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Module


                        Exposure       Impacts on human well-being    Sensitivities, limited capacities
                                       and environment            and pressures contributing to the impacts

                        Emergence of       ? Changes in disease and     ? Land use changes that increase habitat
                        new or more       vector ecology and        for disease vectors
                        virulent strains of    transmission pathways     ? Crowding
                        infectious        altered by changing        ? Drug resistance
                        disease           climate
                        More               ? Changes in climate that     ? International migration, travel trade
                        frequent but      moderately increase        ? Water storage and sanitation practices
                        geographically-    exposures by expanding      ? Poor programs for disease surveillance,   Abu Dhabi, UAE
                        and temporally-   endemic areas and seasons   vector control and disease prevention
                        limited epidemics                            ? Declining quality and increasing cost of
                        with high or                                health care
                        moderate
                        mortality
                        Increase
                        in number
                        of infectious
                        disease cases
                        and mortality in
                        endemic areas
                        and seasons

                        More               ? Altered disease and vector     ? Limited access to health care
                        frequent but      ecology and transmission     ? Lacking effective disease surveillance,
                        geographically    pathways                  vector control and disease prevention
                        and temporally     ? Moderate increase       ? Malnutrition
                        limited epidemics   exposures by expanding
                        that are not life   endemic areas and seasons     ? Limited access to potable water and
                        threatening with                            sanitation
                        no mortality


                                                                       Source: Leary and Kulkarni, 2007 (selected)






                   Finally, there is a very strong relationship between exposure to climate impacts and adaptive capacities
                   and overall ecosystem degradation. Specifically, climate change exacerbates ecosystem degradation (i.e.,
                   land-cover change, over-exploitation, pollution) causing substantial  changes in ecosystems structure
                   and function so they are no longer able to provide ecosystems services such as fresh water, coastal
                   flood protection and erosion control. On the other hand, ecosystem degradation often triggers more
                   disasters and reduces nature’s and people’s capacities to withstand impacts of climate change and
                   disasters because degradation is limiting ecosystems, abilities to provide buffers against floods, heavy
                   rain and sea-level rise (UNEP, 2009).





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