Guidelines for Modeling and Reporting Health Effects of Climate Change Mitigation Actions

Background: Modeling suggests that climate change mitigation actions can have substantial human health benefits that accrue quickly and locally. Documenting the benefits can help drive more ambitious and health-protective climate change mitigation actions; however, documenting the adverse health effects can help to avoid them. Estimating the health effects of mitigation (HEM) actions can help policy makers prioritize investments based not only on mitigation potential but also on expected health benefits. To date, however, the wide range of incompatible approaches taken to developing and reporting HEM estimates has limited their comparability and usefulness to policymakers. Objective: The objective of this effort was to generate guidance for modeling studies on scoping, estimating, and reporting population health effects from climate change mitigation actions. Methods: An expert panel of HEM researchers was recruited to participate in developing guidance for conducting HEM studies. The primary literature and a synthesis of HEM studies were provided to the panel. Panel members then participated in a modified Delphi exercise to identify areas of consensus regarding HEM estimation. Finally, the panel met to review and discuss consensus findings, resolve remaining differences, and generate guidance regarding conducting HEM studies. Results: The panel generated a checklist of recommendations regarding stakeholder engagement: HEM modeling, including model structure, scope and scale, demographics, time horizons, counterfactuals, health response functions, and metrics; parameterization and reporting; approaches to uncertainty and sensitivity analysis; accounting for policy uptake; and discounting. Discussion: This checklist provides guidance for conducting and reporting HEM estimates to make them more comparable and useful for policymakers. Harmonization of HEM estimates has the potential to lead to advances in and improved synthesis of policy-relevant research that can inform evidence-based decision making and practice

A new scenario framework for climate change research: the concept of shared climate policy assumptions

The new scenario framework facilitates the coupling of multiple socioeconomic reference pathways with climate model products using the representative concentration pathways. This will allow for improved assessment of climate impacts, adaptation and mitigation. Assumptions about climate policy play a major role in linking socioeconomic futures with forcing and climate outcomes. The paper presents the concept of shared climate policy assumptions as an important element of the new scenario framework. Shared climate policy assumptions capture key policy attributes such as the goals, instruments and obstacles of mitigation and adaptation measures, and introduce an important additional dimension to the scenario matrix architecture. They can be used to improve the comparability of scenarios in the scenario matrix. Shared climate policy assumptions should be designed to be policy relevant, and as a set to be broad enough to allow a comprehensive exploration of the climate change scenario space

A new scenario framework for climate change research: The concept of shared socioeconomic pathways

The new scenario framework for climate change research envisions combining pathways of future radiative forcing and their associated climate changes with alternative pathways of socioeconomic development in order to carry out research on climate change impacts, adaptation, and mitigation. Here we propose a conceptual framework for how to define and develop a set of Shared Socioeconomic Pathways (SSPs) for use within the scenario framework. We define SSPs as reference pathways describing plausible alternative trends in the evolution of society and ecosystems over a century timescale, in the absence of climate change or climate policies. We introduce the concept of a space of challenges to adaptation and to mitigation that should be spanned by the SSPs, and discuss how particular trends in social, economic, and environmental development could be combined to produce such outcomes. A comparison to the narratives from the scenarios developed in the Special Report on Emissions Scenarios (SRES) illustrates how a starting point for developing SSPs can be defined. We suggest initial development of a set of basic SSPs that could then be extended to meet more specific purposes, and envision a process of application of basic and extended SSPs that would be iterative and potentially lead to modification of the original SSPs themselves

A new scenario framework for Climate Change Research: scenario matrix architecture

This paper describes the scenario matrix architecture that underlies a framework for developing new scenarios for climate change research. The matrix architecture facilitates addressing key questions related to current climate research and policy-making: identifying the effectiveness of different adaptation and mitigation strategies (in terms of their costs, risks and other consequences) and the possible trade-offs and synergies. The two main axes of the matrix are: 1) the level of radiative forcing of the climate system (as characterised by the representative concentration pathways) and 2) a set of alternative plausible trajectories of future global development (described as shared socio-economic pathways). The matrix can be used to guide scenario development at different scales. It can also be used as a heuristic tool for classifying new and existing scenarios for assessment. Key elements of the architecture, in particular the shared socio-economic pathways and shared policy assumptions (devices for incorporating explicit mitigation and adaptation policies), are elaborated in other papers in this special issue

The roads ahead: Narratives for shared socioeconomic pathways describing world futures in the 21st century

Long-term scenarios play an important role in research on global environmental change. The climate change research community is developing new scenarios integrating future changes in climate and society to investigate climate impacts as well as options or mitigation and adaptation. One component of these new scenarios is a set of alternative futures of societal development known as the shared socioeconomic pathways (SSPs). The conceptual framework for the design and use of the SSPs calls for the development of global pathways describing the future evolution of key aspects of society that would together imply a range of challenges for mitigating and adapting to climate change. Here we present one component of these pthways: the SSP narratives, a set of five qualitative descriptions of future changes in demographics, human development, economy and lifestyle, policies and institutions, technology, and environment and natural resources. We describe the methods used to develop the narratives as well as how these pathways are hypothesized to produce particular combinations of challenges to mitigation and adaptation. Development of the narratives drew on expert opinion to 1) identify key determinants of these challenges that were essential to incorporate in the narratives and (2) combine these elements in the narratives in a manner consistent with scholarship on their inter-relationships. The narratives are intended as a description of plausible future conditions at the level of large world regions that can serve as a basis for integrated scenarios of emissions and land use, as well as climate impact, adaptation and vulnerability analyses

Ventilatory function, height, and mortality among lifelong non-smokers.

STUDY OBJECTIVE--The aims were to determine the relationship between spirometric indices and mortality among lifelong non-smokers, and to investigate whether the association of short stature with increased risk of death is explained by reduced levels of ventilatory function in shorter men. DESIGN--The study was a nested (within cohort) case-control analysis of an 18 year prospective study of mortality. SUBJECTS--Participants were 3452 male civil servants aged 40-64 years at entry who denied ever having smoked tobacco. MEASUREMENTS AND MAIN RESULTS--408 men who died were matched to 2874 controls of the same age and height. Reduced one second forced expiratory volume (FEV1) was associated with mortality from non-respiratory causes (rate ratio per litre decrease = 1.44, 95% confidence interval 1.196-1.73). The ratio of FEV1 to forced vital capacity was a weak predictor of mortality. Among 397 case-control sets matched for age and FEV1, mortality was unrelated to height. Comparing mortality differentials across age adjusted tertiles of each risk factor, height adjusted FEV1 was a stronger predictor of death than height, body mass index, or plasma cholesterol. FEV1 adjusted for age but not for height was almost as strong a predictor as systolic blood pressure. CONCLUSIONS--The determinants of ventilatory function in lifelong non-smokers may include causes of premature death. FEV1 may be a more sensitive indicator than height of early life influences upon mortality