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Is Climate Change a Public Health Issue?

March/April 2009

by Laurel Hopwood, NEO Human Health & Environment Chair

Experts recently reported at an American Public Health Association meeting that as the earth heats up, it's expected that more climate related diseases will ensue. "Climate change is one of the most serious public health threats facing our nation," said Dr. Georges Benjamin, the association's executive director.

Congressional representatives are recognizing the interconnectedness, too. Representative Edward Markey, Chairman of the House Select Committee on Energy Independence and Global Warming, has connected the dots. He has no doubt that climate change is affecting human health. "It leads to the migration of animals, who are bearing disease, and brings them close to population areas that they otherwise had not been exposed to."

As temperatures rise, disease carrying mosquitoes will spread, infecting people in their wake. According to the World Health Organization, a billion people will be at risk from dengue fever within 80 years. Dengue feaver and malaria are examples of debilitating and life-threatening mosquito-bearing diseases that will rise as temperatures rise.

Here in Ohio, it's expected that we’ll see more La Crosse encephalitis. This virus is spread by the Eastern treehole mosquito, which often makes its home in holes in hardwood trees in addition to old tires and other receptacles for rainwater. Fortunately, the disease has a low fatality rate. Lyme disease is another vector-borne illness that’s thriving more in a warmer climate.

Climatic changes could lead to more outbreaks of bubonic plague, as reported by the BBC. The disease is becoming more widespread among rodent populations, which serve as hosts for the fleas that transmit the plague bacteria. Fleas became active when the temperature exceeds 50 degrees Fahrenheit, so warm springs lead to early breeding.

Another pathogen has jumped its traditional boundaries and has begun what some fear is a march around the globe. This time the invader is a virus that causes chikungunya, a crippling and painful disease which until now was not found in North America. A single mutation enabled the new virus to infect the Asian tiger mosquito and medical entomologists worry that the disease will proliferate even more.

Since flooding can lead to untreated bacterial discharge getting into sources of drinking water, more people will suffer with cholera, a diarrheal disease.
Unfortunately, infectious diseases aren’t the only concern. Heat waves in U.S. cities may double by 2050, prompting more sickness from dehydration and heat stroke. Water supplies will also become an increasingly serious concern, as more of the world’s land area are suffering from drought.

Climate change is expected to have a negative effect on food production, leading to malnutrition and starvation. Developing countries will suffer the most, as subsistence agriculture will suffer. Livestock offers a livelihood for many in Africa, Asia and the Middle East. Yet rift valley fever, a deadly virus transmitted from mosquito bites to sheep, cattle and camels, is being fueled by climate change.

Scientists claim that ozone related deaths from a warming planet will significantly increase, turning this health risk into a substantial one. Ground level ozone, also known as smog, can affect people with breathing problems such as asthma.

Locked in ice for millions of years, Antarctic bacteria are thawing and they're alive. Some researchers wonder if a prehistoric plague may be in the making, but they don't expect a global pandemic.

Whether it's disease carrying mosquitoes or fleas, food depletion or drought, or even ancient prehistoric plagues, climate change as public health issue cannot be overlooked.

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