1. Global Warming and Public Health Barbara Sattler, RN, DrPH, FAAN Environmental Health Education Center University of Maryland School of Nursing

2. Change in sea level is accelerating

5. Massive displacement from flooding

7. Increased Storm Activity

11. Since 1980, storm impact in the U.S. has surpassed $560 billion (Mathias, 2007) (Mathias, 2007)

12. Rebuilding storm-damaged infrastructure: Water and waste water Transportation Energy Communications

13. Water security issues and excessive droughts

14. Political and Economic Upheaval

15. Climate-related crop failures

16. Food Security Issues

17. Threatens economic security for family farms

18. Threatens economic security for Migrant Farm Workers

19. Excessive Heat

20. Range of Health Threats –Rift valley fever, Cholera, West Nile virus, and other vector-borne diseases –Deaths from extreme temperatures –Increases heart disease –Increased respiratory diseases –Malnutrition

22. United Nations Food and Agriculture Organization Livestock generates more greenhouse gases (CO2 equivalent) than transportation Livestock generates more greenhouse gases (CO2 equivalent) than transportation –largely produced by the digestive system of ruminants –1/5 of the world’s green house gases Global meat and dairy production will double in the next 50 years Global meat and dairy production will double in the next 50 years

23. Livestock uses 30% Livestock uses 30% of earth’s ice-free land 33% of arable land is producing feed for livestock (with significant water use) 33% of arable land is producing feed for livestock (with significant water use) Forests are cleared to create new pastures, 70% percent of former forests in the Amazon are now used for grazing. Forests are cleared to create new pastures, 70% percent of former forests in the Amazon are now used for grazing. UN Food and Agriculture Organization, 2007 UN Food and Agriculture Organization, 2007

24. Human kinds’ hierarchy of needs

25. Global Warming = Planetary Destabilization = Our greatest Public Health Challenge Increased sea levels Increased sea levels Increased storm activities Increased storm activities Critical changes in agriculture / food security Critical changes in agriculture / food security Increased drought / fires Increased drought / fires Increased heat waves Increased heat waves Decreased access to water Decreased access to water Climate change refugees Climate change refugees Increased morbidity and mortality Increased morbidity and mortality

26. UN Secretary-General Ban Ki-moon and Intergovernmental Panel on Climate Change Chairman R.K. Pachauri are expecting a stronger leadership role from the next United States President in fighting global climate change. Ban Ki-moonR.K. PachauriBan Ki-moonR.K. Pachauri

27. Invoking the Precautionary Principle in The 1 st 100 Days Climate Action Plan Climate Action Plan –Efficiency –Renewable –Equitable (Green Jobs) (www.climateactionproject.org) www.climateactionproject.org Preparedness Preparedness

28. Think Global and Act… Global Global National National State-level State-level Institutional Institutional At home At home

29. This is a time for all hands on deck.

30. Working at our highest level of discomfort!