Will Climate Change be our Demise... or our Salvation? Bioneers Conference, 2012 Sustain Dane Jonathan Patz, Professor & Director Global Health Institute Nelson Institute & Dept. Population Health Sci. Changes in sea ice extent Sept 1980 Siberia The Arctic sea ice cover Greenland Alaska September 1980: 7.8 million square kilometers Courtesy: Don Perovich Changes in sea ice extent Sept 2007 Siberia Greenland Alaska September 2007: 4.2 million square kilometers Courtesy: Don Perovich HEALTH EFFECTS OF CLIMATE CHANGE Heat Waves CLIMATE CHANGE Temperature Rise 1 Sea level Rise 2 Hydrologic Extremes Air Pollution & Aeroallergens Respiratory diseases, e.g., COPD & Asthma Vector-borne Diseases Malaria Dengue Encephalitis Hantavirus Rift Valley Fever Water-borne Diseases Cholera Cyclospora Cryptosporidiosis Campylobacter Leptospirosis 1 2 3°C by yr. 2100 40 cm “ “ IPCC estimates Water resources & food supply Mental Health & Patz, 1998 Heat Stress Cardiorespiratory failure Environmental Refugees Malnutrition Diarrhea Toxic Red Tides Forced Migration Overcrowding Infectious diseases Human Conflicts HEAT WAVE - EUROPE 70,000 deaths in 11 days (Robine et al. 2008) Heat Index Summer 2003 Russia 2010: 1 month heatwave (>100°) 55,000 excess deaths 1 million acres burnt 25% drop in crop yields US$15 billion loss 'Mega-heatwaves' such as the 2003 and 2010 events broke the 500-yr long seasonal temperature records over 50% of Europe.Probability of 'mega-heatwaves’ will increase by a factor of 5 to 10 within the next 40 years. Barriopedro et al Science 21 March 2011 10.1126/science.1201224 Courtesy: Alistair Woodward Climate change: It’s not just about warming. USA: Combined sewer overflows (CSOs) 1.2 trillion gal of sewage & stormwater a year discharged during combined sewer overflows – would keep Niagara Falls roaring for 18 days Courtesy: Kellogg Schwab In Future, when it rains…it will pour. By mid-century, Chicago region may experience 50120% increase in CSO events (Patz et al. 2008) Globally Averaged U.S. CCSP, 2008 Future summers warmer than warmest on record Today’s 1 billion at risk for hunger could double by mid-century. Battisi and Naylor, Science 2009 Americans emit 6-times the global average CO2 per capita Distribution of 200,000 deaths/yr from recent warming. . Patz, Gibbs et al. 2007 Discussing Ethics of Climate Change Oct. 2011, Daramsala, India “If you know pollution kills, your country is not showing much compassion…corr ect?” Could Health Benefits Make Combating Climate Change Free? …or even a net gain? The opportunity for improving health determinants We can reduce: The 900,000 annual deaths from urban air pollution The loss of 1.9 million deaths, and 19 million years of healthy life, from physical inactivity WHO, 2007 Asthma and Air Pollution • 1996 Summer Olympic games in Atlanta • Peak morning traffic decreased 23% and peak ozone levels decreased 28% • Asthma-related emergency room visits by children decreased 42% • Children’s emergency visits for non-asthma causes did not change during same period Friedman et al. JAMA 2001;285:897 Adult Obesity Only 31 years Status of Americans • Americans are, on average, 17 pounds heavier than we were 30 years ago! • ≈ 15 % of children and adolescents age 6-19 are overweight (CDC 2004). • 20.8 million people have diabetes (7% of the population) (CDCP 2005) • 60% of American adults do not meet recommended levels of physical activity, and 25% are completely sedentary (DHHS, 1996) 40% of trips by car are < 2 miles (Dept of Transportation) Sustainable transportation: Buses of Bogota Our Midwest Transportation Study …assumes that all round trips of 5 miles or less could be accomplished through alternative modes (non ICE) transportation. Grabow et al. 2012 11 Midwestern Cities From transportation…to human health What are the associated emissions? (CO2, NO2, SO2, VOCs, PM, etc.). Research question #2: Assume all round trips of 5 miles or less could be accomplished by non internal combustion engine transportation. Technology & Activity Scenarios What are the health impacts of predicted pollution levels? How do these emissions impact air pollution? Ozone Grabow et al. 2012 20% fewer car trips: Change in air pollution • >500 lives saved/yr • 100,000s of Hospital admissions avoided • >$4 billion in avoided mortality and And if thosehealth short trips (< 5 mi. round-trip) care costs were done by bicycle, the fitness benefit would save >700 lives /yr and another $4 billion dollars in avoided mortality costs Grabow et al (2012) Key messages that emerged Health effects by disease (London) Courtesy: Sir Andy Haines Change in disease burden Change in premature deaths 10-19% 1950-4240 10-18% 1190-2580 Dementia 7-8% 200-240 Breast cancer 12-13% 200-210 Road traffic crashes 19-39% 50-80 Ischaemic heart disease Cerebrovascular disease Woodcock et al, 2007 Ethiopia: Climate-Resilient Green Economy Hawassa Bahir Dar Addis Ababa Good biking infrastructure In only 6 years, the gasoline rickshaw has taken over the streets! Madison’s Sister Cities Ainaro, East Timor Purpose: … enhance… Madison’s involvement in …global economy, cultural environment, educational, humanitarian and business opportunities for Madison companies in the regions or countries of our Sister Cities. Pinmaps.net | Print Map | Madison Sister Cities Arcatao, El Salvador http://www.pinmaps.net/PrintMap.aspx?MapId=12758&Ver Notes: Madison Sister Cities has 8 map points available. Camaguey, Cuba Freiburg, Germany Mantova, Italy Obihiro, Japan Vilnus, Luthuania (Madison Common Council) Map Only Print Can a sister city in Ethiopia become the model city for the rest of Africa? Next year in Hawassa and Bahir Dar? Bikeable Africa Initiative BIKEABLEAFRICA.ORG Day 1 is today! Thank you very Idea much! The Wisconsin