December 16, 1998 Earl Pratt Kelli Dennis Jeremy Rentz Presented to: Dr. Carmichael Department of Chemical and Biochemical Engineering The University of Iowa Iowa City, Ia 52246 Introduction of global climate change Land mass losses Increased disease rates Direct-Weather Related Mortality Bibliography
Introduction of global climate change
Human health, natural ecological sysems, and socioeconomic systems are all sensitive to both the magnitude and the rate of climate change. Many physical and ecological systems will be affected simultaneously. The ability of these natural ecological systems to migrate appears to much slower then the pedicted rate of climate change. Climate change can add to existing environmental stresses.
Land mass losses
Due to global warming, the sea level is rising. It is rising more rapidly in the U.S. than compared to anywhere else in the world. Studies by EPA have estimated that the Gulf and the Atlantic coasts will raise one foot in sea level by approximately 2050. It is also estimated to raise two to four feet in the next century.The effects of rising sea level will erode wetlands and beaches. New wetlands will form as the sea level rises, by flooding dry land, and the existing wetlands will erode if the seal level rises a few feet. The newly created wetlands will be a small area compared to the area destroyed due to this sea level rise. Nationwide, a two-foot rise in sea level could eliminate 17-43 percent of US wetlands. Nationwide, about 5000 square miles of dry land are within two feet of high tide. All of this land would be destroyed by rising sea level. Additional dikes and bulkheads need to be constructed to protect this area of land. A two-foot rise in sea level will eliminate around 10,000 square miles of land. This land eliminated includes both the wetlands and dry land that would be lost to the sea. This reduction of landmass will increase population density. A more populated area will initiate a more rapid spread of disease.
Increased disease ratesAn increase in the rates of mosquito carried diseases like malaria and dengue fever has occurred in the last twenty years. These diseases are known as vector-born diseases because the mosquito is utilized for a portion the life cycle of the parasite. Health research in the last century has shown that climate will describe the distribution of mosquito-borne diseases. Localized weather patterns have also been shown to affect the timing and the intensity of such disease outbreaks. For this reason, discussions into how global climate change will alter the rates and distribution of these vector-borne diseases will be discussed here along with other possible health effects.
It has been estimated that 1 in 20 people in the world are infected with one form of malaria or another. These infection rates correspond to approxiamately 2 million deaths world wide, including about 1 million deaths of young children. Malaria arises from 4 species of the plasmodium parasite. The most dangerous of these paraisites is Plasmodium falciparum and the most widely distributed parasite is P. vivax. Anopheline spp.and Aedes aegyptii mosquitoes are two of the vectors used by the plasmodium to transmit malaria.
As global temperatures increase, several factors affect the distribution and severity of malaria infection rates. As winter temperatures rise in Northern lattitudes, mosquitoes will be able to survive in shelters more readily than in previous years. Most of the malaria vectors will survive at temperatures above 22 degrees Celsius (McMicael, A.J.). Survival rates in temperate zones are anticipated to increase with Global warming. The Plasmodium parasites are also sensitive to temperature changes. The sensitivity is shown in the sexual developement of the particular species. Incubation of the plasmodium does not occur outside of a 14 - 38 degrees Celsius temperature range (McMicael, A.J.). The optimum incubation temperature varies between 25 degrees Celsius for P. vivax, to 30 degrees Celsius for P. falciparum, and 22 degrees Celsius for P. malariae. Locally, a slight increase in the minmum night time temperature in the 14 - 18 degrees Celsius range will greatly increase the incubation rate of the plasmodium parasites. Global climate changes also include precipitation changes. The majority of the forcasted precipitaton increases will come in the form of increased large storms and an overall increase in global precipitation. These large storms coupled with more precipitation in various areas of the world will increase the breeding of vectors. Ironically, as areas of drought will also occur, more puddles will form that are the ideal conditons for vector breeding causing localized epidemics from puddle breeding. Anopheline spp.
Aedes aegyptii
Global climate changes will also affect the distribution and span of malaria cases. As temperatures increase, the mosquitoes will be able to survive at higher and higher altitudes. The increase in altitude will be the major migration of increased malaria rates. The above graphic shows increases in parasite indexes from 1960 to 1995 for South America. It must be noted that malaria rates had been very low in the 50's and 60's with the advent of vaccines and an educated public. However, the increases in relative parasite numbers results from more resistant strains and newer localized species.
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Direct-Weather Related MortalityThe easiest adverse affect to predict from global warming is heat stress. Heat places stress on the thermoregulatory system, which affects the circulatory system. In individuals whose circulatory systems are already compromised (for example: the elderly, the sick, or the very young) additional stress brought about by increased temperatures can be extremely unfavorable, and may result in death. According to http://www.ciesin.org/TG/HH/mortmech.html, a test was conducted to the potential impact of global warming on heat stress related mortality in 15 cities across the United States. The conclusion was that the rate was dependent on the rate of acclimatization. In the Southern United States mortality rate was not expected to rise considerably due to heat stress because their populations are acclimatized to hot weather. The Northern United States would show an increase in summer heat related deaths in 15 cities. This is taking into account that the number of cold-related deaths would probably drop. The EPA has reported to Congress that we might expect a sevenfold increase in heat-related deaths by the middle of the 21st century if acclimatization does not occur. This would render heat-related deaths as a major killer, rivaling the present number of deaths from leukemia. Bibliography: McMichael, A.J., Haines, Sloof, Kovats, Climate Change and Human Health, World Health Organization, 1996, pages 78-86.Roberts, Donald R., Laughlin, Hsheih, Legters, "DDT, Global Strategies, and a Malaria Control Crisis is South America", Emerging Infectious Diseases, Vol. 3, No. 3, July-September 1997.
Epstein, Paul R., Et. al, "Biological and Physical Signs of Climate Change: Focus on Mosquito-borne Diseases", Bulletin of the American Meteorological Society, Vol. 79, No. 3, March 1998, pages 409-415.
http://www.epa.gov/globalwarming/