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Extreme weather conditions

Impact Vulnerability Measures

Direct health impact

• ↑ number of acute conditions

• ↑ symptom of chronic conditions

• ↑ mortality

• Public education (protection, smart heating and cooling)

• Public notification systems through public media

• Heat free urban areas

Indirect enviromental impact

• Additive effect on chronic diseases

• Changes in the occurrence of allergic diseases

• Enviromental Monitoring• Human biomonitoring studies• Health Impact Assessments,

Health Risk Assessments,

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Extreme weather conditions –Activities of public and profession education

• Action Plan • Strategies• Public health actions and

interventions

Alignment with climate change adaptation strategies

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Extreme weather conditionsImpact Vulnerability Measures

Indirect impact -Increased number of mosquitoes

• Increase in the number of vector diseases transmitted by invansive mosquitoes types: Malaria, Dengue, Yellow Fever, Western Nile Virus

• Measures of prevention and control (goods, means of transport, passengers)

• Public education• Multisectoral approach• Legislative changes• Monitoring and modeling• For the purpose of risk

assessment

Indirect Impact - Increased number of ticks

• Increase in the number of vectorial diseases transmitted by ticks: Lyme disease ≠Tick-borne encephalitis

• Education • Preventive health

examinations• Vaccination

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Extreme weather conditionsand vector diseases

• Supervision over implementation of Disinfection, disinsection, deratization (DDD) measures

• Monitoring of invasive species - transmissible infectious diseases• Personal protective measures• Prevention

Izvor: NZZJZ Dr.A.Štampar, HZJZ, NZZJZ PGŽ

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Meteorological parameter Wind

Impact Vulnerability Measures

Direct influence - wind speed and direction change

RegCM model • VELEbit, SRCE• ↓ wind speed

• The prevalence and spread of allergic pollen in wider areas

• Continuous allergic pollen monitoring

• Education

• Urban planning of green plants

Indirect influence - wind speed and direction change

• Increase in population burden - acute or chronic consequences due to allergenic pollen exposure

• Prevention• Risk behaviour reduction• Modern technology tools

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Meteorological parameters Humidity and air pressure

Impact Vulnerability Measures

Cloudiness, evapotranspiration (precipitation, temperature, humidity and wind speed) and air pressure oscillations

RegCM model • VELEbit, SRCE• Insignificant changes

• Increase in population burden - acute or chronic consequences

• Monitoring

• Biometeorological forecast

• Education

• Risk behaviour reduction• Modern technology tools

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Meteorological parameters Precipitation

Impact Vulnerability Measures

Oscillations in precipitation amounts

RegCM model • VELEbit, SRCE• ↓ oborina• till 2070. max

15%

• ↑↓ Humidity and air temperature

• ↑ Population share with health consequences due to the challenges of water and food safety and the air quality

• Monitoring

• Public notifications (including key stakeholders)

• Automated Sensor Systems • Risk behaviour reduction• Modern technology tools

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Economic evaluationof health

consequencesThe Cost-Utility Analysis (CUA) method uses DALY.

Estimates of years of life with the consequent inability associated with climate change.

How many productive years is the burden of the consequences? Which health investments are most appropriate?

(Sources: World bank, WHO 1993. “Investing in health”, Jonathan M. Samet, An initiative of the climate policy program at RFF, 2009. Adapting to Climate Change - Public Health)

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STEM (eng. The SpatioTemporal Epidemiological Modeler)

• Free tool for spatial-time modeling and simulation of disease spread (health consequences)

• Established on GIS data• Purpose: geographic visualization - assessment of the

infectious diseases spread (vector diseases, zoonoses, foodborne diseases, biological hazards)

• Simulation of disease spread is based on the geographical and infrastructural determinants of the area (traffic) and the determinants of the cause and the exposed population by country

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STEM (eng. The SpatioTemporal Epidemiological Modeler)

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Zagreb Geoportal

• European Commission - Metadata Catalog• Public access to a variety of related services• Objective - to improve biodiversity protection, fight

against pollution, and risk assessment and management

• Part of the INSPIRE Community Geoportal - European spatial data databases and services

• Promotion of National Infrastructure

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Source: FAO

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Ecological incidents and disastersSubgroup Type

Geophysical Earthquake, Mass Movement, Volcanic activityes

Meteorological

Hydrological

Extreme Temperature, Fog, Storm

Flood, Landslide, Wave action

Climatological Drought, Wildfire

Biological Epidemic

Extraterrestial Meteroids, asteroids

Jergović M. Ekološki incidenti i katastrofe.

U: Puntarić D, Miškulin M, Bošnir J. ur. Zdravstvena ekologija. Zagreb: Medicinska naklada; 2012: 397-408

Importance of the multiple catastrophes

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Ecological incidents and disasters

Source: CRED, EM -DAT

Subgroup Type

Technological - Unintentional Man-Made Disasters

Industrial accident: Chemical spill, Collapse, Explosion, Fire, Gas leak, Poisoning, Radiation

Transport accident: Air, Road, Rail, Water

Miscelleanous accident: Collapse, Explosion, Fire

Intentional Man-Made Disasters Terrorist Attack, War

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Izvor: Public Safety Canada

Public Health Institute. Center for Climate Change&Health. Climate Change, health, and Equity: Opportunities for action. 2015.

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Current or future insecurity factors and barriers in adaptation

• Previous environmental burden• Inaccessible and insufficiently comprehensive

databases• Inadequate monitoring of health indicators related

to climate change• Unavailable guidelines• Overlapping ingerence• Inadequate interest in the profession• Inadequate financial resources

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Conclusion Need for improved data management in public and healthcare systems

Through:• Raising awareness and capacity building• Integration of healthcare professionals and first-

responders• Define key stakeholders, priority impacts,

vulnerabilities, monitoring parameters and measures• Based on scientific and professional evidence

Through future Climate Change Adaptation Strategy

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e-mail: matijana.jergovic@stampar.hr

Additional information:

Project webpage: www.prilagodba-klimi.hr

“Washing one’s hands of the conflict between the powerful and the powerless means to side with the powerful, not to be neutral.” — Paulo Freire

„Our response will define our future. To ride this storm we need all hands on deck.” - United Nations Secretary - General Ban Ki-moon