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Climate change, impacts and vulnerability in Europe ... - MemoFin.fr

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<strong>Climate</strong> <strong>impacts</strong> on socio-economic systems <strong>and</strong> healthFigure 4.5Impact pathways of climate <strong>change</strong> on human healthSusta<strong>in</strong>able development <strong>and</strong> mitigationExtreme weather eventsMortality, morbidity <strong>and</strong> stress<strong>Climate</strong> <strong>change</strong>Long-term<strong>change</strong>s <strong>in</strong> climateInter-annualclimate variabilityShort-term climatevariabilityExtreme eventsEnvironmentalconditionsDirect exposures (extreme events)Indirect exposures(through <strong>change</strong>s <strong>in</strong> vectorecology, food yields, etc.)Socio-economicconditionsSocial <strong>and</strong> economic disruptionHealth system's conditionsAir pollutionRespiratory <strong>and</strong> cardiovasculardiseasesVector- <strong>and</strong> rodent-borne diseaseMalariaEncephalitisHantavirusWest-Nile feverLyme diseaseWater- <strong>and</strong> food-borne diseasesCryptosporidiosisCampylobacterLeptospiriosisToxic <strong>in</strong>fections (mycotox<strong>in</strong>s)Seasonality <strong>in</strong> gastro-<strong>in</strong>test<strong>in</strong>aldiseasesWater stressSk<strong>in</strong> <strong>and</strong> eye diseasesInfectious diseasesAdaptation <strong>and</strong> prevention, health promotion <strong>and</strong> protectionFood supplyMalnutritionRefugees/migrationSource: Wolf, 2011, adapted <strong>fr</strong>om Confalonieri et al., 2007.Selection of <strong>in</strong>dicatorsThis section presents the follow<strong>in</strong>g <strong>in</strong>dicators on thema<strong>in</strong> climate-sensitive health risks <strong>in</strong> <strong>Europe</strong>:• Floods <strong>and</strong> health (address<strong>in</strong>g both coastal <strong>and</strong>river floods);• Extreme temperatures <strong>and</strong> health;• Air pollution by ozone <strong>and</strong> health;• Vector-borne diseases.The next subsection presents an overview ofextreme weather events <strong>and</strong> health. In addition,the conclud<strong>in</strong>g subsection provides <strong>in</strong>formation onthe l<strong>in</strong>ks between climate <strong>change</strong> <strong>and</strong> water- <strong>and</strong>food‐borne diseases, where the available <strong>in</strong>formationis not sufficient to be presented as an <strong>in</strong>dicator.Data needs <strong>and</strong> uncerta<strong>in</strong>tyAttribution of health effects to climate <strong>change</strong> isdifficult due to the complexity of <strong>in</strong>teractions, <strong>and</strong>potentially modify<strong>in</strong>g effects of a range of otherfactors (such as l<strong>and</strong> use <strong>change</strong>s, public healthpreparedness, <strong>and</strong> socio‐economic conditions)(Wardekker et al., 2012). Criteria for def<strong>in</strong><strong>in</strong>g aclimate-sensitive health impact are not always wellidentified <strong>and</strong> their detection sometimes relies oncomplex statistical or modell<strong>in</strong>g studies (e.g. health<strong>impacts</strong> of heat waves). Furthermore, these criteriaas well as the completeness <strong>and</strong> reliability ofobservations may differ between regions <strong>and</strong>/or<strong>in</strong>stitutions, <strong>and</strong> they may <strong>change</strong> over time. Dataavailability <strong>and</strong> quality is crucial <strong>in</strong> climate <strong>change</strong><strong>and</strong> human health assessments, both for longerterm <strong>change</strong>s <strong>in</strong> climate-sensitive health outcomes,<strong>and</strong> for health <strong>impacts</strong> of extreme events. Themonitor<strong>in</strong>g of climate-sensitive health effects is184 <strong>Climate</strong> <strong>change</strong>, <strong>impacts</strong> <strong>and</strong> <strong>vulnerability</strong> <strong>in</strong> <strong>Europe</strong> 2012

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