Ide 20.3 Prelim Reviewer
Ide 20.3 Prelim Reviewer
Ide 20.3 Prelim Reviewer
3 PRELIM REVIEWER
Jason Antoni Valledor & Ela Mae Co
EXAM DATE: February 16, 2024 10:30 AM - 12:00 NN
CHAPTER 2
Climate Change and Global Health
Global Health
- a term increasingly prevalent in
research and policy circles, signifies a
broadened perspective on health that
extends beyond national boundaries.
- Unlike traditional international health
efforts, which focus on specific
diseases and interventions, global
health encompasses a more
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comprehensive approach to
understanding and addressing health The Profile of Global Change-related
challenges on a worldwide scale. Health Risks
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research and response
capacities. Environmental Changes
o Example: Climate change-
induced increase in frequency Human societies have significantly
and severity of weather disasters altered local environments over
leading to adverse health millennia, primarily for food production.
outcomes. The past two centuries have seen
unprecedented material success and
Global Dimension of Global Health life expectancy due to fossil fuel
consumption.
Scale and Complexity However, this success has led to
o Refers to the systemic and environmental degradation, with
transboundary nature of health humanity's ecological footprint
influences, requiring surpassing Earth's capacity by 40-50%.
interdisciplinary research and Major environmental systems, including
collaborative networks. the climate system, global nitrogen
Implications cycle, and biodiversity, are under
o New concepts of causality and strain, threatening life support for all
intervention, understanding species.
complexity and uncertainties, Climate change, driven by greenhouse
and development of innovative gas emissions, has accelerated
research methods are essential. warming rates, posing significant health
risks globally.
Global Changes – Systemic Risks to Health
Implications
Sociodemographic changes, while not new
in concept, are unprecedented in scale and The unprecedented scale and nature of global
impact due to rapid urbanization and changes pose systemic risks to human health,
population growth. emphasizing the urgent need for coordinated
action to mitigate environmental degradation
Environmental changes, particularly climate and address sociodemographic challenges.
change, are unparalleled in history, driven by
human activity and posing significant risks to Climate Change: Overview of Recent
global health. Science
Implications
Climate change poses a significant
Sociodemographic Changes threat to global ecosystems,
biodiversity, and human well-being.
Rural-to-urban migration has occurred The consequences of climate change
throughout history, but its speed and include rising sea levels, extreme
scale in recent decades are weather events, shifts in precipitation
unprecedented. patterns, and disruptions to agricultural
The global population is projected to systems.
exceed 9 billion by 2050, demanding Urgent action is needed to mitigate the
increased attention and policy impacts of climate change, reduce
response to address associated GHG emissions, and transition to
challenges. sustainable energy sources.
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NOTES Categories of Health Impacts
Human-induced climate change is a
result of widespread carbon emissions Primary: Direct health impacts from
from activities such as burning fossil temperature rise, air pollutants, and
fuels for energy and deforestation. extreme weather events.
The accumulation of GHGs in the Secondary: Indirect impacts on
atmosphere leads to increased heat infectious diseases, food yields, and
retention, contributing to global nutrition.
warming and associated environmental Tertiary: Mental and emotional health
changes. effects, social instability, and
Climate models predict continued geopolitical security threats.
warming even if emissions were to stop
immediately, highlighting the urgency of Examples of Impact
addressing climate change.
The disruption of the Earth's carbon Decline in traditional food sources for
cycle has far-reaching consequences indigenous populations due to
for the planet's ecosystems and environmental changes.
species survival. Threats to social stability and security
from food shortages and resource
Climate Change and Human Health depletion.
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Health Co-benefits: Mitigating GHG Heat-related illness begins with
emissions can bring immediate health exhaustion, greater temperature
benefits, especially in urban areas and intensity and longer duration
through improved crop yields.
Physiology of Cold Exposure
Complex Attribution of Impacts
Most death is caused by a drop in a
Climate change affects geophysical core body temperature (hypothermia)
processes, natural ecosystems, and Stress to the body of maintaining core
human health. body temperature.
Attribution of human health impacts is Changes may reduce Vitamin C level
challenging due to various influencing and Vitamin D due to seasonal dietary
factors. and less sun exposure respectively.
Temperature Trends
CHAPTER 3
Hot regions have experienced a 1–2°C
Heat-related and Cold-related Mortality and
increase in average temperatures since
Morbidity
1980 due to climate change and urban
heat island effect.
Morbidity
- Number of deaths that have occurred Global average temperature is
due to an illness. expected to rise further by 1–3°C this
century, potentially reaching 3°C on
Mortality average.
- State of having a specific illness or Urbanization accelerates temperature
condition (acute or chronic) rise, posing greater risks, especially in
tropical regions where most of the
EX. Diabetes, Heart Disease, Obesity population resides.
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Combines air temperature, humidity, Vulnerability: Children, elderly,
wind speed, and heat radiation to pregnant women, and heavy laborers
assess workplace heat conditions. are more sensitive to overheating.
WBGT (wet bulb globe temperature) is Dehydration Risk: Profuse sweating
widely used for heat stress leads to dehydration, especially in
assessment, indicating extremely hot workplaces where water replacement is
conditions when >29°C. limited.
Case Study: Sugarcane cutters in
Trends and Projections Central America face dehydration due
WBGT levels have been increasing to inadequate water availability.
globally, limiting work capacity and
productivity. Clinical Effects of Heat Exposure
Climate modeling suggests further rises
in WBGT levels, with implications for Heat exposure and internal stress
worker health and productivity. lead to clinical effects, including heatstroke
and death.
Impacts
Direct effects include heat-related Epidemiological research focuses on
illnesses and reduced work capacity. mortality, hospital admissions, outpatient
Indirect effects extend to family and visits, and ambulance calls during heatwaves.
community economies, affecting overall
health and well-being. Implementation Historical Perspective
of heat management strategies are - Reports of heat-related illnesses and
essential for worker safety and well- deaths date back to the 19th century.
being. - Military studies highlighted issues for
soldiers in tropical regions.
Human Physiology and Performance Links - Systematic analysis by Wyndham and
to Ambient Heat Exposure colleagues in the 1960s shed light on
workplace heat problems.
Core Body Temperature: Must be
close to 37°C to avoid heat-related Serious Clinical Effects
illnesses. - Heatstroke and death still occur,
Physiological Mechanisms: Body especially among workers engaged in
maintains core temperature despite heavy physical activity.
external heat, mainly through sweat - US agricultural workers face life-
evaporation. threatening conditions due to heavy
Clothing Influence: Light clothing ideal labor in excessive heat with limited rest
for heat dissipation, but certain jobs or hydration opportunities.
require protective clothing, increasing
heat stress. Morbidity Risks
Physical Activity: Increases core - Climate change is expected to increase
temperature, challenging heat non-fatal effects of heat exposure,
dissipation. particularly among economically
Impact on Work Capacity: Insufficient disadvantaged workers.
cooling methods and heavy labor
reduce work capacity, productivity, and
economic output.
Important Notes:
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- Clinical effects include heat 3. Importance of Further Analysis:
exhaustion, heat rash, heat fainting, - Ongoing analysis of costs across
heatstroke, and death. different countries and regions is
- Lack of agreed approach to quantifying essential.
heat exposure complicates - Prevention strategies need thorough
epidemiological studies. evaluation as climate change continues
- Occupational heatstroke remains a to progress.
significant concern, with approximately
40 fatal cases reported annually in the Preventive Actions
US agriculture sector.
- Economic disincentives may hinder 1) Climate change will likely compel
preventive actions against heat-related individuals exposed to heat to decrease
morbidity risks in the workforce. work pace and daily activities.
2) Effective cooling methods are
Economic and Well-Being Impacts necessary, including seeking shade,
using fans, air conditioning, or
Occupational health effects of climate specialized cooling clothes.
change have significant economic 3) Challenges exist in implementing air
implications. conditioning outdoors and using
protective clothing, which may
Economic consequences extend exacerbate heat stress.
beyond individual workers and employers to 4) Air conditioning incurs costs and
impact the wider economy. increases greenhouse gas emissions.
5) Fans may not effectively cool when air
Understanding the clinical effects is temperature exceeds 34°C.
crucial for assessing future climate change 6) The 'Hothaps effect' and climate
impacts. change's impact on health and the
economy receive insufficient global
Key Points: attention.
7) Mitigation of climate change and
1. Economic Consequences: implementation of public health and
- Impact on occupational health affects safety programs are crucial.
worker productivity and ability to meet 8) Preventive measures should include
work targets. urban and workplace design to reduce
- Economic harm extends to the broader heat exposure.
economy due to reduced productivity. 9) Local studies on heat exposure are
essential for informing policies and
2. Cost Analysis: actions against climate change.
- DARA (2012) economic analysis
highlighted heat impacts on work
capacity and productivity loss. Note to bb: I love you kayo even though gina
sungog ko nimo ☹
- By 2030, reduced work capacity due to
climate change is projected to be the
largest economic threat.
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Study Approaches
These approaches, developed within
CHAPTER 5 the Hothaps programme, help enhance
Measuring and Estimating Occupational occupational health protection and contribute
Heat Exposure and Effects in Relation to to global assessments of climate change
Climate Change: ‘Hothaps’ Tools for impacts.
Impact Assessments and Prevention
Approaches Descriptive Pilot Studies Using Primarily
Available Data
The Effects of Heat Exposure: Essential for
Climate Change Impact Analysis Overview
Descriptive pilot studies using available Wet Bulb Globe Temperature (WBGT)
data play a crucial role in understanding heat Index
exposure scenarios and planning effective
interventions. Accessing global databases and o WBGT is a widely used index due to its
international organizations' resources relevance to occupational health risks
facilitates comprehensive data collection, and work capacity.
aiding in informed decision-making and o It requires measurements of Tnwb, Tg,
program implementation. and Ta, representing wet bulb
temperature, globe temperature, and
Local Heat Monitoring and Occupational air temperature, respectively.
Exposure Assessment o Tnwb and Tg are measured using
specialized equipment to simulate heat
Main Ideas exchange and radiation effects.
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o Data loggers offer a more affordable o Standard questionnaires are tailored for
alternative for continuous monitoring different respondent groups, including
and analysis. health and safety officers, trade unions,
government officials, and individual
Recording and Analysis workers.
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Ethical Considerations physical activity, and hydration
indicators.
o Informed consent is essential, ensuring
participants understand the study's Notes
purpose and consent to the use of their
responses. Objective of Quantitative Studies
o Case studies may be reported based
on individual interviews, while focus o Measure heat exposures, health
group responses represent collective impacts, and work outputs during
views. different heat levels.
o Establish exposure-effect and
Standard Questionnaires exposure-response relationships to
quantify the effectiveness of heat
o Tailored questionnaires facilitate reduction methods.
systematic data collection across
different respondent groups. Longitudinal Cohort Design
o Questions cover a range of topics,
allowing for comprehensive insights o Groups of workers with high heat
into heat exposure and preventive exposure are assessed during hot and
measures. cooler periods.
o Health status and work output are
Conclusion quantified using medical reports,
questionnaires, and physiological
o Explorative interview surveys play a measurements.
vital role in understanding heat impacts
and informing preventive approaches in Statistical Considerations
various workplaces.
Through open-ended questions and tailored o Studies should include at least 20
questionnaires, these surveys capture diverse workers with similar work activities
perspectives and provide valuable insights for during hot and cooler periods.
policy formulation and intervention planning. o Statistical power calculation methods
determine the required study
Quantitative Studies of Health Impacts, population size.
Work Capacity, and Prevention
Physiological Measurements
Main Ideas
o Biomedical explanations for heat
o Quantitative studies assess actual heat exposure effects are derived from
exposures, health impacts, and work physiological measurements.
outputs in various workplaces. o Parameters include body temperature,
o Longitudinal cohort designs evaluate heart rate, physical activity level,
workers' health status and work output hydration indicators, and psychological
during hot and cooler periods. measures.
o Physiological measurements provide
biomedical explanations for links Data Collection and Analysis
between heat exposure and effects.
o Data collection includes parameters o Data collection occurs over consecutive
like body temperature, heart rate, days during hot and cooler periods,
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ideally comprising at least 10 days contributing to global climate change
each. impact evaluations.
o Detailed methods are tailored to local o Standard health impact assessment
conditions and must be clearly methods employed to calculate future
explained in study reports. impacts based on heat exposure
estimates and vulnerability.
Importance of Comprehensive Analysis o Consideration of future occupational
heat exposures, changes in worker
o Quantitative studies provide valuable numbers, and work intensity due to
insights into the relationship between climate change.
heat exposure and health/work
impacts. Notes
o Biomedical explanations enhance
understanding and inform preventive Relationship Between Heat Exposure and
strategies for heat-related risks. Health
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o IPCC climate change projections used
to estimate future occupational heat
exposures.
o Consideration of geographical levels
(village, city, province, country) and
future distribution of various
occupations.
Conclusion
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