Assessing adaptation to the health risks of climate change: what guidance can existing frameworks provide?

Climate change adaptation assessments aim at assisting policy-makers in reducing the health risks associated with climate change and variability. This paper identifies key characteristics of the climate-health relationship and of the adaptation decision problem that require consideration in climate change adaptation assessments. It then analyzes whether these characteristics are appropriately considered in existing guidelines for climate impact and adaptation assessment and in pertinent conceptual models from environmental epidemiology. The review finds three assessment guidelines based on a generalized risk management framework to be most useful for guiding adaptation assessments of human health. Since none of them adequately addresses all key challenges of the adaptation decision problem, actual adaptation assessments need to combine elements from different guidelines. Established conceptual models from environmental epidemiology are found to be of limited relevance for assessing and planning adaptation to climate change since the prevailing toxicological model of environmental health is not applicable to many climate-sensitive health risks.

[1]  K. Riahi,et al.  Managing Climate Risk , 2001, Science.

[2]  Richard J. T. Klein,et al.  The Science of Adaptation: A Framework for Assessment , 1999 .

[3]  Alan H. Stern,et al.  Environmental Health Risk Assessment , 2008 .

[4]  Robert J. Nicholls,et al.  Coastal Adaptation to Climate Change: Can the IPCC Technical Guidelines be applied? , 1999 .

[5]  K. Ebi,et al.  From science to policy: developing responses to climate change , 2006 .

[6]  K. Ebi,et al.  Approaching adaptation: parallels and contrasts between the climate and health communities , 2005 .

[7]  Alan D. Lopez,et al.  Comparative quantification of health risks. Global and regional burden of disease attributable to selected major risk factors. Volume 1. , 2004 .

[8]  Pim Martens,et al.  Methods of assessing human health vulnerability and public health adaptation to climate change , 2003 .

[9]  K. Ebi,et al.  Climate Change and Human Health Impacts in the United States: An Update on the Results of the U.S. National Assessment , 2006, Environmental health perspectives.

[10]  R. Kovats,et al.  Methods to assess the effects of climate change on health , 2001 .

[11]  J. Severinghaus,et al.  Global climate change. , 1999, Proceedings of the National Academy of Sciences of the United States of America.

[12]  Alan D. Lopez,et al.  Comparative quantification of health risks: Conceptual framework and methodological issues , 2003, Population health metrics.

[13]  J. Palutikof,et al.  Climate change 2007 : impacts, adaptation and vulnerability , 2001 .

[14]  D. Dokken,et al.  Climate change 2001 , 2001 .

[15]  L. London.  Climate Change and Human Health. Risks and Responses , 2008 .

[16]  A. Prüss,et al.  Methodologic Considerations in Estimating Burden of Disease from Environmental Risk Factors at National and Global Levels , 2001, International journal of occupational and environmental health.

[17]  Mike Muller,et al.  Adapting to climate change , 2007 .

[18]  Joel B. Smith,et al.  A Summary of Climate Change Impact Assessments from the U.S. Country Studies Program , 2001 .

[19]  K. Ebi,et al.  Comments on the process and product of the health impacts assessment component of the national assessment of the potential consequences of climate variability and change for the United States. , 2001, Environmental health perspectives.

[20]  Division on Earth.  Risk Assessment in the Federal Government: Managing the Process , 1983 .

[21]  P. Ball.  Adapting to climate change , 1999, Nature.

[22]  I. Roberts.  Integration of Public Health with Adaptation to Climate Change: Lessons Learned and New Directions , 2005, BMJ : British Medical Journal.

[23]  Peter Cox,et al.  Public health and human ecology , 1988 .

[24]  M. V. Aalst.  Managing Climate Risk. Integrating Adaptation into World Bank Group Operations , 2006 .

[25]  D. Campbell-Lendrum,et al.  How much disease could climate change cause , 2003 .

[26]  B. Menne,et al.  Adaptation and adaptive capacity in the public health context , 2006 .

[27]  Developing strategies for climate change : the UNEP country studies on climate change impacts and adaptations assessment , 2000 .

[28]  N. Reynard,et al.  Climate adaptation: Risk, uncertainty and decision-making. UKCIP Technical Report , 2003 .

[29]  W. Adger,et al.  The determinants of vulnerability and adaptive capacity at the national level and the implications f , 2005 .

[30]  R. Kovats,et al.  An Approach for Assessing Human Health Vulnerability and Public Health Interventions to Adapt to Climate Change , 2006, Environmental health perspectives.

[31]  C. Corvalan,et al.  Methodologic issues in epidemiologic risk assessment. , 1999, Epidemiology.

[32]  A. Haines,et al.  Climate change and health: implications for research, monitoring, and policy , 1997, BMJ.

[33]  C. Corvalan,et al.  Health, environment and sustainable development: identifying links and indicators to promote action. , 1999, Epidemiology.

[34]  David Kay,et al.  Methodology for assessment of Environmental burden of disease , 2000 .

[35]  K. Ebi,et al.  Some Lessons Learned from Public Health on the Process of Adaptation , 2006 .

[36]  S. Huq,et al.  From impacts assessment to adaptation priorities: the shaping of adaptation policy , 2002 .

[37]  J. Patz,et al.  Methods for assessing public health vulnerability to global climate change , 1996 .

[38]  T. Carter,et al.  IPCC technical guidelines for assessing climate change impacts and adaptations : part of the IPCC special report to the first session of the conference of the parties to the UN framework convention on climate change , 1994 .

[39]  C. Murray,et al.  On the comparable quantification of health risks: lessons from the Global Burden of Disease Study. , 1999, Epidemiology.

[40]  K. Ebi,et al.  Climate change and adaptation strategies for human health , 2006 .

[41]  R. Kovats,et al.  National assessments of health impacts of climate change: a review , 2003 .

[42]  S. Alam,et al.  Framework Convention on Climate Change , 1993 .

[43]  Richard J. T. Klein,et al.  Conceptual Frameworks of Adaptation to Climate Change and their Applicability to Human Health , 2004 .

[44]  R. Benioff,et al.  Vulnerability and Adaptation Assessments , 1996 .

[45]  A. McMichael,et al.  Global environmental change and human population health: a conceptual and scientific challenge for epidemiology. , 1993, International journal of epidemiology.

[46]  Sandra Guill,et al.  Vulnerability and adaptation assessments : an international handbook , 1996 .

[47]  K. Ebi,et al.  15 Lessons learned and insights for adaptation policy , 2005 .

[48]  C. Shiff,et al.  The history of malaria control in Africa: lessons learned and future perspectives , 2005 .

[49]  Suraje Dessai,et al.  On the role of climate scenarios for adaptation planning , 2005 .

[50]  D. Campbell-Lendrum,et al.  Comparative Risk Assessment of the Burden of Disease from Climate Change , 2006, Environmental health perspectives.

[51]  Joel B. Smith,et al.  Handbook on Methods for Climate Change Impact Assessment and Adaptation Strategies , 1998 .

[52]  Robert W. Mc Collum.  Epidemiologic Methods , 1961, The Yale Journal of Biology and Medicine.

[53]  A. Woodward,et al.  Looking to the future: challenges for scientists studying climate change and health , 2006 .

[54]  E. Malone,et al.  Adaptation Policy Frameworks for Climate Change: Developing Strategies, Policies and Measures , 2004 .

[55]  Richard J. T. Klein,et al.  Climate Change Vulnerability Assessments: An Evolution of Conceptual Thinking , 2006 .

[56]  Pnuma,et al.  Linkage methods for environment and health analysis, general guidelines: a report of the Health and Environment Analysis for Decision-making (HEADLAMP) project , 1996 .