National Geographic - Amy McKeever
Polluted air and steadily rising temperatures are linked to health effects
ranging from increased heart attacks and strokes to the spread of infectious
diseases and psychological trauma.
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Workers fumigate for mosquitoes on a city street in New Delhi,
India, as a preventive measure against the spread of dengue,
malaria, and chikungunya. The impact of vector-borne diseases will
increase as global temperatures rise. An editorial co-published in
hundreds of medical journals called for urgent action to reduce
emissions. Photograph by Raj K Raj, Hindustan Times via Getty Images
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People around the world are witnessing firsthand how
climate change can wreak havoc on the planet. Steadily rising average temperatures fuel
increasingly intense wildfires, hurricanes, and other disasters that are now
impossible to ignore.
And while the world has been plunged into a
deadly pandemic, scientists are sounding the alarm once more that
climate change is still the greatest threat to human health in recorded
history.
As recently as August—when wildfires raged in the United States,
Europe, and Siberia—World Health Organization Director-General
Tedros Adhanom Ghebreyesus
said in a statement that “the risks posed by climate change could dwarf those of
any single disease.”
On September 5, more than 200 medical journals
released an unprecedented joint editorial
that urged world leaders to act. “The science is unequivocal,” they write. “A
global increase of 1.5°C above the pre-industrial average and the continued loss
of biodiversity risk catastrophic harm to health that will be impossible to
reverse.”
Despite the acute dangers posed by COVID-19, the authors of
the joint op-ed write that world governments “cannot wait for the pandemic to
pass to rapidly reduce emissions.” Instead, they argue, everyone must treat
climate change with the same urgency as they have COVID-19.
Here’s a
look at the ways that climate change can affect your health—including some less
obvious but still insidious effects—and why scientists say it’s not too late to
avert catastrophe.
Air pollution
Climate change is caused by an increase of carbon dioxide and other greenhouse
gases in Earth’s atmosphere, mostly from fossil fuel emissions. But burning
fossil fuels can also have direct consequences for human health.
That’s because the polluted air contains small particles
that
can induce stroke and heart attacks by penetrating the lungs and heart and even traveling into the
bloodstream. Those particles might harm the organs directly or provoke an
inflammatory response from the immune system as it tries to fight them off.
Estimates suggest that air pollution causes anywhere
between
3.6 million and
nine million premature deaths a year.
“The numbers do vary,”
says
Andy Haines, professor of environmental change and public health at the London School of
Hygiene and Tropical Medicine and author of the
recently published book
Planetary Health. “But they all agree that it’s a big
public health burden.”
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A family has dinner in their flooded home in Central Java,
Indonesia. For over 40 years, they witnessed their productive
agricultural land slowly disappear under the sea. They have
physically raised everything in their home to cope. Photograph by Aji Styawan, National Geographic
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People over the age of 65 are most susceptible to the harmful effects of air
pollution, but many others are at risk too, says
Kari Nadeau, director of the Sean N. Parker Center for Allergy and Asthma Research at
Stanford University.
People who smoke or vape are at increased risk,
as are children with asthma.
Air pollution also has consequences for those with allergies. Carbon dioxide
increases the acidity of the air, which then pulls more pollen out from plants.
For some people, this might just mean that they face annoyingly long bouts of
seasonal allergies. But for others, it could be life-threatening.
“For people who already have respiratory disease, boy is that a problem,” Nadeau
says. When pollen gets into the respiratory pathway, the body creates mucus to
get rid of it, which can then fill up and suffocate the lungs.
Even healthy people can have similar outcomes if pollen levels are especially
intense.
In 2016, in the Australian state of Victoria, a severe
thunderstorm combined with high levels of pollen to induce what
The Lancet
has described
as “the world’s largest and most catastrophic epidemic of thunderstorm asthma.”
So many residents suffered asthma attacks that emergency rooms were
overwhelmed—and at least 10 people died as a result.
Climate change is also causing wildfires to get worse, and wildfire smoke is
especially toxic. As one recent study showed, fires
can account for 25 percent of dangerous air pollution in the U.S.
Nadeau explains that the smoke contains particles of
everything that the fire has consumed along its path—from rubber tires to
harmful chemicals. These particles are tiny and can penetrate even deeper into a
person’s lungs and organs. (
Here’s how breathing wildfire smoke affects the body.)
Extreme heat
Heat waves are deadly, but researchers at first didn’t see direct links between
climate change and the harmful impacts of heat waves and other extreme weather
events.
Haines says the evidence base has been growing. “We have now
got a number of studies which has shown that we can with high confidence
attribute health outcomes to climate change,” he says.
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Workers pick tomatoes in a field in Los BaƱos, California, under
a scorching sun. Not only are rising temperatures impacting
people's health and ability to work, agriculture in California is
threatened by drought. Photograph by Karla Gachet, National Geographic
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Most recently, Haines points to
a study published earlier this year in Nature Climate Change
that attributes more than a third of heat-related deaths to climate change.
As
National Geographic
reported at the time, the study found that the human toll was even higher in some countries with
less access to air conditioning or other factors that render people more
vulnerable to heat. (
How climate change is making heat waves even deadlier.)
That’s because the human body was not designed to cope with temperatures above
98.6°F, Nadeau says.
Heat can break down muscles. The body does have
some ways to deal with the heat—such as sweating. “But when it’s hot outside all
the time, you cannot cope with that, and your heart muscles and cells start to
literally die and degrade,” she says.
If you’re exposed to extreme heat for too long and are unable to adequately
release that heat, the stress can cause a cascade of problems throughout the
body.
The heart has to work harder to pump blood to the rest of the
organs, while sweat leeches the body of necessary minerals such as sodium and
potassium. The combination
can result in heart attacks and strokes.
Dehydration from heat exposure can also cause serious damage to the kidneys,
which rely on water to function properly. For people whose kidneys are already
beginning to fail—particularly older adults—Nadeau says that extreme heat can be
a death sentence. “This is happening more and more,” she says.
Studies have also
drawn
links
between higher temperatures and preterm birth and other pregnancy complications.
It’s unclear why, but Haines says that one hypothesis is that extreme heat
reduces blood flow to the fetus.
Food insecurity
One of the less direct—but no less harmful—ways that climate change can affect
health is by disrupting the world’s supply of food.
Climate change both reduces the amount of food that’s available
and makes it less nutritious.
According to an Intergovernmental Panel on Climate Change (IPCC) special
report, crop yields have already begun to decline as a result of rising temperatures,
changing precipitation patterns, and extreme weather events.
Meanwhile, studies
have shown
that increased carbon dioxide in the atmosphere can leech plants of zinc, iron,
and protein—nutrients that humans need to survive.
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A woman faces heavy winds during a seasonal sandstorm in Beijing,
China. Scientists believe that desertification and climate change
are playing a role in their frequency and intensity. Air pollution
is detrimental to human health. Photograph by Kevin Frayer, Getty Images
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Malnutrition is linked to a variety of illnesses, including heart disease,
cancer, and diabetes. It can also increase the risk of stunting,
or impaired growth, in children, which can harm cognitive function.
Climate change also imperils what we eat from the sea. Rising ocean temperatures
have led many fish species to migrate toward Earth’s poles in search of cooler
waters. Haines says that the resulting decline of fish stocks in subtropic
regions “has big implications for nutrition,” because many of those coastal
communities depend on fish for a substantial amount of the protein in their
diets.
This effect is likely to be particularly harmful for Indigenous communities,
says Tiff-Annie Kenny, a professor in the faculty of medicine at Laval
University in Quebec who studies climate change and food security in the
Canadian Arctic.
It’s much more difficult for these communities to
find alternative sources of protein, she says, either because it’s not there or
because it’s too expensive. “So what are people going to eat instead?” she asks.
Infectious diseases
As the planet gets hotter, the geographic region where ticks and mosquitoes like
to live is getting wider. These animals are well-known vectors of diseases such
as the Zika virus, dengue fever, and malaria. As they cross the tropics of
Cancer and Capricorn, Nadeau says, mosquitoes and ticks bring more opportunities
for
these diseases
to infect greater swaths of the world.
“It used to be that they stayed in those little sectors near the Equator, but
now unfortunately because of the warming of northern Europe and Canada, you can
find Zika in places you wouldn’t have expected,” Nadeau says.
In addition, climate conditions such as temperature and humidity can impact the
life cycle of mosquitoes. Haines says there’s particularly good evidence showing
that, in some regions, climate change
has altered these conditions in ways that increase the risk of mosquitos
transmitting dengue.
There are also several ways in which climate change is increasing the risk of
diseases that can be transmitted through water, such as cholera, typhoid fever,
and parasites. Sometimes that’s fairly direct, such as when people interact with
dirty floodwaters.
But Haines says that drought can have indirect
impacts when people, say, can’t wash their hands or are forced to drink from
dodgier sources of freshwater.
Mental health A common result of any climate-linked disaster is the toll on
mental health. The distress caused by drastic environmental change is so
significant that it has been given its own name—
solastalgia.
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Solar and wind farms west of Mojave, California, provide a
glimpse of the future. The Biden administration announced a plan
to scale up production and installation of solar panels from 3
percent of the nation’s electricity to 45 percent over the next
three decades to reduce the carbon emissions contributing to
global warming. Photograph by David Guttenfelder, National Geographic
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Nadeau says that the effects on mental health have been apparent in her studies
of emergency room visits arising from wildfires in the western U.S. People lose
their homes, their jobs, and sometimes their loved ones, and that takes an
immediate toll.
“What’s the fastest acute issue that develops? It’s
psychological,” she says. Extreme weather events such as wildfires and
hurricanes cause so much stress and anxiety that they can lead to post-traumatic
stress disorder and even suicide in the long run.
Another common
factor is that climate change causes disproportionate harm to the world’s most
vulnerable people. On September 2, the Environmental Protection Agency (EPA)
released an analysis showing that
racial and ethnic minority communities are particularly at risk.
According to the report, if temperatures rise by 2°C (3.6°F),
Black people are 40 percent more likely to live in areas with the highest
projected increases in related deaths. Another 34 percent are more likely to
live in areas with a rise in childhood asthma.
Further, the effects of climate change don’t occur in isolation. At any given
time, a community might face air pollution, food insecurity, disease, and
extreme heat all at once.
Kenny says that’s particularly devastating
in communities where the prevalence of food insecurity and poverty are already
high. This situation hasn’t been adequately studied, she says, because “it’s
difficult to capture these shocks that climate can bring.”
Why there’s reason for hope
In recent years, scientists and environmental activists have begun to push for
more research into the myriad health effects of climate change. “One of the
striking things is there’s been a real dearth of funding for climate change and
health,” Haines says. “For that reason, some of the evidence we have is still
fragmentary.”
Still, hope is not lost. In the Paris Agreement, countries around the world have
pledged to limit global warming
to below 2°C (3.6°F)—and preferably to 1.5°C (2.7°F)—by cutting their emissions.
“When you reduce those emissions, you benefit health as well as the planet,”
Haines says.
Meanwhile, scientists and environmental activists have put forward solutions
that can help people adapt to the health effects of climate change. These
include early heat warnings and dedicated cooling centers, more resilient supply
chains, and freeing healthcare facilities from dependence on the electric grid.
Nadeau argues that the COVID-19 pandemic also presents an opportunity for world
leaders to think bigger and more strategically. For example, the pandemic has
laid bare problems with efficiency and equity that have many countries
restructuring their healthcare facilities.
In the process, she says,
they can look for new ways to reduce waste and emissions, such as getting more
hospitals using renewable energy.
“This is in our hands to do,” Nadeau says. “If we don’t do anything, that would
be cataclysmic.”
Video: U.N. report warns some effects of climate change are ‘irreversible’
(NBC News)
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