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• COVID-19 pandemic aside, climate change is the ultimate challenge of our time • There is lack of political thrust to facilitate appropriate climate action • Climate change-induced mortality and morbidity are expected to rise globally • Little time is left to develop and implement mitigation and adaptation strategies COVID-19 pandemic aside, climate change is the ultimate challenge of our time. However, to date, there has been insufficient political thrust to make that much-needed climate action a reality. Infectious diseases represent only one facet of the threats arising from climate change. Direct impacts from climate change include the more frequent occurrence and increased magnitude of extreme weather events, as well as changing temperatures and precipitation patterns. For climate-sensitive infectious diseases, these changes implicate a shift in geographical and temporal distribution, seasonality, and transmission intensity. Susceptibility to the deleterious effects of climate change is a net result of the interplay of not only environmental factors, but also human, societal, and economic factors, with social inequalities being a major determinant of vulnerability. The global South is already disproportionately affected by the climate crisis. The financial capacity to pursue adaptation options is also limited and unevenly distributed. Climate change-induced mortality and morbidity from both infectious and non-infectious diseases, among other adverse scenarios, are expected to rise globally in the future. The coming decade will be crucial for using all remaining opportunities to develop and implement adequate mitigation and adaptation strategies. [ABSTRACT FROM AUTHOR]

Abstract Global sustainability is intertwined with freshwater security. Emerging changes in global freshwater availability have been recently detected as a combined result of human interventions, natural variability and climate change. Expected future socio-economic and climatic changes will further impact freshwater resources. The quantification of the impacts is challenging due to the complexity of interdependencies between physical and socio-economic systems. This study demonstrates a vulnerability based assessment of global freshwater availability through a conceptual framework, considering transient hydro-climatic impacts of crossing specific warming levels (1.5 °C, 2 °C and 4 °C) and related socio-economic developments under high-end climate change (RCP8.5). We use high resolution climate scenarios and a global land surface model to develop indicators of exposure for 25,000 watersheds. We also exploit spatially explicit datasets to describe a range of adaptation options through sensitivity and adaptive capacity indicators according to the Shared Socioeconomic Pathways (SSPs). The combined dynamics of climate and socio-economic changes suggest that although there is important potential for adaptation to reduce freshwater vulnerability, climate change risks cannot be totally and uniformly eliminated. In many regions, socio-economic developments will have greater impact on water availability compared to climate induced changes. The number of people under increased freshwater vulnerability varies substantially depending on the level of global warming and the degree of socio-economic developments, from almost 1 billion people at 4 °C and SSP5 to almost 3 billion people at 4 °C and SSP3. Generally, it is concluded that larger adaptation efforts are required to address the risks associated with higher levels of warming of 4 °C compared to the lower levels of 1.5 °C or 2 °C. The watershed scale and country level aggregated results of this study can provide a valuable resource for decision makers to plan for climate change adaptation and mitigation actions. Highlights • Substantial impacts are avoided at 1.5 °C and 2 °C compared to 4 °C-SSP3. • New projections suggest reduced water stress for northern regions. • The opposite is foreseen for subtropical regions but with large range of responses. • Socioeconomic changes may have greater impact on water availability than climatic. • Larger adaptation efforts are required to address higher end climate change. [ABSTRACT FROM AUTHOR]

Heatwaves have significant adverse effects on human health. The frequency, duration, and intensity of heatwaves are projected to increase dramatically, in the context of global warming. However, there are few comprehensive assessments of the health impact of heatwaves considering different definitions, and their characteristics under climate change scenarios. We aimed to compare future excess mortality related to heatwaves among different definitions under climate change, population, and adaptation scenarios in China and further explore the mortality burden associated with heatwave characteristics. Daily data during 2010–2019 were collected in Guangzhou, China. We adopted nine common heatwave definitions and applied quasi-Poisson models to estimate the effects of heatwaves and their characteristics' impact on mortality. We then projected the excess mortality associated with heatwaves and their characteristics concerning climate change, population, and adaptation scenarios. The relative risks of the nine common heatwave definitions ranged from 1.05 (95% CI: 1.01, 1.10) to 1.24 (95% CI: 1.13, 1.35). Heatwave-related excess mortality will consistently increase in the future decades considering multiple heatwave definitions, with more rapidly increasing rates under the Shared Socioeconomic Path5-8.5 and non-adaptability scenarios. Regarding heatwave characteristics, the intensity is the main factor involved in the threat of heatwaves. The increasing trend of characteristic-related mortality burden is similar to that of heatwaves, and the mortality burden caused by the duration of the heatwaves was the largest among all characteristics. This study provides a comprehensive picture of the impact of heatwaves and their characteristics on public health under various climate change scenarios, population changes, and adaptive assumptions. The results may provide important public health implications for policymakers in planning climate change adaptation and mitigation policies, and implementing specific plans. [ABSTRACT FROM AUTHOR]