1. Climate change and lung health PJ Helms European Respiratory Society University of Aberdeen Scotland UK

2. Lung health and climate change Smog = high temp & High humidity Vegetation change (pollens moulds) Extreme weather events Young and old vulnerable

3. Diseases Asthma Rhinitis and allergies COPD Respiratory infections Lung cancer Comorbidities Environmental factors Air pollution Extreme summer events Extreme winter events Thunderstorms Allergens Lung health and climate change

4. Gilmour MI, et al. How exposure to environmental tobacco smoke, outdoor air pollutants, and increased pollen burdens influences the incidence of asthma. Environ.Health Perspect. 2006;114:627-33. Stach A, et al. Prevalence of Artemisia species pollinosis in western Poland: impact of climate change on aerobiological trends, 1995- 2004. J.Investig.Allergol.Clin.Immunol. 2007;17:39-47. Exposures change as climate changes

5. Children spend more time outside and inhale more air per unit body weight compared to adults, potentially exposing them to higher concentrations of outdoor air pollutants. Children’s Health and the environment in North America Commission for environmental cooperation

6. McConnell R, Berhane K, Gilliland F et al. Asthma in exercising children exposed to ozone: a cohort study. Lancet 2002; 359: 386-391. McConnell R, Berhane K, Gilliland F et al. Prospective study of air pollution and bronchitic symptoms in children with asthma. AJRCCM 2003;168:790-797

7. Exposure can impair lung function development in children and that the carbon content of airway macrophages is related to lung function impairment. Gauderman WJ, et al. The effect of air pollution on lung development from 10 to 18 years of age. N.Engl.J Med 2004;351:1057-67. Kulkarni N,et al. Carbon in airway macrophages and lung function in children 1. N.Engl.J.Med. 2006;355:21-30. Lung health and air pollution

8. Climate change and lung health Acute effects in established lung disease Increased vulnerability in old and young Long term (lifetime) effects Changing exposures with changing ecology Adjuvant effects of pollutants and allergens

9. ERS Mission To alleviate suffering from respiratory disease and to promote lung health through research, knowledge sharing, medical and public education.

11. ELF mission ELF is the public voice of the ERS. Aims to: Share the knowledge and expertise of the ERS with the general public Raise awareness about lung diseases in Europe Provide reliable patient educational material Disseminate lung health information to policy makers and politicians

12. Patient information on the web Internet has become important mass medium for health information and health-care services. European citizens are avid consumers of health- related information on the internet. Quality of information is a important issue for medicine. Serious concerns about quality of many of the sites Number of tools available to rate/grade material.

13. ELF Criteria Credibility Content Design Interactivity Links Overall rating What is essential? What is desirable? Reviewers comments

14. For patients Accurate, up-to-date information on lung diseases from the ERS Links to trusted national lung disease sites Opportunity to post stories and testimonials News items on all lung diseases, specifically scientific studies that may affect patients in the future

16. For politicians/policy makers Information on the risk factors that affect lung health and lung disease (e.g. tobacco, the environment and diet) News from the EU on lung issues Calendar with events in Europe and where the public can play a role Chat forum for discussion on risk factors

17. Factsheets www.environment.european-lung-foundation.org

18. ERS supporting and educating professionals

19. ERS and ELF educating the public The ERS/ELF lung function tent at annual ERS congresses