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The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries

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Title The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries
 
Creator Scheelbeek, Pauline F.D.
Dangour, Alan D
Jarmul, Stephanie
Turner, Grace
Sietsma, Anne J
Minx, Jan C
Callaghan, Max
Ajibade, Idowu
Austin, Stephanie E
Biesbroek, Robbert
Bowen, Kathryn J
Chen, Tara
Davis, Katy
Ensor, Tim
Ford, James D
Galappaththi, Eranga K
Joe, Elphin T
Musah-Surugu, Issah J
Alverio, Gabriela Nagle
Schwerdtle, Patricia N
Pokharel, Pratik
Salubi, Eunice A
Scarpa, Giulia
Segnon, Alcade C
Siña, Mariella
Templeman, Sienna
Xu, Jiren
Zavaleta-Cortijo, Carol
Berrang-Ford, Lea
 
Subject agriculture
food security
climate change
climate change adaptation
public health
 
Description Climate change adaptation responses are being developed and delivered in many parts of the world in the absence of detailed knowledge of their effects on public health. Here we present the results of a systematic review of peer-reviewed literature reporting the effects on health of climate change adaptation responses in low- and middle-income countries (LMICs). The review used the 'Global Adaptation Mapping Initiative' database (comprising 1682 publications related to climate change adaptation responses) that was constructed through systematic literature searches in Scopus, Web of Science and Google Scholar (2013–2020). For this study, further screening was performed to identify studies from LMICs reporting the effects on human health of climate change adaptation responses. Studies were categorised by study design and data were extracted on geographic region, population under investigation, type of adaptation response and reported health effects. The review identified 99 studies (1117 reported outcomes), reporting evidence from 66 LMICs. Only two studies were ex ante formal evaluations of climate change adaptation responses. Papers reported adaptation responses related to flooding, rainfall, drought and extreme heat, predominantly through behaviour change, and infrastructural and technological improvements. Reported (direct and intermediate) health outcomes included reduction in infectious disease incidence, improved access to water/sanitation and improved food security. All-cause mortality was rarely reported, and no papers were identified reporting on maternal and child health. Reported maladaptations were predominantly related to widening of inequalities and unforeseen co-harms. Reporting and publication-bias seems likely with only 3.5% of all 1117 health outcomes reported to be negative. Our review identified some evidence that climate change adaptation responses may have benefits for human health but the overall paucity of evidence is concerning and represents a major missed opportunity for learning. There is an urgent need for greater focus on the funding, design, evaluation and standardised reporting of the effects on health of climate change adaptation responses to enable evidence-based policy action.
 
Date 2021-07-01
2021-08-26T13:17:37Z
2021-08-26T13:17:37Z
 
Type Journal Article
 
Identifier Scheelbeek PFD, Dangour AD, Jarmul S, Turner G, Sietsma AJ, Minx JC, Callaghan M, Ajibade I, Austin SE, Biesbroek R, Bowen KJ, Chen T, Davis K, Ensor T, Ford JD, Galappaththi EK, Joe ET, Musah-Surugu IJ, Alverio GN, Schwerdtle PN, Pokharel P, Salubi EA, Scarpa G, Segnon AC, Siña M, Templeman S, Xu J, Zavaleta-Cortijo C and Berrang-Ford L. 2021. The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries. Environmental Research Letters 16:073001
1748-9326
https://hdl.handle.net/10568/114767
https://doi.org/10.1088/1748-9326/ac092c
 
Language en
 
Rights CC-BY-4.0
Open Access
 
Format 073001
 
Publisher IOP Publishing
 
Source Environmental Research Letters