Abstract

A climate change and health vulnerability and adaptation assessment was conducted in Dominica, a Caribbean small island developing state located in the Lesser Antilles. The assessment revealed that the country’s population is already experiencing many impacts on health and health systems from climate variability and change. Infectious diseases as well as food and waterborne diseases pose continued threats as climate change may exacerbate the related health risks. Threats to food security were also identified, with particular concern for food production systems. The findings of the assessment included near-term and long-term adaptation options that can inform actions of health sector decision-makers in addressing health vulnerabilities and building resilience to climate change. Key challenges include the need for enhanced financial and human resources to build awareness of key health risks and increase adaptive capacity. Other small island developing states interested in pursuing a vulnerability and adaptation assessment may find this assessment approach, key findings, analysis, and lessons learned useful.

Highlights

  • Climate change is a key threat to human health and well-being that requires proactive planning by health authorities [1,2,3]

  • This paper provides an overview of the vulnerability and adaptation assessment (V&A) conducted in Dominica

  • A viral disease transmitted by the Aedes aegypti mosquito, represents a priority health risk in Dominica as the disease has a significant epidemic potential [20]

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Summary

Introduction

Climate change is a key threat to human health and well-being that requires proactive planning by health authorities [1,2,3]. Regional weather and climate changes, including increasing severity and frequency of extreme weather events (EWEs) and changes in temperature and precipitation patterns, can lead to direct and indirect impacts on health and well-being through mediating factors such as social capital, age and gender, health status, demographics, and public health infrastructure. Health effects, including mental illness, malnutrition, allergies, cardiovascular diseases, infectious diseases, injuries, respiratory diseases, and poisoning, arise from direct pathways of climate change effects, such as increasing severity and frequency of storms, floods, droughts and heatwaves, or indirect pathways through changes to water quality, Int. J. Public Health 2019, 16, 70; doi:10.3390/ijerph16010070 www.mdpi.com/journal/ijerph

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