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Effects of climate change on human health

The effects of climate change on human health are increasingly well studied and quantified.[1][2] Rising temperatures and changes in weather patterns are increasing the severity of heat waves, extreme weather and other causes of illness, injury or death. Heat waves and extreme weather events have a big impact on health both directly and indirectly. When people are exposed to higher temperatures for longer time periods they might experience heat illness and heat-related death.[3]

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In addition to direct impacts, climate change and extreme weather events cause changes in the biosphere. Certain diseases that are carried by vectors or spread by climate-sensitive pathogens may become more common in some regions. Examples include mosquito-borne diseases such as dengue fever, and waterborne diseases such as diarrhoeal disease.[3][4] Climate change will impact where infectious diseases are able to spread in the future. Many infectious diseases will spread to new geographic areas where people have not previously been exposed to them.[5][6]


Changes in climate can cause decreasing yields for some crops and regions, resulting in higher food prices, food insecurity, and undernutrition. Climate change can also reduce water security. These factors together can lead to increasing poverty, human migration, violent conflict, and mental health issues.[7][8][3]


Climate change affects human health at all ages, from infancy through adolescence, adulthood and old age.[7][3] Factors such as age, gender and socioeconomic status influence to what extent these effects become wide-spread risks to human health.[8]: 1867  Extreme weather creates climate hazards for whole families, particularly those headed by women. It can also reduce the earning capacity and economic stability of people. Populations over 65 years of age are particularly vulnerable to heat and other health effects of climate change.[7] Health risks are unevenly distributed across the world.[8] Disadvantaged people are particularly vulnerable to climate change.[3]: 15 


The health effects of climate change are increasingly a matter of concern for the international public health policy community. In 2009, a publication in the general medical journal The Lancet stated that "Climate change is the biggest global health threat of the 21st century".[9] The World Health Organization reiterated this in 2015.[10]


Research shows that health professionals around the world agree that climate change is real, is caused by humans, and is causing increased health problems in their communities. Studies also show that taking action to address climate change improves public health. Health professionals can act by informing people about health harms and ways to address them, by lobbying leaders to take action, and by taking steps to decarbonize their own homes and workplaces.[11] Studies have found that communications on climate change that present it as a health concern rather than just an environmental matter are more likely to engage the public.[12][13]

Direct mechanisms or risks: changes in extreme weather and resultant increased storms, floods, droughts, heat waves and wildfires

[3]

Indirect mechanisms or risks: these are mediated through changes in the (e.g., the burden of disease and redistribution of disease vectors, or food availability, water quality, air pollution, land use change, ecological change)

biosphere

Social dynamics (age and gender, health status, , social capital, public health infrastructure, mobility and conflict status)

socioeconomic status

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Climate change is increasing the periodicity and intensity of some extreme weather events.[44] Confidence in the attribution of extreme weather to anthropogenic climate change is highest in changes in frequency or magnitude of extreme heat and cold events with some confidence in increases in heavy precipitation and increases in the intensity of droughts.[45]


Extreme weather events, such as floods, hurricanes, droughts and wildfires can result in injuries, death and the spread of infectious diseases. For example, local epidemics can occur due to loss of infrastructure, such as hospitals and sanitation services, but also because of changes in local ecology and environment.


Examples include:

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The effects of climate change on human health can be grouped into direct and indirect effects.[8]: 1867   Both types of effects interact with social dynamics. The combination of effects and social dynamics determines the eventual health outcomes. Mechanisms and social dynamics are explained further below:


These health risks vary across the world and between different groups of people. For example, differences in health service provision or economic development will result in different health risks for people in different regions, with less developed countries facing greater health risks. In many places, the combination of lower socioeconomic status and cultural gender roles result in increased health risks to women and girls as a result of climate change, compared to those faced by men and boys (although the converse may apply in other instances).[8]


The following health effects that are related to climate change have been identified: cardiovascular diseases, respiratory diseases, infectious diseases, undernutrition, mental illness, allergies, injuries and poisoning.[8]: Figure 2 


Health and health care provision can also be impacted by the collapse of health systems and damage to infrastructure due to climate-induced events such as flooding. Therefore, building health systems that are climate resilient is a priority.[14][3]: 15 

Health risks from changes in air quality[edit]

Indoor air quality[edit]

Indoor air pollution is known to affect the health, comfort, and well-being of building occupants. It has also been linked to sick building syndrome, respiratory issues, reduced productivity, and impaired learning in schools. Indoor air quality is linked inextricably to outdoor air quality.[66] Climate change can affect indoor air quality by increasing the level of outdoor air pollutants such as ozone (see next section) and particulate matter.[67] There are numerous predictions for how indoor air pollutants will change in future.[68][69][70][71] Models have attempted to predict how the forecasted scenarios will affect indoor air quality and indoor comfort parameters such as humidity and temperature.[72]


The net-zero challenge requires significant changes in the performance of both new and retrofitted buildings. Increased energy efficient housing (without good ventilation systems) can trap pollutants inside them, whether produced indoors or outdoors, and lead to an increase in human exposure.[73][74]

: Climate change affects multiple factors associated with droughts, such as how much rain falls and how fast the rain evaporates again. Warming over land increases the severity and frequency of droughts around much of the world.[46][47]: 1057  Many of the consequences of droughts have effects on human health.

Droughts and health effects

: Due to an increase in heavy rainfall events, floods are expected to become more severe in the future when they do occur.[47]: 1155  However, the interactions between rainfall and flooding are complex. In some regions, flooding is expected to become rarer. This depends on several factors, such as changes in rain and snowmelt, but also soil moisture.[47]: 1156  Floods have short and long-term negative implications to people's health and well-being. Short term implications include mortalities, injuries and diseases, while long term implications include non-communicable diseases and psychosocial health aspects.[48] For example, the 2022 Pakistan Floods (which were likely more severe because of climate change[49][50]) affected people's health directly and indirectly. There were outbreaks of diseases like malaria, dengue, and other skin diseases.[51][52]

Floods and health effects

: Climate change increases wildfire potential and activity.[53] Climate change leads to a warmer ground temperature and its effects include earlier snowmelt dates, drier than expected vegetation, increased number of potential fire days, increased occurrence of summer droughts, and a prolonged dry season.[54] Wood smoke from wildfires produces particulate matter that has damaging effects to human health.[55] The health effects of wildfire smoke exposure include exacerbation and development of respiratory illness such as asthma and chronic obstructive pulmonary disorder; increased risk of lung cancer, mesothelioma and tuberculosis; increased airway hyper-responsiveness; changes in levels of inflammatory mediators and coagulation factors; and respiratory tract infection.[55]

Wildfire and health effects

Storms become wetter under climate change. These include and extratropical cyclones. Both the maximum and mean rainfall rates increase. This more extreme rainfall is also true for thunderstorms in some regions.[56] Furthermore, tropical cyclones and storm tracks are moving towards the poles. This means some regions will see large changes in maximum wind speeds.[56][57] Scientists expect there will be fewer tropical cyclones. But they expect their strength to increase.[57] (see effects of climate change#Extreme storms and tropical cyclones and climate change)

tropical cyclones

Effects of climate change

Health policy

Health system

Heat stress

Environmental health

Global health

Occupational heat stress

Water security

Public health and climate change (Lancet)

Climate change and health (World Health Organization)

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