health2016.globalchange.govThe Impacts of Climate Change on Human Health in the United States: A Scientific Assessment

Report Guide Chapters Executive Summary 1. Climate Change & Human Health 2. Temperature-Related 3. Air Quality Impacts 4. Extreme Events 5. Vector-Borne Diseases 6. Water-Related Illness 7. Food Safety 8. Mental Health 9. Populations of Concern A1. Technical Support Document A2. Process for Literature Review A3. Report Development Process A4. Documenting Uncertainty A5. Glossary and Acronyms Downloads Order Printed Materials MENU Climate and Health Assessment HOME DOWNLOADS View Summary Climate change is a significant threat to the health of the American people. This scientific assessment examines how climate change is already affecting human health and the changes that may occur in the future. Chapter (PDF) Citation (RIS) Summary Figure ES1: Examples of Climate Impacts on Human Health VIEW The diagram shows specific examples of how climate change can affect human health , now and in the future. These effects could occur at local, regional, or national scales. The examples listed in the first column are those described in each underlying chapter’s exposure pathway diagram (see Guide to the Report). Moving from left to right along one health impact row, the three middle columns show how climate drivers affect an individual’s or a community’s exposure to a health threat and the resulting change in health outcome. The overall climate impact is summarized in the final gray column. For a more comprehensive look at how climate change affects health, and to see the environmental, institutional, social, and behavioral factors that play an interactive role in determining health outcomes, see the exposure pathway diagrams in chapters 2–8. Climate change is a significant threat to the health of the American people. The impacts of human-induced climate change are increasing nationwide. Rising greenhouse gas concentrations result in increases in temperature, changes in precipitation, increases in the frequency and intensity of some extreme weather events, and rising sea levels. These climate change impacts endanger our health by affecting our food and water sources, the air we breathe, the weather we experience, and our interactions with the built and natural environments. As the climate continues to change, the risks to human health continue to grow. Current and future climate impacts expose more people in more places to public health threats. Already in the United States, we have observed climate-related increases in our exposure to elevated temperatures; more frequent, severe, or longer-lasting extreme events ; degraded air quality; diseases transmitted through food, water, and disease vectors (such as ticks and mosquitoes); and stresses to our mental health and well-being. Almost all of these threats are expected to worsen with continued climate change. Some of these health threats will occur over longer time periods, or at unprecedented times of the year; some people will be exposed to threats not previously experienced in their locations. Overall, instances of potentially beneficial health impacts of climate change are limited in number and pertain to specific regions or populations. For example, the reduction in cold-related deaths is projected to be smaller than the increase in heat-related deaths in most regions. Every American is vulnerable to the health impacts associated with climate change. Increased exposure to multiple health threats, together with changes in sensitivity and the ability to adapt to those threats, increases a person’s vulnerability to climate-related health effects. The impacts of climate change on human health interact with underlying health, demographic , and socioeconomic factors. Through the combined influence of these factors, climate change exacerbates some existing health threats and creates new public health challenges. While all Americans are at risk, some populations are disproportionately vulnerable, including those with low income, some communities of color, immigrant groups (including those with limited English proficiency), Indigenous peoples, children and pregnant women, older adults, vulnerable occupational groups, persons with disabilities, and persons with preexisting or chronic medical conditions. In recent years, scientific understanding of how climate change increases risks to human health has advanced significantly. Even so, the ability to evaluate, monitor, and project health effects varies across climate impacts. For instance, information on health outcomes differ in terms of whether complete, long-term datasets exist that allow quantification of observed changes, and whether existing models can project impacts at the timescales and geographic scales of interest. Differences also exist in the metrics available for observing or projecting different health impacts. For some health impacts, the available metrics only describe changes in risk of exposure, while for others, metrics describe changes in actual health outcomes (such as the number of new cases of a disease or an increase in deaths). This assessment strengthens and expands our understanding of climate-related health impacts by providing a more definitive description of climate-related health burdens in the United States. It builds on the 2014 National Climate Assessment 5 and reviews and synthesizes key contributions to the published literature. Acknowledging the rising demand for data that can be used to characterize how climate change affects health, this report assesses recent analyses that quantify observed and projected health impacts. Each chapter characterizes the strength of the scientific evidence for a given climate–health exposure pathway or link” in the causal chain between a climate change impact and its associated health outcome. This assessment’s findings represent an improvement in scientific confidence in the link between climate change and a broad range of threats to public health, while recognizing populations of concern and identifying emerging issues. These considerations provide the context for understanding Americans’ changing health risks and allow us to identify, project, and respond to future climate change health threats. The overall findings underscore the significance of the growing risk climate change poses to human health in the United States. View Chapter Summary 1 Climate Change and Human Health Chapter (PDF) Citation (RIS) Figures (ZIP) Summary Climate Change and Human Health Figure ES2: Climate Change and Health VIEW Conceptual diagram illustrating the exposure pathways by which climate change affects human health . Here, the center boxes list some selected examples of the kinds of changes in climate drivers, exposure, and health outcomes explored in this report. Exposure pathways exist within the context of other factors that positively or negatively influence health outcomes (gray side boxes). Some of the key factors that influence vulnerability for individuals are shown in the right box, and include social determinants of health and behavioral choices. Some key factors that influence vulnerability at larger scales, such as natural and built environments, governance and management, and institutions, are shown in the left box. All of these influencing factors can affect an individual’s or a community’s vulnerability through changes in exposure, sensitivity , and adaptive capacity and may also be affected by climate change. The influences of weather and climate on human health are significant and varied. Exposure to health hazards related to climate change affects different people and different communities to different degrees. While often assessed individually, exposure to multiple climate change threats can occur simultaneously, resulting in compounding or cascading health impacts (see Figure ES2). With climate change, the frequency, severity, duration, and location of weather and climate phenomena—like rising temperatures, heavy rains and droughts, and some other kinds of severe weather—are changing. This means...