Environmental health indicators of climate change for the United States: findings from the State Environmental Health Indicator Collaborative.
OBJECTIVE
To develop public health adaptation strategies and to project the impacts of climate change on human health, indicators of vulnerability and preparedness along with accurate surveillance data on climate-sensitive health outcomes are needed. We researched and developed environmental health indicators for inputs into human health vulnerability assessments for climate change and to propose public health preventative actions.


METHODS
We conducted a review of the scientific literature to identify outcomes and actions that were related to climate change. Data sources included governmental and nongovernmental agencies and the published literature.


METHODS
Sources were identified and assessed for completeness, usability, and accuracy. Priority was then given to identifying longitudinal data sets that were applicable at the state and community level.


RESULTS
We present a list of surveillance indicators for practitioners and policy makers that include climate-sensitive health outcomes and environmental and vulnerability indicators, as well as mitigation, adaptation, and policy indicators of climate change.


CONCLUSIONS
A review of environmental health indicators for climate change shows that data exist for many of these measures, but more evaluation of their sensitivity and usefulness is needed. Further attention is necessary to increase data quality and availability and to develop new surveillance databases, especially for climate-sensitive morbidity.
English
Paul B
PB
Center for Chronic Disease Prevention and Health Promotion, California Department of Public Health, Richmond, California 94804, USA. penglish@dhs.ca.gov.
Sinclair
Amber H
AH
Ross
Zev
Z
Anderson
Henry
H
Boothe
Vicki
V
Davis
Christine
C
Ebi
Kristie
K
Kagey
Betsy
B
Malecki
Kristen
K
Shultz
Rebecca
R
Simms
Erin
E
D000064:Acclimatization; D002980:Climate; D004782:Environmental Health; D006291:Health Policy; D006305:Health Status Indicators; D006801:Humans; D011634:Public Health / Q000379:methods; D018570:Risk Assessment / Q000379:methods; D014481:United States