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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> healthcurrently <strong>fr</strong>agmentary <strong>and</strong> heterogeneous. All thesefactors make it difficult to identify significant trends<strong>in</strong> climate-sensitive health outcomes over time, <strong>and</strong>to compare them across regions. In the absenceof reliable time series, more complex approachesare often used to assess the past, current or future<strong>impacts</strong> of climate <strong>change</strong> on human health.The l<strong>in</strong>ks between climate <strong>change</strong> <strong>and</strong> health arethe subject of <strong>in</strong>tense research <strong>in</strong> <strong>Europe</strong> (e.g. theprojects cCASHh ( 57 ), EDEN ( 58 ), EDENext ( 59 ), <strong>and</strong><strong>Climate</strong>-TRAP ( 60 )). Furthermore, the <strong>Europe</strong>anCentre for Disease Prevention <strong>and</strong> Control (ECDC)<strong>and</strong> the World Health Organization (WHO) performcrucial work <strong>in</strong> this area.The ECDC has numerous projects <strong>in</strong>vestigat<strong>in</strong>g thel<strong>in</strong>ks between climate <strong>change</strong> <strong>and</strong> communicablediseases. It has developed the <strong>Europe</strong>anEnvironment <strong>and</strong> Epidemiology (E3) networkwhich will promote geospatial <strong>in</strong>fectious diseasemodell<strong>in</strong>g <strong>in</strong> <strong>Europe</strong>. Additionally, ECDC hasmultiple ongo<strong>in</strong>g projects assess<strong>in</strong>g the impact ofclimate <strong>change</strong> on food-, water-, <strong>and</strong> vector-bornedisease transmission <strong>in</strong> <strong>Europe</strong>, <strong>and</strong> ECDC has alsoestablished a pan-<strong>Europe</strong>an network dedicated tovector surveillance, VBORNET.The WHO Regional Office for <strong>Europe</strong> works onclimate <strong>change</strong> <strong>and</strong> health s<strong>in</strong>ce 1997. The activities<strong>in</strong>clude the assessment of the health effects, thedevelopment of measures to protect populationhealth <strong>fr</strong>om climate <strong>change</strong> <strong>and</strong> to <strong>in</strong>tegrate health <strong>in</strong>climate <strong>change</strong> related policies. WHO has developednumerous tools <strong>and</strong> methods, monitors trends overtime <strong>and</strong> advocates evidence based solutions. Inthe context of the climate environment <strong>and</strong> health<strong>in</strong>formation system sixteen <strong>in</strong>dicators help tomonitor trends over time at the national level. WHOguides research <strong>and</strong> development on data collection,analysis <strong>and</strong> future scenarios.Data availability — the case of databases fornatural disastersCurrently, worldwide databases for naturaldisasters, such as EM-DAT/CRED ( 61 ), theDartmouth Flood Observatory ( 62 ) (DFO), orNatCatSERVICE of Munich RE ( 63 ) are available for<strong>Europe</strong>-wide studies. The databases are compiled<strong>fr</strong>om various sources; the def<strong>in</strong>itions, thresholds,classification criteria, report<strong>in</strong>g approaches, etc.differ <strong>and</strong> need to be considered when apply<strong>in</strong>g <strong>and</strong><strong>in</strong>terpret<strong>in</strong>g the data. In general, larger disasters arecaptured well <strong>in</strong> the databases, while they are lessaccurate for smaller events, which still may have asignificant impact (WHO <strong>and</strong> HPA, Forthcom<strong>in</strong>g). Inorder to be <strong>in</strong>cluded <strong>in</strong> EM-DAT, a disaster needs tomeet one of the follow<strong>in</strong>g criteria: 10 or more peoplereported killed, a hundred or more people reportedaffected, declaration of a state of emergency, or callfor <strong>in</strong>ternational assistance. The criteria for def<strong>in</strong><strong>in</strong>ga flood are 'a significant rise of water level <strong>in</strong> astream, lake, reservoir or coastal region' <strong>and</strong> <strong>in</strong>cludegeneral river floods, flash floods <strong>and</strong> storm surgesor coastal flood<strong>in</strong>g (Below et al., 2009). The DFO<strong>in</strong>cludes only floods that appear to be 'large', basedon a significant damage to structures or agriculture,long reported <strong>in</strong>tervals (decades) s<strong>in</strong>ce the lastsimilar event, <strong>and</strong>/or fatalities; it is not specificallydef<strong>in</strong>ed what constitutes a flood, but it does considerthe ma<strong>in</strong> cause of the flood. The DFO is likely tocapture more flood events than EM-DAT, as anylarge flood event is recorded as a flood, whereasEM-DAT may classify it as another type of disaster;(tropical) storms are only <strong>in</strong>cluded <strong>in</strong> case they alsocause flood<strong>in</strong>g.Multiple count<strong>in</strong>g may occur <strong>in</strong> the case ofevents affect<strong>in</strong>g several countries. An importantconsideration is the <strong>in</strong>creased report<strong>in</strong>g of eventsover the past few decades. Therefore, an analysis ofthe <strong>in</strong>formation over time may reveal an <strong>in</strong>creasedue mostly to improvements <strong>in</strong> data collection.Furthermore, different <strong>in</strong>formation sources, <strong>and</strong>use of a range of different assessment methods<strong>and</strong> rationales, may further <strong>in</strong>crease uncerta<strong>in</strong>tyregard<strong>in</strong>g attribution of <strong>impacts</strong> (i.e. casualties,losses, etc.) associated with each event.( 57 ) cCASHh — <strong>Climate</strong> <strong>change</strong> <strong>and</strong> adaptation strategies for human health <strong>in</strong> <strong>Europe</strong> — the EC FP5 project (http://ec.europa.eu/research/environment/pdf/env_health_projects/climate_<strong>change</strong>/cl-ccashh.pdf).( 58 ) EDEN — Emerg<strong>in</strong>g Diseases <strong>in</strong> a chang<strong>in</strong>g <strong>Europe</strong>an eNvironment — the EC FP6 project (http://www.eden-fp6project.net/).( 59 ) EDENext — Biology <strong>and</strong> control of vector-borne <strong>in</strong>fections <strong>in</strong> <strong>Europe</strong> — the EC FP7 project (http://www.edenext.eu/).( 60 ) <strong>Climate</strong>-TRAP – Tra<strong>in</strong><strong>in</strong>g, Adaptation, Preparedness of the Health Care System to <strong>Climate</strong> Change (http://www.climatetrap.eu/).( 61 ) See http://www.emdat.be/.( 62 ) See http://floodobservatory.colorado.edu/.( 63 ) See http://www.munichre.com/en/re<strong>in</strong>surance/bus<strong>in</strong>ess/non-life/georisks/natcatservice/default.aspx.<strong>Climate</strong> <strong>change</strong>, <strong>impacts</strong> <strong>and</strong> <strong>vulnerability</strong> <strong>in</strong> <strong>Europe</strong> 2012185

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