1. Public Health Impacts of Climate Change in Maine Dr. Dora Anne Mills, MD, MPH Director, Maine Center for Disease Control

2. ↑ Precipitation CLIMATE CHANGE ↑ Air temperatures Warmer winters Hotter summers More heat waves ↑ Heat-related morbidity and mortality ↑ Water temperatures ↑ Vector-borne diseases (Lyme, EEE, West Nile) ↑ Frequency of severe storms, flooding ↑ Pollen, Ozone ↑ Algal blooms (Red tide, cyanobacteria) ↑ Frequency of waterborne disease outbreaks (crypto, E. coli, giardiasis) ↑ Asthma

3. Vector Borne Disease Lyme Disease Eastern Equine Encephalitis West Nile Virus

4. Lyme Disease in Maine Lyme Disease Incidence in Maine has been Increasing

5. Lyme Disease in Maine 2009 2008 2007 2006 2005 2004 Lyme Disease is becoming more widespread in Maine

6. Eastern Equine Encephalitis First identified in ME in 2005 One horse death and one human death (a visitor to Maine) in 2008 15 horses, 1 llama, 3 flocks of pheasants, and 2 mosquito pools diagnosed with EEE in 2009 Horses in a field, Biddeford, ME Image: dinidesign, Flickr Mosquito. Image: Maine-CDC

7. Eastern Equine Encephalitis Positive Animals 2009 2008 2007 2006 2005 2004

8. West Nile Virus No human cases identified in Maine Bird monitoring – ended in 2007 Mosquito monitoring Mosquito. Image: Maine-CDC

9. West Nile Virus Positive Birds 2005 2004 2003 2006 2001 2002

10. Heat Related Morbidity

11. Air Pollution

12. Daily percent change in ED asthma-related visits for Greater Portland HSA area for 10 ppb change In ozone levels 9% 14% 16% -10% 6% -30% -20% -10% 0% 10% 20% 30% 40% 2000 (4) 2001 (14) 2002 (17) 2003 (5) 2000-2003 % change in ED Visits, per 10 ppb Ozone

13. Severe storms & flooding

14. Harmful Algal Blooms

15. Public Health Infrastructure Eight Public Health Districts  28 Healthy Maine Partnerships

16. Adapting to Climate Change It's not enough to be busy. The question is: What are we busy about? - Henry David Thoreau