Wednesday, April 25, 2012


cc: "Paul Wilkinson" <>, <>
date: Fri, 13 Aug 2004 17:21:43 +0100
from: "Sari Kovats" <>
subject: ADAM
to: <>

Hello Mike

I hope you had a nice holiday. We hope that there is still some potential for LSHTM
participation within the ADAM project, in order to facilitate this Paul and I have had some
further discussions and would like to clearly present our research interest and potential

We have not seen a copy of the current outline or description of work and so cannot relate
our discussion more specifically to the ADAM project. However, our interests relate to 3
types of research:

1) Specific epidemiological analyses, including data gathering and hypothesis testing on
weather/climate exposures and health outcomes.

2) Methods for including health outcomes or health determinants in burden calculations, and
hence support for decision-making processes.

3) Case studies of the health benefits of specific policies, measures or strategies in
relation to adaptation or mitigation (e.g. warning systems, clean technology).

These methods can be employed in relation to three topic areas that address the call for
research to support climate change related policy making by the EU.

Topic 1. Adaptation policies for public health in Europe

Research objective

- develop policy-relevant information for adaptation options in Europe as they relate to
the potential health impacts of climate change, including improved estimation of costs and
benefits of specific adaptation strategies, policies and measures

Suggested case studies focussed on extreme events

- Housing, urban environment and heat exposures

- Riverine floods

- Early warning systems for vector borne diseases

- Food borne disease

LSHTM expertise:

- Heat wave impacts in Europe evaluation of housing, heat wave warning systems, and urban
heat islands (cCASHh F5 project)

- Winter mortality in England and Wales (PW, BA, SK)

- Review of literature on health impacts of floods in Europe

- Vector-borne diseases [links to FP6 project EDEN, LSHTM partner- CD]

- Review of epidemic early warning systems for WHO (KK, DCL)

Topic 2. Climate change and EU development policy

Climate change cuts across the development agenda, it is important that responses are
conceived within and are in coherence with existing development frameworks, rather than in
isolation from them. Interest in environment and public health issues is limited in many
low income countries.

Research questions..

- Improved assessment of the potential health impacts of climate change in developing
countries, including analysis of current burden of climate variability.

- Assessment of climate change impacts on the achievement of the Millennium Development

LSHTM expertise:

* DFID Water Knowledge Programme [Cairncross]

* DFID Malaria Programme [Bradley]

* Global impact models from WHO global burden of disease assessment (DCL, SK, PW).

* Highland malaria in East Africa

Topic 3. Evaluation of strategies for mitigation-stabilization including the quantitative
assessment of ancillary benefits and health impacts of clean energy

Research objectives: to quantify and describe the health impacts and benefits for a range
of policies that affect greenhouse gas emissions, with respect to

- Outdoor air pollution [would require collaboration with Rachel Warren
and/or improved air pollution/atmospheric modelling]

- Transport

- Energy generation

LSHTM expertise:

* Energy background document for Budapest Conference for WHO Rome (PW, MA, AH).

* Outdoor air pollution health impact assessment, COMEAP [UK Committee on the Medical
Effects of Air Pollutants] (BA, PW)

� Evaluation of "ecotax" on air pollution-related effects in Germany (PW)

- Energy efficiency and housing health impact assessment (Warm front project- PW).

We look forward to hearing from you. Paul is around next week to discuss things on the

Best wishes


Sari Kovats
Public and Environmental Health Research Unit (PEHRU)
London School of Hygiene and Tropical Medicine
Keppel St, London WC1E 7HT
tel: +44 20 7927 2962
fax: +44 20 7580 4524

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