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International Journal of Public Health

, Volume 55, Issue 2, pp 97–103 | Cite as

Public health impact of global heating due to climate change: potential effects on chronic non-communicable diseases

  • Tord KjellstromEmail author
  • Ainslie J. Butler
  • Robyn M. Lucas
  • Ruth Bonita
Review

Abstract

Objectives

Several categories of ill health important at the global level are likely to be affected by climate change. To date the focus of this association has been on communicable diseases and injuries. This paper briefly analyzes potential impacts of global climate change on chronic non-communicable diseases (NCDs).

Method

We reviewed the limited available evidence of the relationships between climate exposure and chronic and NCDs. We further reviewed likely mechanisms and pathways for climatic influences on chronic disease occurrence and impacts on pre-existing chronic diseases.

Results

There are negative impacts of climatic factors and climate change on some physiological functions and on cardio-vascular and kidney diseases. Chronic disease risks are likely to increase with climate change and related increase in air pollution, malnutrition, and extreme weather events.

Conclusions

There are substantial research gaps in this arena. The health sector has a major role in facilitating further research and monitoring the health impacts of global climate change. Such work will also contribute to global efforts for the prevention and control of chronic NCDs in our ageing and urbanizing global population.

Keywords

Climate change Chronic diseases Non-communicable diseases Cardiovascular disease Kidney disease Causal pathways 

Notes

Acknowledgments

This research was supported by The Australian National University general facilities and not by any specific research grant.

References

  1. Axelson O (1974) Influence of heat exposure on productivity. Scand J Work Environ Health 11:94–99Google Scholar
  2. Barker DJP (1997) Fetal nutrition and cardiovascular disease in later life. Br Med Bull 53:96–108PubMedGoogle Scholar
  3. Beaglehole R, Bonita R (2008) Global public health: a scorecard. Lancet 327:1988–1996CrossRefGoogle Scholar
  4. Beggs PJ (2004) Impacts of climate change on aeroallergens: past and future. Clin Exp Allergy 34:1507–1513CrossRefPubMedGoogle Scholar
  5. Bi P, Parton KA, Wang J, Donald K (2008) Temperature and direct effects on population health in Brisbane, 1986–1995. J Environ Health 70:48–53PubMedGoogle Scholar
  6. Black D, Jones NF (1979) Renal diseases, 4th edn. Blackwell, OxfordGoogle Scholar
  7. Bridger RS (2003) Introduction to ergonomics, 2nd edn. Taylor & Francis, LondonGoogle Scholar
  8. Brikowski TH, Lotan Y, Pearle MS (2008) Climate-related increase in the prevalence of urolithiasis in the United States. Proc Natl Acad Sci 105:9841–9846CrossRefPubMedGoogle Scholar
  9. Burch GE, DePasquale NP (1962) Hot climates, man and his heart. Charles C. Thomas Publisher, Springfield, IllinoisGoogle Scholar
  10. Chung NK, Pin CH (1996) Obesity and the occurrence of heat disorders. Mil Med 161:739–742PubMedGoogle Scholar
  11. Costello A, Abbas M, Allen A et al (2009) Managing the health effects of climate change. Lancet 373:1693–1733CrossRefPubMedGoogle Scholar
  12. Cramer JS, Forrest K (2006) Renal lithiasis: addressing the risks of austere desert deployments. Aviat Space Environ Med 77:649–653PubMedGoogle Scholar
  13. Dear K, Ranmuthugala G, Kjellstrom T, Skinner C, Hanigan I (2005) Effects of temperature and ozone on daily mortality during the August 2003 heat wave in France. Arch Environ Occup Health 60:205–212CrossRefPubMedGoogle Scholar
  14. Dougherty KA, Chow M, Kenney WL (2009) Responses of lean and obese boys to repeated summer exercise in the heat bouts. Med Sci Sports Exercise 41:279–289Google Scholar
  15. Filleul L, Cassadou S, Medina S et al (2006) The relation between temperature, ozone and mortality in nine French cities during the heat wave in 2003. Environ Health Persp 114:1344–1347CrossRefGoogle Scholar
  16. Garcia-Trabanino R, Dominguez J, Jansa JM, Oliver A (2005) Proteinuria and chronic renal failure in the coast of El Salvador: detection with low cost methods and associated factors. Nefrologia 25:31–38Google Scholar
  17. Gluckman PD, Hanson MA (2006) Adult disease: echoes of the past. Eur J Endocrinol 155:S47–S50CrossRefGoogle Scholar
  18. Hajat S, Armstrong BJ, Gouveia N, Wilkinson P (2005) Mortality displacement of heat-related deaths: a comparison of Delhi, Sao Paulo and London. Epidemiology 16:613–620CrossRefPubMedGoogle Scholar
  19. Hansen AL, Bi P, Ryan P, Nitschke M, Pisaniello D, Tucker G (2008) The effect of heat waves on hospital admissions for renal disease in a temperature city of Australia. Int J Epidemiol 37:1359–1365CrossRefPubMedGoogle Scholar
  20. Hoffman B, Hertel S, Boes T et al (2008) Increased cause-specific mortality associated with 2003 heat wave in Essen, Germany. J Toxicol Environ Health 71:759–765CrossRefGoogle Scholar
  21. Humm AM, Beer S, Kool J, Magistris MR, Kesselring J, Rosler KM (2004) Quantification of Uhthoff’s phenomenon in multiple sclerosis: a magnetic stimulation study. Clin Neurophysiol 115:2493–2501CrossRefPubMedGoogle Scholar
  22. Hussein T, Chaudhary JR (2008) Human health risk assessment due to global warming—a case study of the Gulf countries. Int J Environ Res Public Health 5:204–212CrossRefGoogle Scholar
  23. Inter-governmental Panel on Climate Change (IPCC) (2007) Fourth assessment report. Cambridge University Press, Cambridge (free on the web: www.ipcc.ch)
  24. Jhung MA, Shehab N, Rohr-Allegrini C et al (2007) Chronic disease and disasters: medication demands of hurricane Katrina evacuees. Am J Prev Med 33:207–210CrossRefPubMedGoogle Scholar
  25. Kinney PL (2008) Climate change, air quality and human health. Am J Prev Med 35:459–467CrossRefPubMedGoogle Scholar
  26. Kjellstrom T (2000) Climate change, heat exposure and labour productivity. Epidemiology 11:S144Google Scholar
  27. Kjellstrom T (2009) Climate change, direct heat exposure, health and well-being in low and middle income countries. Global Health Action 2:1–3Google Scholar
  28. Knowlton K, Rotkin-Ellman M, King G et al (2008) The 2006 California heat wave: impacts on hospitalizations and emergency department visits. Environ Health Persp 71:759–765Google Scholar
  29. Krzyzanowski M, Kuna-Dibbert B, Schneider J (2005) Health effects of transport-related air pollution. World Health Organization Regional Office for Europe, CopenhagenGoogle Scholar
  30. Lopez A, Mathers C, Ezzati M, Jamison D, Murray CJ (2006) Global burden of disease and risk factors. The World Bank and Oxford University Press, New YorkCrossRefGoogle Scholar
  31. McGranahan G, Balk D, Anderson B (2007) The rising tide: assessing the risks of climate change and human settlements in low elevation coastal zones. Environ Urban 19:17–38CrossRefGoogle Scholar
  32. McMichael A, Campbell-Lendrum D, Ebi K, Githeko A, Scheraga J, Woodward A (2003) Climate change and human health: risks and responses. World Health Organization, GenevaGoogle Scholar
  33. McMichael AJ, Campbell-Lendrum D, Kovats S et al (2004) Global climate change. In: Ezzati et al (eds) Comparative quantification of health risks, vol 2. World Health Organization, Geneva, pp 1543–1650Google Scholar
  34. Mokdad AH, Ford ES, Bowman BA et al (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289:76–79CrossRefPubMedGoogle Scholar
  35. Muller O, Krawinkel M (2005) Malnutrition and health in developing countries. CMAJ 173:279–286PubMedGoogle Scholar
  36. Nawrot TS, Staessen JA, Fagard RH, Van Bortel LM, Struijker-Boudier HA (2005) Endothelial function and outdoor temperature. Eur J Epidemiol 20:407–410CrossRefPubMedGoogle Scholar
  37. Nayha S (2005) Environmental temperature and mortality. Int J Circumpol Health 64:451–458Google Scholar
  38. Nitschke M, Tucker GR, Bi P (2007) Morbidity and mortality during heatwaves in metropolitan Adelaide. Med J Aust 187:662–665PubMedGoogle Scholar
  39. Oke TR (1973) City size and the urban heat island. Atmos Environ 7:769–779CrossRefGoogle Scholar
  40. Parsons K (2003) Human thermal environment. The effects of hot, moderate and cold temperatures on human health, comfort and performance, 2nd edn. CRC Press, New YorkGoogle Scholar
  41. Patz JA, Gibbs HK, Foley JA, Rogers JV, Smith KR (2007) Climate change and global health: quantifying a growing ethical crisis. EcoHealth 4:397–405CrossRefGoogle Scholar
  42. Poumadere M, Mays C, Le Mer S, Blong R (2005) The 2003 heat wave in France: dangerous climate change here and now. Risk Anal 25:1483–1494CrossRefPubMedGoogle Scholar
  43. Ramsey JD (1995) Task performance in heat: a review. Ergonomics 38:154–165CrossRefPubMedGoogle Scholar
  44. Ramsey JD, Burford CL, Beshir MY, Jensen RC (1983) Effects of workplace thermal conditions on safe working behavior. J Safety Res 14:105–114CrossRefGoogle Scholar
  45. Robine JM, Cheung SKL, Le Roy S (2008) Death toll exceeded 70, 000 in Europe during the summer of 2003. C R Biol 331:171–178CrossRefPubMedGoogle Scholar
  46. Rosenstock L, Cullen MR, Brodkin CA, Redlich CA (2005) Textbook of clinical occupational and environmental medicine. Elsevier-Saunders, PhiladelphiaGoogle Scholar
  47. Schrier RW, Hano J, Keller HI et al (1970) Renal, metabolic, and circulatory responses to heat and exercise. Ann Int Med 73:213–223PubMedGoogle Scholar
  48. Selhorst JB, Saul RF (1995) Uhthoff and his symptom. J Neuroophthalmol 15:63–69PubMedGoogle Scholar
  49. Semenza JC, McCullough JE, Flanders D, McGeehin MA, Lumpkin JR (1997) Excess hospital admissions during the July 1995 heat wave in Chicago. Am J Prev Med 16:269–277CrossRefGoogle Scholar
  50. Smith KJ, McDonald WI (1999) The pathophysiology of multiple sclerosis: the mechanisms underlying the production of symptoms and the natural history of the disease. Philos Trans R Soc Lond B Biol Sci 354:1649–1673CrossRefPubMedGoogle Scholar
  51. Van Vliet AJH, Overeem A, De Groot RS et al (2002) The influence of temperature and climate change on the timing of pollen release in the Netherlands. Int J Climatol 22:1757–1767CrossRefGoogle Scholar
  52. WHO (2005) Preventing chronic diseases —a vital investment. World Health Organization, GenevaGoogle Scholar
  53. WHO (2006) WHO air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulphur dioxide. Global update 2005. Summary of risk assessment. World Health Organization, GenevaGoogle Scholar
  54. WHO (2009) Protecting health protection from climate change: global research priorities. World Health Organization, GenevaGoogle Scholar

Copyright information

© Birkhäuser Verlag, Basel/Switzerland 2009

Authors and Affiliations

  • Tord Kjellstrom
    • 1
    Email author
  • Ainslie J. Butler
    • 1
  • Robyn M. Lucas
    • 1
  • Ruth Bonita
    • 2
  1. 1.National Centre for Epidemiology and Population HealthAustralian National UniversityCanberraAustralia
  2. 2.University of AucklandAucklandNew Zealand

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