Knowledge and perception about climate change and human health: findings from a baseline survey among vulnerable communities in Bangladesh

Knowledge, Attitudes, and Practices of Rural Communities Regarding Antimicrobial Resistance and Climate Change in Adadle District, Somali Region, Ethiopia: A Mixed-Methods Study

There is an urgent need for interventions in addressing the rapid and disproportionate impact of antimicrobial resistance (AMR) and climate change (CC) on low- and middle-income countries. Within this context, it is important to understand indigenous knowledge in rural communities, which are highly affected. This study examined knowledge, attitude, and practices (KAP) regarding AMR and CC in the Adadle district, Somali region, Ethiopia, utilizing mixed methods, including 362 surveys and 12 focus group discussions among rural communities. Findings showed that 39% and 63% of participants were familiar with AMR and CC, respectively. Of those surveyed, 57% attributed AMR to inappropriate antimicrobial use in animals and humans, while CC was often associated with Allah/God. Multivariable analysis indicated that males exhibited superior knowledge and a positive attitude towards AMR and CC. Additionally, individuals aged 26-35 and 36-45 years showed heightened awareness of AMR and CC, respectively. Moreover, participants who were government employees, pastoralists, and business owners showed better knowledge on CC compared to family caretaker. Religious education and households with more than six members were linked to lower AMR knowledge. This study underlines a greater awareness of CC than AMR and highlights gender-based disparities, recommending integrated educational AMR programs targeting different demographics through a One Health lens, actively involving females, and incorporating local beliefs and practices.

Perceptions of environmental changes among a climate-vulnerable population from Bangladesh

Effective climate change adaptation requires a thorough understanding of whether and how affected populations perceive climatic and environmental changes. Existing research has been inconclusive regarding the consistency of these perceptions compared to objective meteorological indicators. Moreover, no systematic comparison has been done for the perception of discrete environmental events such as floods or erosion. This study relies on novel panel survey data of approximately 1700 households residing along the Jamuna River in Bangladesh as well as on unique individual-level, satellite-based erosion data. It compares respondents' perceptions of environmental events, namely riverbank erosion, and three climate change indicators, specifically long-term temperature change and changes in precipitation during wet and dry seasons, to objective measurements using satellite imagery and climatic time-series data (CRU TS). I find that long-term temperature change is perceived more accurately than long-term changes in precipitation. Given that educational attainment and climate change literacy among the study population are low, this indicates that global temperature increases are felt even by remote populations who have never heard the term climate change. Erosion is strongly overestimated, especially by those respondents who had been personally affected by it. Since human behavior is guided by perceptions rather than objective data, this has important policy implications, underlining the importance of considering people's perceptions if the goal is to assist them in adapting to environmental changes.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10584-024-03678-6.

Seeking and reaching emergency care: A cross sectional household survey across two Liberian counties

The overwhelming burden of morbidity and mortality from injury and medical conditions requiring acute care are borne by low- and middle-income countries lacking accessible, quality care systems. Current evidence suggests the lack of prehospital care systems likely contributes to this disproportionate burden. As an initial step in a longitudinal, collaborative effort to strengthen the chain of survival for emergency conditions in Liberia, baseline attitudes and behaviors in accessing and utilizing emergency care were characterized. A multistage, proportional, cluster sampling frame was employed to conduct a cross-sectional, community-based survey of 800 households across rural Lofa County and the greater capital (Monrovia) metropolitan area. The primary outcome was facility-based utilization of emergency care within the 12 months prior to survey administration. 43.9% of individuals surveyed reported a visit to an emergency unit in the last year. Multivariable logistic regression revealed increased adjusted odds of facility-based emergency care utilization in households that were low-income, non-English-speaking, lacking electricity, or had a non-durable roof. Among these individuals, 23.6% had sought care from a community health worker, family/friend, clinic, pharmacy, or traditional healer prior. The majority of persons seeking care do so without ambulance services. 34.8% of all households have called a community member for a medical emergency, but 88.9% of survey respondents report no first aid training and cite barriers to rendering aid. This represents the first household survey to assess the perceptions and utilization of emergency care in Liberia. Formal pre-hospital care provision is limited and substantial barriers to emergency care access exist. First aid training and acceptance is lacking, despite frequent reliance on community-based aid during emergencies.

An intergenerational reading of climate change-health concern nexus: a qualitative study of the Millennials' and Gen Z participants' perceptions

BACKGROUND

The study of climate change through a generational lens is meaningful when one considers the distinct attitudes, behaviors, values, and motivations of each generation. Individuals born between 1980 and 1999, referred to as the Millennial Generation (Millennials) and individuals born up to five years before or after 2000, referred to as Generation Z (Gen Z), may differ widely in their views, values, attitudes, and behaviors. This may lead to conflicts between these two cohorts. As Gen Z enters the labor market, their first-level supervisors will be, in many cases, the Millennials, who may view the topic of climate change-health concern nexus very differently than their Gen Z subordinates. Considering the perspectives of each generation may offer insights on how to engage them to act in an environmentally responsible way to counteract climate change effects.

OBJECTIVE

The study reveals similarities and differences in how Millennials and Gen Z perceive the climate change-health concern nexus, which illuminates the understanding of the potential generational conflicts and the critical points where intervention is needed.

METHOD

Interview data from 41 participants were analyzed via thematic analysis using the Quirkos software program. Reporting is in accordance with the COREQ guidelines.

RESULTS

The interview questions elicited responses related to five dimensions: (i) Views of individual and community health; (ii) Knowledge around climate change; (iii) Perceived health impact; (iv) Attitudes towards climate change; (v) Behaviors related to climate change. The findings revealed a set of commonalities and differences in understanding the climate change-health concern nexus between the participants representative of each of the generations examined. One main result is that while most interviewees perceived changes in summer and winter temperatures, they failed to articulate how climate change affected their health.

CONCLUSION

Thematic analysis revealed that the commonalities of views outweigh the differences between the two generations. A relevant remark is that participants can be described rather as "observers" than "players" since they do not tend to see themselves (through their behavior and their contribution) as active participants in the goal to fight climate change. Consequently, both generations undergo what Stephen Gardiner [1] called "intergenerational buck-passing."

Perception of and adaptation to climate change: the case of wheat farmers in northwest Bangladesh

Climate change's impact on crop production is a global concern. A better understanding of farmers' perceptions of climate change and adaptation strategies will benefit farmers and policymakers in outlining an effective adaptation mechanism to climate change. Therefore, this study assessed wheat farmers' perceptions of climate change, identified major adaptation strategies, factors influencing adaptations, and barriers to effective adaptation by surveying 160 wheat farmers in northwest Bangladesh. The results revealed that farmers experienced more frequent droughts due to higher temperatures, decreased and irregular precipitation, reduced ground and surface water availability, and shorter winter seasons over the last two decades. Key adaptation strategies identified were more irrigation, switching to other crops, and changing fertilizer and insecticide usage. Multinomial logit model results indicate that farming experience, access to climate information and extension services, access to subsidies, farm size, family size, and electricity for irrigation were the significant factors influencing farmers' adaptation decisions. Limited access to climate information, inadequate knowledge of appropriate adaptation measures, and low price of wheat represented major adaptation barriers. The study recommends strengthening agricultural research and extension services to farmers, including education and training, to develop effective adaptation strategies to climate change.

Climate change and health risks in Mukuru informal settlement in Nairobi, Kenya - knowledge, attitudes and practices among residents

BACKGROUND

Residents of informal settlements in Sub-Sahara Africa (SSA) are vulnerable to the health impacts of climate change. Little is known about the knowledge, attitudes and practices (KAP) of inhabitants of informal settlements in SSA regarding climate change and its health impacts. The aim of this study was to investigate how inhabitants of an informal settlement in SSA experience climate change and its health impacts and assess related knowledge, attitudes and practices. The study was conducted in Mukuru informal settlement in Nairobi City County, Kenya.

METHODS

A cross-sectional study was conducted in September 2021 using a structured, semi-closed KAP questionnaire. Inclusion criteria were ≥ 18 years of age and living in one of the three main sections in Mukuru: Kwa Njenga, Kwa Reuben or Viwandani. By spinning a pen at the geographic centre of each section, a random direction was selected. Then, in every second household one individual was interviewed, creating a representative mix of ages and genders of the local community. To assess participant characteristics associated with climate change knowledge multivariable logistic regression was used. Thematic content analysis was performed for qualitative responses.

RESULTS

Out of 402 study participants, 76.4% (n = 307) had heard of climate change before the interview, 90.8% (n = 365) reported that climate change was affecting their community, and 92.6% (n = 372) were concerned with the health-related impact of climate change. Having lived in Mukuru for more than 10 years and living in a dwelling close to the riverside were factors significantly associated with having heard of climate change before (aOR 3.1, 95%CI 1.7 - 5.8 and aOR 2.6, 95%CI 1.1 - 6.1, respectively) and experiencing a climate change related impact on the community (aOR 10.7, 95%CI 4.0 - 28.4 and aOR 7.7; 95%CI 1.7 - 34.0, respectively). Chronic respiratory conditions, vector-borne diseases, including infectious diarrhoea, malnutrition and cardiovascular diseases were identified by respondents as climate related health risks.

CONCLUSIONS

Most respondents were knowledgeable about climate change and were experiencing its (health-related) impact on their community. This study provides insights which may prove useful for policy makers, intervention planners and researchers to work on locally adapted mitigation and adaption strategies.

Perceptions of the health impacts of climate change among Canadians

BACKGROUND

Understanding public perceptions of the health risks of climate change is critical to inform risk communication and support the adoption of adaptive behaviours. In Canada, very few studies have explored public understandings and perceptions of climate impacts on health. The objective of this study was to address this gap by exploring perceptions of the link between climate change and health.

METHODS

We conducted a survey of Canadians (n = 3,014) to address this objective. The 116-question survey measured prior consideration of the link between climate change and health, affective assessment of climate health impacts, unprompted knowledge of climate health impacts, and concern about a range of impacts. ANOVA tests were used to assess differences among sociodemographic groups.

RESULTS

Overall, Canadian's have a similar level of concern about health impacts of climate change compared with concern about other impacts (e.g. biophysical, economic, and national security). Among health-related impacts, respondents were more concerned about impacts on water, food and air quality, compared with impacts on mental health, infectious diseases and heat-related illnesses. There were differences among sociodemographic groups; women were significantly more concerned than men about all of the health-related impacts; respondents with a high school level of education were significantly less concerned about all health-related impacts compared with respondents with more education; and respondents on the political left were more concerned with those in the political centre, who were more concerned than those on the political right.

CONCLUSION

There is emerging literature suggesting that framing communication around climate change in terms of the health risks it poses may increase perceptions of the proximity of the risks. These results suggest that it is important to be specific in the types of health risks that are communicated, and to consider the concerns of the target sociodemographic groups. The differential knowledge, awareness, and concern of climate health impacts across segments of the Canadian population can inform targeted communication and engagement to build broader support for adaptation and mitigation measures.

Effects of climate-related risks and extreme events on health outcomes and health utilization of primary care in rural and remote areas: a scoping review

BACKGROUND

Rural populations are at risk of climate-related impacts due to ecological and geographical determinants, potentially leading to greater morbidity and health utilization. They are often highly dependent on primary care services. However, no rural- or primary care specific synthesis of these issues has ever been conducted. This review aimed to identify, characterize, and summarize existing research on the effects of climate-related events on utilization and health outcomes of primary care in rural and remote areas and identify related adaptation strategies used in primary care to climate-related events.

METHODS

A scoping review following PRISMA-ScR guidelines was conducted, examining peer-reviewed English-language articles published up to 31 October 2022. Eligible papers were empirical studies conducted in primary care settings that involved climate-related events as exposures, and health outcomes or utilization as study outcomes. Two reviewers independently screened and extracted relevant information from selected papers. Data were analysed using content analysis and presented using a narrative approach.

RESULTS

We screened 693 non-duplicate papers, of those, 60 papers were analysed. Climate-related events were categorized by type, with outcomes described in terms of primary, secondary, and tertiary effects. Disruption of primary care often resulted from shortages in health resources. Primary care may be ill-prepared for climate-related events but has an important role in supporting the development of community.

CONCLUSIONS

Findings suggest various effects of climate-related events on primary care utilization and health outcomes in rural and remote areas. There is a need to prepare rural and remote primary care service before and after climate-related events.

Climate change awareness and risk perceptions in the coastal marine ecosystem of Palawan, Philippines

Understanding coastal communities' awareness and risk perceptions of climate change impact is essential in developing effective risk communication tools and mitigation strategies to reduce the vulnerability of these communities. In this study, we examined coastal communities' climate change awareness and risk perceptions of climate change impact on the coastal marine ecosystem, sea level rise impact on the mangrove ecosystem and as a factor affecting coral reefs and seagrass beds. The data were gathered by conducting face-to-face surveys with 291 respondents from the coastal areas of Taytay, Aborlan and Puerto Princesa in Palawan, Philippines. Results showed that most participants (82%) perceived that climate change is happening and a large majority (75%) perceived it as a risk to the coastal marine ecosystem. Local temperature rise and excessive rainfall were found to be significant predictors of climate change awareness. Sea level rise was perceived by most participants (60%) to cause coastal erosion and to affect the mangrove ecosystem. On coral reefs and seagrass ecosystems, anthropogenic drivers and climate change were perceived to have a high impact, while marine livelihoods had a low impact. In addition, we found that climate change risk perceptions were influenced by direct experiences of extreme weather events (i.e., temperature rise and excessive rainfall) and climate-related livelihood damages (i.e., declining income). Climate change risk perceptions were also found to vary with household income, education, age group and geographical location. The results suggest that addressing poverty and effectively communicating climate change risks can improve climate change awareness and risk perceptions.

Climate change-related knowledge and attitudes among a sample of the general population in Egypt

Introduction

Identifying the public awareness and risk perception regarding climate change, are fundamental preliminary steps in determining gaps and paving the way for awareness campaigns that address climate change causes and counteraction mitigation measures. However, few studies were conducted in Egypt; thus, the researchers conducted the current cross-sectional study among a sample of the Egyptian population to identify general knowledge and perception about climate change and its effects, as well as attitudes toward mitigation measures.

Methods

An exploratory population-based electronic-open survey, was conducted among 527 members of the general population between January and April 2022, using a convenience sampling technique. A pre-tested 2-page (screen) electronic included three sections: sociodemographic characteristics, global warming/climate change-related knowledge, and attitude toward climate change mitigation.

Results

The average global warming knowledge score was 12 ± 3. More than 70% (71.1%) of the participants were knowledgeable (percentage score >70%). Approximately half of the enrolled participants (48.2%) agreed that everyone is vulnerable to the effects of global warming/climate change. More than three-quarters (78.3%) of the participants agreed that carbon emissions from vehicles and industrial methane emissions were the first factors that contributed to climate change, followed by the ozone holes (731%). Global warming/climate change-related knowledge was statistically higher in participants aged of >30 years, married participants, urban residents, highly educated individuals, and employed individuals (p-value ≤ 0.05). Approximately 80% of the participants agreed that responding to the questionnaire drew their attention to the topic of climate change and its effects. More than two-thirds of those polled agreed that increasing public transportation use could help mitigate the effects of climate change/global warming, followed by the materials used and the direction of construction.

Conclusion

More than two-thirds of the participants were knowledgeable regarding climate change. Social media and the internet were the main sources of information. However, participants need to get the information in a different way that could help in changing their attitude positively toward the issue of climate change mitigation. The current study recommends the need for various initiatives that work should be launched.

Climate change perception in Romania

In the last decades, anthropogenic drivers have significantly influenced the natural climate variability of Earth's atmosphere. Climate change has become a subject of major interest for different levels of our society, such as national governments, businesses, local administration, or citizens. While national and local policies propose mitigation and adaptation strategies for different sectors, public perception is a key component of any implementation plan. This study investigates the CC perception in Romania, based on a national-scale online survey performed in the spring of 2020, aiming to outline the prominence of environmental and CC issues, level of information and interest, perceived causes, changes perceived in meteorological phenomena at the regional scale, perceived impacts, and the psychological representation of the CC. The study investigates single causal factors of perception. We found that particularly (i) the regional differences on climate change intensity strongly bias the perception of CC causes; (ii) age is very likely to influence the acceptance of CC, the importance of environmental issues, and the levels of information and interest; while (iii) age, gender, and place of residence (rural-urban) are very likely to control the changes perceived in the occurrence of various meteorological phenomena, and their impact. This research is the first statistically relevant analysis (± 4%, statistical significance) developed at national and regional scales and the only study of climate change perception performed during the COVID-19 pandemic in Romania. Its results may represent the baseline for more in-depth research.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s00704-022-04041-4.

Awareness of Citizens for the Single-Use Plastics: Comparison between a High-Income and an Upper-Middle-Income Economy of the Easter Mediterranean Region, Greece and Lebanon

Plastics have become an integral part of daily human life for the last 50 years because, due to their durability, low cost and ease of construction, they have replaced many other materials. However, the same characteristics that make plastics particularly desirable are also what make them ubiquitous in the environment, especially as much of the plastic is designed to be discarded almost immediately after use. This study investigates the opinion and behavior concerning the current use of plastics, their end-of-life (recycling) scenario, and the potential for their replacement with more sustainable and biodegradable materials in Greece and Lebanon. The survey was conducted during April and May 2021 in the main cities of the two countries. The data were collected using a structured questionnaire. The questionnaires were analyzed, using simple descriptive statistics, chi-square test and PCA analysis. The results show that even if the respondents of both countries stated significant awareness of environmental issues, they often use single-use plastics. Furthermore, the respondents (in both Greece and Lebanon) say that it would be fair to pay more for products in a package made of biodegradable materials. Finally, the statistical analysis of the results shows that in both Greece and Lebanon, there is a small increase in the use of reusable products during the COVID-19 pandemic compared to before the pandemic.

Detecting Natural Hazard-Related Disaster Impacts with Social Media Analytics: The Case of Australian States and Territories

Natural hazard-related disasters are disruptive events with significant impact on people, communities, buildings, infrastructure, animals, agriculture, and environmental assets. The exponentially increasing anthropogenic activities on the planet have aggregated the climate change and consequently increased the frequency and severity of these natural hazard-related disasters, and consequential damages in cities. The digital technological advancements, such as monitoring systems based on fusion of sensors and machine learning, in early detection, warning and disaster response systems are being implemented as part of the disaster management practice in many countries and presented useful results. Along with these promising technologies, crowdsourced social media disaster big data analytics has also started to be utilized. This study aims to form an understanding of how social media analytics can be utilized to assist government authorities in estimating the damages linked to natural hazard-related disaster impacts on urban centers in the age of climate change. To this end, this study analyzes crowdsourced disaster big data from Twitter users in the testbed case study of Australian states and territories. The methodological approach of this study employs the social media analytics method and conducts sentiment and content analyses of location-based Twitter messages (n = 131,673) from Australia. The study informs authorities on an innovative way to analyze the geographic distribution, occurrence frequency of various disasters and their damages based on the geo-tweets analysis.

Perspectives of Local Community Leaders, Health Care Workers, Volunteers, Policy Makers and Academia on Climate Change Related Health Risks in Mukuru Informal Settlement in Nairobi, Kenya-A Qualitative Study

Sub-Saharan Africa has been identified as one of the most vulnerable regions to climate change. The objective of this study was to explore knowledge and perspectives on climate change and health-related issues, with a particular focus on non-communicable diseases, in the informal settlement (urban slum) of Mukuru in Nairobi, Kenya. Three focus group discussions and five in-depth interviews were conducted with total of 28 participants representing local community leaders, health care workers, volunteers, policy makers and academia. Data were collected using semi-structured interview guides and analyzed using grounded theory. Seven main themes emerged: climate change related diseases, nutrition and access to clean water, environmental risk factors, urban planning and public infrastructure, economic risk factors, vulnerable groups, and adaptation strategies. All participants were conscious of a link between climate change and health. This is the first qualitative study on climate change and health in an informal settlement in Africa. The study provides important information on perceived health risks, risk factors and adaptation strategies related to climate change. This can inform policy making, urban planning and health care, and guide future research. One important strategy to adapt to climate change-associated health risks is to provide training of local communities, thus ensuring adaptation strategies and climate change advocacy.

Perceptions, Vulnerability and Adaptation Strategies for Mitigating Climate Change Effects among Small Livestock Herders in Punjab, Pakistan

Pakistan is an agrarian nation that is among the most vulnerable countries to climatic variations. Around 20% of its GDP is produced by agriculture, and livestock-related production contributes more than half of this value. However, few empirical studies have been conducted to determine the vulnerability and knowledge of livestock herders, and particularly the smaller herders. Comprehending individual perceptions of and vulnerabilities to climate change (CC) will enable effective formulation of CC mitigation strategies. This study intended to explore individual perceptions of and vulnerabilities to CC based on a primary dataset of 405 small livestock herders from three agro-ecological zones of Punjab. The results showed that livestock herders' perceptions about temperature and rainfall variations/patterns coincide with the meteorological information of the study locations. The vulnerability indicators show that Dera Ghazi Khan district is more vulnerable than the other two zones because of high exposure and sensitivity to CC, and lower adaptive capacity. However, all zones experience regular livelihood risks due to livestock diseases and deaths resulting from extreme climatic conditions, lower economic status, and constrained institutional and human resource capabilities, thus leading to increased vulnerability. The results indicate that low-cost local approaches are needed, such as provision of improved veterinary services, increased availability of basic equipment, small-scale infrastructure projects, and reinforcement of informal social safety nets. These measures would support cost-effective and sustainable decisions to enable subsistence livestock herders to adopt climate smart practices.

Sociodemographic Characteristics and Dietary Choices as Determinants of Climate Change Understanding and Concern in Saudi Arabia

Climate change poses a global threat to public health. This study investigated the understanding of, and concern over, climate change in Saudi Arabia and examined the associations with sociodemographic characteristics and dietary choices. This cross-sectional study consisted of 280 participants recruited via an online survey. Of the study participants, 45% demonstrated a sufficient understanding of climate change, and 56% were highly concerned about climate change. Male sex, medium-high monthly income, high education, and governmental employees were determinants of sufficient understanding of and great concern over climate change. Participants who exhibited a high understanding of climate change score demonstrated significantly higher consumption of vegetables (3.47 ± 0.98) and vegetable oils (3.26 ± 1.07) than participants with a low understanding score (3.31 ± 0.96 and 3.00 ± 1.01, respectively) (p ≤ 0.01). Additionally, participants with higher concern of climate change scores exhibited lower consumption of red meat (p = 0.0001), poultry (p = 0.003), margarine (p = 0.02), and soy products (p = 0.04). The study revealed a poor understanding of, but great concern over, climate change. The intake of non-climate-friendly food was typically higher than that of climate-friendly food. These findings are critical for developing strategies to enhance awareness of climate change and encourage people to consume climate-friendly food to mitigate climate change and improve public health.

Gaps in awareness of climate variability and its impacts on society among health professionals and community workers in Vietnam: Implications for COVID-19 and other epidemic response systems

The study presents a cross-sectional analysis via a web-based survey to assess the awareness and experiences of Vietnamese health professionals and community workers on climate and epidemic changes and their impacts on society. Health professionals, medical students, and community workers were included in the survey. Factor analysis was used to explore the construct validity of measures, and Multivariable Tobit regression models were used to examine associated factors with awareness about climate and epidemic changes and impacts on society. Results showed that the awareness of participants about climate and epidemic changes was moderately-low, while the awareness about the impacts on society were moderately high. Community workers show higher awareness of climate and epidemic changes compared to health professionals. People working in provincial levels had a lower score (Coef. = -0.64, 95%CI = -1.19 to -0.09) than those working in central level. Compared to Northern participants, those living in Central and Southern regions have lower awareness scores regarding "Changes in weather and epidemics" and "Changes in the environment" compared to Northern people. The higher awareness about climate and epidemic changes were found to be correlated with the higher awareness of "Impacts on health, society and economy" and "Impact on individuals and families". Community workers scored lower in "Impact on individuals and families" compared to health professionals (Coef.-0.75; 95%CI = -1.34 to -0.16). This study emphasized the vulnerabilities of Vietnamese communities to epidemics and climate change. It suggests the involvements of intersectoral taskforces in the preparedness and responses to climate change and epidemics.

The Dynamics of Public Perceptions and Climate Change in Swat Valley, Khyber Pakhtunkhwa, Pakistan

With rising temperatures, developing countries are exposed to the horrors of climate change more than ever. The poor infrastructure and low adaptation capabilities of these nations are the prime concern of current studies. Pakistan is vulnerable to climate-induced hazards including floods, droughts, water shortages, shifts in weather patterns, loss of biodiversity, melting of glaciers, and more in the coming years. For marginal societies dependent on natural resources, adaptation becomes a challenge and the utmost priority. Within the above context, this study was designed to fill the existing research gap concerning public knowledge of climate vulnerabilities and respective adaptation strategies in the northern Hindukush–Himalayan region of Pakistan. Using the stratified sampling technique, 25 union councils (wards) were selected from the nine tehsils (sub-districts) of the study area. Using the quantitative method approach, structured questionnaires were employed to collect data from 396 respondents. The study reveals varying public perceptions about different factors contributing to the causes and impacts of climate change and the sources of information in the three zones of the study area. The primary causes of climate change are deforestation, industrial waste, anthropogenic impurities, natural causes, and the burning of fossil fuels exacerbated by increased population. Changes in temperature, erratic rainfalls, floods, droughts, receding glaciers, and extreme weather events are some of the impacts observed over the past decades. While limiting the indiscriminate use of fossil fuels combined with government-assisted rehabilitation of forests can help combat climate change, the lack of proper education and economic, social, and governance barriers are hindering the local adaptation strategies. In addition, reduce environmental pollution (air, water, soil, etc.) and plantation polluted areas with suitable plants, are the two main actions in combating climate change. This study recommends policy interventions to enhance local adaptation efforts through building capacity, equipping local environmental institutions, discouraging deforestation, and ensuring sustainable use of natural resources.

Public perceptions of Lyme disease and climate change in southern Manitoba, Canada: making a case for strategic decoupling of climate and health messages

BACKGROUND

Despite scientific evidence that climate change has profound and far reaching implications for public health, translating this knowledge in a manner that supports citizen engagement, applied decision-making, and behavioural change can be challenging. This is especially true for complex vector-borne zoonotic diseases such as Lyme disease, a tick-borne disease which is increasing in range and impact across Canada and internationally in large part due to climate change. This exploratory research aims to better understand public risk perceptions of climate change and Lyme disease in order to increase engagement and motivate behavioural change.

METHODS

A focus group study involving 61 participants was conducted in three communities in the Canadian Prairie province of Manitoba in 2019. Focus groups were segmented by urban, rural, and urban-rural geographies, and between participants with high and low levels of self-reported concern regarding climate change.

RESULTS

Findings indicate a broad range of knowledge and risk perceptions on both climate change and Lyme disease, which seem to reflect the controversy and complexity of both issues in the larger public discourse. Participants in high climate concern groups were found to have greater climate change knowledge, higher perception of risk, and less skepticism than those in low concern groups. Participants outside of the urban centre were found to have more familiarity with ticks, Lyme disease, and preventative behaviours, identifying differential sources of resilience and vulnerability. Risk perceptions of climate change and Lyme disease were found to vary independently rather than correlate, meaning that high climate change risk perception did not necessarily indicate high Lyme disease risk perception and vice versa.

CONCLUSIONS

This research contributes to the growing literature framing climate change as a public health issue, and suggests that in certain cases climate and health messages might be framed in a way that strategically decouples the issue when addressing climate skeptical audiences. A model showing the potential relationship between Lyme disease and climate change perceptions is proposed, and implications for engagement on climate change health impacts are discussed.

Discriminated perceptions of climatic impacts on coastal farm management practices

Agriculture is responsive to weather and climate variability. In addition to the climatic stressors, coastal agriculture is influenced by non-climatic factors. Therefore, understanding farmers' perception of the causes of their changes in farm management plays a key role in motivating them to adopt agricultural adaptations. The aim of this study was to investigate the changes in coastal farm management in Bangladesh over the last decade compared to the previous one. We explored whether the causes of those changes were climatic or non-climatic as perceived by the farmers and the factors that shaped their perceptions. We interviewed 381 farmers sampled from ten subdistricts along the coast of Bangladesh. Descriptive statistics showed that the farmers had changed on average 10 to 11 farm management practices. Though the average value was 67%, a higher number of farmers in the western coastal zone mentioned that climate change had impacts on their farm management. Adoption of rice crop-related adaptations was greater than livestock, fisheries or general agricultural practices. According to the discriminant function analysis, discriminative variables were perception of climatic impacts on farm productivity, climate change awareness, involvement with non-farm jobs, age, education, organizational affiliation, number of changed farm practices, and meteorologically consistent perception of rainfall and temperature. Lessons learned from this research are that the farmers should better understand the link between climate change and farm management practices while motivating them to implement adaptation strategies. This could be achieved by improving farmers' climate change awareness, perceptions of changes in climatic parameters and involvement with farm-related associations.

How do teachers' perceptions of climate change vary in terms of importance, causes, impacts and mitigation? A comparative study in Bangladesh

Since climate change education is an integral element in the increasingly urgent global approach to solving the problem of climate change, understanding perceptions of climate change among teachers in different academic institutions could play a significant role in how and to what extent institutions address the need to educate learners on this subject, specifically, and participate in other climate change mitigation strategies, in general. This study, therefore, examines teachers' perceptions of climate change regarding its significance, causes, consequences, and mitigation, through analysis of a self-administered structured questionnaire completed by 95 teachers from public and private educational institutions in the city of Sylhet in Bangladesh. Results from descriptive and inferential statistical analysis show that public and private school teachers have an understanding of climate change regarding its significance, causes, consequences, and mitigation. The results also reveal that the sociodemographic characteristics of teachers, as well as academic-related factors, influence their perceptions of climate change. This research concludes that teachers in public institutions have a greater awareness and understanding of climate change than those working in private schools. The research findings have broader implications for further research and policy recommendations and, in particular, draw the attention of the Departments of Education and Disaster Management in Bangladesh or in countries with similar contexts to introduce environmental and disaster education and training opportunities for teachers.

Factors Associated with Attitudes and Knowledge of First-Semester College Students toward Climate Change

Despite scientific consensus and educational efforts, approximately 25% of Americans remain unconvinced of anthropogenic climate change (ACC), and significant misconceptions remain. Many studies have assessed adults’ views, but it is important to also understand the perceptions of younger individuals who will deal with the future impacts of ACC. In this study, we aimed to determine first-semester college students’ attitudes toward and knowledge of ACC, which factors are associated with these measures, and whether knowledge scores differ among audience segments. We issued surveys at 19 American universities and received 2355 responses. The surveys contained sections assessing attitudes, knowledge, and demographics. We analyzed the attitudes and knowledge in ordinal and beta regressions. Most (73.6%) of the students were very concerned about ACC, and their average knowledge scores were high (0.89, standard error = 0.003). Attitude and knowledge were associated with a combination of personal and environmental factors. The concerned students had higher scores, suggesting education may be an important mitigation tool.

Climate change impacts and adaptations on health of Internally Displaced People (IDP): An exploratory study on coastal areas of Bangladesh

Every year thousands of people are being displaced in coastal areas of Bangladesh due to natural calamities associated with climate change, known as Internally Displaced Peoples (IDPs). Climate change adaptation measures play a significant role in coping with the alteration of climatic components, while various forms of barriers hinder the sustainability of adaptation. This research was conducted to understand the perception of IDPs on climate change impact on health in the coastal areas of Bangladesh, including the adaptation practices and barriers to the coping strategies. To fulfill the objective, 420 individual surveys were conducted randomly in two Sub-districts of Khulna district in Bangladesh. The findings reveal that the riverbank erosion and cyclones were the primary reasons for displacement, and the social relationships were hampered in the new places of living. Also, the temperature in summer and winter, and the rainfall intensity increased, whereas rainfall slightly decreased over the last ten years. Differences of opinion were identified about the effects of the changing climatic variables on the respondents' health between the previous and present locations. Despite practicing different adaptive strategies, the weak financial condition and a lack of access to health care information are mostly hindering the sustainability of adaptation. This research may help policymakers in taking proper initiatives to ensure sustainable adaptation practices in the coastal areas.

The emergence of carbapenemase blaNDM genotype among carbapenem-resistant Enterobacteriaceae isolates from Egyptian cancer patients

Carbapenem resistance among Enterobacteriaceae is a major concern that is increasingly reported worldwide. The objective of this study is to determine the incidence of carbapenem resistance as well as to investigate for carbapenemase-encoding genes among Enterobacteriaceae clinical isolates from cancer patients at different cancer institutes in Egypt. This determination was a cross-sectional study with a total of 135 clinical isolates collected over a period of 1 year. All isolates were sub-cultured on ChromID agar and subjected to phenotypic and molecular detection of carbapenemases. Most of the Enterobacteriaceae isolates were MDR with high resistance rates against tested antimicrobials. Overall, the results of PCR assays revealed that 89.62% (121/135) of isolates harbored one or more of the carbapenemase-encoding genes, while phenotypic assays revealed the production of carbapenemases in 68.88% (93/135) of isolates. BlastN analysis against the non-redundant genome sequences available in the GenBank database revealed that the blaNDM-1 gene was the most prevalent genotype of carbapenemases in 93/135 (68.88%), followed by blaOXA-48 44/135 (32.59%), blaOXA-23 42/135 (31.11%), and blaKPC-2 2/135 (1.48%). Klebsiella pneumoniae isolates harbored the highest number of carbapenemase-encoding genes 34/121 (28.09%). The high prevalence of carbapenemases and/or their encoding genes among MDR Enterobacteriaceae bacteria in Egypt is alarming, thus, the management of serious infections caused by Enterobacteriaceae, particularly in cancer patients will be challenging to clinicians. Carbapenemase blaNDM genotype is emerging in cancer healthcare settings in Egypt, which could be the cause of the current increase in carbapenemase-producing Enterobacteriaceae.

Comparison between meteorological data and farmer perceptions of climate change and vulnerability in relation to adaptation

How farmers perceive climate change has an influence on how they adapt to climate change. Climate change perception and vulnerability were assessed based on the household survey information collected from randomly selected 118 farmers of Kalapara subdistrict in Bangladesh. This paper identified the socio-economic covariates of climate change perception and vulnerability in relation to agricultural adaptation. It was also determined whether their perception was consistent with meteorological information. Findings revealed that the farmers had a moderate level of perception of and vulnerability to climate change. An overwhelming majority (98%) of the respondents perceived a warmer summer and 96% of them observed a colder winter compared to the past. Among the farmers, 91% believed that rainfall had increased and 97% thought that the timing of rainfall had changed. The belief of increase in soil salinity and associated loss was prevailing among 98 and 99% of them, respectively. Observed climate data were mostly aligned with the farmers' perception with respect to temperature, rainfall, floods, droughts and salinity. Positive correlations were found among the perception of climate change, the perception of vulnerability and the number of adopted adaptation practices. Farmers' level of understanding of climate change, vulnerability and adaptation practices could be improved by involving them in different organizations, such as climate field school and farmer associations. It could accelerate the dissemination of agricultural adaptation practices among them to cope with adverse agricultural impacts of climate change.

Conceptualizations of climate-related health risks among health experts and the public in Ghana

One major area that has gathered public attention in relation to climate change is health risks. Studies into risk perceptions have acknowledged differences between public and expert knowledge. What is less known is how perceptions of climate change related health risk vary between the public and health experts and how these differentiated perceptions are shaped and modified by everyday complex climate change narratives from multiple actors, and contextual ecologies of social and physical spaces. A concurrent mixed-methods approach was used to elucidate climate change knowledge and awareness of climate-related health risks among health experts and the public. Qualitative and quantitative data were collected on community members (n = 927) and health experts (n = 99) in Savelugu-Nanton and Ada East Districts in Ghana. The results showed that both groups were likely to report climate change-related health concerns, of which disease was the top concern. However, differences exist in public and experts' perceptions of climate change health linkage. Community members were less likely to link climate change to health risks compared with health experts (OR = 0.02, p ≤ 0.000). The contrasting climate change health risk perceptions between health experts and the public adds to the literature on the health dimensions of global environmental change. The findings from this study highlight limited knowledge about climate change health related risks among the public. Hence, in building sustainable communities in light of persistent climate change impacts, it is crucial to improve climate change adaptation by implementing climate change sensitization programs. In addition, health infrastructure, decision-making and management should be strengthened for effective response to emerging climate-health risks in Ghana and similar contexts.

The association between temperature, rainfall and humidity with common climate-sensitive infectious diseases in Bangladesh

Bangladesh is one of the world's most vulnerable countries for climate change. This observational study examined the association of temperature, humidity and rainfall with six common climate-sensitive infectious diseases in adults (malaria, diarrheal disease, enteric fever, encephalitis, pneumonia and bacterial meningitis) in northeastern Bangladesh. Subjects admitted to the adult medicine ward of a tertiary referral hospital in Sylhet, Bangladesh from 2008 to 2012 with a diagnosis of one of the six chosen climate-sensitive infectious diseases were enrolled in the study. Climate-related data were collected from the Bangladesh Meteorological Institute. Disease incidence was then analyzed against mean temperature, humidity and average rainfall for the Sylhet region. Statistical significance was determined using Mann-Whitney test, Chi-square test and ANOVA testing. 5033 patients were enrolled (58% male, 42% female, ratio 1.3:1). All six diseases showed highly significant (p = 0.01) rises in incidence between the study years 2008 (540 cases) and 2012 (1330 cases), compared with no significant rise in overall all-cause hospital admissions in the same period (p = 0.19). The highest number of malaria (135), diarrhea (266) and pneumonia (371) cases occurred during the rainy season. On the other hand, the maximum number of enteric fever (408), encephalitis (183) and meningitis (151) cases occurred during autumn, which follows the rainy season. A positive (P = 0.01) correlation was observed between increased temperature and the incidence of malaria, enteric fever and diarrhea, and a negative correlation with encephalitis, meningitis and pneumonia. Higher humidity correlated (P = 0.01) with a higher number of cases of malaria and diarrhea, but inversely correlated with meningitis and encephalitis. Higher incidences of encephalitis and meningitis occurred while there was low rainfall. Incidences of diarrhea, malaria and enteric fever, increased with rainfall, and then gradually decreased. The findings support a relationship between weather patterns and disease incidence, and provide essential baseline data for future large prospective studies.

Health Implications of Climate Change: a Review of the Literature About the Perception of the Public and Health Professionals

PURPOSE OF REVIEW

Through a systematic search of English language peer-reviewed studies, we assess how health professionals and the public, worldwide, perceive the health implications of climate change.

RECENT FINDINGS

Among health professionals, perception that climate change is harming health appears to be high, although self-assessed knowledge is low, and perceived need to learn more is high. Among the public, few North Americans can list any health impacts of climate change, or who is at risk, but appear to view climate change as harmful to health. Among vulnerable publics in Asia and Africa, awareness of increasing health harms due to specific changing climatic conditions is high. Americans across the political and climate change opinion spectra appear receptive to information about the health aspects of climate change, although findings are mixed. Health professionals feel the need to learn more, and the public appears open to learning more, about the health consequences of climate change.

Perception, Knowledge and Behaviors Related to Typhoon: A Cross Sectional Study among Rural Residents in Zhejiang, China

(1) The objective of this study was to assess the risk perceptions, attitudes, knowledge, and behaviors related to typhoon among rural residents in Zhejiang province of China. A cross-sectional study was conducted among rural residents in Zhejiang province, China. Information was collected from 659 participants using a structured questionnaire. Univariate analysis and multivariable analysis were used to analyze the data. Participants were most concerned about property damage, followed by their health and life. Television, short message service (SMS), relatives and friends were the most common information sources. Most people had not been educated with disaster prevention measures. The complementary log–log (CLL) model showed that understanding typhoon warning signal, preparation time, risk perception of health damage and life threat, and fears of typhoon were independent predictors of adoption of coping behaviors. We found that: 1. Residents’ risk perception of health and life threat caused by typhoon is inadequate; 2. There is a gap between residents’ cognition or knowledge and behavior in rural areas; 3. The government should further make strategies to develop educational activities, in order to eliminate the gap and improve the ability of preparing for typhoon among rural residents.