Inconvenient Realities: How Climate Change Impedes One-Health for the Poor

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GRF One Health Summit 2012, Davos: Presentation by Dr. Patricia Moser - Lead Health Specialist - Poverty Reduction, Gender and Social Development Division - Asian Development Bank ADB

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  • Blacksmith Institute – 400 million people affected by Artisanal and Legacy pollutants: Lead, chromium, cadmium, mercury and others. Lead battery and e-waste recycling, backyard smelting at junk yards – or craft villages. Artisanal tanneries (30% of work supply). Agricultural chemicals – particularly pesticides. Before 1994, no dengue in Pakistan, Now almost all provinces. Epidemic after the past two years of flooding. Schistomsomiasis: 6 th cause of death in Philippine province North Samar. 40 years of control programs bolloxed by floodwaters. Leptospirosis. Other illnesses borne in flood waters: animal-human interaction here. The 80% of the world’s population that lives in poor countries fared less well in preparation for H1N1 due to lack of resources – as do the poor within a country. Those least able to respond are the most often called upon to do so.
  • Typhoon = disaster for human and animal health, many lives lost
  • More resources, more opportunities available. No longer developing vs developed, but a continuum of countries with different initial levels of opportunity and challenge working together toward a shared vision. According to World Bank, GNI per capita, in 2009 US dollar Above 12,276 = high income $1006 -12,275 = middle income Below $1005 = low income Indonesia , Viet Nam, PRC, and India
  • Sustainable growth is equitable growth
  • Inconvenient Realities: How Climate Change Impedes One-Health for the Poor

    1. 1. <ul><li>Inconvenient Realities: </li></ul><ul><li>How Climate Change Impedes OneHealth for the Poor </li></ul><ul><li>Patricia Moser </li></ul><ul><li>Lead Health Specialist </li></ul><ul><li>Asian Development Bank </li></ul><ul><li>21 February 2011 </li></ul>
    2. 2. ADB Strategy 2020 <ul><li>THREE PRINCIPLES: </li></ul><ul><li>Inclusive Growth </li></ul><ul><ul><li>More Opportunity </li></ul></ul><ul><ul><li>More Equal Access </li></ul></ul>
    3. 3. ADB Strategy 2020 <ul><li>Environmentally Sustainable Growth </li></ul><ul><ul><li>E-F Technologies </li></ul></ul><ul><ul><li>Safeguards: Minimize Harm </li></ul></ul><ul><ul><li>Build Capacities and Knowledge </li></ul></ul><ul><ul><li>Regional CC Initiatives </li></ul></ul>
    4. 4. ADB Strategy 2020 <ul><li>Regional Integration </li></ul><ul><ul><li>Markets and Trade </li></ul></ul><ul><ul><li>Regional and Global Public Goods </li></ul></ul><ul><ul><ul><li>Climate change </li></ul></ul></ul><ul><ul><ul><li>Shared resources (commons) </li></ul></ul></ul><ul><ul><ul><li>Health security </li></ul></ul></ul>
    5. 5. Health Security <ul><li>Social and Economic Risks </li></ul><ul><li>Driven by influenza, emerging diseases, MDR bacteria </li></ul><ul><li>Other transboundary health risks </li></ul><ul><li>Constant prevention and preparedness </li></ul>
    6. 6. Health-Poverty-Environment Nexus <ul><li>Many poor people depend on Natural Resources for livelihood </li></ul><ul><li>Earlier: Blame the poor </li></ul><ul><li>Now: Interlocking web - poor are actors in and acted upon by environment </li></ul><ul><li>A new environment for the poor must go beyond climate change </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>  </li></ul>
    7. 7. Opportunity and Challenge <ul><li>Migration – congestion, urban slums </li></ul><ul><li>Growth - trading of natural resources for gain, increased demand for protein, mining and extraction </li></ul><ul><li>Electification – Greenhouse gas emissions </li></ul><ul><li>Irrigation – disease </li></ul>
    8. 8. Health-Poverty-Environment Risks <ul><li>Food insecurity </li></ul><ul><li>Chemical pollutants from artisanal industry and agriculture </li></ul><ul><li>Insecure urban environments </li></ul><ul><li>Changing vector patterns </li></ul><ul><li>Disaster risks from flooding, landslides, diseases </li></ul>
    9. 9. OneHealth – Poverty – Environment Nexus <ul><li>Increased intensity of humans to livestock exposure </li></ul><ul><li>Increased interaction between humans and wild mammals </li></ul>
    10. 10. Poor Least Able to Adapt <ul><li>Limited resources to weather shocks or mitigate risks </li></ul><ul><li>Often live in informal settlements in marginal areas - riverbanks, low lands, urban slums - outside of formal planning and mitigation </li></ul><ul><li>Limited public services, including drainage and sanitation </li></ul><ul><li>Unable to protect themselves from upstream illegal logging, artisanal mining or development </li></ul>
    11. 11. Win-Win <ul><li>Urbanization: sustainable transport and sustainable cities </li></ul><ul><li>Sustainable, safe food production </li></ul><ul><li>Clean energy </li></ul><ul><li>Inclusive green growth </li></ul>
    12. 12. Win-Win <ul><li>Strong prevention, surveillance and response mechanisms for pandemic diseases </li></ul><ul><li>Integrated systems for disaster risk mitigation </li></ul><ul><li>Strong environmental regulation and monitoring systems that consider health </li></ul>
    13. 13. Good News: The Changing Face of Poverty in Asia Source: IDS 2010
    14. 14. Steps Forward <ul><li>Recognize degradation of health and increased insecurity will be direct outcomes of climate change – as well as indirect outcomes from climate change impacts on other sectors </li></ul>
    15. 15. Steps Forward <ul><li>Mitigate the impacts of climate change on health security </li></ul><ul><ul><li>Prevent increasing health risks through adaptation programs in other sectors </li></ul></ul><ul><ul><li>Reduce inequities in health and income </li></ul></ul>
    16. 16. Steps Forward <ul><li>Explicitly design for health security </li></ul><ul><ul><li>Improve the science </li></ul></ul><ul><ul><li>Build models to accurately value risks </li></ul></ul><ul><ul><li>Integrate OneHealth threats into all CC mitigation </li></ul></ul>
    17. 17. Steps Forward <ul><li>Build OneHealth–One Planet alliances </li></ul><ul><ul><li>Cross-sectoral sharing </li></ul></ul><ul><ul><li>Network research and policy organizations </li></ul></ul><ul><ul><li>Include public and private sector </li></ul></ul><ul><ul><li>Learn and build </li></ul></ul>
    18. 18. ADB Response <ul><li>Building knowledge on health-poverty-CC interactions </li></ul><ul><li>Engaging partners </li></ul><ul><li>Valuing health impacts in CC </li></ul><ul><li>Developing tools for cross-sectoral inclusion </li></ul>
    19. 19. OneHealth Value Added <ul><li>The world is increasingly insecure </li></ul><ul><li>One environment sustains us </li></ul><ul><li>We must understand the complexity to ensure integrated management of risks and best human development outcomes </li></ul>
    20. 20. Conclusion <ul><li>Human health security is only as strong as the weakest link in the chain of pandemic disease development. Animal health, poverty, climate change, and environment are part of that link. </li></ul>

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