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Global environmental change and
health: more than a climate emergency
Doctors for the Environment
Adelaide
30 July 2019
Hon Prof Colin D Butler
National Centre for Epidemiology & Population Health, Australian National University
Health Research Institute, University of Canberra
College of Humanities, Arts and Social Sciences, Flinders University, Adelaide @ColinDavdButler
These slides are adapted from the talk given on July 30;
additional material is here included.
“communicators must try to understand what people care
about, what they value and how they think about climate
change and related matters” (Moser and Dilling, 2011).
Summary: environmental change affects almost
everything, because humans rely on environmental
resources and compete for them
this century “will be
dominated by a titanic global
struggle—economic, political,
scientific and military—for
resources.” (p37)
My story
Energy
Heat
Water
Food
Classifying climate change and health effects
Migration and conflict
Feedbacks
Solutions
my story
1974-7: off the grid (Tasmania)
1980: started medical school (Newcastle, NSW)
1983: civil disobedience Franklin River campaign Tasmania
1985: Nigeria, Europe, Nepal and India “electives”
1989: Green independent candidate, Tasmanian state election
1989: co-founded NGOs BODHI and BODHI Australia
1990: DTM&H (London) – meeting with Maurice King
“Medical professionals, especially those in public health, need to do far more to raise public
concern. First, however, we have to educate ourselves. To do nothing is to risk catastrophic global
disease for us all.”
The medical profession must embrace this new challenge and aim to reverse the ecological
clock now poised almost at midnight for many of the species and people on this planet.
The Lancet
2001: co-founding board member DEA
2014: co-founded Health-Earth
2012-4: contributed to health chapter IPCC
2014: edited book “Climate Change and Global Health” published
2014: civil disobedience, Maules Ck coal mine (NSW)
2001: co-founding board member DEA
2014: co-founded Health-Earth
2012-4: contributed to health chapter IPCC
2014: edited book “Climate Change and Global Health” published
2014: civil disobedience, Maules Ck coal mine (NSW)
https://leard.frontlineaction.org/ipcc-contributor-
participates-in-blockade/
2018: appointed advisor to DEA
Energy
https://www.worldenergydata.org/world-energy-supply/
World energy supply by share (2016)
https://www.businessgreen.com/bg/news/3079135/in-europe-renewables-outstrip-fossil-fuels-for-second-year-running
(For electricity)
“more than half of its yearly electricity demand from renewables, mostly
wind but a growing amount of large scale and rooftop solar too”
https://reneweconomy.com.au/south-australia-has-10gw-wind-and-solar-in-pipeline-as-it-heads-to-100-renewables-65116/
(by 2030 – for electricity)
China: wind + solar = 390 GW
Heat
(2019)
World Meteorological Organization
Water
Witze, A. Why extreme rains are gaining strength as the climate warms. Nature 2018, 563, 458-460.
(2018)
“landslides swept into towns and buildings as sodden ground
collapsed. More than 1 million people fled their homes.”
Witze, A. Why extreme rains are gaining
strength as the climate warms. Nature
2018, 563, 458-460.
(3 deg warming)
More runoff .. more organic matter and nutrient losses from soil erosion,
farmland and animal operations, urban centers .. overloading of organic
matter and nutrients .. harmful algal blooms, hypoxia, fish and shellfish kills.
https://www.sciencedaily.com/releases/2019/07/190723085957.htm
https://www.beefcentral.com/news/cattle-
losses-mount-as-northwest-qld-faces-
monumental-flood-event/
Witze, A. Why extreme rains are gaining
strength as the climate warms. Nature
2018, 563, 458-460.
ow.ly/wFZP50uSPc5
Kerala
Credit:ArunSankar/AFP/Getty
Residentsinthedrought-struckcityofChennaiinIndiadrawwater
fromacommunitywell.
Indian water train arrives with desperately needed relief for Chennai
https://edition.cnn.com/2019/07/12/india/india-chennai-water-crisis-train-intl/index.html?utm_term=link&utm_content=2019
07-12T15%3A10%3A48&utm_source=twCNNi&utm_medium=social
50 wagons 2.5 M litres (total)
Daily supply: 525M litres/day
Goal: 4 trains/day = 10 M L = 2% current supply
“Farmers and towns on brink of dry disaster” (29/6/19)
“Like trying to farm in the Sahara” (ABC News 17/7/19)
https://www.theaustralian.com.au/nation/farmers-
towns-on-brink-of-dry-disaster/news-
story/f9c18a6c05fa68476398c456c995c0be?fbclid=IwA
R3nx2BzCSN9YEWUtgRuSWwape3jr_pFKgbpT0k1ZifUJY
WcEtLV5pWXrBo
Food
https://www.farmonline.com.au/story/6281386/drought-now-officially-
our-worst-on-record/
https://www.cnbc.com/2019/07/19/extreme-heat-wave-hits-us-farmers-already-suffering-from-
flooding.html?__source=sharebar|twitter&par=sharebar
After massive flooding in 2011, the Corps had to repair
five breaches. So far in 2019, they are dealing with 50.
https://www.cbsnews.com/news/climate-reckoning-in-the-
heartland-cbsn-originals/
https://www.express.co.uk/news/world/1158101/France-news-crisis-grain-farmers-heatwave-stop-harvest
More than 500 hectares of land caught fire on Tuesday alone
France grain CRISIS: French officials order farmers to stop harvest as fires
destroy crop .. FEARS over a French grain shortage rose yesterday as France
ordered farmers to stop harvesting as hundreds of hectares caught fire in the
heatwave.
Oil price
Oil price
Raw data: FAO
Oil price
Oil price
Climate change
Raw data: FAO
49
Irakli Loladze
https://www.politico.com/agenda/story/2017/09/13/food-
nutrients-carbon-dioxide-000511?lo=ap_a1
Protein
Micronutrients (Zn, Fe, others)
Classifying climate change and health effects
Secondary
Tertiary
Primary
https://www.cabi.or
g/bookshop/book/9
781780642659
Direct effects of a rise in temperature (particularly .. heatwaves) may
include deaths from cardiovascular and cerebrovascular disease
among the elderly. Indirect effects are secondary, such as changes in
vector-borne diseases or crop production, and tertiary, such as the
social and economic impacts of environmental refugees and conflict
over fresh water supplies.
The Lancet
c 125,000 functioning brick
kilns in India, c 10-23 million
workers.Heat index, wet bulb temp
https://www.antislavery.org/what-we-do/past-projects/india-debt-
bondage/?gclid=CjwKCAjw1f_pBRAEEiwApp0JKCksyttttCwqVvaKAuYk_LALJeWkSYraOXIaPaQw
3IbMkMcKjEkPkBoCn1EQAvD_BwE
c 125,000 functioning brick
kilns in India, c 10-23 million
workers.
https://arielschecklist.com/wbgt-chart/
Migration and conflict
https://www1.wfp.org/publications/2017-
food-security-emigration-why-people-flee-
salvador-guatemala-honduras
https://openknowledge.worldbank.org/handle/10986/29461
https://openknowledge.worldbank.org/handle/10986/29461
59
(2012)
60
https://www.flickr.com/photos/syriana2011/6089225897/
Syria
61
PDSI =Palmer Drought Severity Index
When a severe drought began
in 2006/2007, the agricultural
system in the northeastern
“breadbasket” region, which
typically produced over two-
thirds of the country’s crop
yields, collapsed
In 2008, after the driest winter in
Syria’s observed record, wheat
production failed and the agricultural
share fell to 17% (from average
Kelley et al, PNAS 20015 doi:
10.1073/pnas.1421533112.
https://www.motherjon
es.com/politics/2014/05
/syria-climate-years-
living-dangerously-
symbolia/
Climate change
and conflict
https://www.motherjon
es.com/politics/2014/05
/syria-climate-years-
living-dangerously-
symbolia/
Climate change
and conflict
internal migration
rival groups
(including religious)
poor governance
climate change
aquifer depletion
high fertility, youth bulges, high unemployment
“eco-social”
determinismeconomic liberalisation
Butler, C.D. Regional overload” as an indicator of profound risk: a plea for the public health community to awaken. In Health in the
Anthropocene: Living Well on a Finite Planet, Quilley, S.; Zywert, K., Eds. University of Toronto Press: Toronto, Canada (in press).
Syrian
war
“The dangerous impacts of
climate change can only be
discussed in terms of
nonlinear behavior.’’
Hans Joachim Schellnhuber
“The dangerous impacts of
climate change can only be
discussed in terms of
nonlinear behavior.’’
Hans Joachim Schellnhuber
“The difference between 2 and
4 degrees of warming ..
is civilisation’’
1990 2004 2018 2032
Primary (e.g. heat
stress, injuries
Secondary e.g. vector-
borne diseases, air
pollution, allergiesBurden of
disease
Year concept accepted
1990 2004 2018 2032
Primary (e.g. heat
stress, injuries
Secondary e.g. vector-
borne diseases, air
pollution, allergiesBurden of
disease
Tertiary (a systemic multiplier) e.g.
famine, conflict, migration
Year concept accepted
Feedbacks and interactions
https://atmosphere.copernicus.eu/charts/cams/aerosol-forecasts?facets=undefined&time=2019072400,12,2019072412&projection=classical_arctic&layer_name=composition_bbaod550
CO2 from Arctic circle fires in June 2019 .. larger than all of the CO2 from Arctic
circle fires in same month from 2010-18 combined”
Pistone et al: Radiative Heating of an Ice-Free Arctic Ocean, Geophysical Research Letters (2019)
https://scripps.ucsd.edu/news/research-highlight-loss-arctics-reflective-sea-ice-will-advance-global-warming-25-years
“Losing the reflective power of Arctic sea ice will lead to warming equivalent to
one trillion tons of CO2 and advance the 2ºC threshold by 25 years. Any rational
policy would make preventing this a top climate priority for world leaders,” said
Ramanathan, a professor of atmospheric and climate sciences at Scripps
Modelled world economy and
environment
• Best selling environmental book of all time
• Many scenarios modelled from 1900 to 2100
• Most lead to “overshoot and collapse”, including
“standard run”
Widely believed to forecast collapse by year 2000
• leading to many false claims that it was wrong
1900 1950 2000 2050 2100
non-renewable
resources
remaining
food per capita
services per capita
population
industrial output per person
pollution
1970 2010
LTG study observed data (1900-1970)
LTG modelled data (1970-2100)
Data provided to author by
Dr Graham Turner
1900 1950 2000 2050 2100
non-renewable
resources
remaining
food per capita
services per capita
population
industrial output per person
pollution
1970 2010
LTG study observed data (1900-1970)
observed data used by Turner (until
2010)
LTG modelled data (1970-2100)
Data provided to author by
Dr Graham Turner
1900 1950 2000 2050 2100
non-renewable
resources
remaining
food per capita
services per capita
population
industrial output per person
pollution
1970 2010
LTG study observed data (1900-1970)
observed data used by Turner (until
2010)
LTG modelled data (1970-2100)
peak
health?
Data provided to author by
Dr Graham Turner
REGIONAL
1900 1950 2000 2050 2100
non-renewable
resources
remaining
food per capita
services per capita
population
industrial output per person
pollution
1970 2010
c2030: Following “peak health” the global
population declines due to increasing
cases of “regional overload””
LTG study observed data (1900-1970)
observed data used by Turner (until
2010)
LTG modelled data (1970-2100)
Data provided to author by
Dr Graham Turner
Steffen et al: Trajectories of the Earth
System in the Anthropocene PNAS 2018
Steffen et al: Trajectories of the Earth
System in the Anthropocene PNAS 2018
“Gaia 2.0”
Solutions
https://www.scoopnest.com/s/Starvation%20Day/
25 Jun 2019
Some are scientifically
literate yet do little to try
to slow climate change
THOSE WITH WEALTH AND POWER
Many have low
scientific literacy and
ignore the issue
THOSE WITH LITTLE WEALTH AND POWER
Consume most fossil fuels,
eat substantial quantities
of meat, travel most,
including by air
Generally oppose or are
indifferent to policies to improve
education & reduce poverty, and
to slow population growth in
rich and poor countries
Oppose policies to
slow climate change
Reason that at the worst case their
wealth will protect them and their
descendants, in some cases for
generations
policy
Some support and create
lobby groups to influence
public opinion to disregard
climate change
Promote policies for fossil fuel use
behaviour
CLIMATE CHANGE
WORSENS
Very few are scientifically literate
Contribute comparatively little to climate
change but purchase fossil fuels when they can
Have almost no capacity, even collectively,
to change global climate change policy
Often have high
fertility, contributing to
poverty and persisting
vulnerability
Are agents in ecosystem
transformation, e.g. of forests, fish,
corals, for subsistence and as agents
of those with wealth and power
KEY:
Butler, in press: ”Global Health and Global Health Ethics”
Image ; Prescott, S.L.; Logan, A.C. Larger than life: injecting hope
into the planetary health paradigm. Challenges 2018, 9, 13.
a “social vaccine”?
Social vaccine discussed in Butler et al “Mental health,
cognition and the challenge of climate change”, in:
Climate Change and Global Health, CABI (2014)
The young?
(great that Greta Thunberg and her increasing number of colleagues and emulators
can tell adults they are hypocrites; her (their) youth commands attention [and
respect], but obviously the young can’t solve our mess; they need our help)
Technology?
https://www.ecowatch.com/australia-worlds-largest-solar-
farm-singapore-2639199712.html
The military?
See: https://www.abc.net.au/news/2019-07-15/defence-lacks-overarching-strategy-for-climate-change-conflict/11304954
Doctors?
https://www.theguardian.com/commentisfree/2017/dec/11/winning-the-nobel-peace-prize-confirms-my-
lifes-mission-to-help-end-nuclear-weapons
0
75
150
225
300
1989 1994 1999 2004 2009
Score 3
Score 2
Score 1
Papers per year
1.90
1.34
“Index of
existential risk”
Butler, CD. Climate change, health and existential risks to civilization: a comprehensive
review (1989-2013) https://www.mdpi.com/1660-4601/15/10/2266
World Scientists’ Warning of a Climate Emergency (in press)
https://www.mdpi.com/2078-1547/10/1/24
https://health-earth.weebly.com/

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