19/11/2016

Malcolm Turnbull Must Address The Health Risks Of Climate Change

The Guardian

The public health impacts of climate change are playing out in Australia while politicians ignore the evidence. Two reports out this week should change that
‘Heatwaves have caused more deaths over the last century in Australia than any other natural event.’ Photograph: Dan Peled/AAP
Last week, the Paris climate agreement officially entered into force, with the landmark global climate deal ushering in a new era of international climate diplomacy and sustainable development. This week, delegates from over 190 nations are convening in Morocco, seeking to build on the spirit of cooperation born in Paris, and working to convert the broad aspirational commitments into action.
While building on the architecture of the Paris agreement, national governments should keep the public health implications in mind.
Climate change is now recognised in the medical field as a clear and present danger to public health. The World Health Organisation’s director general has called it “one of the greatest health risks of the 21st century,” and the 2015 Lancet Commission concluded that climate change poses “an unacceptably high and potentially catastrophic risk to human health.”
In Australia, where I studied medicine, these risks are already all too clear. This week, the Lancet, one of the world’s most prestigious medical journals, is launching a new research collaboration dedicated to tracking these risks in Australia and around the world. The Lancet Countdown: Tracking Progress on Health and Climate Change, will check in annually on countries’ progress on climate change and calculate the direct health impacts of the transition to a low carbon future.
The Royal Australasian College of Physicians (RACP), meanwhile, is also releasing three position statements on health and climate change. These statements are informed by some dire observations.
Over the past half-century, average temperatures across the continent have steadily increased, bringing more frequent heatwaves that are longer and hotter than any in recorded history. Exposure to high temperatures over a prolonged period brings heightened rates of ailments such as dehydration, heat exhaustion, and heatstroke, and worsens existing health conditions like heart and potentially even kidney disease. These heatwaves have caused more deaths over the last century in Australia than any other natural event. Tragically, children and the elderly are most vulnerable.
The public health impacts, however, go well beyond heat-related threats. Changes to precipitation patterns are causing both severe droughts and intense floods, which together have taken the lives of thousands. Over time, new rainfall norms and warmer temperatures are expected to alter the burden and distribution of infectious disease throughout Australia, as mosquito-borne diseases such as dengue fever and the Ross River virus take hold.
Beyond these harms that warmer temperatures deliver, the combustion of climate warming fossil fuels creates other direct threats to public health. Air pollution from the burning of coal for electricity generation and from road transport presents a particularly worrying challenge, resulting in twice as many deaths as motor vehicle accidents (over 3,000 per year).
In urban areas, smog from tailpipes contains ground-level ozone, dangerous particulates, and other pollutants. Ozone irritates the lining of the lungs and exacerbates asthma, and is actually made more potent on hot, sunny days, which are anticipated to be more frequent as a result of climate change. By 2050, ozone-induced hospitalisations in Sydney are expected to double.
Despite all of these troubling statistics and predictions, Australia’s government shows little interest in setting strong climate goals and facilitating the transition away from coal. In fact, the Australian delegation arrived at the COP22 climate talks without having ratified the Paris agreement (although it has since been ratified), and with some of the weakest greenhouse gas emissions reduction targets among all the participating nations.
Australia’s stated goal is to reduce net GHG emissions 26% below 2005 levels by 2030, a calculation that includes land use change and reforestation on top of modest emissions reductions from the burning of fossil fuels. The Climate Institute, an Australian think tank, has reported that under these current targets, Australia’s per capita emissions in 2030 would be twice as high as the average for other developed countries.
Rather than explore ways to bring domestic policies in line with the international community, Australia’s politicians seem more concerned with protecting the coal industry and promising that the fossil fuel will be part of Australia’s energy mix for “many, many, many decades to come.
By doing so, they are not only steering Australia to a hotter, more dangerous, and less healthy future, but also cheating Australians out of the positive co-benefits of transitioning away from coal and other fossil fuels.
If the Turnbull government needs hard evidence of the health benefits of climate action, they can consult the Lancet Countdown on Climate and Health, which will put real world economic costs on the policy choices. Between the Lancet Countdown and the RACP’s statements, it’s clear that physicians and public health professionals understand the climate-health nexus better than Australia’s politicians. Mr. Turnbull should act for the health and wellbeing of all Australians.

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