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Improving health worldwide
www.lshtm.ac.uk
Climate	change	impact	on	human	health
Challenges	&	adaptation/mitigation	strategies	
in	context	of	the	SDGs
Pauline	Scheelbeek	– Future	Earth	/	LSHTM
http://blogs.lshtm.ac.uk/shefs/
http://futureearth.org/future-earth-health
@LSHTM_sustainhealth
The Great Acceleration
Yet we are healthier than ever before…
Climate change & human health
Heat
Mora et al Nature Climate Change - forthcoming
Indirect impacts of heat:
Air pollution
• Respiratory	disease
• Cardiovascular	disease
• Heart	disease
• Asthma,	COPD
• Lung	Cancer
• Premature	deaths
Fossil	fuel	combustion:
• PM2.5 &	PM10
• Ground	level	ozone
Higher	temperatures	
stimulates	ozone	formation
Salinity
Scheelbeek	et	al	2017	– Env Health	Persp;	
Each	100mg/l	decrease	in	drinking	water	sodium
Ecosystem mediated health impact
Dengue	Risk
In	1990:	30%	population
(1.5	billion	people) in	
regions	with	estimated	risk	
of	dengue	>50%
In	2085:	estimated	50-60%
of	projected	global	
population,	(5-6	billion	
people) at	risk	of	dengue	
Would	have	been	35%	(3.5	
billion)	if	no	climatic	
changes
Hales	et	al The	Lancet,	2002
Drought & Food Production
Complexities in the food system
Agriculture & food security
• Lower	concentrations	of	zinc	and	iron	
(Myers	et	al,	2014)
Impact on Crop Quality
-50% +50%
Negative	effect Positive	effect
CO2	
+250ppm
Water	availability	
-50%
Temperature	
+4°C
Ozone
+25%
Leafy	vegetables
Yield	Change	
+100%-100%
Baseline	≤	20°C
Baseline	>	20°C
• Iron		
• zinc
Fruits & vegetables
Scheelbeek	et	al	 - 2017	- forthcoming
Disrupted food system
Complexities in the food system
Example of India
• Population	Growth
• Dietary	change
• Groundwater	depletion
• Climate	change
Current dietary patterns
Realistic Dietary Changes
Generate evidence
coordinate research agenda
guide implementation of SDGs
Cami	Allen
Frances	Bird
Alan	Dangour
Rosie	Green
Andy	Haines
Francesca	Harris
Edward	Joy
Benjamin	Kayatz
Georgina	Mace
Pete	Smith

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