Heat stress illnesses, including heat stroke and heat exhaustion, represent a serious, persistent, and growing public health threat to military and civilian populations. Global climate change, due primarily to increased greenhouse gas concentrations in the atmosphere, has resulted in measured increases in temperature and humidity. Climate models project warming trends to continue in the future with very high confidence, resulting in more dangerous mean and extreme heat conditions. The associations between environmental heat indicators and observed adverse health outcomes have been increasingly studied for mortality endpoints and among elderly populations. This dissertation aimed to expand this investigation to heat illness morbidity outcomes among active-duty military servicemembers while assessing a range of heat indices. This is an assumed healthy, working-age population that is regularly exposed to outdoor heat in combination with high levels of exertion. Comparable civilian populations, in some respects, include athletes and outdoor laborers such as construction workers or farmers. In Chapter 2, we assessed annual rates of ambulatory encounters, hospitalizations, and reportable events among active-duty soldiers at ten US Army installations from 1991 to 2018 to produce rate ratios for estimation of future climate change impacts. In this chapter, we identified positive long-term associations between annual heat indices and heat stress illness hospitalization and reportable event outcomes. Chapter 3 assessed incident active-duty US military heat stress illness cases at 24 installations between 1998 and 2019 on a daily-scale, resulting in odds ratio exposure-lag-response curves applicable to near-term risk assessment. The daily-scale relationships betweenheat indices and case-defined heat stress illnesses were non-linear, with increasing odds ratios starting from mild temperature ranges, and displayed short-term delayed effects. Finally, Chapter 4 described demographic and body composition risk factor trends in the US military from 1998 to 2019. In this assessment, we identified a null trend for body mass index among heat stress illness subjects over the study period. Overall, our findings demonstrate a connection between temperature and humidity indicators and observed heat stress illness morbidity outcomes among multiple sets of indices and timescales. This dissertation highlights an urgent need for vigilant heat stress prevention and control measures to protect health and maintain performance in hot and humid environments.

Scholars agree that global climate change is a major threat to the physical environment, affecting all aspects of life on the planet. However, the general public do not feel that climate change is a major risk or threat, especially to humans. It is important to understand the public’s perception and opinions of climate change as it affects and influences the creation and passing of climate change adaptation and mitigation policies. Specifically, little is known about public perceptions in regards to the greater health risk imposed by global climate change. This study examines the public's perception of health risks related to climate change in Broward County, Florida by using mixed methods. An online survey was conducted along with in-person interviews with the general public and a physician. The study found majority of respondents to believe climate change affects health, but lacked an understanding of how it is harmful to their health. It also found that gender affects their perceptions and political ideology appears to have an effect, but the effect of socioeconomic status on their perceptions were unable to be determined at this time. Broward is just developing policies to adapt and mitigate the health effects of climate change. / Includes bibliography. / Thesis (M.A.)--Florida Atlantic University, 2017. / FAU Electronic Theses and Dissertations Collection

Climate change is regarded as the greatest threat facing the world today. The Intergovernmental Panel on Climate Change (IPCC) concluded that climate change is caused by human activities, as a result of greenhouse gases (GHGs) being emitted into the atmosphere. Scientific literature on the impact of climate change is well documented, especially for the health sector. The mission of the Gauteng Department of Health (GDoH) is to “contribute towards the reduction of the burden of diseases in all the communities in Gauteng”. Ekurhuleni Health District is part of GDoH and shares a similar mission. However, this mission is under threat due to the direct and indirect impact of climate change on the public health sector. Therefore, it is essential for Ekurhuleni Health District and Provincial Clinics to take measures to reduce their contribution to climate change in the light of improving the health of their constituent. This study estimates the carbon footprint of the employees of Ekurhuleni Health District and Provincial Clinics and determines the knowledge and perception of climate change among managers and operational employees. The methodologies of the Greenhouse Gas Protocol (GHGP) and the Department of Environmental Forestry and Rural Affairs (DEFRA) were used to quantify the carbon footprints of the employees of the Ekurhuleni Health District and Provincial Clinics. A content analysis was applied to determine the knowledge and perception of climate change. The study revealed that Scope 2, indirect emissions (electricity), accounts for 92% (35150 t CO2e) of the total carbon footprints for the period of five years, 2010-2014. Scope 1, direct emission (vehicles), is responsible for 4% (1362 t CO2e) and Scope 3, indirect emissions for ICT, for 2% (862 t CO2e), office paper 1% (181 t CO2e) and air conditioners 1% (458 t CO2e). The majority of employees demonstrated basic knowledge of climate change. However, the concept of GHGs was unfamiliar to most of the employees. In terms of perceptions of climate change, the majority of employees were concerned about the future of the planet and climate change and believed that climate change will impact their job description. The study recommends the following mitigation measures, among others, to reduce carbon footprints: (1) electrical vehicles; (2) substituting personal desktops with laptops; and (3) substituting HFC-23 air conditioner refrigerant with R410A. These recommendations have the potential to reduce the carbon emissions by 2445 t CO2e for the period of five (5) years and save R7 875 089 from fuel and power consumption. Furthermore, the District Office and Provincial Clinics can generate a revenue of R293 400 by registering for a CMD project for five years or R1 173 600 for the duration of the project (20 years). / Environmental Sciences / M. Sc. (Environmental Management)