Climate Change and Health Impacts
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Questions and Answers

Which of the following is the most immediate health impact directly caused by the physical force of floodwaters?

  • Leptospirosis infection due to contaminated water
  • Gastrointestinal illness from contact with polluted water
  • Increased susceptibility to cardiovascular incidents due to emotional stress
  • Drowning due to stream flow velocity and topographic features (correct)

A community health nurse is developing a disaster preparedness plan focused on mitigating infectious disease outbreaks following a major flood. Which disease should be prioritized for surveillance and prevention efforts?

  • Malaria due to increased vector habitats
  • HIV/AIDS due to disruption of healthcare services
  • Tuberculosis due to crowded shelter conditions
  • Leptospirosis resulting from exposure to contaminated water (correct)

Following a flood, a patient presents with dermatitis and conjunctivitis. What is the most likely cause of these conditions?

  • Increased emotional stress leading to skin reactions
  • Respiratory complications from inhaling floodwater
  • Contact with polluted floodwater (correct)
  • Direct physical injuries sustained during the flood

A person who experiences a flood may suffer from increased physical and emotional stress, as a result they are more susceptible to:

<p>Psychosocial disturbances and cardiovascular incidents (D)</p> Signup and view all the answers

In a community affected by severe flooding, what nursing intervention is most crucial to address the long-term mental health consequences?

<p>Establishing support groups and counseling services (C)</p> Signup and view all the answers

Which of the following scenarios best illustrates a direct health impact of climate change, as opposed to an indirect impact?

<p>An elderly individual suffering from heatstroke during a prolonged heatwave with temperatures exceeding the body's capacity to cool itself. (C)</p> Signup and view all the answers

A public health nurse is developing a community outreach program to address the health impacts of climate change. Which intervention would be most effective in mitigating the risks associated with rising temperatures, considering the information about heat-related illnesses?

<p>Establishing cooling centers in public places and educating the community about recognizing and responding to heat-related illnesses. (D)</p> Signup and view all the answers

How does high humidity exacerbate the risk of heat-related illnesses, even at temperatures below 32 degrees C?

<p>It restricts the body's ability to dissipate heat through the evaporation of sweat. (C)</p> Signup and view all the answers

Which of the following is the most severe and life-threatening direct health impact related to the body's inability to cool itself?

<p>Heat stroke (B)</p> Signup and view all the answers

A region historically experiences average summer temperatures around 25 degrees C. However, due to climate change, the average minimum summer temperature is now consistently above 22 degrees C. What specific physiological challenge does this present to the population?

<p>Reduced capacity for the body to cool down effectively, increasing the risk of heat-related illnesses. (A)</p> Signup and view all the answers

Flashcards

Climate Change Health Impacts

Health impacts directly caused by weather extremes, environmental changes, and population displacement due to climate change-induced factors.

Body Temperature Regulation

The body's method of maintaining a stable internal temperature, challenged when ambient temperatures exceed 32°C.

Heat Cramps

Muscular pains and spasms due to electrolyte imbalance from heavy sweating.

Heat Exhaustion

A condition caused by body fluids lost through heavy sweating. Symptoms include dizziness, weakness, and nausea.

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Heat Stroke

A life-threatening condition where the body's cooling system fails, leading to rapid temperature increase.

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Immediate Flood-Related Fatalities

Immediate deaths and injuries due to drowning, blunt force trauma, or electrocution.

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Non-Specific Mortality Increase

Includes increases in mortality from heart attacks or stress-related conditions after a flood event.

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Flood-Related Infectious Diseases

Leptospirosis, hepatitis, diarrheal, respiratory, and vector-borne diseases that can spread due to contaminated water and increased vector populations.

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Toxic Substance Exposure (Floods)

Exposure to chemicals, sewage, and other hazardous substances.

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Mental Health Effects (Floods)

Psychological trauma, anxiety, depression, and PTSD arising from displacement, loss, and the overall disaster experience.

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Study Notes

  • There is a worldwide consideration of the potential health impacts of global climate change.
  • Three types of health impacts include direct impacts, consequences of environmental change and ecological disruption, and consequences that occur from climate change-induced factors

Factors for Climate Change-Indirect Health

  • Economic dislocation
  • Environmental decline
  • Conflict
  • The impacts of climate change are expected to be adverse, but some could be beneficial.
  • Changes in frequency and severity of known health risks are more likely than new health risks.

Health Effects

  • Climate change can cause temperature-related illness and death.
  • It also has links to extreme weather-related health effects
  • It links to air pollution related health effects.
  • It can lead to water and food-borne diseases.
  • It also links to vector and rodent borne diseases.
  • Climate changes can also cause food and water shortages
  • and population displacement

Direct Impacts to Health from Heat

  • The human body maintains body temperature until ambient temperatures exceed 32 degrees C.
  • Above 32 degrees C, the body loses heat through skin and sweating.
  • Heat-related illness occurs when the body has decreased cooling ability.
  • It is more difficult to cool when minimum temperature is greater than 22 degrees C.
  • High humidity reduces the effectiveness of sweating and increases the risk of heat-related illness at any given temperature.

Direct Impacts to Health

  • Heat cramps cause muscular pains and spasms.
  • Heat exhaustion causes body fluids to be lost through heavy sweating.
  • Heat stroke is life-threatening.

Indirect Impacts

  • Gradual and extreme temperature increases can affect many areas.
  • Ecosystems, water, food, disease-carrying vectors, lifestyle, and community resilience are affected

Health Impacts of Floods

  • Immediate deaths and injuries are a direct result from floods.
  • Non-specific increases in mortality are an impact
  • There are infectious diseases, such as leptospirosis, hepatitis, diarrheal, respiratory, and vector-borne diseases
  • There is exposure to toxic substances in flood waters
  • Mental health effects
  • There are indirect effects and increased demands on health systems

Health Implications of Floods

  • Increased stream flow velocity, topographic land features, absence of warning, rapid speed of flood onset, deep floodwaters, landslides, risk behavior, and fast flowing waters carrying boulders and fallen trees can all cause drowning and injuries
  • Contact with water can cause respiratory diseases, shock, hypothermia, or cardiac arrest
  • Contact with polluted water can cause wound infections, dermatitis, conjunctivitis, gastrointestinal illness, ear, nose and throat infections, and possible serious waterborne diseases
  • An Increase of physical and emotional stress can cause an increase of susceptibility to psychosocial disturbances and cardiovascular incidents

Indirect Health Effects-Floods

  • Damage to water supply and sewage systems can cause waterborne infections, such as enterogenic E.coli, shigella, hepatitis A, Leptospirosis, giardiasis, camplylobacter, dermatitis, and conjunctivitis
  • Disruption of transport systems can cause food shortages and disruption of emergency response.
  • Underground pipe disruption, dislodgement of storage tanks, overflow of toxic waste sites, and the release of chemicals can cause potential acute or chronic effects of chemical pollution.
  • Heavy rainfalls and expanded range of vector habitats cause vector-borne diseases.
  • Rodent and other pest migration causes possible diseases caused by rodents or other pests
  • Disruption of social networks, loss of property, jobs and family members and friends causes possible psychosocial disturbances
  • Clean-up activities following floods cause electrocutions, injuries, lacerations, and skin punctures
  • Destruction of primary food products cause food shortage
  • Damage to health services and disruption of "normal" health service activities causes a decrease of “normal" health care services and leads to insufficient access to medical care

Climatic Change: Drinking Water Supply

  • Drying climate causes changes to land cover and run-off patterns (erosion).
  • It leads to an increased bushfire risk
  • It can also lead to increased sediment, nutrients, and debris.
  • Flooding can also affect drinking water supplies through coastal intrusion and contamination.
  • Flooding also cause reduction in flows to dams and groundwater aquifers and increased evaporation from surface water storages.
  • Salt water intrusion into coastal aquifers and acidification of susceptible inland aquifers
  • Increased risk arise from concentration of nutrient and chemical contaminants and the formation of toxic algal blooms

Climatic Change: Air Quality

  • Weather has a major role in the development, transport, dispersion, and deposition of air pollutants.
  • Air pollution episodes are often associated with stationary or slowly moving air masses
  • Air pollutants and fine particulate matter may change in response to climate change.
  • Airflow on edges of a high-pressure system can transport ozone precursors, leading to rising ozone levels in many areas.
  • An increase in fire events will mean increased toxic gases and particulates.
  • Changes in wind patterns may increase long-range transport of air pollutants.
  • Weather patterns can enhance urban "heat islands", which can lead to elevated pollution levels.

Potential health impacts from air quality

  • Ozone can cause pneumonia, COPD, asthma, and allergic rhinitis
  • Particulate matter (PM) is known to affect morbidity and mortality
  • Toxic gases and PM from fires contribute to acute and chronic respiratory illness, as evidenced by the 1997 Indonesia fires.
  • Windblown dust (respirable particles, trace elements) from desert regions can affect populations in remote areas.
  • Mortality is increased in the days after a dust storm.

Mosquito-borne-disease: Environmental Changes

Distribution of vectors will change: caused by

  • Increasing temperature
    • Changing rainfall: -Increase or decrease
      • Seasonality
  • Cyclones and flooding
  • Rising sea levels
  • Extreme tides
  • Changes in animal host and reservoir populations
  • Loss of coastal margins

Mosquito-borne-disease: Human Factors

  • Location of population -Geographic location -Proximity to water bodies
  • Urban environment cause of peri-domestic breeding
  • Mobility of population like the arrival of infected people
    • International
    • Interstate
    • Intrastate
  • Living standards, and insect screens, air conditioning and Social/political breakdown

Mosquito-borne-disease: Water Management

Breeding is also influenced by water hoarding, storage, rainwater tanks, uncovered containers, dams, irrigation, and groundwater recharge

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An overview of the potential health impacts of global climate change. The types of health impacts include direct impacts, consequences of environmental change and ecological disruption, and consequences that occur from climate change-induced factors. Climate change can cause temperature-related illness and death.

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