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Climate change and health unraveled

New textbook explores causes, effects, what can be done to benefit the environment and health

July 15, 2015

From Pope Francis to President Barack Obama, world leaders are recognizing that a changing climate causes, and will increasingly cause, death and disease. With the just released “Climate Change and Public Health,” co-editor Dr. Jonathan Patz, director of the Global Health Institute at the University of Wisconsin-Madison, provides a road map through the science of climate change, its effects on human illness and how addressing climate promotes public health and well-being.

“In the last 20 years, climate change has gone from the margins to the main stream of public health,” says Patz, the John P. Holton Chair in Health and the Environment with appointments in the Nelson Institute for Environmental Studies and the Department of Population Health Sciences. He co-edited “Climate Change and Public Health” (Oxford University Press), an accessible, comprehensive introduction to climate change and its health consequences, with Dr. Barry Levy, an adjunct professor of Public Health at Tufts University School of Medicine and president of the American Public Health Association.

“Climate change is now core to public health practice,” Patz says. “”We wanted to create an easily accessible textbook on the subject for students and practitioners across many fields.”

“Climate change is now core
to public health practice...
Expanding evidence shows the
health co-benefits of mitigating
greenhouse gases in agriculture,
transportation, energy and
urban planning.”

With 78 international contributors, including nearly a dozen from UW-Madison, “Climate Change and Health” looks at risks from the warming Arctic, food security and vector-borne diseases, to potential health benefits from less fossil fuel combustion and improved urban planning. The UW-Madison experts represent the Colleges of Letters & Science and Agricultural and Life Sciences, the School of Medicine and Public Health, the Lafollette School of Public Affairs, and the Nelson and Global Health Institutes.

Almost a third of the book explores policies that would reduce greenhouse gasses, moving toward a sustainable, low-carbon economy and healthier living. “Expanding evidence shows the health co-benefits of mitigating greenhouse gases in agriculture, transportation, energy and urban planning,” Patz says.

Postdoctoral fellow Maggie Grabow’s work, for example, shows that walking or bicycling is environmentally friendly and saves lives. In Denmark, those who bicycled to work reduced their mortality rate by almost 40 percent, she reports. In China, active commuting reduced the risk of colon cancer. In Nigeria, walking or biking to work correlated with reduced risk factors for heart disease, including blood pressure, cholesterol and body mass index.

Here’s what a few of the other UW-Madison contributors wrote:

  • “In some cases, climate change may reduce the effects of plant diseases, but overall, climate change will increase plant diseases and related losses in crop yields,” writes Caitilyn Allen, professor in the Department of Plant Pathology.
  • “With increasing climate change, large cities can expect heat waves of increased intensity and duration,” writes Rick Keller, associate dean of The International Division. “Public health professionals and others need to prepare plans to protect vulnerable groups.”
  • “The design of a built environment can require use of ‘a gallon of gas to get a gallon of milk,’ or it can offer choices for improving health and the environment,” GHI/Nelson Assistant Scientist Jason Vargo writes. "Design is one of the most effective, efficient, lasting, and equitable approaches for promoting healthy behaviors.”
  • “A greater ethical debate concerning climate change focuses on whether a life saved today is worth more than a life saved in the future,” writes Paul Kelleher, assistant professor in the Department of Medical History and Bioethics. “This is a debate over whether we should discount the value of future health and well-being or discount the ‘badness’ of future death and disability.”

The UW-Madison authors also included Tracey Holloway, professor, Nelson Institute; Vijay Limaye, assistant researcher, Department of Population Health Sciences; Greg Nemet, associate professor, Lafollete School and faculty affiliate, Nelson Institute; Valerie Stull, Nelson Institute; and Steve Vavrus, senior scientist, Nelson Institute.

This story was originally published by the Global Health Institute.

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