Climate Solutions Double as Health Interventions

The climate crisis threatens to exacerbate numerous climate-sensitive health risks, including heatwave mortality, malnutrition from reduced crop yields, water- and vector-borne infectious diseases, and respiratory illness from smog, ozone, allergenic pollen, and wildfires. Recent reports from the Intergovernmental Panel on Climate Change stress the urgent need for action to mitigate climate change, underscoring the need for more scientific assessment of the benefits of climate action for health and wellbeing. Project Drawdown has analyzed more than 80 solutions to address climate change, building on existing technologies and practices, that could be scaled to collectively limit warming to between 1.5° and 2 °C above preindustrial levels. The solutions span nine major sectors and are aggregated into three groups: reducing the sources of emissions, maintaining and enhancing carbon sinks, and addressing social inequities. Here we present an overview of how climate solutions in these three areas can benefit human health through improved air quality, increased physical activity, healthier diets, reduced risk of infectious disease, and improved sexual and reproductive health, and universal education. We find that the health benefits of a low-carbon society are more substantial and more numerous than previously realized and should be central to policies addressing climate change. Much of the existing literature focuses on health effects in high-income countries, however, and more research is needed on health and equity implications of climate solutions, especially in the Global South. We conclude that adding the myriad health benefits across multiple climate change solutions can likely add impetus to move climate policies faster and further.

Family planning and resilience: associations found in a Population, Health, and Environment (PHE) project in Western Tanzania

Using 2016 household survey data from Tanzania, we define and measure resilience within the context of Population, Health, and Environment programming and quantify the link between resilience and family planning. We created a multicomponent model using confirmatory factor analysis in a structural equation modeling context. Factor loadings for eight defined latent factors of resilience were statistically significant (p < 0.001). We created a factor called "FP-MCH" reflecting awareness, attitudes, and access to family planning (FP) and health care services and use of maternal and child health care (MCH) facilities. Analysis, with controls, shows that a 1 standard deviation (SD) increase in FP/MCH was associated with a 0.68 SD increase in resilience (p < 0.01), suggesting that the association between FP/MCH and resilience is robust across a range of factors. Analyses showed that the association between FP/MCH is broadly related to the construct of resilience and not through any single component. This study supports the importance of including FP/MCH as part of integrated projects to enhance resilience.

Livelihood transitions and the changing nature of farmer-herder conflict in Sahelian West Africa

The accommodation of livestock husbandry with crop agriculture is crucial for the future of the West African Sahel. Present trends are leading to greater restrictions on livestock husbandry and a growing convergence of livelihood practices among groups whose identities are tied to herding and farming. Using the cases of four rural communities in Niger, this study adopts an 'access to resources' framework to analyse the causal connections among: rural peoples' livelihood strategies, everyday social relations of production, perceptions of social groups' identities, and the potential for farmer-herder conflict. While the convergence of livelihoods arguably increases the frequency of conflict triggers, it has also, through the expansion of shared common interests and cross-group, production-related relationships, improved the ability of communities to effectively manage these incipient conflicts.

The epidemiology ofMycobacterium bovisinfection in brushtail possums (Trichosurus vulpeculaKerr) in the Hauhungaroa Ranges, New Zealand

The prevalence of Mycobacterium bovis infection in the wild possum population around the perimeter of the Hauhungaroa Ranges, New Zealand, was determined by a cross-sectional study, and risk factors associated with tuberculosis were identified. Of 6083 possums necropsied, 128 (2.1%) showed gross lesions suggestive of tuberculosis infection, and 76 (1.25%) were subsequently confirmed as tuberculous on histopathological examination. Considering only traplines where tuberculosis was detected, adult possums were 1.9 times as likely to be infected as immature animals, and the total prevalence was 5.4% in males compared with 3.9% in females. Adult females were 3.64 times as likely to be infected as immature females, whereas there was no significant age difference for males (odds ratio = 1.46, p=O.29). Immature males were 3.12 times as likely to be infected as immature females. Possums in poor condition were more likely to be found infected than possums in good condition. Tuberculous possums were found in 27 local clusters of infection. The correlation between the prevalence of tuberculosis in possums in zones and the incidence of tuberculosis in cattle on adjoining properties was 0.4 (p<O.05).