04/03/2022

(AU Financial Times) Catastrophic Floods Pile Pressure On Australian Government

Financial Times - |

PM’s administration criticised over climate change stance as soldiers called in to help disaster relief operations

Residents evacuate after flooding in Lismore, northeastern New South Wales. The extreme weather has claimed seven lives and flooded 18,000 homes so far. © JASON O'BRIEN/EPA-EFE/Shutterstock

Devastating floods that have submerged cities and towns insland and New South Wales and triggered thousands of insurance claims are stoking criticism of the Australian government’s stance on climate change.

The wild weather, described by meteorologists as a “rain bomb”, moved south from Queensland over the weekend and has claimed seven lives and flooded 18,000 homes.

The flooding is the latest in a series of natural disasters to hit Australia in recent years that included bushfires in 2019 and the bleaching of the Great Barrier Reef, and has piled pressure on Prime Minister Scott Morrison’s conservative government to tackle climate change more robustly.

Josh Frydenberg, Australian treasurer, declined to mention climate change when asked on Monday about the floods, saying “forever it’s been thus”.

Australia was criticised last year when it reluctantly signed up to a “net zero” greenhouse gas emission target by 2050 but refused to phase out fossil fuel production. It also declined to set more stringent 2030 decarbonisation targets, saying it would not be lectured to by other countries.

Simon Bradshaw, head of research at the Climate Council, countered that for every 1C of warming, the atmosphere could hold 7 per cent more moisture, which would lead to more severe rainfall.

Bradshaw said governments at local and state levels were trying to address the risks but there was a lack of leadership at the federal level.

“We don’t see any signs that the national level decision makers are willing to take the steps required to ensure Australia plays its part in tackling climate change, protecting communities and unleashing the huge opportunities in renewable energy and climate solutions,” he said.

Dozens of people remain stranded on the roofs of their houses with some buildings, including a historic town hall near Byron Bay, washed away entirely, according to reports. The government has deployed 200 soldiers to help with disaster relief in the region.

Carbon capture and storage
Water levels on the Brisbane river reached almost 4m, the highest level since severe flooding hit Queensland’s biggest city in 2011, while the regional town of Gympie suffered its worst flooding since the 1880s.

“No one has seen this much rain in such a short amount of time,” said Anastacia Palaszczuk, premier of Queensland.

She said emergency services had made 113 water rescues and 1,544 people had been evacuated in the state, which has also been hit by power outages.

Insurers have classified the floods as catastrophic, which means claims will be given priority status.

Andrew Hall, chief executive of the Insurance Council of Australia, said: “It’s too early to understand the extent of the damage to property in affected areas and to estimate the insurance damage bill. However, insurers have received more than 3,500 claims in south-east Queensland over the last three days.”

David Wilkes, a general manager at insurer IAG, said it had received 3,200 claims by Sunday night.

The former head of the government’s National Resilience Taskforce, Mark Crosweller, said: “What we are seeing unfold is what we had long predicted.”

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(AU SMH) Make No Mistake: These Floods Are Climate Change Playing Out In Real Time

Sydney Morning HeraldBlanche Verlie | Lauren Rickards

Time to adapt: the flooding in Lismore this week. Credit:Elise Derwin


Authors
Yet again, regions across NSW and Queensland are coming face to face with “unprecedented” floods. 

We are seeing the far-reaching impacts of climate change, as documented and projected by this week’s report from the Intergovernmental Panel on Climate Change, playing out in real time in our communities.

Floods, like other extreme weather events fuelled by climate change, have long-term, wide-ranging impacts.

As we are seeing in Lismore, Brisbane and beyond, these events take out critical infrastructure, such as roads, buildings and power lines. This can take decades to rebuild, if we ever get there.

Horrifically, as we are seeing in these unspeakable events, people die. People lose their loved ones. Others lose their homes or their pets. The environment gets slammed. All kinds of inequality magnify these effects, and these effects in turn magnify inequalities. This is why climate change is known as a “threat multiplier”.

We know this. What we often fail to recognise is that all of these impacts intersect with each other, making them all worse. In the months after such spectacular disasters, people who are left homeless and/or without a livelihood often suffer acute and long-term physical and mental ill-health.

Communities and the networks of supportive relationships they provide can be torn apart as people move away, leaving those who remain more isolated and vulnerable to experiencing the post-traumatic stress that often lives in the wake of such disasters. But all “recovery” efforts – whether rebuilding physical infrastructure, or rebuilding community – require healthy people.

Extreme weather
‘They put people in the face of these disasters’: Insurance boss blasts planning laws
These floods can no longer be accurately described as a “one in 1000-year” event, as suggested by NSW Premier Dominic Perrottet.

It is just five years since Lismore’s last catastrophic flooding event, and just a decade since Brisbane’s notorious 2011 floods.

But neither are they “the new normal”, given the escalating changes. In our intensifying climate, heroic ideals of “rebuilding” and “recovery” will not always be possible.

Not only do the varied impacts of individual extreme weather events interact with each other, they compound upon legacies of loss, trauma, disruption and incapacitation that have come (not that long) before.

Many people affected by the current floods have also suffered through recent climate-related extreme events, including previous floods, storms, heatwaves and the Black Summer fires. Because they are still dealing with the lingering effects of these other manifestations of a changing climate, including serious financial costs, this means the current floods are even more consequential for them.

Climate policy
By making people worse off, climate-change related disasters are exacerbating the damage inflicted by further climate events, making people even more vulnerable to what lies ahead.

The social, economic and environmental impacts of the floods are thus a manifestation of climate change in more ways than one.

Not only is climate change making floods in eastern Australia more extreme in meteorological terms, but it is making people and society more vulnerable to their negative effects.

But the impacts of climate change are not inevitable or “natural”.

The social aspect of climate change impacts gives us more options for reducing them. Because impacts emerge out of specific, local, dynamic social situations, we can intervene in those situations to avoid or lessen them.

This is what adaptation is about. It involves not only reducing flood hazards (for example, through land use planning and stormwater management), but also ensuring people are as prepared and well placed to cope as possible.

Floods 
The mega risk climate change poses is that impacts outpace our adaptation, undermining our mitigation in the process.

The IPCC assessment (which one of us helped write) concludes that two of the most serious threats to Australia are cascading, compounding and aggregate impacts of such disasters, and that our institutions fail to adapt fast enough.

More broadly, it flags the risk of worsening vulnerability and, in turn, social inequalities.

The current floods underline what is at stake. Adaptation has to get ahead of the curve.

This challenge – dealing with proliferating impacts today while adapting to prevent and reduce impacts tomorrow – is partly why the report concludes that the window of opportunity to act is closing.

Mitigating greenhouse gases and systematically reducing the risk of climate change impacts requires people to be well, housed, resourced and functioning.

This window will open and close for us according to what we are dealing with.

So while those caught up in the current floods manage their cascading effects, the rest of us need to get to work in our various professions, organisations and communities to progress mitigation and adaptation, from the national scale down.

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(AU ABC) IPCC Report: Australian Coral, Kelp, Alpine And Some Forest Ecosystems At Risk Of Irreversible Damage Due To Climate Change

ABC Science - Nick Kilvert | Belinda Smith

Mountain ash (Eucalyptus regnans) forests, like this one in Yarra Ranges National Park, could look completely different under sustained global warming. (Getty Images: Jason Edwards)



Key Points
  • Australia stands to lose biodiversity in natural ecosystems due to global warming and poor management
  • If high carbon emissions continue unabated, ecosystems from oceans to mountaintops are at greatest risk
  • In the case of coral reefs, bleaching events at least once every five years are all but locked in
Some of Australia's iconic and unique natural ecosystems may disappear for good if we keep emitting carbon at current rates, climate experts warn.

According to the latest Intergovernmental Panel on Climate Change (IPCC) report on the effects of and adaptation to climate change, Australia can expect more hotter days, fewer cold ones, more extreme fire weather, and heatwaves on land and in oceans under 1.5 to 2C of global warming above pre-industrial levels.

The world is currently at an average of about 1C of warming, and, exacerbated by other human actions, this is already modifying Australian ecosystems, says Griffith University climate and environmental scientist Brendan Mackey.

"We know how the climate has changed in the last 100 years in Australia, and we have some evidence now for how ecosystems have been impacted by those changes."

Professor Mackey was a coordinating lead author for the Australasian chapter of the IPCC report, which outlined nine key climate risks for the region.

     Beautiful one day, uninsurable the next? Our changing climate could soon make it harder to get a mortgage on the Queensland coast. We had three properties assessed, with mixed results. Read more
Four of those risks focused on ecosystems at risk of severe damage — or even collapse — under climate pressures.

So let's take a tour of the continent and have a look at what's at stake — and they're not necessarily the ecosystems you might expect to see.

Up high in alpine regions

When we think of alpine regions, often the images that spring to mind might be the snow-covered peaks of Europe or the Himalayas.

Though much lower, Australia's alpine regions host some of the most unique biodiversity on the planet — mountain pygmy possums, corroboree frogs, spiny crayfish, snow gums, and myriad plant species.

But the short stature of our mountains is their Achilles heel.

Many species have adapted to living in the cooler climes found on our mountainsides above 1,000 metres or so.

Mountain pygmy possums need snow cover to insulate them from the freezing air while they hibernate over winter. (Supplied: Victorian Department of Environment, Land, Water and Planning)

As the climate warms, those animal and plant species are forced to migrate further and further up the mountains to find a suitable, cooler habitat.

But there's not very much further for them to go, according to Professor Mackey.

"If you're in New Zealand, as you go up in elevation, they have real mountains with pointy tops.

"In New Zealand, the alpine vegetation can potentially grow uphill a bit, and any plants or animals that are dependent upon that habitat can go with it.
"But in Australia, the top of our alpine zone, there are no peaks above it."
The IPCC singled out Australian alpine regions for special mention in the latest report.

There's predicted to be a sharp increase in extinctions in these regions as warming goes beyond 1.5C toward 2C.

On the latest predictions, we're forecast to hit 1.5C around 2030.

In Australia's tropical north, species have already been observed pushing further up mountains, according to Steven Williams from James Cook University.

"The lowland species are moving into the midlands, the midlands species are declining," Professor Williams said.

"A lot of the endemic [bird] species … most of them have already declined by up to 30 per cent, some to 60 per cent."

For mammal species like possums, he said it seemed to be the increase in extremely hot days that had been doing the most damage.

Green ringtail possums are already declining in the Queensland wet tropics. (Getty Images: Auscape)

"The ring-tailed possums endemic to the area have already declined by 50 per cent," he said.

"Two other species are declining badly.

"The paper that we’re about to bring out on the possum shows that most of the possum species will be in really serious trouble by 2050.
"Some of the birds, based on their observed decline so far in the last 10 years, would be in similar deep s*** by 2040-2050."
But so far Australia's southern alpine regions are yet to feel the real brunt of climate change, according to Ary Hoffman from the University of Melbourne.

Mt Buller's mountain pygmy possum population appears to be healthy, for instance.

Its key threat today, according to Professor Mackey, is logging.

In the southern alpine regions more generally, Professor Hoffman said the biggest threat right now is from weeds and ferals like the wild brumbies.

But the changes will come, he said.

"There is no doubt about it. There are plants you only find in snow patches, and they will disappear," Professor Hoffman said.

"Animals associated with the wetlands and the bogs will start disappearing; frog species like the corroboree frog and Baw Baw frog, they’ll be in trouble."

The southern corroboree frog is critically endangered, with fewer than 200 wild individuals left. (Taronga Zoo: Michael McFadden)

But he said it's the unexpected interactions between species that create the most uncertainty.

Scientists suspect warmer temperatures and longer drought in the Australian alps are responsible for a boom in longicorn beetles, for instance.

The beetles in turn are causing an extensive and sudden dieback in our snow gums — trees a few hundred years old have been dying en masse as they're essentially ringbarked by the beetles.

"That's the problem with climate change — you get these unexpected things happening," Professor Hoffman said.


The race to save five Australian species from extinction 29min 35sec

Some forests on land …

Speaking of snow gums, forests of southern and south-west Australia were also singled out as Australian ecosystems at risk of the one-two punch of climate change and human mismanagement.

Sudden death of the snow gums

But not the eucalypt forests of Victoria and NSW that were decimated in the 2019-20 bushfires … at least not immediately.

That's mainly because those trees are known as "sprouters", and store tiny buds under trunk and branch bark which are ready to grow out as green shoots should a fire go through the area, Professor Mackey said.
"So most of our native eucalypt forest is well adapted to wildfires."
The forests at risk are of towering jarrah and mountain ash, found in the continent's south-west and south-east corners respectively, as well as gnarled snow gum woodland and Tasmania's pencil pines.

And each is affected slightly differently by a warming world.

In southern Western Australia, winter rainfall would normally replenish underground reserves of water, which the deep roots of jarrah trees tap into to keep going over summer.

But regional winter rainfall has steadily dropped over the past 30 years, and their subterranean reservoirs haven't been topped up as much.

On the other side of the country, mountain ash trees are "seeders". Older trees can cope with intense bushfires, but seedlings must grow for around 20 years before they can reproduce.

"So if you start getting catastrophic wildfires more than two to three times every 10 years, that's faster than it takes the ash forest to grow," Professor Mackey said.

"And if you have a commercial logging regime that's keeping ash forest at a young age — so rather than letting the trees grow to be 400 years old, you're harvesting them between 48 years old and 46 years old — they're younger trees, they're more vulnerable, and they're more likely to be killed by fire.
"The more of these catastrophic fires we have, the more we risk going into a downward spiral."
More fires, more often, affect snow gums in a similar way. These trees resprout from the base, where they keep a stock of starches and sugars for this purpose.

"But if you increase the frequency of catastrophic fire events ... and snow gums get hit too often, they don't have time to replenish the energy stock they use to regenerate," Professor Mackey said.

Pencil pines (Athrotaxis cupressoides) can live for 1,300 years. (Getty Images: Ted Mead)

And Tasmania's ancient pencil pines haven't had to deal with catastrophic fires — until recently.

Bushfires in 2016 razed swathes of pencil pine forest, and even six years on, large areas are not recovering well, Professor Mackey said.
"If it got hit by another extreme wildfire event like that, it's going to be in very serious trouble."
So what would happen if these forests disappeared?

They wouldn't leave a barren plain. Rather, a different type of forest would grow in its place.

For instance, if snow gums disappeared, they might be replaced by woody shrubs that can regenerate after fire quickly — something that's already happening in parts of the country.

And this, Professor Mackey says, results in an overall loss of biodiversity.

"You lose something that was particular to a local environmental condition, and it's replaced by something which is more common elsewhere."

… and forests beneath the waves

When Gretta Pecl started diving in the kelp forests off the east coast of Tasmania in the mid-1990s, towering stands of giant kelp stretched from seabed to surface.

"By around 2005, I started noticing changes," said Professor Pecl, now a marine ecologist at the University of Tasmania and a lead author on the Australasian chapter of the IPCC report.

Different and diminutive kelp species started moving in while the long ropey strands of giant kelp dwindled.

"And when you consider the kinds of [kelp] habitats and systems that we had in the late 90s and early 2000s to what we've got now, they actually look like two different ecosystems."

Tasmania's giant kelp (Macrocystis pyrifera) forests have declined by more than 90 per cent since the 1960s. (Getty Images: Nigel Marsh)

Indeed, the IPCC report states "less than 10 per cent of giant kelp in Tasmania was remaining by 2011 due to ocean warming".

The loss of kelp forests in southern Australia and south-east New Zealand — highlighted as a key risk — is already severe, Professor Pecl said.

"But it could be reduced substantially by rapid, large-scale and effective mitigation and adaptation strategies", such as transplanting more heat-tolerant types.

So what happened to the once-dominant kelp forests?

The tragedy of Tasmania's
underwater kelp forests


Giant kelp is sensitive to temperature and thrives in the cold, nutrient-rich water that laps at the Tasmanian coastline.

But on the east coast, this has been replaced by water that's warmer and comparatively devoid of nutrients.

This warm water is shuttled down by the East Australian Current, which has moved 350 kilometres south since the middle of last century, Professor Pecl said.

"That extension of the East Australian Current, as shown in the working group 1 IPCC report, is largely driven by warming over the Pacific."

This underlying ocean warming is separate to marine heatwaves — days-long bursts of particularly warm seawater.

Kelp must also contend with overgrazing by nibbling fish and sea urchins that are moving southward with the East Australian Current.
"They literally eat kelp out of house and home," Professor Pecl said.
"We know that at the global level, around half of plants and animals, including marine species, are moving poleward … and changing where they live now as a function of climate.

"Effectively everything is moving at the same time, but at different rates.

"Connections are being broken apart and new connections are being formed … and the kelp forests around Australia are a victim of that."

But worst affected will be coral reefs

By now we've all heard how climate change is going to kill a lot of coral. We've already seen several mass bleaching events on the Great Barrier Reef since 2016.

According to the latest report, we're expecting to see bleaching conditions on the reef at least once every five years by 2035, even if we aggressively cut emissions from today.

That's likely to increase to every year by around 2050.

Without long periods in between bleaching events for the coral to recover, mass mortality is a near certainty.

In March 2020, the Great Barrier Reef endured its third mass bleaching event in only five years. (Supplied: Victor Huertas)

At 1.5C of warming, the IPCC predicts we'll lose between 70 to 90 per cent of coral diversity. At 2C, that rises to more than 99 per cent.

But the problem is far bigger than losing pretty corals. The corals are merely one part of a massive food web that provides nutrients for marine species well beyond the reef itself, according to Scott Heron from James Cook University.

"Coral reefs cover less than one-tenth of 1 per cent of the ocean floor," Dr Heron said.

"But they support more than 25 per cent of oceanic fish species.
"When we talk about punching above weight, corals are really punching above weight."
Losing 90 per cent or more of coral species is going to have a profound effect on fish abundance, including on many of the commercial fish species that we rely on.

Then there is the physical buffering that reefs provide our coastlines.

Reef scientists anxiously eyeing the weather
Reefs help dissipate wave action, sheltering our coastal communities from the worst impacts of storms and cyclones.

"That's all the more important in an era where we're seeing storm intensity increase," Dr Heron said.

"We're not necessarily seeing more tropical cyclones, but we're seeing more severe tropical cyclones."

Despite the dire predictions for our reefs, Dr Heron says he thinks they're still worth fighting for, and that we need to make an equitable and rapid transition from greenhouse-gas-emitting technologies.

"The number of options and ideas that we have available to us are rapidly diminishing," he said.
"The question is: what are we doing this decade so that we minimise the impacts?"
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03/03/2022

(AU SMH) The Facts We Need To Face If Australia’s Coastal Towns Are To Survive Devastation

Sydney Morning Herald - Harry Creamer

Author
Harry Creamer is a mid north coast NSW climate campaigner, and member of Climate Change Hastings.
Here we go again.

In northern NSW and south-east Queensland we are once more witnessing a high intensity rainfall and flood crisis.

Lismore is suffering terrible flooding, the Clarence River is about to overflow its banks, and if the weather system moves south, Port Macquarie will get hit again, less than a year after the record-breaking floods in March 2021.

At times like this, we must respond with facts on what is driving such extreme weather.

Since the north Queensland floods in 2019, there have been 137 disasters declared in 398 local government areas, covering close to 20 million Australians.

This is an ongoing threat to our safety and security and local economies.

The town of Lismore has been inundated as heavy rainfall pushed the Wilson River over its banks. Credit:Elise Derwin

Humanity is interfering with natural Earth systems.

As we burn fossil fuels and destroy forests, we are adding energy to the climate. For every degree of global warming, the atmosphere holds 7 per cent more water.

Climate models show global warming increases the risk of intense rainfall by more than 20 per cent. Extreme rains and record floods have increased since 1950.

Climate change doesn’t cause these events, but it makes them worse.

Living on or near the coast makes communities more vulnerable. Warmer oceans create more evaporation, leading to higher rainfall. A warmer atmosphere holds more water, means higher rainfall.

High intensity rainfall and flooding are becoming worse and breaking records.
NSW floods


Today, in northern NSW and south-east Queensland, flood records are toppling.

The SES says “we are talking record-breaking floods”. The future doesn’t look good for all locations that are prone to these events.

The message is clear – we need to understand that climate change is real and governments need to act, pushed on by people power.

Federal Coalition government policies come nowhere near to tackling the problem here and now. In fact, they are making it worse by funding fossil fuel projects and approving land clearing.

Nor is their funding for climate adaptation measures and disaster recovery anything like enough. State and local governments also have an important role to play.

Every structure, be it a roadside gutter, a bridge, or an office block, is built to withstand a flood of a given size.

But as rainfall changes, we need to re-design and build these structures to withstand more destructive floods.

Business suffers too in multiple ways – just ask the shop owners in Gympie and Lismore right now.

Climate policy
It may feel uncomfortable, and many people may want to deny it, but we need to have a serious talk about climate change. 

We must do everything we can to help those affected, and we need to confront the elephant in the room - climate change is here, and it’s doing the damage and threatening our lives and the way of life we treasure as Australians.

It’s affecting all Australians and our Pacific and Asian neighbours.

These are not easy conversations to have, but with each flood, bushfire, heatwave, drought and other natural disaster made worse by human-induced climate change, they are conversations we must get better at having.

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    (AU ABC) Doctors Say Climate Change Is Already Having Devastating Effects On Our Health

    ABC 7.30 - Jess Davis

    Jen Speers at home during her pregnancy while the air was filled with bushfire smoke. (Supplied: Spears family)

    Key Points
    • The IPCC warns that health systems need to be strengthened to protect human health and wellbeing
    • Jen Spears had a baby after the Black Summer and her doctor said she had "the placenta of a heavy smoker"
    • Dr Michael Holland says he attributes three full-term still-births to poor air quality during the bushfires
    The UN's Intergovernmental Panel on Climate Change has warned to expect an increase in illness and premature deaths as the earth warms, but Australian doctors say they're seeing devastating health effects already.  Jen Spears lives in Tura Beach on the New South Wales south coast and was three months pregnant with her third child when the Black Summer bushfires hit, exposing her to smoke for five weeks.

    "It was a very nervous time because we'd heard reports of babies that had trouble breathing or were born underweight," she said. 

    "When they inspected the placenta, it was the placenta of a heavy smoker, which I'm not. I've never smoked a day in my life."

    Her daughter Mia was born early but healthy, although it's unclear what the long-term health impacts for babies like her will be.

    "You worry for her and her development, because when they're tiny babies, they can't tell you if something's wrong," Ms Spears said. 

    Jen Spears was pregnant with her daughter Mia during the bushfires.(ABC News: Jess Davis)

    "I don't know how to sit and be content and not worry when it's a hot day or the weather blows, or my daughter is sick for any reason."

    Further up the NSW coast at Moruya, Dr Michael Holland saw more immediate and devastating impacts on his patients.  "Personally, I saw in that period of time, three full-term stillbirths," he said. 

    Dr Michael Holland believes bushfire smoke had negative impacts on a number of pregnancies during the Black Summer. (ABC News: Jess Davis)

    "Two out of those three, I believe can be directly attributed to the air quality at that time because they were direct placental abnormalities."

    He believes around 15,000 births on the east coast of New South Wales have been exposed to conditions that could leave lasting consequences. 

    "We know that the incidence of high blood pressure in pregnancy, gestational diabetes in pregnancy, low birth weight of babies and preterm birth are all increased by this air pollution," he said.

    Never-ending cycle of disasters

    A man trapped on his roof near Woodburn in northern NSW this week.

    Once again, Australians are battling a natural disaster on a scale never seen before, as floods devastate large parts of the east coast. 

    "This is a stark reminder of the impacts of climate change in our immediate vicinity here in Australia," Professor Kathryn Bowen, a lead author on the UN report, said. 

    "Climate change is a threat to human health and wellbeing and the health of the planet. 

    Scientists warn time to act
    on climate change closing


    "Any further delay in concerted global action will miss a really brief and rapidly closing window to secure a livable future."

    While natural disasters bring imminent danger to people's lives, the IPCC report warns climate change will lead to increased deaths and illness from heat, malnutrition, malaria and gastro, as well as increasing threats to mental health.

    "One thing that we're seeing now is what we're calling cascading and compounding impacts," Professor Bowen said. 

    "For example, the Black Summer in Australia was preceded by severe droughts and then the summer fires were followed by floods in some places.

    "These compounding and cascading impacts really affect individuals and society's ability to recover as often there's little time between the onset of these shocks." 

    The report warns that heat in Australia will reach the limit of human survivability, with parts of northern Australia becoming uninhabitable and that rural communities will face increased stress.

    Rural communities vulnerable

    Debbie Wilmot says the drought and bushfires had an impact on her health. (ABC News: Jon Daly)

    Debbie Wilmot owns a gift shop in Stanthorpe, Queensland, and has seen first hand the devastating impacts of drought on her community. 

    "The drought was horrendous," she said.

    "The heartbreaking stories that we got from our farmers and our locals, it just was gut wrenching."

    Water had to be trucked into this town in southern Queensland for 18 months after it ran out of supply in 2018, before bushfires shrouded the town in smoke the following year after years of drought.

    "I'm a chronic asthmatic and the dry and the dust and the smoke and the bushfires really had an impact on my health," Ms Wilmot said. 

    "Being out in regional areas, you don't have access to a lot of health professionals."

    Dr Dan Halliday says regional health services need more resources and funding. (ABC News: Jon Daly)

    Stanthorpe doctor Dan Halliday said the extreme weather led to more people presenting to hospital due to a lack of water for sanitation and clean drinking water, as well as respiratory problems.

    He wants to see regional and rural healthcare bolstered to cope with increasing acute and chronic illnesses.

    "What we're seeing is that we're providing a just-in-time service for rural remote areas," Dr Halliday said. 

    "Realistically, if we don't have the resourcing and funding to actually go into our rural and remote communities, who are going to be the most vulnerable in terms of climate change, we are going to see ongoing challenges going forward."

    Strengthening health systems

    Jen Spears says authorities need to do more to tackle climate change. (ABC News: Jess Davis)

    The IPCC has warned health systems need to be strengthened to protect human health and wellbeing, and that a key risk for Australia is an "inability of institutions and governance systems to manage".

    "There's a very large gap in our adaptation efforts to date. National Planning on a health and climate change is advancing," Professor Kathryn Bowen said.

    "For example, the Victorian government released its health adaptation plan earlier this year, but implementing these plans is key and remains challenging.

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    "We know that [climate change] will primarily affect the pre-existing diseases and morbidities that are in our community," Dr Holland said.

    "If you have people who already have chronic respiratory or cardiac diseases, they will be the first affected. However, it also severely affects the areas with the least resources and that is our rural and remote areas."

    In a statement, a spokesperson for federal Health Minister Greg Hunt said the government's Climate and Resilience Adaptation Strategy, released last year, includes health system considerations and is designed to support governments, communities and businesses to better adapt. 

    The statement said climate change was a global challenge and all countries, including Australia, needed to take action.

    But Jen Spears said authorities can't wait for more victims before they act. 

    "You hope that maybe today will be the day that they take it seriously," she said.

    "My daughter is maybe the first generation to be impacted in this country. 

    "We need to start taking stock of what's important to us as Australians. If it's not the health and wellbeing of our most vulnerable, like our babies, our children, what's the point?"

    Links

    Lethal Heating is a citizens' initiative