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EARTH, WIND, AND FIRE: PUBLIC HEALTH PREPAREDNESS IN A CHANGING CLIMATE
Meredith A. Jagger, MS, MPH
All Hazards Epidemiologist
Oregon Public Health Division
meredith.a.jagger@state.or.us
IT'S NOT YOUR IMAGINATION: PORTLAND SETS WINTER RAINFALL RECORD
http://www.oregonlive.com/wea
ther/index.ssf/2016/02/oh_its_
not_your_imagination_it.html
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Jul 1
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Jul 1
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Dec
6-1
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Dec
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-Jan
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Jan
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Jan
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Jan
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Jan
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-Feb
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Feb
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Feb
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-Mar
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Mar
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-Ap
r 2
Cas
e C
ou
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Week of Symptom Onset
Shigella sonnei Outbreak Cases by Homelessness Status ― Oregon 2015─2016
Homeless
Not homeless
Precipitation
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Jul 1
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Jul 1
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Jul 2
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Au
g 2
-8
Au
g 9
-15
Au
g 1
6-2
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Au
g 2
3-2
9
Au
g 3
0-S
ep
5
Sep
6-1
2
Sep
13
-19
Sep
20
-26
Sep
27
-Oct
3
Oct
4-1
0
Oct
11
-17
Oct
18
-24
Oct
25
-31
No
v 1
-7
No
v 8
-14
No
v 1
5-2
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No
v 2
2-2
8
No
v 2
9-D
ec 5
Dec
6-1
2
Dec
13
-19
Dec
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-26
Dec
27
-Jan
2
Jan
3-9
Jan
10
-16
Jan
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-23
Jan
24
-30
Jan
31
-Feb
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Feb
7-1
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Feb
14
-20
Feb
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-27
Feb
28
-Mar
5
Mar
6-1
2
Mar
13
-19
Mar
20
-26
Mar
27
-Ap
r 2
Cas
e C
ou
nt
Week of Symptom Onset
Not Homeless Cases― Oregon 2015−2016
Not homeless
Precipitation
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l 5-1
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Jul 1
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Jul 2
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Au
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-8
Au
g 9
-15
Au
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6-2
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Au
g 2
3-2
9
Au
g 3
0-S
ep
5
Sep
6-1
2
Sep
13
-19
Sep
20
-26
Sep
27
-Oct
3
Oct
4-1
0
Oct
11
-17
Oct
18
-24
Oct
25
-31
No
v 1
-7
No
v 8
-14
No
v 1
5-2
1
No
v 2
2-2
8
No
v 2
9-D
ec 5
Dec
6-1
2
Dec
13
-19
Dec
20
-26
Dec
27
-Jan
2
Jan
3-9
Jan
10
-16
Jan
17
-23
Jan
24
-30
Jan
31
-Feb
6
Feb
7-1
3
Feb
14
-20
Feb
21
-27
Feb
28
-Mar
5
Mar
6-1
2
Mar
13
-19
Mar
20
-26
Mar
27
-Ap
r 2
Cas
e C
ou
nt
Week of Symptom Onset
Homeless Cases― Oregon 2015─2016
Homeless
Precipitation
http://www.floridahealth.gov/environmental-health/climate-and-health/brace/index.html
Climate Science
Disaster Management
Epidemiology
Attribution of
Extreme Weather
Events in the
Context of Climate
Change
http://www.nap.edu/cat
alog/21852/attribution-
of-extreme-weather-
events-in-the-context-of-
climate-change
SOUTHEAST AND THE CARIBBEANhttp://nca2014.globalchang
e.gov/report/regions/southe
ast
“Sea level rise poses widespread and continuing threats to
the region’s economy and environment. Extreme heat will
affect health, energy, agriculture, and more. Decreased
water availability will have economic and environmental
impacts.”
FLORIDA BUILDING RESILIENCE AGAINST CLIMATE EFFECTS (BRACE) PROGRAM
Priorities: Vulnerability assessment, Florida-specific analysis (retrospective and prospective)
Hazards: Extreme heat, drought, sea-level rise, flooding, wildlandfire, tropical cyclones
Partners: Scientific and planning colleagues, county health departments
FLORIDA BRACE
Climate
Science
Disaster Management Epidemiology
DROUGHT HAZARD, TWO WAYS
12
Florida Division of Emergency Management
Florida Department of Health
NORTHWESThttp://nca2014.globalchang
e.gov/report/regions/northw
est
“Changes in the timing of streamflow reduce water supplies
for competing demands. Sea level rise, erosion, inundation,
risks to infrastructure, and increasing ocean acidity pose
major threats. Increasing wildfire, insect outbreaks, and tree
diseases are causing widespread tree die-off.”
OREGON PREPAREDNESS SURVEILLANCE AND EPIDEMIOLOGY TEAM (PSET)
Priorities: Robust passive surveillance systems, knowledge of active surveillance techniques, continuity of operations
Hazards: Wildfire, winter storms, flooding, extreme heat, earthquakes
Partners: Local public health agencies, healthcare providers
OREGON PSET Climate Science
Disaster Management
Epidemiology
HAZARD VULNERABILITY ASSESSMENT
https://public.health.oregon.gov/Preparedness/Partners/Documents/OHA%208584%20PH%20Hazard%20Vulnerability.pdf
DISCUSSION
Climate Science
Disaster Management
Epidemiology
Meredith A. Jagger, MS, MPH
All Hazards Epidemiologist
Oregon Public Health Division
meredith.a.jagger@state.or.us
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