Indicators for climate change-driven urban health impact assessment

Climate change and waterborne diseases in temperate regions: a systematic review

Risk of waterborne diseases (WBDs) persists in temperate regions. The extent of influence of climate-related factors on the risk of specific WBDs in a changing climate and the projections of future climate scenarios on WBDs in temperate regions are unclear. A systematic review was conducted to identify specific waterborne pathogens and diseases prevalent in temperate region literature and transmission cycle associations with a changing climate. Projections of WBD risk based on future climate scenarios and models used to assess future disease risk were identified. Seventy-five peer-reviewed full-text articles for temperate regions published in the English language were included in this review after a search of Scopus and Web of Science databases from 2010 to 2023. Using thematic analysis, climate-related drivers impacting WBD risk were identified. Risk of WBDs was influenced mostly by weather (rainfall: 22% and heavy rainfall: 19%) across the majority of temperate regions and hydrological (streamflow: 50%) factors in Europe. Future climate scenarios suggest that WBD risk is likely to increase in temperate regions. Given the need to understand changes and potential feedback across fate, transport and exposure pathways, more studies should combine data-driven and process-based models to better assess future risks using model simulations.

Integrated Climate Change Mitigation and Public Health Protection Strategies: The Case of the City of Bologna, Italy

INTRODUCTION

The ongoing process of global warming, driven by the escalating concentration of greenhouse gases generated by human activities, especially in urban areas, significantly impacts public health. Local authorities play an important role in health promotion and disease prevention, and some aim to achieve net-zero greenhouse gas emissions. There is a consistent action underway to reach this goal, hence the need for mapping and implementing effective strategies and regulations.

MATERIALS AND METHODS

This study includes the analysis of policy guidelines adopted by the city of Bologna, consulted in March and April 2024. Bologna is one of the 100 cities committed to achieving climate neutrality by 2030, 20 years ahead of the EU target. To identify the strategies adopted to mitigate climate change, the following methodology was used: (i) the systematic mapping of sources and spatial planning documents; (ii) the extrapolation of goals, measures, and target indicators; and (iii) the development of an overall matrix.

RESULTS

The main findings of the study and their connection to public health pertain to the identification of key macro-areas contributing to the reduction of greenhouse gas emissions, while reducing the impact of climate change on health: (1) built environment and renewable energy sources, (2) transport and mobility, (3) energy, (4) green areas and land use, and (5) citizen support. Within these five macro-areas, 14 goals have been identified, to which a total of 36 measures correspond, and, finally, a target indicator is determined, mainly with respect to the reduction of tons of CO2 equivalent per year.

CONCLUSIONS

In order to protect public health, it is evident that buildings and urban activities should not produce carbon emissions throughout their lifecycle. This paper presents a method to evaluate municipal policies regarding dual-impact solutions that address both environmental protection through sustainability strategies and public health, in compliance with the Health in All Policies (HiAP) approach.

Accounting for adaptation when projecting climate change impacts on health: A review of temperature-related health impacts

Exposure to high and low ambient temperatures can cause harm to human health. Due to global warming, heat-related health effects are likely to increase substantially in future unless populations adapt to living in a warmer world. Adaptation to temperature may occur through physiological acclimatisation, behavioural mechanisms, and planned adaptation. A fundamental step in informing responses to climate change is understanding how adaptation can be appropriately accounted for when estimating future health burdens. Previous studies modelling adaptation have used a variety of methods, and it is often unclear how underlying assumptions of adaptation are made and if they are based on evidence. Consequently, the most appropriate way to quantitatively model adaptation in projections of health impacts is currently unknown. With increasing interest from decisionmakers around implementation of adaptation strategies, it is important to consider the role of adaptation in anticipating future health burdens of climate change. To address this, a literature review using systematic scoping methods was conducted to document the quantitative methods employed by studies projecting future temperature-related health impacts under climate change that also consider adaptation. Approaches employed in studies were coded into methodological categories. Categories were discussed and refined between reviewers during synthesis. Fifty-nine studies were included and grouped into eight methodological categories. Methods of including adaptation in projections have changed over time with more recent studies using a combination of approaches or modelling adaptation based on specific adaptation strategies or socioeconomic conditions. The most common approaches to model adaptation are heat threshold shifts and reductions in the exposure-response slope. Just under 20% of studies were identified as using an intervention-based empirical basis for statistical assumptions. Including adaptation in projections considerably reduced the projected temperature-mortality burden in the future. Researchers should ensure that all future impact assessments include adaptation uncertainty in projections and assumptions are based on empirical evidence.

Regional economic costs of climate change: An interdisciplinary impact assessment for Upper Austria

Region-specific meteorological data show that Upper Austria will mainly be affected by increasing temperatures (up to +2.7 °C in 2050) and decreasing precipitation (up to - 27 mm in 2050). Using an interdisciplinary framework, we derive climatic developments and quantify the resulting direct sectoral and macroeconomic impacts for Upper Austria. Based on a set of climate change indicators, sectoral damages are monetized for selected impact chains in forestry, health, agriculture, space heating and cooling, and winter tourism. These damage costs are used as input for ex-ante simulations to quantify the macroeconomic impacts in 2022-2050. The results show an annual decline in gross regional product, accompanied by an annual decline in employment. This study provides a basis for decision making in Upper Austria, as well as in regions with comparable geographical, economic or demographic structures, and highlights the importance of region-specific climate change adaptation strategies.

Performance evaluation and users' perception of courtyards role in indoor areas of mediterranean social housing

Cities confront two critical challenges: general overheating and inefficient use of energy resources within their housing buildings, both adversely affecting urban citizens' daily lives. To mitigate these issues, passive techniques offer promising solutions on enhancing building comfort levels from a sustainable approach. Although this energy efficiency of air-conditioning systems in buildings in warm climates has been extensively analysed, the influence of the microclimate of transitional spaces attached to them on this performance has not yet been properly assessed. Investigating the potential benefits of the implementation of courtyards within Seville's social housing infrastructure for passive conditioning purposes is one way of reducing this research gap. Furthermore, the study also includes the subjective perception of users' thermal well-being around these spaces and their own social relationship related to their use. The work relies on detailed data analyses carried out using DesignBuilder software to quantify the benefit effectively accrued from courtyard utilization. Concurrently, user surveys conducted help determine perceived thermal comfort aiding better configuration management and passive design strategies of urban social housing. Findings from monitoring and simulation reveal that courtyards work faultlessly as a highly effective and efficient passive cooling system whilst promoting energy efficiency up to 20,5%. Surveys confirmed these findings with data revealing significant improvements in thermal comforts perception inside courtyards and within indoor spaces adjacent to the courtyards. This research provides novel insights into how architects and urban managers might integrate passive strategies into future designs for optimizing comfort levels in social housing using courtyards as one possible environmental measure for achieving sustainability targets.

Analyzing the relationship between air temperature and respiratory morbidity in children and the elderly in Porto Alegre, Brazil, before and during the COVID-19 pandemic

The aim of the study was to analyze the relationship between air temperature data against hospital admissions due to respiratory diseases of children (under five years of age) and the elderly (over 65) in subtropical Porto Alegre, Brazil, comparing outcomes for 3 sequential years, 2018-2020, pre- and post-COVID 19 pandemic. Meteorological and hospital admission (HA) data for Porto Alegre, marked by a Koeppen-Geiger's Cfa climate type with well-defined seasons, were used in the analyses. HA was obtained for respiratory diseases (J00-99, according to the International Classification of Diseases, ICD-10) from the Brazilian DATASUS (Unified Health System database). We performed correlation analysis between variables (HA versus air temperature and heat stress) in order to identify existing relationships and lag effects (between meteorological condition and morbidity). Relative risk (RR) was also obtained for the two age groups during the three years. Results showed that the pandemic year disrupted observed patterns of association between analyzed variables, with either very low or non-existent correlations.

Climate crisis and recent developments in bio-based restoration of ecosystems

Over the years, due to the climate crisis, sustainable economic growth and biodiversity protection have been increasingly promoted. Scientists, researchers, and experts in the field of sustainable development highlighted that bio-based restoration of ecosystems and responsible management of existing resources are needed to meet the needs of future generations. This paper discusses some of the latest developments in three main areas of sustainability, i.e., energy, water and environment, that emerged from the "16th Sustainable Development of Energy, Water and Environment Systems Conference - SDEWES 2021". The purpose of this introduction article is to briefly review the articles included in this Virtual Special Issue. As such, it acts as an editorial paper for the virtual special issue of the Journal of Environmental Management, dedicated to the SDEWES 2021 conference.

Geospatial techniques for monitoring and mitigating climate change and its effects on human health

This article begins by briefly examining the multitude of ways in which climate and climate change affect human health and wellbeing. It then proceeds to present a quick overview of how geospatial data, methods and tools are playing key roles in the measurement, analysis and modelling of climate change and its effects on human health. Geospatial techniques are proving indispensable for making more accurate assessments and estimates, predicting future trends more reliably, and devising more optimised climate change adaptation and mitigation plans.