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4,800
AR6_WGII
1,103
4
Whether adaptation is considered or not, the consensus is Central and South America, southern Europe, southern and Southeast Asia and Africa will be the most affected by climate change in terms of heat-related mortality
high
2
train
4,801
AR6_WGII
1,103
5
Similarly, projections of the impacts of future heat on occupational health, worker productivity and workability point to these regions as problematic under climate change
high
2
train
4,802
AR6_WGII
1,103
6
This accords with the findings from independent projections of population heat exposure as outlined above
high
2
train
4,803
AR6_WGII
1,103
7
The effect of climate change on productivity is projected to reduce GDP at a range of geographical scales
high
2
train
4,804
AR6_WGII
1,103
12
Future increases in heat-related deaths are expected to outweigh those related to cold
high
2
train
4,805
AR6_WGII
1,103
16
Heat risks are expected to be greater in urban areas due to changes in regional heat exacerbated by ‘heat island’ effects
high
2
train
4,806
AR6_WGII
1,103
25
There is a high likelihood that climate change will contribute to increased distributional range and vectorial capacity of malaria vectors in parts of sub-Saharan Africa, Asia and South America
high
2
train
4,807
AR6_WGII
1,104
3
Malaria infections have significant potential to increase in parts of sub-Saharan Africa and Asia, with risk varying according to the warming scenario
medium
1
train
4,808
AR6_WGII
1,105
4
Rising temperatures are likely to cause poleward shifts and overall expansion in the distribution of mosquitoes Aedes aegypti and Aedes albopictus, the principal vectors of dengue, yellow fever, chikungunya and Zika
high
2
train
4,809
AR6_WGII
1,105
10
Climate change is expected to increase dengue risk and facilitate its global spread, with the risk being greatest under high emissions scenarios
high
2
train
4,810
AR6_WGII
1,105
19
Zika virus transmits under different temperature optimums than does dengue, suggesting environmental suitability for Zika transmission could expand with future warming
low
0
train
4,811
AR6_WGII
1,105
20
Climate change can be expected to continue to contribute to the geographical spread of the Lyme disease vector Ixodes scapularis (high confidence) and the spread of tick-borne encephalitis and Lyme disease vector Ixodes ricinus in Europe
medium
1
train
4,812
AR6_WGII
1,105
24
Climate change is projected to increase the incidence of Lyme disease and tick-borne encephalitis in the Northern Hemisphere
high
2
train
4,813
AR6_WGII
1,105
27
Climate change is projected to change the distribution of schistosomiasis in Africa and Asia (high confidence), with a possible increase in global land area suitable for transmission
medium
1
train
4,814
AR6_WGII
1,106
7
Climate change is expected to increase future health risks associated with a range of other WBDs and parasites, with effects varying by region
medium
1
train
4,815
AR6_WGII
1,106
12
The risk of Campylobacteriosis and other enteric pathogens could rise in regions where heavy precipitation events or flooding are projected to increase
medium
1
train
4,816
AR6_WGII
1,106
21
Demographic trends in aging and more vulnerable population are likely to be important determinants of future air quality—a human health climate penalty
high
2
train
4,817
AR6_WGII
1,107
1
Projections indicate that emission reduction scenarios consistent with stabilisation of global temperature change at 2°C or below would yield substantial co-benefits for air quality-related health outcomes (Chowdhury et al., 2018b; von Schneidemesser et al., 2020; Silva et al., 2016c; Markandya et al., 2018; Orru et al., 2019; Shindell et al., 2018)
high
2
train
4,818
AR6_WGII
1,107
21
The burden of disease associated with aeroallergens is anticipated to grow due to climate change
high
2
train
4,819
AR6_WGII
1,109
4
The nutritional density, including protein content, micronutrients and B-vitamins, of wheat, rice, barley and other important food crops is negatively affected by higher CO 2 concentrations
very high
3
train
4,820
AR6_WGII
1,109
15
Climate change impacts on oceans could generate increased risks of ciguatera poisoning in some regions
medium
1
train
4,821
AR6_WGII
1,109
26
However, changes (Hayes and Poland, 2018) in extreme events due to climate change, including floods (Baryshnikova, 2019), droughts (Carleton, 2017) and hurricanes (Kessler et al., 2008; Boscarino et al., 2013, Boscarino et al., 2017; Obradovich et al., 2018), which are projected to increase due to climate change, directly worsen mental health and well-being and increase anxiety
high
2
train
4,822
AR6_WGII
1,110
2
Human behaviours and systems will be disrupted by climate change in a myriad of ways, and the potential consequences for mental health and well-being are correspondingly large in number and complex in mechanism
high
2
train
4,823
AR6_WGII
1,110
7
Broad societal outcomes such as economic unrest, political conflict or governmental dysfunction assessed in Section 7.3.5 may undermine the mental health of populations in the future
medium
1
train
4,824
AR6_WGII
1,110
13
The most common drivers of observed climate- related migration and displacement are extreme storms (particularly tropical cyclones), floods and droughts
high
2
test
4,825
AR6_WGII
1,110
16
In low-lying coastal areas of most regions, future increases in mean sea levels will amplify the impacts of coastal hazards on settlements, including erosion, inland penetration of storm surges and groundwater contamination by salt water, and eventually lead to inundation of very low-lying coastal settlements
high
2
train
4,826
AR6_WGII
1,112
10
Recent evidence adds further support for such conclusions
high
2
train
4,827
AR6_WGII
1,113
5
Future violent conflict risk is highly mediated by socioeconomic development trajectories
high
2
train
4,828
AR6_WGII
1,114
6
As documented across this chapter, there is a large adaptation deficit for health and well-being, with climate change causing avoidable injuries, illnesses, disabilities, diseases and deaths
high
2
train
4,829
AR6_WGII
1,114
8
Current global investments in health adaptation are insufficient to protect the health of populations and communities
high
2
train
4,830
AR6_WGII
1,114
15
There is increased understanding of exposure and vulnerabilities to climate variability and change, the capacities to manage the health risks, the effectiveness of adaptation (including a growing number of lessons learned and best practices), and the co- benefits of mitigation policies and technologies
high
2
train
4,831
AR6_WGII
1,114
16
Effectively preparing for and managing the health risks of climate change requires considering the multiple interacting sectors that affect population health and the effective functioning of health systems
high
2
train
4,832
AR6_WGII
1,114
25
Effective health risk management incorporates the magnitude and pattern of future climate risks as well as potential changes in factors that determine vulnerability and exposure to climate hazards, such as determinants of healthcare access, demographic shifts, urbanisation patterns and changes in ecosystems
very high
3
train
4,833
AR6_WGII
1,116
13
Increased investment in strengthening general health systems, along with targeted investments to enhance protection against specific climate-sensitive exposures (e.g., hazard early warning and response systems and integrated vector control programmes for VBDs) will increase resilience if implemented to at least keep pace with climate change
high
2
train
4,834
AR6_WGII
1,116
14
Investments to address the social determinants of health can reduce inequities and increase resilience
high
2
train
4,835
AR6_WGII
1,118
2
Vulnerability, adaptation and capacity assessments include consideration of the feasibility and effectiveness of priority health adaptation options and can help decision makers identify strategies for enhancing adaptation feasibility in specific contexts.7.4.2.3 Adaptation Options for Vector-borne, Water-borne and Food-Borne Diseases Integrated vector control approaches are crucial to effectively manage the geographic spread, distribution and transmission of VBDs associated with climate change
high
2
train
4,836
AR6_WGII
1,119
6
Adaptation options for climate-related risks for WBDs and FBDs are strongly associated with wider, multi-sectoral initiatives to improve sustainable development in low-income communities
high
2
train
4,837
AR6_WGII
1,119
17
While well-designed and operationalisable HAPs possess the potential to reduce the likelihood of mortality from extreme heat events
medium
1
train
4,838
AR6_WGII
1,119
18
Evaluations of heatwave early warning systems as a component within HAPs show inconsistent results in terms of their impact on predicting mortality rates (Nitschke et al., 2016; Benmarhnia et al., 2016; Heo et al., 2019a; Heo et al., 2019b; Ragettli and Roosli, 2019; Martinez et al., 2019; De’Donato et al., 2018; Weinberger et al., 2018b), indicating climate-based heat warning systems, which use a range of heat stress metrics (Schwingshackl et al., 2021), are not sufficient as a stand-alone approach to heat risk management
high
2
train
4,839
AR6_WGII
1,119
19
To support HAP and heat risk-related policy development, identification and mapping of heat vulnerability ‘hot spots’ within urban areas have been proposed (Chen et al., 2019; Hatvani-Kovacs et al., 2018) A multi-sectoral approach, including the engagement of a range of stakeholders will likely benefit the response to longer-term heat risks through the implementation of measures such as climate- sensitive urban design and planning that mitigates UHI effects
high
2
train
4,840
AR6_WGII
1,121
13
Adaptation actions include access to healthy, affordable diverse diets from sustainable food systems (high confidence); a combination of access to health— including maternal, child and reproductive health— and nutrition services, water and sanitation (high confidence); access to nutrition- sensitive and shock-responsive social protection (high confidence); and early warning systems (high agreement), risk sharing, transfer, and risk reduction schemes such as index-based weather insurance
medium
1
train
4,841
AR6_WGII
1,121
14
Common enablers across adaptation actions that enhance the effectiveness and feasibility of the adaptation include: education, women’s and girls’ empowerment (high confidence), rights-based governance and peacebuilding social cohesion initiatives such as the framework of the Humanitarian Development and Peace Nexus
medium
1
train
4,842
AR6_WGII
1,121
15
Nutrition-sensitive and integrated agroecological farming systems offer opportunities to increase dietary diversity at household levels while building local resilience to climate-related food insecurity
high
2
train
4,843
AR6_WGII
1,124
3
Because mental health is fundamentally inter-twined with social and economic well-being, adaptation for climate-related mental health risks benefits from wider multi-sectoral initiatives to enhance well- being, with the potential for co-benefits to emerge
high
2
train
4,844
AR6_WGII
1,124
7
Adaptive urban design that provides access to healthy natural spaces—an option for reducing risks associated with heat stress—also promotes social cohesion and mitigates mental health challenges
high
2
train
4,845
AR6_WGII
1,124
13
An effective early warning system for malaria was implemented in the Amhara region of Ethiopia (Merkord et al., 2017).Early warning systems are effective at detecting and potentially reducing food security and nutrition risks
high
2
train
4,846
AR6_WGII
1,124
16
Financial investments to develop early warning systems are cost-effective and reduce human suffering (Choularton and Krishnamurthy, 2019)
high
2
train
4,847
AR6_WGII
1,125
16
No universal standardised approach exists for monitoring or evaluating adaptation activities in the health sector
high
2
train
4,848
AR6_WGII
1,125
23
Successful adaptation to the health impacts of climate change in Indigenous Peoples requires recognition of their rights to self-determination, focusing on indigenous conceptualisations of well-being, prioritising Indigenous knowledge and understanding the broader agenda of decolonisation, health and human rights
high
2
train
4,849
AR6_WGII
1,126
8
Climate resilient development pursued in these other sectors, and in cooperation with the health sector, simultaneously increases the potential for adaptation and climate resilience in terms of health and well-being
high
2
train
4,850
AR6_WGII
1,127
6
Efficacy beliefs, social norms and subjective resilience also affect adaptation behaviour
medium
1
train
4,851
AR6_WGII
1,127
19
Subsequent research indicates that the circumstances under which migration occurs and the degree of agency under which household migration decisions are made are important determinants of whether migration outcomes are successful in terms of advancing the well- being of the household and providing benefits to sending and receiving communities
high
2
train
4,852
AR6_WGII
1,128
12
Attitudes of residents in migrant-receiving areas with respect to climate-related migration warrant consideration when formulating adaptation policy
medium
1
train
4,853
AR6_WGII
1,128
23
Disruptive and expensive relocations of low-lying coastal settlements in many regions would become increasingly necessary in coming decades under high levels of warming
high
2
train
4,854
AR6_WGII
1,129
16
Formal institutional arrangements for natural resource management can contribute to transnational cooperation
high
2
train
4,855
AR6_WGII
1,134
10
Recognising that conflict results from underlying vulnerabilities, development that reduces vulnerability offers the best win-win option for building sustainable, climate- resilient peace rather than specific security-focused interventions
high
2
train
4,856
AR6_WGII
1,135
1
Given the overlap in sources of greenhouse gases (GHGs) and co-pollutants in energy systems, strategies that pursue GHG emission reductions and improvements in energy efficiency hold significant potential health co-benefits through air pollution emission reductions
high
2
train
4,857
AR6_WGII
1,135
10
Transitioning to affordable clean energy sources for all presents opportunities for substantial well-being, health, and equity co-benefits
high
2
train
4,858
AR6_WGII
1,135
17
Transformative approaches that reduce climate-related risks and deliver enhanced social inclusion and development opportunities for the urban poor are most likely where local governments act in partnership with local communities and other civil society actors
high
2
train
4,859
AR6_WGII
1,135
19
Multi-level leadership, institutional capacity and financial resources to support inclusive adaptation in the context of multiple pressures and inter-connected risks can help ensure that the additional 2.5 billion people projected to live in urban areas by 2050 are less exposed to climate-related hazards and contribute less to global warming
high
2
train
4,860
AR6_WGII
1,135
22
Stimulating active mobility (walking and bicycling) can bring physical and mental health benefits
high
2
train
4,861
AR6_WGII
1,136
2
Urban green and blue spaces contribute to climate change adaptation and mitigation and improve physical and mental health and well-being
high
2
train
4,862
AR6_WGII
1,136
7
Climate adaptation and mitigation policies in the building sector offer multiple well-being and health co-benefits
high
2
train
4,863
AR6_WGII
1,136
11
Shifting to sustainable food systems that provide affordable, diverse and plant-rich diets with moderate quantities of GHG-intensive animal protein can bring health co-benefits and substantially reduce GHG emissions, especially in high income countries and where ill health related to overconsumption of animal-based products is prevalent
very high
3
train
4,864
AR6_WGII
1,136
12
Transforming the food system by limiting the demand for GHG-intensive animal foods, reducing food over-consumption and transitioning to nutritious, plant-rich diets can have significant co-benefits to health
high
2
train
4,865
AR6_WGII
1,185
2
These impacts disproportionately affect margin- alised groups, amplifying inequalities and undermining sustainable development across all regions
high
2
train
4,866
AR6_WGII
1,185
6
Climate change increases the threat of chronic and sudden onset development challenges, such as poverty traps and food insecurity
high
2
train
4,867
AR6_WGII
1,185
7
Adaptation interventions and transformative solutions that prioritise inclusive and wide-ranging climate resilient development and the reduction of poverty and inequality are increasingly seen as necessary to minimise loss and damage from climate change
high
2
train
4,868
AR6_WGII
1,185
9
Observed average mortality from floods, drought and storms is 15 times higher for regions and countries ranked as very high vulnerable, such as Mozambique, Somalia, Nigeria, Afghanistan and Haiti compared to very low vulnerable regions and countries, such as UK, Australia, Canada and Sweden in the last decade
high
2
train
4,869
AR6_WGII
1,185
10
Over 3.3 billion people are living in countries classified as very highly or highly vulnerable, while around 1.8 billion people live in countries with low or very low vulnerability
high
2
train
4,870
AR6_WGII
1,185
11
Approximately 3.6 billion people live in low and lower middle-income countries, which are most vulnerable and disproportionally bear the human costs of dis- asters due to extreme weather events and hazards
high
2
train
4,871
AR6_WGII
1,185
13
Vulnerability is a result of many interlinked issues concerning poverty, migration, in- equality, access to basic services, education, institutions and govern- ance capacities, often made more complex by past developments, such as histories of colonialism
high
2
train
4,872
AR6_WGII
1,185
22
If future climate change under high emissions scenarios continues and increases risks, without strong adaptation measures, losses and damages will likely2 be concentrated among the poorest vulnerable populations
high
2
train
4,873
AR6_WGII
1,185
25
Under an inequality scenario (Shared Socioeconomic Pathway (SSP) 4) the projected number of people living in extreme poverty may increase by 122 million by 2030
medium
1
train
4,874
AR6_WGII
1,185
28
Gender inequality and discrimination are among the barriers to adaptation
high
2
train
4,875
AR6_WGII
1,185
31
Even with moderate climate change3 people in vulner - able regions will experience a further erosion of livelihood security that can interact with humanitarian crises, such as displacement and forced migration (high confidence) and violent conflict, and lead to social tipping points
medium
1
train
4,876
AR6_WGII
1,185
34
The most vulnerable regions are particularly located in East, Central and West Africa, South Asia, Micronesia and Melanesia and in Central America
high
2
train
4,877
AR6_WGII
1,185
36
Areas of high human vulnerability are characterised by larger transboundary regional clusters
high
2
train
4,878
AR6_WGII
1,186
1
Greater investments are required under higher levels of global warming and of inequality (Relative Concentration Pathway (RCP) 4.5; RCP8.5 and SSP4)
high
2
train
4,879
AR6_WGII
1,186
3
The COVID-19 pandemic is expected to increase the adverse consequences of climate change since the financial consequences have led to a shift in priorities and constrain vulnerability reduction
medium
1
train
4,880
AR6_WGII
1,186
4
Moreover, the COVID-19 pandemic is also influencing the capacities of governmental institutions in developing nations to support planned adaptation and poverty reduction of most vulnerable people/groups, since the crisis also means significant reductions in tax revenues
high
2
train
4,881
AR6_WGII
1,186
6
Enabling environments that sup- port sustainable development are essential for adaptation and climate resilient development
high
2
train
4,882
AR6_WGII
1,186
7
Enabling and supportive environments for adaptation share common governance characteristics, including multiple actors and assets, multiple centres of power at different levels and an effective vertical and horizontal integration between levels
high
2
test
4,883
AR6_WGII
1,186
8
Enabling conditions can support livelihood strategies that do not undermine human well-being
medium
1
train
4,884
AR6_WGII
1,186
10
Improving coherence between adaptations of different social groups and sectors at different scales can reduce maladaptation, enable mitigation and advance progress towards climate resilience
medium
1
train
4,885
AR6_WGII
1,186
13
Climate justice and rights-based approaches are increasingly recognised as key principles within mitigation and adaptation strategies and projects
medium
1
train
4,886
AR6_WGII
1,186
14
Narrowing gender gaps can play a transformative role in pursuing climate justice
medium
1
train
4,887
AR6_WGII
1,186
16
Synergies between adaptation and mitigation exist, and these can have benefits for the poor
medium
1
train
4,888
AR6_WGII
1,186
19
Appropriate governance, in- cluding mainstreaming and policy coherence, supported by adaptation finance that targets the poor and marginalised, is essential for adaptation and climate compatible development
medium
1
train
4,889
AR6_WGII
1,189
11
Recent research shows that climate change impacts may exacerbate poverty indirectly through increasing cost of food, housing and healthcare, among other rising costs borne by the poor (Islam et al., 2014; Ebi et al., 2017; Hallegatte et al., 2018)
high
2
train
4,890
AR6_WGII
1,189
16
One of the key factors that drives disproportionate impacts among poor households globally is lost agricultural income
high
2
train
4,891
AR6_WGII
1,189
22
Figure 8.2 reflects the fundamental threat that climate hazards pose to the survival of plants, livestock and fish, as well as the people on which livelihoods depend
high
2
train
4,892
AR6_WGII
1,189
25
It is revealed that warming trends and droughts pose greatest risks to the widest array of livelihood resources, and are particularly detrimental to crops and human health, a long-term requirement for livelihoods and well-being
high
2
train
4,893
AR6_WGII
1,190
1
Salinity is a secondary hazard related to droughts, coastal flooding and sea level rise, and poses a fundamental risk to agriculture
high
2
train
4,894
AR6_WGII
1,190
2
There is also robust evidence for rainfall variability driving short-term impacts to agricultural productivity as well as permanent loss of agriculture
high
2
train
4,895
AR6_WGII
1,191
3
The hazards most prevalent in all regions include warming trends, droughts and sea level rise (Figure 8.2c), and undermine crop productivity, crop varieties, and cropland in most regions
high
2
train
4,896
AR6_WGII
1,191
4
Along coastlines, climate hazards threaten livelihoods particularly exposed to extreme weather, flooding and sea level rise, and where poor populations are heavily dependent on agriculture and fisheries
high
2
train
4,897
AR6_WGII
1,191
28
Increasingly, intersections of age, gender, socioeconomic class, ethnicity and race are recognised as important to the climate risks and differential impacts and losses experienced by vulnerable, marginal and poor in societies
high
2
train
4,898
AR6_WGII
1,193
4
Migration and displacement are directly induced by the impacts of climate change
high
2
train
4,899
AR6_WGII
1,196
15
First, climate change impacts may undermine progress toward various SDGs
medium
1
train