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Review
. 2009 Nov;117(11):1673-81.
doi: 10.1289/ehp.0900708. Epub 2009 May 18.

Environmental health indicators of climate change for the United States: findings from the State Environmental Health Indicator Collaborative

Paul B English  1 , Amber H Sinclair, Zev Ross, Henry Anderson, Vicki Boothe, Christine Davis, Kristie Ebi, Betsy Kagey, Kristen Malecki, Rebecca Shultz, Erin Simms
Affiliations
Review

Environmental health indicators of climate change for the United States: findings from the State Environmental Health Indicator Collaborative

Paul B English et al. Environ Health Perspect. 2009 Nov.

Abstract

Objective: To develop public health adaptation strategies and to project the impacts of climate change on human health, indicators of vulnerability and preparedness along with accurate surveillance data on climate-sensitive health outcomes are needed. We researched and developed environmental health indicators for inputs into human health vulnerability assessments for climate change and to propose public health preventative actions.

Data sources: We conducted a review of the scientific literature to identify outcomes and actions that were related to climate change. Data sources included governmental and nongovernmental agencies and the published literature.

Data extraction: Sources were identified and assessed for completeness, usability, and accuracy. Priority was then given to identifying longitudinal data sets that were applicable at the state and community level.

Data synthesis: We present a list of surveillance indicators for practitioners and policy makers that include climate-sensitive health outcomes and environmental and vulnerability indicators, as well as mitigation, adaptation, and policy indicators of climate change.

Conclusions: A review of environmental health indicators for climate change shows that data exist for many of these measures, but more evaluation of their sensitivity and usefulness is needed. Further attention is necessary to increase data quality and availability and to develop new surveillance databases, especially for climate-sensitive morbidity.

Keywords: adaptation; air quality; climate change; environmental health; heat; indicators; vulnerability.

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Figures

Figure 1
Figure 1
Population by U.S. county within 5 km of the coast with “very high” vulnerability to sea level rise. Data from the USGS (2000) and U.S. Census (2000).
See this image and copyright information in PMC

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