Vulnerability <strong>and</strong> <strong>Impacts</strong> on Human Development 89surge directly, illness <strong>and</strong> injury during emergency response, <strong>and</strong> mental health effectsduring <strong>and</strong> after an emergency evacuation or other extreme weather events. Longertermhealth implications include potential effects on mental health <strong>and</strong> food supply.Hurricanes <strong>and</strong> floods can lead to st<strong>and</strong>ing water <strong>and</strong> accumulated debris that createnew habitats for mosquitoes <strong>and</strong> other disease-carrying agents like rats or roaches thathumans had less exposure to <strong>and</strong> that were not abundant in that ecosystem before. Illnessalso increases in extreme situations in which local populations have to be housedin large, temporary-living spaces such as the Superdome during <strong>and</strong> after HurricaneKatrina. Existing water sanitation <strong>and</strong> hygiene systems are not generally designed toprovide clean water <strong>and</strong> h<strong>and</strong>le waste under these circumstances. Given the chaos, disruption,dislocation, potential unemployment, <strong>and</strong> general uncertainty during extremeclimatic events, a potential longer-term impact is an increase in mental-health issuesassociated with natural disasters <strong>and</strong> other sources of dislocation, unemployment, orforced migration (Berry, 2010; Portier, 2010).After hurricanes <strong>and</strong> floods, a lack of confidence in fish <strong>and</strong> coastal food supply canaffect both health <strong>and</strong> economic interests. After Hurricane Katrina, consumers had ahard time believing that Gulf of Mexico seafood was safe to eat even though extensivesampling <strong>and</strong> chemical analysis showed that was the case (Hom et al., 2008). A lack ofconsumer confidence in fish <strong>and</strong> food from the sea, such as in the aftermath of HurricaneKatrina, has both human health <strong>and</strong> economic consequences (see S<strong>and</strong>ifer et al., 2012 formore details). Ensuring access to safe food supply from the sea necessitates establishingbaselines <strong>and</strong> trustworthy monitoring <strong>and</strong> evaluation <strong>and</strong> communication tools, especiallyas our habitats <strong>and</strong> ecosystems are impacted by more frequent or severe events.Indirect <strong>Impacts</strong>Water-RELATED ILLNESS. Human-health risks include changes in the concentration,distribution, or virulence of pathogens, biological toxins, <strong>and</strong> chemical contaminantsin our coastal waters. These can directly impact recreational use; drinking-waterquality: the quantity <strong>and</strong> quality of the food supply from coastal waters <strong>and</strong> wetl<strong>and</strong>s;the economic productivity <strong>and</strong> livelihoods of fisheries, tourism, <strong>and</strong> real estate; <strong>and</strong> aesthetic<strong>and</strong> cultural use (Portier, 2010).Pathogens. The capacity of water sanitation <strong>and</strong> hygiene infrastructure is an importantdeterminant of climate-related human-health impacts; for example, combinedsewer overflows (CSOs) occur when rainwater runoff, domestic sewage, <strong>and</strong> industrialwastewater that are collected in the same pipe overflow during heavy precipitation orstorm surge events. Runoff during CSOs can contain pathogen <strong>and</strong> chemical contaminantsthat end up directly in our coastal waters (Fong, 2010). In addition, livestock <strong>and</strong>agricultural feedlots are known sources of coastal pollution that directly affect coastalwater quality <strong>and</strong> recreational use. Water sanitation facilities are another source of pollutant.If the intensity of rainfall or flooding events are expected to increase, then coastalpollution from these sources can be expected to increase as well unless management <strong>and</strong>infrastructure changes are made.Over 40 million Americans in approximately 772 cities rely on combined sewer systemsfor stormwater <strong>and</strong> snowpack runoff as well as untreated domestic <strong>and</strong> industrial
90 <strong>Coastal</strong> <strong>Impacts</strong>, <strong>Adaptation</strong>, <strong>and</strong> <strong>Vulnerabilities</strong>waste management (EPA, 2011). In the Great Lakes, extreme precipitation events mayoverwhelm the combined sewer systems <strong>and</strong> lead to overflow events that can threatenboth human health <strong>and</strong> recreation in the region. Projected increases in heavy rainfall<strong>and</strong> lake water temperatures, in addition to decreased lake levels, would all be expectedto contribute to beach contamination in the future (McLellan, 2007; Patz, 2008).Biological Toxins. Certain species of marine algae are considered harmful, eitherthrough direct consumption or inhalation of aerosolized biological toxins like those thatoccur during Red Tide events in Florida. Harmful algal blooms (HABs) are increasingin frequency, intensity, <strong>and</strong> duration in freshwater <strong>and</strong> marine environments globally(Gilbert, 2005; van Dolah, 2000). The role of climate change in this expansion is unclear<strong>and</strong> the physical <strong>and</strong> biological ocean interactions are extremely complex, but currentresearch indicates that: 1) the range expansion of warm-water species occurs at the expenseof cold-water species that are driven poleward; 2) the seasonal window of growthof some species will increase, leading to earlier <strong>and</strong>, possibly longer <strong>and</strong> more intenseblooms; 3) these changes in the timing <strong>and</strong> location of blooms will have secondary effectsfor marine food webs <strong>and</strong> the transfer of toxins through marine food webs (Hallegraeff,2010). A growing body of literature suggests that the geographic incidence,frequency, <strong>and</strong> intensity of harmful algal blooms are likely to increase in the future as aresult of an anthropogenically changing climate (Moore et al., 2008, 2010, 2011). In thePuget Sound, sea-surface temperatures affect the timing <strong>and</strong> onset of certain harmfulalgae. The window of opportunity for harmful blooms of Alex<strong>and</strong>rium canenella, whichcauses paralytic shellfish poisoning, is likely to shift by up to two months over the nextten years based on climate-driven changes in the coastal ecosystem (Moore, 2010, 2011).Some effects may be seen within the next 30 years <strong>and</strong> perhaps as early as the next decade(Moore et al., 2011). Underst<strong>and</strong>ing algae <strong>and</strong> related biotoxin production will leadto better predictions of risks related to climate change (Moore, 2008).Chemical CONTAMINANTS. Alterations in the timing <strong>and</strong> intensity of storm eventsassociated with climate change are expected to deliver different, <strong>and</strong> in many cases, increasedloadings of chemical contaminants to surface waters (Kundzewicz et al., 2009).These contaminants will be transported downstream <strong>and</strong> enter coastal ecosystems wherethey can be taken up by marine fish <strong>and</strong> shellfish <strong>and</strong> both directly <strong>and</strong> indirectly affectson human health <strong>and</strong> well-being. Dickhoff <strong>and</strong> others (2007) describe many direct risksto human health posed by chemical contamination of seafood. These risks come primarilyfrom persistent <strong>and</strong> bioaccumulative substances such as polychlorinated biphenyls<strong>and</strong> methylmercury. In addition, the presence of contamination can often result in regulatory<strong>and</strong> advisory actions aimed at reducing consumption of seafood from affectedcoastal areas. Because consumption of seafood is generally believed to confer substantialhuman-health benefits, reduced human consumption of seafood presumably has anegative, indirect effect on human health (Dickhoff et al., 2007).Vector-Borne <strong>and</strong> ZOONOTIC DISEASE (VBZD). The incidence of VBZD in theU.S. will likely increase under anticipated climate change scenarios. Efficient vector <strong>and</strong>reservoir life cycles <strong>and</strong> transmission dynamics depend on optimal temperatures, humiditylevels, <strong>and</strong> habitats, including coastal waters <strong>and</strong> shoreline habitats. Changes in
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Chapter 3Lead Author: Carlton H. He
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ContentsKey TermsAcronymsCommunicat
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