1. GLOBAL PLATFORM FOR Disaster Risk Reduction Operational Climate services for managing Socio- Economic Risks Linked to the Changing Climate The role of meteorological services in adressing the public health impacts of climate change Lucien Manga Program Manager for Public Heath and Environnement WHO Regional Office for Africa

2. CLIMATE CHANGE: Africa projections scenario +4ºC +2 ºC-20% +20% Temperature Rainfall Source:IPCC AR4 WG1 ch 11

3. Relationships between weather and disease patterns in Kenya AreaStartCessation Wet period Probable health impacts Nyanza/Western Late Sept 2009 Jan/Feb2010 4-5 months Severe Flooding – sanitation problems, clean water, diarrhoeal diseases ( peak period -immediate) N/Eastern, Eastern Early October 2009 End of December 2009 3 months Moderate Flooding – sanitation in Wajir town, vector borne diseases (Malaria,RVF, haemorrhagic fevers) peak transmission Mid NOV/early DEC 2009 Malaria and RVF epidemics likely Rift valley Early Nov 2009 N. Rift – end of Dec 2009 2 months Vector breeding sites– vector borne diseases (malaria) peak transmission end Dec 2009 to - Jan 2010 S Rift - Jan/Feb 3-4 months Mild flooding - vector borne diseases (Malaria RVF) peak transmission end Dec 2009 to - Jan 2010 Malaria epidemics and focalised RVF likely CoastEarly October 2009 End of December 2009 3 monthsModerate Flooding – vector borne diseases peak transmission Mid NOV/early DEC 2009 Localised increase in malaria and filarial transmission especially south coast 11/18/20153

4. Meteorological services in the African public health climate change framework African ministers of health and environment Joint Statement on Climate Change and Health. Essential Public Health Package to enhance climate change resilience in developing countries. Africa moving towards an integrated environment and health surveillance system to predict and prevent public health impacts of climate change. Meteorological services and data are a central component in: – the integrated environment and health surveillance system; –Current health vulnerability assessments –Development of early warning and response systems Meteorological forecast for early warning systems is a MUST in Preparedeness, Readiness and Response.