1. Adaptation and Health Impact Assessment Martin Birley BirleyHIA www.BirleyHIA.co.uk

2. © BirleyHIA 2 Contents About health Health impacts of CC Energy needs of adaptation Health impacts of adaptation

3. CC and health literature Managing the health effects of climate change, Costello et al, Lancet (2009) The Anatomy of A Silent Crisis, Global Humanitarian Forum (2009) Health Effects of Climate Change in the UK, Ed. Kovats (2008) © BirleyHIA 3

4. Health definition Health is not merely the absence of disease and infirmity, but a state of complete physical, mental, social, and spiritual well-being BirleyHIA 4

5. © BirleyHIA 5 Health determinants Environmental Social

6. Temperature as health determinant 1ºC  UK 1-3%  All cause mortality 4.5%  Food poisoning 6.0%  Respiratory cause mortality © BirleyHIA 6

7. Current annual health effect of CC 300,000 deaths 325 million seriously affected 4 billion people vulnerable 500 million at extreme risk Inequality © BirleyHIA 7 Global Humanitarian Forum (2009) Anatomy of A Silent Crisis www.ghfgeneva.org www.ghfgeneva.org

8. Inequality and health © BirleyHIA 8 Health Wealth CC amplifies existing health risks and inequalities

9. Migration as adaptation Matter of choice or survival? 25-50M by 2010, 200-700M by 2050 Mental health impacts © BirleyHIA 9 http://wakeupfreakout.org/

10. Energy needs of adaptation “The world’s energy system is at a crossroads. Current global trends in energy supply and consumption are patently unsustainable.” International Energy Agency – World Energy Outlook, Nov 2008

11. Source: David Murphy – The Oil Drum. http://tinyurl.com/l5gpcb

12. Energy intensity © BirleyHIA 12

13. Energy gap UK BirleyHIA 13 Emissions, Availability Renewables Policy/project lifetime Gap

14. Health co-benefits of adaptation example BirleyHIA 14 Housing planned round public transport, cycling, local shops and home-working Reduce premature death from air pollution Improved physical, social and mental health and well-being

15. Conclusion Adaptation strategies should be Assessed for health impacts Assessed for inequality impacts Low emission Energy constrained © BirleyHIA 15

16. © BirleyHIA 16 END