Cited by 158Climate Change and Health ImpactsClimate Change and Environmental ImpactAir Quality and Health Impacts

Climate change threats to population health and well-being: the imperative of protective solutions that will last

Open access
Kjellstrom, Tord, McMichael, Anthony J.·2013·Global Health Action

Abstract

BACKGROUND: The observational evidence of the impacts of climate conditions on human health is accumulating. A variety of direct, indirect, and systemically mediated health effects have been identified. Excessive daily heat exposures create direct effects, such as heat stroke (and possibly death), reduce work productivity, and interfere with daily household activities. Extreme weather events, including storms, floods, and droughts, create direct injury risks and follow-on outbreaks of infectious diseases, lack of nutrition, and mental stress. Climate change will increase these direct health effects. Indirect effects include malnutrition and under-nutrition due to failing local agriculture, spread of vector-borne diseases and other infectious diseases, and mental health and other problems caused by forced migration from affected homes and workplaces. Examples of systemically mediated impacts on population health include famine, conflicts, and the consequences of large-scale adverse economic effects due to reduced human and environmental productivity. This article highlights links between climate change and non-communicable health problems, a major concern for global health beyond 2015. DISCUSSION: Detailed regional analysis of climate conditions clearly shows increasing temperatures in many parts of the world. Climate modelling indicates that by the year 2100 the global average temperature may have increased by 34°C unless fundamental reductions in current global trends for greenhouse gas emissions are achieved. Given other unforeseeable environmental, social, demographic, and geopolitical changes that may occur in a plus-4-degree world, that scenario may comprise a largely uninhabitable world for millions of people and great social and military tensions. CONCLUSION: It is imperative that we identify actions and strategies that are effective in reducing these increasingly likely threats to health and well-being. The fundamental preventive strategy is, of course, climate change mitigation by significantly reducing global greenhouse gas emissions, especially long-acting carbon dioxide (CO(2)), and by increasing the uptake of CO(2) at the earth's surface. This involves urgent shifts in energy production from fossil fuels to renewable energy sources, energy conservation in building design and urban planning, and reduced waste of energy for transport, building heating/cooling, and agriculture. It would also involve shifts in agricultural production and food systems to reduce energy and water use particularly in meat production. There is also potential for prevention via mitigation, adaptation, or resilience building actions, but for the large populations in tropical countries, mitigation of climate change is required to achieve health protection solutions that will last.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3402/gha.v6i0.20816

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 65 · Cited by 158

Research works printed but not linked: 36

  1. [1]McMichael AJ Campbell-Lendrum D Kovats S Edwards S Wilkinson P Wilson T Ezzati M Lopez A Rodgers A Murray CJL Global climate change Comparative quantification of health risks, global and regional burden of disease attributable to selected major risk factors 2004 vol. 2 Geneva World Health Organization 1543 650
  2. [4]Costello A Abbas M Allen A Ball S Bell S Bellamy R Managing the health effects of climate change: Lancet-University College London Institute for Global Health Commission Lancet 2009 373 1693 733 19447250
  3. [5]Butler CD Corvalan CF Koren HS Human health, well-being and global ecological scenarios Ecosystems 2005 8 153 62 PMC7088287 32214890
  4. [7]Pascual M Ahumada JA Chaves LF Rodo X Bouma M Malaria resurgence in East African highlands: temperature trends revisited PNAS 2006 103 5829 34 16571662 PMC1416896
  5. [8]Sauerborn R Ebi K Climate change and natural disasters – integrating science and practice to protect health Glob Health Action 2012 5 19295 PMC3525950 23273248
  6. [9]Butler CD Harley D Primary, secondary and tertiary effects of eco-climate change: the medical response Postgrad Med J 2010 86 230 4 20354046
  7. [10]Parsons K Human thermal environments The effects of hot, moderate and cold temperatures on human health, comfort and performance 2003 2nd ed London Taylor & Francis
  8. [14]IPCC Managing the risks of extreme events and disasters to advance climate change adaptation Special report 2012 Geneva The Intergovernmental Panel on Climate Change 22766781
  9. [15]Jendritzky G Tinz B The thermal environment of the human being on the global scale Glob Health Action 2009 2 2005 PMC2799257 20052427
  10. [17]Bridger RS Introduction to ergonomics 2003 2nd ed London Taylor & Francis
  11. [18]Hollowell DR Human perceptions and reactions to environmental heat – a brief note of issues of concern in relation to occupational health Glob Health Action 2010 3 5632 PMC3011881 21191480
  12. [19]Bouchama A Knochel JP Heat stroke N Engl J Med 2002 346 1978 88 12075060
  13. [20]Kjellstrom T Holmer I Lemke B Workplace heat stress, health and productivity – an increasing challenge for low and middle income countries during climate change Glob Health Action 2009 2 2047 PMC2799237 20052422
  14. [22]Kovats RS Hajat S Heat stress and public health: a critical review Ann Rev Public Health 2007 29 41 55 18031221
  15. [23]Greenhough G McGeehin M Bernard SM Trtanj J Riad J Engelberg D The potential impacts of climate variability and change on health impacts of extreme weather events in the USA Environ Health Perspect 2001 109 191 8 11359686 PMC1240666
  16. [24]McMichael AJ Powles JP Butler CD Uauy R Food, livestock production, energy, climate change and health Lancet 2007 370 1253 63 17868818
  17. [25]Rogers DJ Randolph SE Climate change and vector-borne diseases Adv Parasitol 2006 62 345 81 16647975
  18. [26]Banu S Hu W Hurst C Tong S Dengue transmission in the Asia-Pacific region: impact of climate change and socio-environmental factors Trop Med Int Health 2011 16 598 607 21320241
  19. [28]Berry HL Bowen K Kjellstrom T Climate change and mental health: a causal pathways framework Int J Public Health 2010 55 123 32 20033251
  20. [29]Kjellstrom T Corvalan C Framework for the development of environmental health indicators World Health Stat Q 1995 48 144 54 8585233
  21. [31]Lloyd SJ Kovats RS Chalabi Z Climate change, crop yields, and undernutrition: development of a model to quantify the impact of climate scenarios on child undernutrition Environ Health Perspect 2011 119 1817 23 21844000 PMC3261974
  22. [33]Hansen A Bi P Ryan P Nitschke M Pisaniello D Tucker G The effect of heat waves on hospital admissions for renal disease in a temperate city of Australia Int J Epidemiol 2008 37 1359 65 18710886
  23. [34]Knowlton K Rotkin-Ellman M King G Margolis HG Smith D Solomon G The 2006 California heat wave: impacts on hospitalizations and emergency department visits Environ Health Perspect 2009 117 61 7 19165388 PMC2627866
  24. [35]Schrier RW Hano J Keller HI Finkel RM Gilliland PF Cirksena WJ Renal, metabolic, and circulatory responses to heat and exercise Ann Intern Med 1970 73 213 23 5454258
  25. [36]Brikowski TH Lotan Y Pearle MS Climate-related increase in the prevalence of urolithiasis in the United States Proc Natl Acad Sci U S A 2008 105 9841 6 18626008 PMC2474527
  26. [37]Bedno SA Li Y Han W Cowan DN Scott CT Cavicchia MA Exertional heat illness among overweight US Army recruits in basic training Aviat Space Environ Med 2010 81 107 11 20131650
  27. [39]Costrini AM Pitt HA Gustafson AB Uddin DE Cardiovascular and metabolic manifestations of heat stroke and severe heat exhaustion Am J Med 1979 66 296 302 425971
  28. [42]Fouillet A Rey G Wagner V Laaidi K Empereur-Bissonet P Le Tertre A Has the impact of heat waves on mortality changed in Grane since the European heat wave of summer 2003? A study of the 2006 heat wave Int J Epidemiol 2008 37 309 17 18194962 PMC2652641
  29. [44]Sherwood SC Huber M An adaptability limit to climate change due to heat stress Proc Natl Acad Sci U S A 2010 107 9552 5 20439769 PMC2906879
  30. [45]Maloney SK Forbes CF What effect will a few degrees of climate change have on human heat balance? Implications for human activity Int J Biometeorol 2011 55 147 60 20461416
  31. [46]Haines A McMichael AJ Smith KR Roberts I Woodcock J Markandya A Public health benefits of strategies to reduce greenhouse gas emissions: overview and implications for policymakers Lancet 2009 374 2104 14 19942281
  32. [47]Wilkinson P Smith KR Davies M Adair H Armstrong BG Barrett M Public health benefits of strategies to reduce greenhouse gas emissions: household energy Lancet 2009 374 1917 29 19942273
  33. [48]Woodcock J Edwards P Tonne C Armstrong BG Ashiro O Banister D Public health benefits of strategies to reduce greenhouse gas emissions: urban land transport Lancet 2009 374 1930 43 19942277
  34. [49]Markandya A Armstrong BG Hales S Chiabai A Criqui P Mima S Public health benefits of strategies to reduce greenhouse gas emissions: low-carbon electricity generation Lancet 2009 374 2006 15 19942282
  35. [50]Smith KR Jerrett M Ross Anderson H Burentt RT Stone V Derwent R Public health benefits of strategies to reduce greenhouse gas emissions: health implications of short-lived greenhouse pollutants Lancet 2009 374 2091 103 19942276 PMC4059357
  36. [51]Friel S Dangour A Garnett T Lock K Butler C Butler A Public health benefits of strategies to reduce greenhouse gas emissions: food and agriculture Lancet 2009 374 2016 25 19942280

Authors
Kjellstrom, T., & McMichael, A. J.
Affiliations
  • Umeå University (SE)
  • Australian National University (AU)
Corresponding author
Kjellstrom, Tord
Venue
Global Health Action
Published
2013-04-02
Volume
6
Issue
1
Pages
20816
ISSN
  • 1654-9716 (ISSN-L)
  • 1654-9880
OpenAlex
W2150498991
Cited by
158
References
65
Citations by year
2026: 14 · 2025: 15 · 2024: 16 · 2023: 13 · 2022: 13 · 2021: 12 · 2020: 13 · 2019: 6 · 2018: 6 · 2017: 17 · 2016: 14 · 2015: 7 · 2014: 8 · 2013: 3
FWCI
7.84
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Global Health Action (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • TaCCIRe Repository (Sokoine University of Agriculture) (submittedVersion)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • ANU Open Research (Australian National University) (submittedVersion, cc-by-nc)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Physical Sciences › Environmental Science › Global and Planetary Change › Climate Change and Environmental Impact
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Keywords
climate change, population health, heat exposure, extreme weather events, infectious disease outbreaks, malnutrition, vector-borne diseases, forced migration, mental health, non-communicable diseases, climate change mitigation, greenhouse gas emissions, renewable energy, food systems, climate change adaptation, resilience, global temperature projections
MeSH terms
Environment, Health Status, Humans, Socioeconomic Factors, Models, Statistical, Climate Change, Environmental Policy

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review