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THE WORLD HEALTH Organization (WHO), established in 1948 by the United Nations (UN), has a mission to promote international cooperation for improved health conditions of all peoples. The headquarters for WHO are in Geneva, Switzerland. Operations fall under the World Health Assembly (the policymaking body holds annual meetings), an executive board of health (specialists elected for three-year terms by the assembly) and a secretariat with regional offices and staff throughout the world. Financing for the services provided by WHO comes from member governments based on ability to pay and, since 1951, from an allocation from the technical assistance program of the UN.

The auspices of the WHO include providing a central clearinghouse for information and research as relates to health, sponsoring measures for the control of disease, and strengthening and expanding the public health administrations of member nations.

Overall health depends on potable water for drinking and washing, sufficient nutrition, and shelter and protection from weather extremes. Increased temperatures, rising sea levels, and changing weather patterns are factors affecting food, water, and shelter. Excellent health services and living conditions would have a protective or palliative effect on those populations. Substandard health services and living conditions would have a negative effect on populations in poverty or in disaster situations.

For prevention and preparedness, the WHO coordinates review of scientific evidence on the links between climate, climate change, and health. On the basis of the information available, WHO established a list of possible health effects resulting from rapid climate change, especially in vulnerable populations. The effect of warmer temperatures would increase the incidence of heat-related illnesses and lead to higher concentrations of ground-level ozone pollution, causing respiratory illnesses (diminished lung function, asthma, and respiratory inflammation). Flooding associated with storms and rising sea levels could increase the risk of contracting certain infectious diseases from water contamination or disease-carrying vectors, especially for the malnourished.

World Health Programs and Activities

WHO supports actions to reduce human influence on the global climate while still recognizing the effect past emissions and human action have on the likelihood of warming and more variable climate for at least several decades. To alleviate this issue as well as reduce health vulnerability to future climate change, WHO supports programs for combating infectious diseases, improving water and sanitation, and ensuring response to natural disasters. In addition, research and effort are being put into building the capacity of health services and information to help adapt to climate changes.

Primary prevention includes actions to prevent the onset of disease from environmental disturbances in an otherwise unaffected population (mosquito nets, vector control, early weather-watch warning systems). Secondary prevention includes early-response action (disease surveillance). Tertiary prevention includes diagnosis and treatment to lessen the morbidity or mortality caused by disease.

Adaptation refers to actions taken to lessen the effects of the anticipated changes in climate. The ultimate goal of adaptation interventions is the reduction, with the least cost, of diseases, injuries, disabilities, suffering, and death from climate change. Public health programs should anticipate the health effects of climate change such as, for instance, those on infectious diseases. For example, surveillance systems could be improved in sensitive geographic areas. Such regions include those bordering areas of current distribution of vector-borne diseases that could themselves experience epidemics under certain climatic conditions. Vaccination programs could be intensified, and pesticides for vector control and drugs for prophylaxis and treatment could be stockpiled.'

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