Using Uncertain Climate and Development Information in Health Adaptation Planning
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To aid health adaptation decision-making, there are increasing efforts to provide climate projections at finer temporal and spatial scales. Relying solely on projected climate changes for longer-term decisions makes the implicit assumption that sources of vulnerability other than climate change will remain the same, which is not very probable. Over longer time horizons, this approach likely over estimates the extent to which climate change could alter the magnitude and pattern of health outcomes, introducing systematic bias into health management decisions. To balance this potential bias, decision-makers also need projections of other drivers of health outcomes that are, like climate change, recognized determinants of some disease burdens. Incorporating projections via an iterative process that allows for regular updates based on new knowledge and experience has the potential to improve the utility of fine-scale climate projections in health system adaptation to climate change.
KeywordsClimate change Health risks Adaptation Risk management Uncertainty
Compliance with Ethical Standards
Conflict of Interest
Kristie L. Ebi reports consultation fees from Stratus Consulting (now Abt Consulting), World Health Organization, including its regional offices, Health Canada, Sanofi Pasteur, and Chemonics International Inc.
Jeremy J. Hess reports consultation fees from Stratus Consulting and the Natural Resources Defense Council for scientific consulting and research activities.
Tania Busch Isaksen declares that she has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.••World Health Organization. Operational framework for building climate resilient health systems. Geneva: United Nations 2015. This guidance document outlines the components of a climate-resilient health system and the approaches and tools available to promote resilience.Google Scholar
- 6.••Marinucci GD, Luber G, Uejio CK, et al. Building resilience against climate effects—a novel framework to facilitate climate readiness in public health agencies. Int J Env Res Publ Health. 2014;11(6):6433–58. This publication outlines the approach used by the US Centers for Disease Control and Prevention for promoting adaptation in departments of health.CrossRefGoogle Scholar
- 14.Stocker TF, Qin D, Plattner G-K, et al. Technical Summary. In: Climate Change 2013: The Physical Science Basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change [Stocker TF, Qin D, Plattner G-K, et al. (eds.)]. Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA. 84 pp.Google Scholar
- 26.Washington state Vibrio parahaemolyticus control plan., WAC 246-282-006 2015.Google Scholar
- 31.English PB, Richardson MJ: Components of population vulnerability and their relationship with climate-sensitive health threats. Current Environmental Health Report 2016, in press.Google Scholar
- 34.UNFCCC, United Nations Framework Convention on Climate Change. Bonn, Germany. 1992. 33 pp. http://unfccc.int/files/essential_background/background_publications_htmlpdf/application/pdf/conveng.pdf.Google Scholar
- 35.UNFCCC Least Developed Country Expert Group (LEG). National Adaptation Plans: Technical guidelines for the national adaptation plan process. Bonn, Germany. 2012. 152 pp. https://unfccc.int/files/adaptation/cancun_adaptation_framework/application/pdf/naptechguidelines_eng_high__res.pdf.Google Scholar
- 36.••World Health Organization. WHO Guidance to protect health from climate change through health adaptation planning. Geneva: United Nations 2014. This guidance document outlines the process for conducting the health component of a national adaptation plan.Google Scholar
- 37.Oates N, Ross I, Calow R, et al. Adaptation to climate change in water, sanitation and hygiene: assessing risks, appraising options in Africa. London: Overseas Development Institute; 2014. 98 pp.Google Scholar
- 38.Ebi K. Adaptive management to the health risks of climate change. In: Ford J, Berrang-Ford L, editors. Climate change adaptation in developed nations. New York: Springer; 2011.Google Scholar
- 39.••Hess J, McDowell J, Luber G. Integrating climate change adaptation into public health practice: using adaptive management to increase adaptive capacity and build resilience. Environ Health Perspect. 2012;120(2):171–9. doi: 10.1289/ehp.110351. This paper outlines how iterative adaptive managementcan be implemented by health systems.CrossRefPubMedPubMedCentralGoogle Scholar