Abstract

Climate change is negatively impacting the health of Canadians and is accordingly expected to have a significant impact on public health agencies and their response to these health impacts throughout the twenty-first century. While national and international research and assessments have explored the potential human health impacts of climate change, few assessments have explored the implications of climate change from a local public health perspective. An applied research approach to expand local knowledge and action of health vulnerabilities through a climate change action plan and vulnerability assessment was utilized by a local public health agency. Adoption and adaptation of the approach used may be valuable for public health organizations to assist their communities. Through completing a vulnerability assessment, an evidentiary base was generated for public health to inform adaptation actions to reduce negative health impacts and increase resiliency. Challenges in completing vulnerability assessments at the local level include the framing and scoping of health impacts and associated indicators, as well as access to internal expertise surrounding the analysis of data. While access to quantitative data may be limiting at the local level, qualitative data can enhance knowledge of local impacts, while also supporting the creation of key partnerships with community stakeholders which can ensure climate action continues beyond the scope of the vulnerability assessment.

Highlights

  • Climate change is negatively impacting the health of Canadians and is expected to have a significant impact on public health throughout the twenty-first century [1,2]

  • The fulsome results for local exposure, sensitivity, and adaptive capacity can be found in the Simcoe Muskoka District Health Unit (SMDHU) Climate Change and Health Vulnerability Assessment report [17]

  • A key result of the framing and scoping process of the vulnerability assessment was the identification of specific health vulnerabilities and associated indicators to examine the burden of illness for the Simcoe Muskoka region (See Table 1)

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Summary

Introduction

Climate change is negatively impacting the health of Canadians and is expected to have a significant impact on public health throughout the twenty-first century [1,2]. Climate-sensitive health vulnerabilities, including issues of extreme temperatures, air quality, food- and water-borne illness and security, and vector-borne diseases exist across Canada [2,3,4]. Impacts due to climate change can be both direct (e.g., health effects of air pollution and temperature stress; increased range and transmission of infectious diseases; reduced access to safe water; injuries related to extreme weather events) and indirect (e.g., food insecurity; psychosocial impacts; population displacement) [5,6,7]. The health outcomes of climate change can manifest at global, national, provincial, and local levels. While national and international research and assessments have explored the potential impacts of climate change on human health at global and national levels [2,4,8,9,10,11,12], few assessments have. Public Health 2018, 15, 2237; doi:10.3390/ijerph15102237 www.mdpi.com/journal/ijerph

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