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Climate Change
andand
UK Health System Resilience
THREE QUESTIONS
• How are the impacts of both non-communicable
and infectious diseases exacerbated by
environmental factors?
• How will the globalisation of environmental and
health risks affect future resilience structures?
• What are the likely implications of increased
numbers of displaced persons & refugees?
THREE QUESTIONS
• How are the impacts of both non-communicable
and infectious diseases exacerbated by
environmental factors?
• How will the globalisation of environmental and
health risks affect future resilience structures?
• What are the likely implications of increased
numbers of displaced persons & refugees?
THE PROBLEM IS
MORE…
MORE PEOPLE
FISH
154 billion kg annually
18.8kg per capita
Fish
use
Food use
(kg/capita)
CROPS
2.25 trillion kg/year
CATTLE
46.6 kg per person
use
(billion
kg)
LAND
130,000,000,000,000m2/year
• 1 kg of wheat needs 1350 litres of water.
• 1 kg of rice needs 3000 litres of water.
• 15,000 litres of water / kg meat.
MORE WATER
• CHINA: Hai river supplemented by aquifer 40 trillion litres/y (40
billion kg grain feeding 120m people)
• Iran: overpump 5 billion tonnes water/year (1/3 annual grain
harvest)
• North Gujarat: water table falling 6m/year
• Colorado River Basin lost 65 cubic kilometers (15.6 cubic miles)
of water from 2004 to 2013
Since 1970, we have lost:
• 55% of worlds animals 83% of Latin
American animals
LESS LIFE
WWF/ IoZ/ ZSL May 2014 LIVING PLANET INDEX
Abundance of 555 terrestrial species, 323 freshwater species, and 267 marine species
around the world
• 76% of freshwater species
• 39% or all marine life
MORE…CO2
Earth is gaining energy: 1.6 W/m2
20x human energy use.
HEAT
5/sec
(285 per minute = 400,000 a day = 146 million/ year)
WEATHER
HEALTH IMPACTS
Respiratory disease
Loss of crops
Ground level ozone increase
Pollen allergenicity and burden
Cardiovascular disease
Mental Health Impacts
StarvationDrought
Reduced Physical Work Capacity
Ecosystem Collapse
Fires
Heatwaves
Vector-borne diseases
Bacterial diseases
High Rainfall
Events
Poverty
Algal blooms
Sea level rise
Mass Migration
WARDiarrhoea
Chemical poisoning
Reduced Physical Work Capacity
Flooding
Loss of Habitation
“..a 4 degrees C future is incompatible with an
organised global community, is likely to be beyond
“adaptation,”… and has a high probability of not being
stable (i.e., 4 degrees C would be an interim
Beyond 'dangerous' climate change: emission scenarios for a new
world Kevin Anderson and Alice Bows, Phil. Trans. R. Soc. A, 13 January 2011
stable (i.e., 4 degrees C would be an interim
temperature on the way to a much higher equilibrium
level).”
• Navy Adm. Samuel J. Locklear III, who leads the
U.S. Pacific Command: global warming is "the
most likely thing ... [to] cripple the security
environment, probably more likely than the otherenvironment, probably more likely than the other
scenarios we all often talk about."
• Chairman of the Joint Chiefs of Staff, Admiral
Mike Mullen: “Climate change’s potential
impacts are sobering and far-reaching…
“Scarcity of water, food and space could create“Scarcity of water, food and space could create
not only a humanitarian crisis, but create
conditions that could lead to failed states,
instability and, potentially, radicalization.”
THREE QUESTIONS
• How are the impacts of both non-communicable
and infectious diseases exacerbated by
environmental factors?
• How will the globalisation of environmental and
health risks affect future resilience structures?
• What are the likely implications of increased
numbers of displaced persons & refugees?
IS ADAPTATION POSSIBLE?
HEATWAVES
Summer temperatures >40oC
• Heat ‘hotels’:
– How Predict? Alert? Service? Fund?
• How get people there?
– Roads already ‘regularly’ beyond softening temp of 50oC
– UK rail is stressed to only 27oC
MAINTAIN OUR HEALTH INFRASTRUCTURE AT TIME
OF
• Economic pressures (existing)
• New economic pressures (climate)
• Climate-driven increases in demand• Climate-driven increases in demand
– Resp
– CVS
– Bacterial
– Mental
– Migrants
URGENT PREVENTION IS NEEDEDURGENT PREVENTION IS NEEDED
WHEN CURE IS IMPOSSIBLE ANDWHEN CURE IS IMPOSSIBLE AND
PALLIATION HARD.PALLIATION HARD.PALLIATION HARD.PALLIATION HARD.

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Professor Hugh Montgomery

  • 2. THREE QUESTIONS • How are the impacts of both non-communicable and infectious diseases exacerbated by environmental factors? • How will the globalisation of environmental and health risks affect future resilience structures? • What are the likely implications of increased numbers of displaced persons & refugees?
  • 3. THREE QUESTIONS • How are the impacts of both non-communicable and infectious diseases exacerbated by environmental factors? • How will the globalisation of environmental and health risks affect future resilience structures? • What are the likely implications of increased numbers of displaced persons & refugees?
  • 6. FISH 154 billion kg annually 18.8kg per capita Fish use Food use (kg/capita) CROPS 2.25 trillion kg/year CATTLE 46.6 kg per person use (billion kg)
  • 8. • 1 kg of wheat needs 1350 litres of water. • 1 kg of rice needs 3000 litres of water. • 15,000 litres of water / kg meat. MORE WATER • CHINA: Hai river supplemented by aquifer 40 trillion litres/y (40 billion kg grain feeding 120m people) • Iran: overpump 5 billion tonnes water/year (1/3 annual grain harvest) • North Gujarat: water table falling 6m/year • Colorado River Basin lost 65 cubic kilometers (15.6 cubic miles) of water from 2004 to 2013
  • 9. Since 1970, we have lost: • 55% of worlds animals 83% of Latin American animals LESS LIFE WWF/ IoZ/ ZSL May 2014 LIVING PLANET INDEX Abundance of 555 terrestrial species, 323 freshwater species, and 267 marine species around the world • 76% of freshwater species • 39% or all marine life
  • 11. Earth is gaining energy: 1.6 W/m2 20x human energy use. HEAT 5/sec (285 per minute = 400,000 a day = 146 million/ year)
  • 13. HEALTH IMPACTS Respiratory disease Loss of crops Ground level ozone increase Pollen allergenicity and burden Cardiovascular disease Mental Health Impacts StarvationDrought Reduced Physical Work Capacity Ecosystem Collapse Fires Heatwaves Vector-borne diseases Bacterial diseases High Rainfall Events Poverty Algal blooms Sea level rise Mass Migration WARDiarrhoea Chemical poisoning Reduced Physical Work Capacity Flooding Loss of Habitation
  • 14. “..a 4 degrees C future is incompatible with an organised global community, is likely to be beyond “adaptation,”… and has a high probability of not being stable (i.e., 4 degrees C would be an interim Beyond 'dangerous' climate change: emission scenarios for a new world Kevin Anderson and Alice Bows, Phil. Trans. R. Soc. A, 13 January 2011 stable (i.e., 4 degrees C would be an interim temperature on the way to a much higher equilibrium level).”
  • 15. • Navy Adm. Samuel J. Locklear III, who leads the U.S. Pacific Command: global warming is "the most likely thing ... [to] cripple the security environment, probably more likely than the otherenvironment, probably more likely than the other scenarios we all often talk about."
  • 16. • Chairman of the Joint Chiefs of Staff, Admiral Mike Mullen: “Climate change’s potential impacts are sobering and far-reaching… “Scarcity of water, food and space could create“Scarcity of water, food and space could create not only a humanitarian crisis, but create conditions that could lead to failed states, instability and, potentially, radicalization.”
  • 17. THREE QUESTIONS • How are the impacts of both non-communicable and infectious diseases exacerbated by environmental factors? • How will the globalisation of environmental and health risks affect future resilience structures? • What are the likely implications of increased numbers of displaced persons & refugees?
  • 18. IS ADAPTATION POSSIBLE? HEATWAVES Summer temperatures >40oC • Heat ‘hotels’: – How Predict? Alert? Service? Fund? • How get people there? – Roads already ‘regularly’ beyond softening temp of 50oC – UK rail is stressed to only 27oC
  • 19. MAINTAIN OUR HEALTH INFRASTRUCTURE AT TIME OF • Economic pressures (existing) • New economic pressures (climate) • Climate-driven increases in demand• Climate-driven increases in demand – Resp – CVS – Bacterial – Mental – Migrants
  • 20. URGENT PREVENTION IS NEEDEDURGENT PREVENTION IS NEEDED WHEN CURE IS IMPOSSIBLE ANDWHEN CURE IS IMPOSSIBLE AND PALLIATION HARD.PALLIATION HARD.PALLIATION HARD.PALLIATION HARD.