Global Health Watch 1 in one file
Global Health Watch 1 in one file Global Health Watch 1 in one file
The wider health context | D1 temperate climates (Bouma and Kaay 1995). Diarrhoeal diseases, including cholera, cryptosporidium, giardia, shigellosis and typhoid, may increase as a result of more frequent and severe floods and drought (McMichael et al. 2003). • Climate change is also expected to increase rates of rodent-borne disease (because of a warmer climate changing habitats that will allow rodents to move into new areas), including leptospirosis, tularaemia, viral haemorrhagic diseases, lyme disease, tick-borne encephalitis and hantavirus pulmonary syndrome. The economic and societal costs of these impacts are estimated to be huge (Parry et al. 2001), and will overwhelm even the most optimistic projections for economic growth in vulnerable regions. An increase of 2°C by the 2050s could result in: • 228 million more people at risk from malaria; • 12 million more at risk from hunger as crop yields fall; • 2240 million more at risk from water shortages, particularly in the subtropics; • 20 million more at risk from coastal flooding. An increase of 4°C could by the 2080s result in: • 334 million more people at risk from malaria; • 128 million more at risk from hunger as crop yields fall; • 3500 million more at risk from water shortages, particularly in the subtropics; • 108 million more at risk from coastal flooding. The institutional and political response to climate change Just two years after the publication of the first IPCC report, the UN Framework Convention on Climate Change (UNFCCC) was agreed and signed at the 1992 UN Conference on Environment and Development (the ‘Earth Summit’) held in Rio de Janeiro. Some 189 countries, including the United States, have now ratified the Convention. This calls on Parties to: ‘Protect the climate system for the benefit of present and future generations of humankind, on the basis of equity and in accordance with their common but differentiated responsibilities and respective capabilities. Accordingly, the developed country Parties should take the lead in combating climate change and the adverse affects thereof.’ However, the Convention created non-binding targets for industrialized 198
14 Droughts threaten the food security of millions in the developing world. countries to bring their greenhouse gas emissions back to 1990 levels by the year 2000. In 1995, the Parties to the Convention established ‘as a matter of urgency’ a process to negotiate a new protocol, one with binding targets and timeframes. The result was the Kyoto Protocol, agreed in 1997, whose aim is for developed countries only to reduce their 1990 levels of emissions by a minimum of 5% by 2008-2012. Some 129 countries have since acceded to or ratified the protocol, although it ‘entered into force’ and became legally binding only in 2005, eight years after it was drafted. Although it is a step in the right direction, the Kyoto Protocol offers little reassurance. To start with, the level of reduction in emissions that it requires is totally inadequate. The IPCC estimates that, in order to avoid catastrophic destabilization of the climate, global greenhouse gas emissions need to be halved by 2050. Allowing for economic development in non-industrialized (Southern) countries, emissions from the North will need to be reduced by 60-80% in the same time frame – ten times greater than the reductions called for by Kyoto. Secondly, the biggest polluter in the world, the United States, withdrew from the Kyoto Protocol in 2001. The US, with 4% of the global population, is responsible for 25% of global carbon dioxide emissions. Another country that has failed to support the Kyoto Protocol is Australia. Thirdly, some observers think that the reporting and accountability mechanisms are too weak. There is widespread concern that the Kyoto Protocol will Climate change 199
- Page 166 and 167: Health care systems | B5 genome res
- Page 168 and 169: Health care systems | B5 drugs base
- Page 170 and 171: Health care systems | B5 Complete f
- Page 172 and 173: Health care systems | B5 when a tes
- Page 174 and 175: Health care systems | B5 are allowi
- Page 176 and 177: Health care systems | B5 of life sc
- Page 179: part c | Health of vulnerable group
- Page 182 and 183: Health of vulnerable groups | C1 me
- Page 184 and 185: Health of vulnerable groups | C1 pr
- Page 186 and 187: Health of vulnerable groups | C1 Th
- Page 188 and 189: Health of vulnerable groups | C1 Ca
- Page 190 and 191: Health of vulnerable groups | C1 Bo
- Page 192 and 193: Health of vulnerable groups | C1 Bo
- Page 194 and 195: Health of vulnerable groups | C1 Bo
- Page 196 and 197: Health of vulnerable groups | C1 Pa
- Page 198 and 199: Health of vulnerable groups | C2 Bo
- Page 200 and 201: Health of vulnerable groups | C2 DP
- Page 202 and 203: Health of vulnerable groups | C2 Bo
- Page 204 and 205: Health of vulnerable groups | C2 Bo
- Page 206 and 207: Health of vulnerable groups | C2 di
- Page 209 and 210: part d | The wider health context T
- Page 211 and 212: D1 | Climate change Introduction En
- Page 213 and 214: increasing quantities are now causi
- Page 215: development, local availability foo
- Page 219 and 220: Protocol can meet their targets by
- Page 221 and 222: 15 Transport and travel are major d
- Page 223 and 224: • Redesign trade rules. Governmen
- Page 225 and 226: D2 | Water Access to enough clean w
- Page 227 and 228: water consumption worldwide. Each p
- Page 229 and 230: table d2.1 Top corporate players in
- Page 231 and 232: 16 Protesting against the privatiza
- Page 233 and 234: Box D2.3 Regulating private water c
- Page 235 and 236: The private sector overestimates th
- Page 237 and 238: Box D2.7 US citizens told to boil t
- Page 239 and 240: to water. Worse still, it does this
- Page 241 and 242: References Barlow M, Clarke T (2002
- Page 243 and 244: D3 | Food Undernutrition is by far
- Page 245 and 246: Functional and Productive Capacity
- Page 247 and 248: table d3.1 Corporate control of US
- Page 249 and 250: keting and processing means that sm
- Page 251 and 252: average Indian family of four reduc
- Page 253 and 254: Bank’s US$ 93.5 million loan to C
- Page 255 and 256: Avery N, Drake M, Lang T (1993). Cr
- Page 257 and 258: D4 | Education Some 135 million chi
- Page 259 and 260: ledge about health-care practices a
- Page 261 and 262: 2005, and on present trends about 4
- Page 263 and 264: Box D4.3 Programmes that aim to emp
- Page 265 and 266: • per capita public spending fall
The wider health context | D1<br />
temperate climates (Bouma and Kaay 1995). Diarrhoeal diseases, <strong>in</strong>clud<strong>in</strong>g<br />
cholera, cryptosporidium, giardia, shigellosis and typhoid, may <strong>in</strong>crease as<br />
a result of more frequent and severe floods and drought (McMichael et al.<br />
2003).<br />
• Climate change is also expected to <strong>in</strong>crease rates of rodent-borne disease<br />
(because of a warmer climate chang<strong>in</strong>g habitats that will allow rodents to<br />
move <strong>in</strong>to new areas), <strong>in</strong>clud<strong>in</strong>g leptospirosis, tularaemia, viral haemorrhagic<br />
diseases, lyme disease, tick-borne encephalitis and hantavirus pulmonary<br />
syndrome.<br />
The economic and societal costs of these impacts are estimated to be huge<br />
(Parry et al. 2001), and will overwhelm even the most optimistic projections<br />
for economic growth <strong>in</strong> vulnerable regions. An <strong>in</strong>crease of 2°C by the 2050s<br />
could result <strong>in</strong>:<br />
• 228 million more people at risk from malaria;<br />
• 12 million more at risk from hunger as crop yields fall;<br />
• 2240 million more at risk from water shortages, particularly <strong>in</strong> the subtropics;<br />
• 20 million more at risk from coastal flood<strong>in</strong>g.<br />
An <strong>in</strong>crease of 4°C could by the 2080s result <strong>in</strong>:<br />
• 334 million more people at risk from malaria;<br />
• 128 million more at risk from hunger as crop yields fall;<br />
• 3500 million more at risk from water shortages, particularly <strong>in</strong> the subtropics;<br />
• 108 million more at risk from coastal flood<strong>in</strong>g.<br />
The <strong>in</strong>stitutional and political response to climate change<br />
Just two years after the publication of the first IPCC report, the UN Framework<br />
Convention on Climate Change (UNFCCC) was agreed and signed at the<br />
1992 UN Conference on Environment and Development (the ‘Earth Summit’)<br />
held <strong>in</strong> Rio de Janeiro. Some 189 countries, <strong>in</strong>clud<strong>in</strong>g the United States, have<br />
now ratified the Convention. This calls on Parties to:<br />
‘Protect the climate system for the benefit of present and future generations<br />
of humank<strong>in</strong>d, on the basis of equity and <strong>in</strong> accordance with their common<br />
but differentiated responsibilities and respective capabilities. Accord<strong>in</strong>gly, the<br />
developed country Parties should take the lead <strong>in</strong> combat<strong>in</strong>g climate change<br />
and the adverse affects thereof.’<br />
However, the Convention created non-b<strong>in</strong>d<strong>in</strong>g targets for <strong>in</strong>dustrialized<br />
198