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Appendix A: Compilation of Committee Member Comments
Pages 41-58

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From page 41...
... While reductions are addressed in some passages (e.g., cold extremes) , the report does not attempt an overall estimate of harm versus benefit of climate change and does not make an explicit effort to explore all potential health benefits of climate change.
From page 42...
... 8 P26/L20 Authors should consider the possibility that heat waves could become more humid, with subsequent greater impacts on human health. 9 P26/L20- It may be helpful to mention dust storms or dust events due to climate 22 change.
From page 43...
... 31 21 P37-38 This may be a standard way in climate change literature, but it is really a qualitative estimate of uncertainty to be associated with a quantitative statement .
From page 44...
... CHAPTER 3: AIR QUALITY IMPACTS Comment # Page/line Comment 26 P89 Include PM in the discussion of the harmful effects of poor air quality. 27 P89/L28 Unbold "." after "…2009)
From page 45...
... " after "… relative abundance of disease carrying hosts"
From page 46...
... P Wormser, 1999: Temporal relation between Ixodes scapularis abundance and risk for Lyme disease associated with erythema migrans.
From page 47...
... 57 P137/L6 Question about citations: "…secondary to existing socioeconomic vulnerabilities…" As written this sentence implies that the citations refer to climate change influencing SES. ‐ The Reiter and Gubler are DEN references talking about SES influencing DEN risk, not climate change influencing existing socioeconomic vulnerabilities.
From page 48...
... oxfordjournals.org/content/149/8/771.full.pdf) 61 P140/L28 "There is low confidence that climate change will influence human incidence of LD." Is it low confidence that it will influence or it is low confidence on how it will influence?
From page 49...
... 5.2 and/or 5.3, and a discussion of climate change-induced shifting patterns in snowpack/snowmelt (and possibly glacial mass balance) should be addressed.
From page 50...
... Some explanation/discussion of the differences between acute illnesses caused by a single exposure and with an incubation period of minutes/hours to days and weeks versus chronic diseases in which repeated exposure can/may lead to an increased risk of a "chronic condition" years or decades later might be helpful to include here. 79 P181/L20 Is the word "actual" really helpful here?
From page 51...
... 86 P266/L33 Remove everything after "..increase infectious disease risk." This is inaccurate and not supported by the citation "Patz & Uejio." 87 P290 Figure 2 -- Pregnant women and newborns are not additional risk factors.
From page 52...
... 96 P302 Under populations of concern, farmers are called out, but no detail is given. Since farmers are not discussed in Chapter 9 as a vulnerable population, a few sentences regarding occupational groups who will be most economically affected by climate change (fishermen, farmers)
From page 53...
... 99 P305 In the second paragraph, any discussion of emergency workers and first responders should be expanded to include health care workers and public safety workers who often become first responders in acute climatic events. 100 P305 The issue of access is particularly important to include in the section on Low Income populations, as it is a problem that generally affects this group more than others.
From page 54...
... 111 P341/L6 Should read "see Section 9.3.2." There is no section 9.2.2. 112 P342/L11 Insert "inadequate" before "access to health care." 113 P342/L18 Insert "lack of access to emergency communications" after "poor quality housing." 114 P342/L21 Insert "such as" after "adaptation measures" and give an example.
From page 55...
... . Children" 120 P347/L7- "Climate change is potentially driving the increasing prevalence and 10 exposure to diseases spread by ticks and mosquitoes [note: add an "e" here]
From page 56...
... 127 P351/L23 This section speaks only about outdoor workers, who may be at great and most obvious risk, but warehouse workers, for example, with no air conditioning and demanding workloads are also at high risk for heat related illness, especially in cases where employers manage from air conditioned offices. Management's awareness of changes in conditions in the workplace as a result of climate change will influence the level of exposure of employees to extreme conditions, both indoors and outdoors.
From page 57...
... military -- A review" Crum Cianflone, Ann NY Acad Sci 2007 ‐ Suggest a little bit of a literature review to support these statements about military and VBD. 131 P354/L27 Change "introduction chapter" to "chapter on Climate Change and Human Health" here and in line 30.
From page 58...
... 58 Appendix A APPENDIX: TECHNICAL SUPPORT DOCUMENT Comment # Page/line Comment 135 SPAs are listed but never explained or referenced. 136 Exposure Response modeling: The form of the relationship (e.g., linear or non-linear)


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