title: Climate change and environmental impacts on maternal and newborn health with focus on Arctic populations.
abstract: BACKGROUND
  In 2007, the Intergovernmental Panel on Climate Change (IPCC) presented a report on global warming and the impact of human activities on global warming. Later the Lancet commission identified six ways human health could be affected. Among these were not environmental factors which are also believed to be important for human health. In this paper we therefore focus on environmental factors, climate change and the predicted effects on maternal and newborn health. Arctic issues are discussed specifically considering their exposure and sensitivity to long range transported contaminants.
  
  
  METHODS
  Considering that the different parts of pregnancy are particularly sensitive time periods for the effects of environmental exposure, this review focuses on the impacts on maternal and newborn health. Environmental stressors known to affects human health and how these will change with the predicted climate change are addressed. Air pollution and food security are crucial issues for the pregnant population in a changing climate, especially indoor climate and food security in Arctic areas.
  
  
  RESULTS
  The total number of environmental factors is today responsible for a large number of the global deaths, especially in young children. Climate change will most likely lead to an increase in this number. Exposure to the different environmental stressors especially air pollution will in most parts of the world increase with climate change, even though some areas might face lower exposure. Populations at risk today are believed to be most heavily affected. As for the persistent organic pollutants a warming climate leads to a remobilisation and a possible increase in food chain exposure in the Arctic and thus increased risk for Arctic populations. This is especially the case for mercury. The perspective for the next generations will be closely connected to the expected temperature changes; changes in housing conditions; changes in exposure patterns; predicted increased exposure to Mercury because of increased emissions and increased biological availability.
  
  
  CONCLUSIONS
  A number of environmental stressors are predicted to increase with climate change and increasingly affecting human health. Efforts should be put on reducing risk for the next generation, thus global politics and research effort should focus on maternal and newborn health.
authors.affiliation: Department of Community Medicine, University of Tromsø, Tromsø, Norway.
authors.forename: Charlotta
authors.initials: C
authors.lastname: Rylander
authors.forename: Jon Ø
authors.initials: JØ
authors.lastname: Odland
authors.forename: Torkjel M
authors.initials: TM
authors.lastname: Sandanger
mesh_terms: D000328:Adult; D000397:Air Pollution / Q000009:adverse effects*; D001110:Arctic Regions; D057231:Climate Change; D004781:Environmental Exposure; D004787:Environmental Pollution / Q000009:adverse effects; D005260:Female; D005506:Food Contamination; D005523:Food Supply / Q000706:statistics & numerical data*; D017752:Greenhouse Effect; D006798:Housing; D006801:Humans; D007229:Infant Welfare; D007231:Infant, Newborn; D008297:Male; D008429:Maternal Welfare; D011247:Pregnancy
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