, decreased agricultural productivity that may result in famine and malnutrition, pollen production that causes VOL. 50 NO. 2 2016 allergic syndromes, and microbial contamination and transmission that cause infectious diseases.16 Table 3 shows a diagrammatic representation of the direct and indirect health impacts of climate change as well as the various types of diseases that could develop. For instance, thermal stresses due to climate change could lead to cardiovascular and respiratory diseases.18 Table 4 summarizes the climate-related health impacts. The increased probability of climate change could result in an increased rate and incidence of corollary health impacts, whether direct or indirect, and short term or long term. ACTA MEDICA PHILIPPINA 93

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