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Climate Change and Maternal and Child health

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Presentation about how climate change impacts maternal and child health in the preconception and prenatal periods, infancy and childhood.

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Climate Change and Maternal and Child health

  1. 1. CLIMATE CHANGE AND MATERNAL AND CHILD HEALTH
  2. 2. MULTIPLE POINTS OF IMPACT  Preconception  Prenatal  Infancy  Childhood
  3. 3. PRECONCEPTION BODY BURDEN Chemicals and Heavy Metals  Stored in Fat  Cross Placenta  Secreted in Breast Milk
  4. 4. DIOXINS and Wildfires Smoke from Idaho Fires 2013
  5. 5. DIOXINS and Heavy Rainfall Origins of dioxins in SF Bay
  6. 6. Polycyclic Aromatic Hydrocarbons in Post Wildfire Runoff E. Stein, Environmental Toxicology and Chemistry Volume 31, Issue 11, pages 2625–2638, November 2012
  7. 7. PCBs Migrate from Warm to Cold by Volatilizing and Condensing
  8. 8. PERSISTENT ORGANIC POLLUTANTS (Dioxins, PCBs, PAH) BABY MOTHER Low birthweight Cancer Decreased IQ Endocrine Abnormalities Multiple chromosomal abnormalities Later cancer?
  9. 9. Mercury and Storm Runoff Rainfall and Mercury Runoff River Miles Under Fish Advisory 1993-2010
  10. 10. Differing Fish Consumption = Unequal Exposure
  11. 11. MERCURY BABY  Impairs Neurologic Development − Memory − Attention − Language − Fine Motor − Visual Spatial MOTHER  At high levels− Neurologic Symptoms
  12. 12. PRENATAL    Cross Placenta Affect Maternal Delivery of Nutrients or Oxygen Increase Maternal Vulnerability
  13. 13. Drought and Water Quality
  14. 14. Nitrates: Spontaneous Abortion Neural Tube Defects NE Nitrate Impaired Wells and Waterways
  15. 15. Iowa Women's Health Study Thyroid Cancer Related to Nitrates in Water
  16. 16. Arsenic Owens Valley, CA Dust Storm Low Birth Weight Neonatal Infections Abnormal Gene Expression Groundwater Arsenic Levels
  17. 17. Disinfection Byproducts in Drinking Water TRIHALOMETHANE DIBROMOCHLOROME THANE  Low Birth Weight  Congenital Anomalies
  18. 18. Marine Biotoxins in Shellfish
  19. 19. HARMFUL ALGAE BLOOMS DOMOIC ACID California 2012
  20. 20. PRE 1972 INCREASE IN HARMFUL ALGAE BLOOMS PRESENT
  21. 21. AFLATOXIN Carcinogenic Hepatotoxic Teratogenic Immunosuppressive   Concentrated by Placenta Transmitted in Breast Milk
  22. 22. AFLATOXIN in the US 200 8 2012
  23. 23. WILDFIRE SMOKE: Decreased Birth Weight
  24. 24. OZONE: IUGR, Low Birth Weight IUGR, Low Birth Weight
  25. 25. Coccidiodomycosis Valley Fever Dust Storm, Fresno, CA Endemic Area by Skin Test Incidence/100,000 1998-2011
  26. 26. INFANCY AND CHILDHOOD
  27. 27. NITRATES: Blue Baby Syndrome Methemoglobinemia
  28. 28. Mixtures of Cyanotoxins
  29. 29. AMOEBIC MENINGOENCEPHALITIS
  30. 30. Gastroenteritis and Rainfall Combined Sewer Overflow Pediatric ER GE Visits P. Drayna et al, Environ Health Perspect. 2010 October; 118(10): 1439–1443.
  31. 31. Ozone Causes and Worsens Asthma 3 Sports = Triple Risk for Asthma Inhaler Use Acute exposure increases bronchodilator use Ozone ppb Thurston GD Am J Respir Crit Care Med February 1, 1997 vol. 155 no. 2654-660 RMcConnell Lancet.304):386-91.
  32. 32. CHRONIC OZONE EXPOSURE AND PEDIATRIC ASTHMA ADMISSIONS
  33. 33. Pollen Higher Counts Longer Season Ziska, L. H. and F. A. Caulfield. Australian Journal of Plant Physiology, 2000. 27: 893− 898.
  34. 34. Mold exposure doubles asthma risk, increases ER visits & hospitalizations
  35. 35. US Childhood Asthma Rates Tripled 1960-2009 L Akinbami, 2009 National Center for Health Statistics
  36. 36. Atmospheric Lead
  37. 37. Seasonal Variation Child Blood Lead
  38. 38. Probability of Low Scores ACHIEVEMENT TESTS AND LEAD LEVELS Blood Lead
  39. 39. Aflatoxin Biomarkers NHANES 1999-2000 Schleicher, 2013
  40. 40. Aflatoxin Biomarkers and Risk Factors for Hepatocellular Carcinoma RISK FACTORS RATIO ODDS + Biomarker 7 Hepatitis B Ag alone + Biomarker + Hepatitis B Ag Fatty Liver Disease alone + Biomarker + Fatty Liver 7-28 60 3-16 ? 10% OF US KIDS & 40% OF OBESE US KIDS HAVE FATTY LIVER DISEASE
  41. 41. HEAT ILLNESS 9,000 US high school athletes/year 40 heat deaths in cars/year
  42. 42. Severe Heat Waves that were every 30 years will be EVERY YEAR by 2040. Journal of Great Lakes Research 36 (2010) 65–73 K Hayhoe
  43. 43. HEAT AND DROUGHT INCREASE INTERPERSONAL AND INTERGROUP VIOLENCE
  44. 44. + 2-3 DEGREES BY 2030 + 4-6 DEGREES BY 2050
  45. 45. Carbon Dioxide Is (pretty much)Forever. YEARS TO REMOVE CO2 FROM ATMOSPHERE Hundreds Tens of Thousands Thousands
  46. 46. EMERGENCY 2030 40% OBESE 44% CV DISEASE 1 in 5 DIABETES 2050 1 in 2 OBESE AND CV DISEASE, 1 in 3 DIABETES
  47. 47. ME EITHER
  48. 48. SEDENTARY LIFESTYLE: ONE THIRD CAUSED BY HEART DISEASE, OBESITY, DIABETES; CANCERS: PROSTATE, COLON, UTERUS, RECURRENT BREAST PHYSICAL INACTIVITY
  49. 49. AIR POLLUTION: ASTHMA, CANCER, HEART DISEASE
  50. 50. UNHEALTHY DIET: HEART DISEASE, CANCER, DIABETES, OBESITY
  51. 51. LOW CARB(ON) DIET HOW MUCH? IN HALF BY 2030 HOW FAST? IN HALF AGAIN BY 2050
  52. 52. CAN WE? YES! OVER 1000 US CITIES SHOWED US HOW
  53. 53. A Healthy Prescription For Climate Action
  54. 54. CLEAN ELECTRICITY INVEST STOP EXPORTS REGULATE CARBON POLLUTION PUT A PRICE ON CARBON
  55. 55. IMPROVED ENERGY EFFICIENCY BUILDINGS FUEL ECONOMY CLEAN FUEL
  56. 56. 20,000 Heart Attacks 23,000 Deaths PREVENTED each year SAVED: OVER 100 BILLION DOLLARS PER YEAR
  57. 57. GET CITY PEOPLE OUT OF THEIR CARS SMART GROWTH BIKEWAYS AND WALKWAYS BETTER PUBLIC TRANSIT
  58. 58. 10,000 colon cancers 215,000 heart attacks 570,000 new diabetes cases PREVENTED each year ANNUAL SAVINGS SF AREA $1.4-22 BILLION/YEAR
  59. 59. HEALTHY FARMS & HEALTHY FOODS SUBSIDIZE FRUITS AND VEGETABLES SUBSIDIZE SOIL CARBON DECREASE FOOD WASTE TURN WASTE INTO ENERGY
  60. 60. 300,000 Heart Attacks/Strokes 260,000 New Diabetes Cases 144,000 Cancer Deaths PREVENTED each year
  61. 61. THE LONGER WE WAIT, THE WORSE (AND MORE EXPENSIVE) IT WILL BE
  62. 62. A strong majority of US citizens across the country wants climate action
  63. 63. but a majority in our Congress doesn't even admit its happening
  64. 64. We can have a healthy high quality future if we act now.* *but we're almost out of time.
  65. 65. HEALTHY PEOPLE = HEALTHY PLANET www.climate911.org

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