1. QUESTION: IS THE INTERVAL 12 YEARS OR 12 MONTHS? Answer At the End…

2. Public Health Preparedness: Climate (Change) and Public Health George T. DiFerdinando, Jr., MD, MPH Director, NJ Center for Public Health Preparedness (CPHP) at UMDNJ Co-PI, NY-NJ Preparedness and Emergency Response Learning Center (PERLC)

6. Looking North on Rt. 23 - McDonald’s Beach on left 8-29-11

7. Pompton Lakes Flood Gates 8-29-11 Maroon Kia CVS

8. Looking North on Rt. 23 at Jackson Ave Virginia Plaza 8-29-11

9. Looking Southeast over Virginia Plaza at Rt 23 & Jackson Ave. Intersection 8-29-11

10. A&P on Rt. 23 North 8-29-11

14. Extreme Heat An extreme heat event is characterized by weather that is substantially hotter and/or more humid for a particular location at a particular time Extreme Heat Events 14

15. Extreme Heat Extreme heat events can cause:  Heat tetany (hyperventilation)  Heat rash  Heat cramps  Heat exhaustion  Heat edema (swelling)  Heat syncope (fainting)  Heat stroke  Death 15

16. Extreme Heat Risk Factors  Lack of air conditioning in home  Low socioeconomic status  Living in urban areas  Living in topmost floor of a dwelling  Living in nursing homes or being bedridden  Living alone or a lack of social or family ties  Prolonged sun exposure  Drinking alcohol  Exercising outside on warm days 16

17. Extreme Heat Vulnerable Populations  Everyone  Elderly persons 65 years and older  Especially those who live alone  Children  Persons with pre-existing disease conditions  Persons taking certain medications  Athletes  Outdoor workers  Homeless 17

18. Urban Heat Islands Higher temperatures in urban areas relative to surrounding suburban and rural areas can be caused by: Reduced vegetation and green space Heat-absorbing surfaces, such as pavement Heat-reflecting surfaces, including many building materials Skyscrapers obstructing free air flow 18 Images from the Metropolitan Design Center Image Bank. Used with permission.

23. The Competency Project Mandated by the Pandemic and All-Hazards Preparedness Act (PAHPA) Partnership of Association of Schools of Public Health (ASPH) and Centers for Disease Control and Prevention (CDC) effort Finished in Dec 2010 – “In Effect”

24. 1:Model Leadership 1.1 Solve problems under emergency conditions. 1.2 Manage behaviors associated with emotional responses in self and others. 1.3 Facilitate collaboration with internal and external emergency response partners. 1.4 Maintain situational awareness. 1.5 Demonstrate respect for all persons and cultures. 1.6 Act within the scope of one's legal authority

25. 2: Communicate and Manage Information 2.1 Manage information related to an emergency. 2.2 Use principles of crisis and risk communication. 2.3 Report information potentially relevant to the identification and control of an emergency through the chain of command. 2.4 Collect data according to protocol. 2.5 Manage the recording and/or transcription of data according to protocol.

26. 3: Plan for and Improve Practice 3.1 Contribute expertise to a community hazard vulnerability analysis (HVA) 3.2 Contribute expertise to the development of emergency plans 3.3 Participate in improving the organization’s capacities (including, but not limited to programs, plans, policies, laws, and workforce training). 3.4 Refer matters outside of one's scope of legal authority through the chain of command.

27. 4: Protect Worker Health and Safety 4.1 Maintain personal/family emergency preparedness plans. 4.2 Employ protective behaviors according to changing conditions, personal limitations, and threats. 4.3 Report unresolved threats to physical and mental health through the chain of command.

29. RESOURCES Reports, Trainings, and Webinars

33. QUESTION: IS THE INTERVAL 12 YEARS OR 12 MONTHS? Recall the 1999 (Andrew), 2011 (Irene), 2012 (Sandy), …

35. Questions diferdge@umdnj.edu 732-235-9039

36. Best Basics Minnesota Department of Health Climate and Health Home - http://www.health.state.mn.us/divs/climatechan ge/index.html http://www.health.state.mn.us/divs/climatechan ge/index.html Climate Change 101 – Under Development http://www.health.state.mn.us/divs/climatechan ge/climate101.html http://www.health.state.mn.us/divs/climatechan ge/climate101.html Resources - http://www.health.state.mn.us/divs/climatechan ge/resources.html http://www.health.state.mn.us/divs/climatechan ge/resources.html

37. National Efforts – CDC Climate and Health Program - http://www.cdc.gov/climateandhealth/ http://www.cdc.gov/climateandhealth/ Building Resilience Against Climate Effects (BRACE) Framework - http://www.cdc.gov/climateandhealth/BRACE.ht m http://www.cdc.gov/climateandhealth/BRACE.ht m CDC Climate Ready States - http://www.cdc.gov/climateandhealth/climate_r eady.htm http://www.cdc.gov/climateandhealth/climate_r eady.htm

38. National Efforts - APHA Climate Change Guide Book - http://www.apha- environment.org/pdf/APHA_ClimateChg_guideb ook.pdfhttp://www.apha- environment.org/pdf/APHA_ClimateChg_guideb ook.pdf Climate Change Webinar Series Part 1 - http://www.apha.org/advocacy/reports/webinar s/climatewebinars.htm http://www.apha.org/advocacy/reports/webinar s/climatewebinars.htm Climate Change Webinar Series Part 2 - http://www.apha.org/advocacy/reports/webinar s/series2.htm http://www.apha.org/advocacy/reports/webinar s/series2.htm

39. National Efforts – Other NRDC - http://www.nrdc.org/health/climate/http://www.nrdc.org/health/climate/ NIEHS – A Human Health Perspective on Climate Change - http://www.niehs.nih.gov/health/assets/docs_a _e/climatereport2010.pdf http://www.niehs.nih.gov/health/assets/docs_a _e/climatereport2010.pdf EPA - http://www.epa.gov/climatechange/http://www.epa.gov/climatechange/

40. Regional/State Efforts NYS DEC – Climate Change Assessment http://www.dec.ny.gov/60.html http://www.dec.ny.gov/60.html PA - Climate Change Advisory Committee - http://www.portal.state.pa.us/portal/server.pt/com munity/climate_change_advisory_committee/10412 http://www.portal.state.pa.us/portal/server.pt/com munity/climate_change_advisory_committee/10412 NYC - Climate Adaptation in NYC – NYAS - http://onlinelibrary.wiley.com/doi/10.1111/nyas.201 0.1196.issue-1/issuetoc http://onlinelibrary.wiley.com/doi/10.1111/nyas.201 0.1196.issue-1/issuetoc NJ - Global Climate Change Site - http://www.state.nj.us/nj/green/global/ http://www.state.nj.us/nj/green/global/ NJ - NJ Climate Adaptation Alliance - http://climatechange.rutgers.edu/njadapt.html http://climatechange.rutgers.edu/njadapt.html