Climate Suitability: For Stable Malaria Transmission in Zimbabwe Under Different Climate Change Scenarios

As climate is one factor determining the potential range of malaria, climate change may work with or against efforts to bring malaria under control. We developed a model of future climate suitability for stable Plasmodium falciparum malaria transmission in Zimbabwe. Current climate suitability for stable malaria transmission is based on the MARA/ARMA model of climatic constraints on the survival and development of the Anopheles vector and the Plasmodium falciparum malaria parasite. We explored potential future geographic distributions of malaria using sixteen projections of climate in 2100. The results suggest that, assuming no future human-imposed constraints on malaria transmission, changes in temperature and precipitation could alter the geographic distribution of malaria in Zimbabwe, with previously unsuitable areas of dense human population becoming suitable for transmission. Among all scenarios, the highlands become more suitable for transmission, while the lowveld and areas currently limited by precipitation show varying degrees of change, depending on climate sensitivity and greenhouse gas emission stabilization scenarios, and depending on the general circulation model used. The methods employed can be used within or across other African countries. This revised version was published online in July 2006 with corrections to the Cover Date.     

Climate Suitability for Stable Malaria Transmission in Zimbabwe Under Different Climate Change Scenarios

Climate is one factor that determines the potential range of malaria. As such, climate change may work with or against efforts to bring malaria under control. We developed a model of future climate suitability for stable Plasmodium falciparum malaria transmission in Zimbabwe. Current climate suitability for stable malaria transmission was based on the MARA/ARMA model of climatic constraints on the survival and development of the Anopheles vector and the Plasmodium falciparum malaria parasite. We explored potential future geographic distributions of malaria using 16 projections of climate in 2100. The results suggest that, assuming no future human-imposed constraints on malaria transmission, changes in temperature and precipitation could alter the geographic distribution of malaria in Zimbabwe, with previously unsuitable areas of dense human population becoming suitable for transmission. Among all scenarios, the highlands become more suitable for transmission, while the lowveld and areas with low precipitation show varying degrees of change, depending on climate sensitivity and greenhouse gas emission stabilization scenarios, and depending on the general circulation model used. The methods employed can be used within or across other African countries.     

Enhancing the relevance of Shared Socioeconomic Pathways for climate change impacts,adaptation and vulnerability research

This paper discusses the role and relevance of the shared socioeconomic pathways (SSPs) and the new scenarios that combine SSPs with representative concentration pathways (RCPs) for climate change impacts, adaptation, and vulnerability (IAV) research. It first provides an overview of uses of social–environmental scenarios in IAV studies and identifies the main shortcomings of earlier such scenarios. Second, the paper elaborates on two aspects of the SSPs and new scenarios that would improve their usefulness for IAV studies compared to earlier scenario sets: (i) enhancing their applicability while retaining coherence across spatial scales, and (ii) adding indicators of importance for projecting vulnerability. The paper therefore presents an agenda for future research, recommending that SSPs incorporate not only the standard variables of population and gross domestic product, but also indicators such as income distribution, spatial population, human health and governance.     

Adaptation to the infectious disease impacts of climate change

Climate change has the potential to increase the challenge of preventing and controlling outbreaks of infectious diseases. An adaptation assessment is an important aspect of designing and implementing policies and measures to avoid, prepare for, and effectively respond to infectious diseases outbreaks. The main steps in conducting an adaptation assessment include: 1) evaluating the effectiveness of policies and measures that address the burden of climate-sensitive infectious diseases; 2) identifying options to manage the health risks of current and projected climate change; 3) evaluating and prioritizing the options; 4) identifying human and financial resources needs, and possible barriers, constraints, and limits to implementation; and 5) developing monitoring and evaluation programs to ensure continued effectiveness of policies and measures in a changing climate. Optimally, relevant stakeholders are optimally included throughout the adaptation assessment. Although the process of conducting an assessment is similar across nations and regions, the context and content will vary depending on local circumstances, socioeconomic conditions, legal and regulatory frameworks, and other factors. The European Centers for Disease Prevention and Control developed guidelines for conducting assessments, with sufficient consistency to facilitate learning lessons across assessments.     

The impact of extreme heat on morbidity in Milwaukee, Wisconsin

Given predictions of increased intensity and frequency of heat waves, it is important to study the effect of high temperatures on human mortality and morbidity. Many studies focus on heat wave-related mortality; however, heat-related morbidity is often overlooked. The goals of this study are to examine the historical observed relationship between temperature and morbidity (illness), and explore the extent to which observed historical relationships could be used to generate future projections of morbidity under climate change. We collected meteorological, air pollution, and hospital admissions data in Milwaukee, Wisconsin, for the years 1989–2005, and employed a generalized additive model (GAM) to quantify the relationship between morbidity (as measured by hospital admissions) and high temperatures with adjustment for the effects of potential confounders. We also estimated temperature threshold values for different causes of hospital admissions and then quantified the associated percent increase of admissions per degree above the threshold. Finally, the future impact of higher temperatures on admissions for the years 2059–2075 was examined. Our results show that five causes of admission (endocrine, genitourinary, renal, accidental, and self-harm) and three age groups (15–64, 75–84, >85 years) were affected by high temperatures. Future projections indicate a larger number of days above the current temperature threshold leading to an increase in admissions. Our results indicate that climate change may increase heat-related hospital admissions in the US urban mid-West and that health systems should include heat wave planning.     

A population health model for integrated assessment models

In this paper we present the initial results from a project to develop a population health model so we can extend the scenarios included in the IPCC’s Special Report on Emission Scenarios to include population health status. Our initial hypothesis was that some climatic variable, particularly temperature, would have a significant impact on health outcomes. After experiments – using the Global Burden of Disease (GBD) data on Years of Life Lost (YLL) and Years Lived with disability (YLD) both by WHO region and by five degree latitude band as outcome variables – failed, we settled on life expectancy (LE) as the best measure of health status. We discovered that there is a solid relationship between LE and the GBD data from our first experiments, allowing us to extend the results from the LE model. The LE model used cross section data on LE for 91 countries and included temperature, per capita income, access to clean water and sanitation, literacy, simple medical attention, nutrition, per capita medical expenditure, electricity use per capita, and automobiles per capita as independent variables. While all were individually associated with LE, our model of choice included literacy, access to clean water and sanitation, simple medical attention, an indictor variable for Sub-Saharan Africa and purchasing-power parity per capita income. Note that neither temperature nor calories enter into this model. The fit between life expectancy, as predicted by this model, and actual life expectancy was quite good (R ² =0.90), except for Rwanda, Uganda, and Madagascar; these countries accounted for one half of the unexplained variation in the model. The LE model was then used to develop trajectories of life expectancy in India for the four IPCC SRES storylines, where values for the independent variables were extrapolated based on the story line content. YLL and YLD estimates were created using the current cross relationship of these outcomes to LE. Given the lack of a general role for climate in our LE model, future work is planned to explore how to add detailed climate related impacts, to explore alternative nutritional variables, as well as extend the data set to allow a cross-section time-series approach.     

The influence of a season of extreme wet weather events on exposure of the World Heritage Area Great Barrier Reef to pesticides

The 2010-2011 wet season was one of extreme weather for the State of Queensland, Australia. Major rivers adjacent to the Great Barrier Reef (GBR) were discharging at rates 1.5 to >3 times higher than their long term median. Exposure to photosystem II herbicides has been routinely monitored over a period of up to 5 years at 12 inshore GBR sites. The influence of this wet season on exposure to photosystem II herbicides was examined in the context of this long-term monitoring record and during flood plume events in specific regions. Median exposures expressed as diuron equivalent concentration were an average factor of 2.3 times higher but mostly not significantly different (p<0.05) to the median for the long-term monitoring record. The herbicides metolachlor and tebuthiuron were frequently detected in flood plume waters at concentrations that reached or exceeded relevant water quality guidelines (by up to 4.5 times).     

Sea level rise and South Florida coastal forests

Coastal ecosystems lie at the forefront of sea level rise. We posit that before the onset of actual inundation, sea level rise will influence the species composition of coastal hardwood hammocks and buttonwood (Conocarpus erectus L.) forests of the Everglades National Park based on tolerance to drought and salinity. Precipitation is the major water source in coastal hammocks and is stored in the soil vadose zone, but vadose water will diminish with the rising water table as a consequence of sea level rise, thereby subjecting plants to salt water stress. A model is used to demonstrate that the constraining effect of salinity on transpiration limits the distribution of freshwater-dependent communities. Field data collected in hardwood hammocks and coastal buttonwood forests over 11 years show that halophytes have replaced glycophytes. We establish that sea level rise threatens 21 rare coastal species in Everglades National Park and estimate the relative risk to each species using basic life history and population traits. We review salinity conditions in the estuarine region over 1999?C2009 and associate wide variability in the extent of the annual seawater intrusion to variation in freshwater inflows and precipitation. We also examine species composition in coastal and inland hammocks in connection with distance from the coast, depth to water table, and groundwater salinity. Though this study focuses on coastal forests and rare species of South Florida, it has implications for coastal forests threatened by saltwater intrusion across the globe.     

A wedge-based approach to estimating health co-benefits of climate change mitigation activities in the United States

While it has been recognized that actions reducing greenhouse gas (GHG) emissions can have significant positive and negative impacts on human health through reductions in ambient fine particulate matter (PM_2.5) concentrations, these impacts are rarely taken into account when analyzing specific policies. This study presents a new framework for estimating the change in health outcomes resulting from implementation of specific carbon dioxide (CO₂) reduction activities, allowing comparison of different sectors and options for climate mitigation activities. Our estimates suggest that in the year 2020, the reductions in adverse health outcomes from lessened exposure to PM_2.5 would yield economic benefits in the range of $6 to $30 billion (in 2008 USD), depending on the specific activity. This equates to between $40 and $198 per metric ton of CO₂ in health benefits. Specific climate interventions will vary in the health co-benefits they provide as well as in potential harms that may result from their implementation. Rigorous assessment of these health impacts is essential for guiding policy decisions as efforts to reduce GHG emissions increase in scope and intensity.