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256 pages, Hardcover
First published August 6, 2013
As the planet gets hotter, we’ll live sicker and die quicker.All change is a matter of degrees. Up or down, a bit here, a bit there. And in time, with persistence, you really have something. In the Broadway and later film musical, Pajama Game, the cast sings of the accumulating impact of a small change, in this case literal small change. And so it is with global warming. A fraction of a degree here and there, and what with adding that small bit over and over, the overall amount grows significantly. When we think of warming, we tend to think of what is going into the air, water and land right now. When the fact is that we have been making carbon deposits into our environment for a long time, and are beginning to see the result of that. If you will allow another dip into our musical theater history, the show Mary Poppins offers a lesson on the value of compound interest. In the case of our planet however, the Fidelity Fiduciary Bank in question has grown far too large, its holdings are increasingly comprised of toxic assets and it threatens us all with more than just a fiscal meltdown.
Hot air holds more water, so we will have more torrential rains, more ferocious hurricanes, and, conversely, more dry spells as a result of heat-induced changes in rainfall patterns. Rising temperatures could trigger pestilence, drought-induced food shortages, raging firestorms, massive migrations, political instability, and wars, even the return of the bubonic plague…In the near future, millions might perish and millions more might be sickened by the litany of medical conditions caused or exacerbated by living in a rapidly warming world: heart disease, asthma, severe respiratory infections, heatstroke, and suicidal despair.faster global spreading of disease with the growth of global access and increasing interconnectivity,
The explosion of international travel on a hotter, wetter planet—more than 60 million Americans travel abroad every year, and an equal number visit the United States—has created the perfect conditions for the increased transmission of lethal pathogens from the tropics to industrialized nations. Hitchhiking parasites and infected individuals carting microbes that can be passed on by mosquitoes can now go anywhere in the world in less than 24 Hours and deliver reservoirs of malaria, dengue, or chikungunya fever, a particularly nasty infection that causes arthritis-like joint pain, to newly temperate regions…These two factors—global movement and changing global weather—are what enabled the West Nile virus to become entrenched in North America.assaults by air pollution on our ability to breathe,
One component of pollution, diesel fumes, delivers a double whammy for health. The diesel exhaust emitted by factories and big rigs not only damages the lungs, but also manes an excellent transport system for fungal spores, which proliferate in hotter, carbon-enriched environments. They attach themselves like glue to the tiny diesel particles, which scatter them in the wind in a “nasty synergy,” to use a phrase coined by the late Dr. Paul Epstein, a pioneer in environmental health at Harvard. The fungi lurking inside the spores can be lethal… [causing Valley Fever]
After 48 hours of constant exposure to temperatures in excess of 90°F, the body’s defenses start to break down. Consequently, the swiftness of the public health system’s response to heat-related illnesses can literally mean the difference between life and death.and the stress of exploding demand on existing infrastructure:
[re New Orleans post Katrina]…the mental health care infrastructure—which had been inadequate before—was virtually nonexistent at a time when the need couldn’t possibly have been greater. At one point there were only 22 psychiatrists in a city of 200,000. Within a year after Katrina, five doctors became so despondent they took their own lives. “It wasn’t just the destitute poor who had no hope, but professional people who didn’t leave New Orleans and who stayed in the middle of it.It would be easy to look at all the dark sides of our current warming crisis and start looking for a convenient bridge from which to end it all. But wait. There is plenty more between the covers of Marsa’s report. In fact, she goes into some detail about actions that can be taken. Progress is already being made to reduce our carbon footprint, particularly via smart urbanization. She also shows how we can learn from pioneers in confronting the impact of warming, folks in the Netherlands and Australia specifically, who are learning the lessons of coping at the bleeding edge of climatic change.

