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Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission

Costello, A; Abbas, M; Allen, A; Ball, S; Bell, S; Bellamy, R; Friel, S; ... Patterson, C; + view all (2009) Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission. The Lancet , 373 (9676) pp. 1693-1733. 10.1016/S0140-6736(09)60935-1.

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Abstract

Effects of climate change on health will affect most populations in the next decades and put the lives and wellbeing of billions of people at increased risk. During this century, earth's average surface temperature rises are likely to exceed the safe threshold of 2°C above preindustrial average temperature. Rises will be greater at higher latitudes, with medium-risk scenarios predicting 2–3°C rises by 2090 and 4–5°C rises in northern Canada, Greenland, and Siberia. In this report, we have outlined the major threats—both direct and indirect—to global health from climate change through changing patterns of disease, water and food insecurity, vulnerable shelter and human settlements, extreme climatic events, and population growth and migration. Although vector-borne diseases will expand their reach and death tolls, especially among elderly people, will increase because of heatwaves, the indirect effects of climate change on water, food security, and extreme climatic events are likely to have the biggest effect on global health. A new advocacy and public health movement is needed urgently to bring together governments, international agencies, non-governmental organisations (NGOs), communities, and academics from all disciplines to adapt to the effects of climate change on health. Any adaptation should sit alongside the need for primary mitigation: reduction in greenhouse gas emissions, and the need to increase carbon biosequestration through reforestation and improved agricultural practices. The recognition by governments and electorates that climate change has enormous health implications should assist the advocacy and political change needed to tackle both mitigation and adaptation. Management of the health effects of climate change will require inputs from all sectors of government and civil society, collaboration between many academic disciplines, and new ways of international cooperation that have hitherto eluded us. Involvement of local communities in monitoring, discussing, advocating, and assisting with the process of adaptation will be crucial. An integrated and multidisciplinary approach to reduce the adverse health effects of climate change requires at least three levels of action. First, policies must be adopted to reduce carbon emissions and to increase carbon biosequestration, and thereby slow down global warming and eventually stabilise temperatures. Second, action should be taken on the events linking climate change to disease. Third, appropriate public health systems should be put into place to deal with adverse outcomes. While we must resolve the key issue of reliance on fossil fuels, we should acknowledge their contribution to huge improvements in global health and development over the past 100 years. In the industrialised world and richer parts of the developing world, fossil fuel energy has contributed to a doubled longevity, dramatically reduced poverty, and increased education and security for most populations.

Type: Article
Title: Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission
DOI: 10.1016/S0140-6736(09)60935-1
Publisher version: http://dx.doi.org/10.1016/S0140-6736(09)60935-1
Language: English
Additional information: Copyright © 2009 Elsevier Ltd. All rights reserved.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Internal Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst for Women's Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst for Women's Health > Reproductive Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Civil, Environ and Geomatic Eng
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Earth Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics > Clinical Operational Research Unit
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment > Bartlett School Env, Energy and Resources
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment > Development Planning Unit
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Arts and Humanities > Dept of Philosophy
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Laws
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > Dept of Anthropology
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > Dept of Geography
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > Dept of Political Science
UCL > Provost and Vice Provost Offices > VP Health
UCL > Provost and Vice Provost Offices > VP Health > SLMS Research Coordination
URI: http://discovery.ucl.ac.uk/id/eprint/177770
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