How does this relate to public health?
North Carolina is expected to see a 4-7Â°F increase by the end of the 21st century. Moreover, its humid subtropical climate makes summer heat that much more significant. High humidity, warmer average temperatures and more extreme temperatures directly put more people at risk for heat-related death and disease, such as heat stroke and dehydration.1 For example, in North Carolina, the number of heat-related visits to the emergency department increases by 15.8 for every 1Â°F increase in temperature from 98Â°F to 100Â°F.2
In the summertime when air temperatures are already high, elevated humidity levels can increase peopleâ€™s risk for heat-related illnesses.1 This is because humidity in the air interferes with the bodyâ€™s natural cooling system, sweating. For example, a heat index demonstrates the effect of humidity on days when the air temperature is 95Â°F outside, but the high humidity levels make it feel 20Â°F hotter outside.3 Symptoms of overheating include heat cramps, heat fainting, heat exhaustion and heat stroke.
Older adults and young children are vulnerable to heat-related illnesses. However, over the past two summers (2011-2012), North Carolina has seen the greatest number of heat-related visits to the emergency department among men ages 25-64.4,5 In addition, heat stress increases the risk for other diseases, especially respiratory death. In the U.S., severe heat events account for more deaths than all other weather-related events combined each year. With increasing temperatures due to climate change, summertime heat-related deaths are expected to increase significantly, while wintertime deaths are expected to decrease slightly.1
Warmer temperatures also diminish air quality by increasing exposure levels of ground-level ozone. Ozone is a dangerous air pollutant that is damaging to lung tissue and lung function, and can exacerbate respiratory diseases such as asthma or chronic obstructive pulmonary disease (COPD).1,6
Figure D: Warmer temperatures may lead to diminished water quality, which in turn may lead to increased risk of foodborne illnesses from consumption of contaminated shellfish.
Image from US FDA
Finally, rising mean temperatures may also diminish water quality, which will in turn impact human health. Warmer temperatures may lead to the proliferation of pathogens and harmful bacteria in drinking water, recreational waters, and marine waters.6 Exposure to these pathogens can result in waterborne diseases. For example, consumption of food such as shellfish that is contaminated with Vibrio vulnificus, a naturally occurring estuarine bacterium, generally causes vomiting, diarrhea, abdominal pain, and/or death. Moreover, warmer temperatures have been associated with an increase in harmful algal blooms (HABs) along the coasts of the U.S. Certain HABs are known to emit toxins that can cause neurological damage in humans.7
Indeed, the impact of rising temperatures in the Southeast is significant and not limited to just public health. In addition to increased heat-related illness, diminished air quality, and worsened water quality and availability, there may be increased demand for energy as well as changes in plant growth in North Carolina.8 The economy may also suffer, as evidenced by the unprecedented 2007-2009 drought in the Southeast region of the U.S. that resulted in a loss of over $1.3 billion due to destruction of major crops such as corn, wheat, soybeans, cotton, and hay.9,10
1Portier CJ, et al. 2010. A human health perspective on climate change: a report outlining the research needs on the human health effects of climate change. Research Triangle Park, NC: Environmental Health Perspectives/National Institute of Environmental Health Sciences. doi:10.1289/ehp.1002272 <www.niehs.nih.gov/climatereport> Accessed November 17, 2012.
2Rhea, S; et al. 2012. Using near real-time morbidity data to identify heat-related illness prevention strategies in North Carolina. Journal of Community Health 37:495-500. DOI 10.1007/s10900-011-9469-0
3AchooAllergy.com. The effects of humidity on the human body. 2000. <http://www.achooallergy.com/effects-of-humidity.asp> Accessed November 17, 2012.
4North Carolina Division of Public Health, Occupational and Environmental Epidemiology. The 2011 North Carolina heat report. July 2011. <http://publichealth.nc.gov/chronicdiseaseandinjury/doc/HeatReport-13-2011.pdf> Accessed November 17, 2012.
5North Carolina Division of Public Health, Occupational and Environmental Epidemiology. The 2012 North Carolina heat report. <http://publichealth.nc.gov/chronicdiseaseandinjury/doc/HeatReport20-2012.pdf> Accessed November 17, 2012.
6Environmental Protection Agency. Climate change: Human impacts and adaptation. June 14, 2012. <http://www.epa.gov/climatechange/impacts-adaptation/health.html#impacts> Accessed November 17, 2012.
7Centers for Disease Control and Prevention. Harmful algal blooms (HABs). July 24, 2012. <http://www.cdc.gov/nceh/hsb/hab/default.htm> Accessed November 17, 2012.
8UNC Institute for the Environment, The University of North Carolina at Chapel Hill. 2009. Climate change committee report 2009. <http://www.ie.unc.edu/PDF/Climate_Change_Report.pdf> Accessed November 17, 2012.
9Centers for Disease Control and Prevention, U.S. Environmental Protection Agency, National Oceanic and Atmospheric Agency, and American Water Works Association. 2010. When every drop counts: protecting public health. <http://www.cdc.gov/nceh/ehs/publications/Drought.htm>
10Manuel, J. 2008. Drought in the Southeast: Lessons for water management. Environews: Spheres of influence. Apr 116(4):A168-A171.