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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.

Publication ,  Journal Article
Scheelbeek, PFD; Dangour, AD; Jarmul, S; Turner, G; Sietsma, AJ; Minx, JC; Callaghan, M; Ajibade, I; Austin, SE; Biesbroek, R; Bowen, KJ ...
Published in: Environmental research letters : ERL [Web site]
July 2021

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.

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Published In

Environmental research letters : ERL [Web site]

DOI

EISSN

1748-9326

ISSN

1748-9326

Publication Date

July 2021

Volume

16

Issue

7

Start / End Page

073001

Related Subject Headings

  • Meteorology & Atmospheric Sciences
 

Citation

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Chicago
ICMJE
MLA
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Scheelbeek, P. F. D., Dangour, A. D., Jarmul, S., Turner, G., Sietsma, A. J., Minx, J. C., … 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 : ERL [Web Site], 16(7), 073001. https://doi.org/10.1088/1748-9326/ac092c
Scheelbeek, Pauline F. D., Alan D. Dangour, Stephanie Jarmul, Grace Turner, Anne J. Sietsma, Jan C. Minx, Max Callaghan, et al. “The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries.Environmental Research Letters : ERL [Web Site] 16, no. 7 (July 2021): 073001. https://doi.org/10.1088/1748-9326/ac092c.
Scheelbeek PFD, Dangour AD, Jarmul S, Turner G, Sietsma AJ, Minx JC, et al. The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries. Environmental research letters : ERL [Web site]. 2021 Jul;16(7):073001.
Scheelbeek, Pauline F. D., et al. “The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries.Environmental Research Letters : ERL [Web Site], vol. 16, no. 7, July 2021, p. 073001. Epmc, doi:10.1088/1748-9326/ac092c.
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, Berrang-Ford L. The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries. Environmental research letters : ERL [Web site]. 2021 Jul;16(7):073001.
Journal cover image

Published In

Environmental research letters : ERL [Web site]

DOI

EISSN

1748-9326

ISSN

1748-9326

Publication Date

July 2021

Volume

16

Issue

7

Start / End Page

073001

Related Subject Headings

  • Meteorology & Atmospheric Sciences