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      Estimating the Health‐Related Costs of 10 Climate‐Sensitive U.S. Events During 2012

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          Abstract

          Climate change threatens human health, but there remains a lack of evidence on the economic toll of climate‐sensitive public health impacts. We characterize human mortality and morbidity costs associated with 10 climate‐sensitive case study events spanning 11 US states in 2012: wildfires in Colorado and Washington, ozone air pollution in Nevada, extreme heat in Wisconsin, infectious disease outbreaks of tick‐borne Lyme disease in Michigan and mosquito‐borne West Nile virus in Texas, extreme weather in Ohio, impacts of Hurricane Sandy in New Jersey and New York, allergenic oak pollen in North Carolina, and harmful algal blooms on the Florida coast. Applying a consistent economic valuation approach to published studies and state estimates, we estimate total health‐related costs from 917 deaths, 20,568 hospitalizations, and 17,857 emergency department visits of $10.0 billion in 2018 dollars, with a sensitivity range of $2.7–24.6 billion. Our estimates indicate that the financial burden of deaths, hospitalizations, emergency department visits, and associated medical care is a key dimension of the overall economic impact of climate‐sensitive events. We found that mortality costs (i.e., the value of a statistical life) of $8.4 billion exceeded morbidity costs and lost wages ($1.6 billion combined). By better characterizing health damages in economic terms, this work helps to shed light on the burden climate‐sensitive events already place on U.S. public health each year. In doing so, we provide a conceptual framework for broader estimation of climate‐sensitive health‐related costs. The high health‐related costs associated with climate‐sensitive events highlight the importance of actions to mitigate climate change and adapt to its unavoidable impacts.

          Key Points

          • Climate change threatens human health, but there remains a lack of evidence on the economic toll of the adverse public health impacts of climate‐sensitive events

          • We estimate $10.0 billion (2018 dollars) in health‐related costs from 10 climate‐sensitive U.S. case study events during 2012

          • This work helps to shed light on the high burden climate‐sensitive events already place on U.S. public health each year

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          Most cited references146

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          Effect of climate change on air quality

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            Climate change and extreme heat events.

            The association between climate change and the frequency and intensity of extreme heat events is now well established. General circulation models of climate change predict that heatwaves will become more frequent and intense, especially in the higher latitudes, affecting large metropolitan areas that are not well adapted to them. Exposure to extreme heat is already a significant public health problem and the primary cause of weather-related mortality in the U.S. This article reviews major epidemiologic risk factors associated with mortality from extreme heat exposure and discusses future drivers of heat-related mortality, including a warming climate, the urban heat island effect, and an aging population. In addition, it considers critical areas of an effective public health response including heat response plans, the use of remote sensing and GIS methodologies, and the importance of effective communications strategies.
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              Have Disaster Losses Increased Due to Anthropogenic Climate Change?

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                Author and article information

                Contributors
                vlimaye@nrdc.org
                Journal
                Geohealth
                Geohealth
                10.1002/(ISSN)2471-1403
                GH2
                GeoHealth
                John Wiley and Sons Inc. (Hoboken )
                2471-1403
                17 September 2019
                September 2019
                : 3
                : 9 ( doiID: 10.1002/gh2.v3.9 )
                : 245-265
                Affiliations
                [ 1 ] Natural Resources Defense Council New York NY USA
                [ 2 ] Institute for Health & Aging University of California San Francisco CA USA
                [ 3 ] Mailman School of Public Health Columbia University New York NY USA
                Author notes
                [*] [* ] Correspondence to: V. S. Limaye,

                vlimaye@ 123456nrdc.org

                Author information
                https://orcid.org/0000-0003-3118-6912
                https://orcid.org/0000-0002-4040-1592
                https://orcid.org/0000-0002-2642-4608
                https://orcid.org/0000-0002-8075-7817
                Article
                GH2125 2019GH000202
                10.1029/2019GH000202
                7007172
                32159045
                8e49ce59-60ab-45ca-bd4d-91490a8c96a0
                ©2019. The Authors.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 24 April 2019
                : 30 June 2019
                : 25 July 2019
                Page count
                Figures: 4, Tables: 5, Pages: 21, Words: 7532
                Categories
                Geohealth
                Impacts of Climate Change: Human Health
                Public Health
                Global Change
                Climate Variability
                Oceans
                Atmospheric Processes
                Climate Change and Variability
                Climatology
                Oceanography: General
                Climate and Interannual Variability
                Natural Hazards
                Economic Impacts of Disasters
                Oceanography: Physical
                Decadal Ocean Variability
                Research Article
                Research Articles
                Custom metadata
                2.0
                September 2019
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.4 mode:remove_FC converted:09.01.2020

                climate change,health,valuation,morbidity,mortality,extreme events

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