The effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countries

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dc.contributor.authorScheelbeek, Pauline F. D.en
dc.contributor.authorDangour, Alan D.en
dc.contributor.authorJarmul, Stephanieen
dc.contributor.authorTurner, Graceen
dc.contributor.authorSietsma, Anne J.en
dc.contributor.authorMinx, Jan C.en
dc.contributor.authorCallaghan, Maxen
dc.contributor.authorAjibade, Idowuen
dc.contributor.authorAustin, Stephanie E.en
dc.contributor.authorBiesbroek, Robberten
dc.contributor.authorBowen, Kathryn J.en
dc.contributor.authorChen, Taraen
dc.contributor.authorDavis, Katyen
dc.contributor.authorEnsor, Timen
dc.contributor.authorFord, James D.en
dc.contributor.authorGalappaththi, Eranga K.en
dc.contributor.authorJoe, Elphin T.en
dc.contributor.authorMusah-Surugu, Issah J.en
dc.contributor.authorAlverio, Gabriela Nagleen
dc.contributor.authorSchwerdtle, Patricia Naynaen
dc.contributor.authorPokharel, Pratiken
dc.contributor.authorSalubi, Eunice A.en
dc.contributor.authorScarpa, Giuliaen
dc.contributor.authorSegnon, Alcade C.en
dc.contributor.authorSina, Mariellaen
dc.contributor.authorTempleman, Siennaen
dc.contributor.authorXu, Jirenen
dc.contributor.authorZavaleta-Cortijo, Carolen
dc.contributor.authorBerrang-Ford, Leaen
dc.date.accessioned2022-02-03T17:52:01Zen
dc.date.available2022-02-03T17:52:01Zen
dc.date.issued2021-07-01en
dc.date.updated2022-02-03T17:51:58Zen
dc.description.abstractClimate 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.en
dc.description.versionPublished versionen
dc.format.extent14 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifierARTN 073001 (Article number)en
dc.identifier.doihttps://doi.org/10.1088/1748-9326/ac092cen
dc.identifier.eissn1748-9326en
dc.identifier.issn1748-9326en
dc.identifier.issue7en
dc.identifier.orcidGalappaththi, Eranga [0000-0002-3926-2206]en
dc.identifier.othererlac092c (PII)en
dc.identifier.pmid34267795en
dc.identifier.urihttp://hdl.handle.net/10919/108113en
dc.identifier.volume16en
dc.language.isoenen
dc.publisherIOPen
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000672919700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectclimate change adaptationen
dc.subjectclimate change adaptation responseen
dc.subjectpublic healthen
dc.subjectsystematic reviewen
dc.subjectdata synthesisen
dc.subjectlow- and middle-income countriesen
dc.titleThe effects on public health of climate change adaptation responses: a systematic review of evidence from low- and middle-income countriesen
dc.title.serialEnvironmental Research Lettersen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournalen
dcterms.dateAccepted2021-06-08en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Natural Resources & Environmenten
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/Geographyen
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/Geography/Geography T&R facultyen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Natural Resources & Environment/CNRE T&R Facultyen

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