Our Nuclear Future - Hanford and Spent Nuclear Fuel

Hanford Site, Washington

This nation depends on nuclear energy for a great deal of it's power generation.  Indeed, as we see the Polar Pioneer take off for marginal Chukchi Sea, we note the difficulties faced by our declining resources and the issue of Peak Oil.

How can a world which depends on energy to operate gain power generation resources when there are so many demands, both by developed countries who have already built up a large demand for resources, and by developing nations, in areas such as Africa and Asia, where demands for energy resources will increase with industrialization and commercialization.

I have already discussed some of the issues posed by the Polar Pioneer in my recent blog article. It is clear that there are many risks in oil drilling as we seek to drill at greater and greater depths, in locations where the risk is greater, such as the Chukchi Sea between Alaska and Russia, and engage in practices such as fracking which present their own risks.

My previous blog article, "Energy Choices and Risk", following the Fukushima Disaster on 3/11/2011, discusses some of the emerging risks. Hydroelectric power is a major source of energy which meets much of the energy generation needs in the Pacific Northwest.  Climate change and global warming impact the generation of hydroelectric power and water resources.  Declining glaciers and mountain snow impact climate change and global warming through a positive feedback mechanism as the lower snow pack decreases the albedo through lower reflectivity in the mountain snow pack.

Alternative energy choices are increasingly being considered.  These include biofuels, wind power and solar power.  Can these alternative energy sources meet the bulk of our needs for energy consumption? They can help mitigate the demand for energy but cannot completely fill it. Would filling the planet's surface with wind generators disturb our meteorological balance?  Would over use of solar panels mean that solar energy is diverted into household appliances rather than photosynthesis? To what extent can we generate energy without disturbing other entities within our environment, beyond a de minimus impact?  We do not know the answers to many of these questions.

 I have discussed issues of low probability, high impact risks in conjunction with Three Mile Island, Chernobyl and Fukushima in my blog article "Energy Choices and Risk".

While large scale accidents see significant press coverage (and they should), those who have studied, researched or worked in the nuclear industry have compelling stories about how exposures have impacted their lives in many ways.  Many others, through occupational exposures not directly related to the nuclear industry may also have been impacted in many ways and to various degrees.

However, occupational exposure is not the whole story; many others, in various walks of life, have been exposed to radiation or other environmental risk in a number of ways.  These individuals may include family members of those having occupational exposure, those living in down wind areas, those transiting through areas with exposure, and those who may be handling product that might have some radiological contamination, and many more. It is clear that those with non-occupational exposures must be cared for just as those with occupational exposures are cared for. The impact of radiation on the populace is an externality issue.

Radiation released into the atmosphere is carried downwind; radiation released into water is carried with the currents.  Radiation released into materials is carried with those materials. Radiation will follow its decay path, which varies with the radionuclide.  One may consider bananas, which are high in potassium, and carry the naturally radioactive element Potassium 40 at low levels.  Every time we carry bananas from the store to our home we carry some (low level) amount of radioactivity with us.  Believe it or not, radiation from bananas is expressed as a "banana equivalent dose", about 0.1 micro-sievert, at least on Wikipedia.

The impact of exposure to radiation is a serious one involving physiological and psychological issues.

Dr Yuri Yablokov's work, "Consequences of the Catastophe for People and the Environment" is an extensive body of work by the Russian Scientist who reported to Mikhail Gorbachev. Dr Yablokov has provided probably the most complete body of work relating to the impact of Chernobyl on people and on the environment.

The Marshall Islands is but one example of an area where nuclear testing has impacted residents. Sixty years later there are still impacts as indicated by this article in The Guardian.

Nevada and New Mexico have a history of atomic testing where test sites and downwind areas have been impacted..  My article on the site of the first atomic test, the initial Trinity nuclear test in New Mexico, discusses these issues.

There are a garden variety of risks along a risk spectrum surrounding the use of nuclear energy.  Risk studies for the Indian Point Reactor at Buchanan, New York, consider a variety of factors: This study takes into account information from the Chernobyl and Fukushima events.

Wikipedia lists some incidents at Indian Point Reactor. To what degree have radiation incidents at Indian Point impacted the surrounding industries and the neighboring communities?  To what extent was a gypsum plant just south of the Indian Point Reactor exposed by incidents at Indian Point?  This is a matter for further investigation.  Gypsum is used in many applications, including in wallboard. Could radioactivity could have traveled from a point of origin in Buchanan, New York, via trucks, trains, vessels or aircraft to residential and commercials interiors: bedroom, kitchen and bathroom walls all over the world?  Can we know the answer to these questions? Certainly we would need to answer these questions in assessing future risks where industrial and other activities are carried about in areas contiguous to nuclear facilities.

According to the Indian Point Report: "Also note that these calculations were performed for a hypothetical accident at only one of Indian Point’s two operating reactors, and the accident scenarios did not involve radiation release from the spent fuel pools, unlike for Fukushima, which was a multi-unit accident with damage to spent nuclear fuel storage. " states one section of the document.

A continuing issue is the handling of spent nuclear fuel.  This is an increasing issue as the amount of spent nuclear fuel, especially that containing plutonium, increases.

A March 18, 2011, article in the Seattle Times discusses the use of MOX plutonium fuel at Hanford.

Nuclear waste may be stored, for example at Tank Farms, for example, at Hanford Tank Farms, or in Dry Cask Storage or at deep geological repositories such as the Carlsbad Waste Isolation Storage Plant in New Mexico.  Yucca Mountain was designated as a deep geological depository for the storage of high level nuclear waste and spent nuclear fuel.

Nuclear waste can be processed in various ways, for example via vitrification at the Vitrification Plant at Hanford and potentially transported elsewhere for long term storage.  The storage and processing of spent nuclear fuel has thus been the subject of extensive debate.  Many of these storage methods involve keeping the isotopes in their original processed state, so that many long lived isotopes are stored in what is an accumulating storage of spent nuclear fuel.

Nuclear fuel can also be processed in a reactor.  This processing allows for isotopes with higher levels of radioactivity, to be processed down their decay chain, reducing the level of radioactivity while producing power, and thus reducing the level of radioactivity in the spent fuel that has to be stored.  This methodology, which is referred to in the March 18, 2011 article in the Seattle Times, has its own risks.  Risks include the risk of nuclear accident while reprocessing the fuel, escape of containment and risks involved in transporting the nuclear spent fuel from the sites at which it is being processed to the sites where it is reprocessed (Hanford Power Plant).

These risks include many of the same issues discussed above regarding the Indian Point plant. There are longer terms risks as well, which involve how to use the potential energy stored in the radionuclide's decay chain; whether it should be used immediately to generate power or whether it should be put back in the ground to be available for later use, or whether there is some planetary need relating to global warming and climate change that should dictate its usage.  That is a matter of continuing discussion.  There is a considerable continuum of risk involved in studying this issue of nuclear waste.

Dr Yablokov's work on Chernobyl illustrates this risk in a very powerful way.  Many areas could potentially be impacted, including the Palouse of Washington, the Seattle Area, and the Washington and Oregon Coasts.

I heard Dr Yablokov speak on "Chernobyl 25 Years Later: Lessons Learned" on March 28, 2011 at the University of Washington, at Kane Hall about his experiences dealing with that nuclear disaster. It was quite an experience.

Nuclear power plants also pose financial risk.  I address this issue in my blog post,
Energy Choices and Risk.  This issue is a matter of continuing investigation as we look towards issues of financial risk management, and the cost of externalities as imposed on society and individuals.


marilyndunstan.photoshelter.com

Hanford 
Palouse
Seattle
Washington Coast
Oregon Coast

Hanford - Use of Plutonium Fuel
Indian Point Energy Plant
Marshall Islands Nuclear Testing Legacy
Consequences of the Catastrophe for People and the Environment - Dr Yablokov
Seattle Times - Plutonium Fuel Could be Used at Hanford Power Plant

Wikipedia:
Indian Point Energy Center
Radiation
Hydraulic Fracturing
Banana Equivalent Dose
Carlsbad Waste Isolation Storage Plant
Yucca Mountain Nuclear Waste Depository

marilyndunstan.blogspot.com
Externalities
Chernobyl 25th anniversary 
Energy Choices and Risk
Global Warming and Climate Change-Polar Pioneer
Processing Risk and Uncertainty
Log in the Surf - 8.9 Japan Earthquake (9.0 updated)

Nuclear Regulatory Commission - Dry Cask Storage

Seattle-Tacoma International Airport - Medical Issues

Seattle-Tacoma International Airport, Third Runway,Sea Tac, Washington

Examination of the impact of the Seattle-Tacoma International Airport on the region poses a number of analytic challenges.  In a previous blog article, Seattle-Tacoma International Airport - Pollution, I discussed pollution issues.  Links to my other blog issues on the airport may be found listed below.

The focus of this blog article is on health related issues which may be related to airport operations, keeping in mind that there are other sources of pollution that may contribute to health conditions, and that there are factors other than environmental conditions which may contribute to health conditions.

Other sources of pollution may include vehicular traffic, such as cars, trucks, vans, buses and rail systems, as well as industry and commerce as well as other human activity such as wood burning. Many factors, in addition to pollutants, contribute to health.  Economic and sociological factors such as poverty, education and disenfranchisement all are factors which influence health.

There is considerable information available from the King County Health Department on the geographical distribution of various medical conditions.  These are listed below. Incidences of cancer, respiratory disease, cardiac and pulmonary heart conditions vary throughout the county.

MEDICAL ISSUES

Known

• A number of medical conditions may be impacted by environmental factors, including cancer, respiratory/pulmonary,sleep disorders,  blood/vascular disorders, immune system disorders, cardiac disorders and neurological/psychiatric/psychological issues that can emerge as a result of increased environmental exposure. The impact of air pollution on the generation of reactive species such as oxygen and other radicals may also adversely impact sleep states.
• Environmental pollutants often increase generation of reactive species or oxygen radicals, increasing oxidative stress, impacting a number of medical conditions, and may create new ones.
• Electromagnetic fields (microwaves) - Potential effects vary according to the distance from the source with general public exposure lessened.  Health effects studied include cancer, physiological and thermoregulatory responses, reproductive issues, cataracts, and impacts on calcium ion mobility.  Effects have not been sufficiently established to be able to determine regulatory standards.
• Studies have been made by the Washington State Department of Health on glioblastoma multiforme and other conditions.
• A February 25, 1999 report from the State Health Department and King County Health Department indicates: "While the state health department found that the occurrence of all SeaTac Concerned Citizen cancers in the area within 5 miles of the airport was less than expected in comparison to King County, the Seattle-King County health assessment found an increase in cancer deaths around SeaTac Airport."  This study examines health issues in the neighboring communities around the airport.
• There are extensive studies from the King County Department of Public Health available regarding a variety of health and socioeconomic factors for the communities in King County. These reports indicate increased incidence of cancer and pulmonary disease, but decreased risk of heart attack, stroke and Alzheimers relative to other areas.  There is also a higher degree of cigarette smoking in the region, complicating analysis.  There is a range of socioeconomic indicators showing lower socioeconomic indicators in the region.

Past Legacy

• One of the cardinal features of evolution is the incorporation of biologicals and minerals into a system in order to advance features that have evolutionary advantage.  This is called biomineralization.  It is not inconceivable that out of the many molecules emitted through airport operations (and other sources throughout the region), that one in the witches brew of combinations might find a home within the human body, evolving the system, or throwing a monkey wrench into it. Calcite enabled the creation of the eye in trilobytes  in the pre-Cambrian.  However a serious problem in this process is the issue of interoperability between systems in such processes.
• To what extent does the ground on which we sit impact health?  The area holds the legacy of the ASARCO Tacoma Smelter Plume  formed in 1899, and the emissions since that period.  This legacy impacts rock, soil, water and air.  The Seattle-Tacoma International airport sits on a considerable amount of fill, which is in addition any deposition that may have fell on the underlying soil.  Other parts of the region may also have been impacted by sand, rock and gravel transported from sites more heavily impacted by the ASARCO Smelter's operations.
• The airport sits on Fraser Glaciation,  Vashon Stade.  To what extent do the rocks around the airport and the water affect health? It is possible that the area of the airport could hold some clue to past evolution.  A sloth was discovered in a swampy area north of the airport in 1961, and a mammoth tusk was discovered in the South Lake Union area of Seattle. Both sit at the Burke Museum.  DNA analysis from an archaeological find could perhaps provide scientists with clues to help solve emerging problems germane to our evolution and our ancestors.

Emerging or Unknown

• The emergence of new and novel health risks may occur in the witch's brew of chemical soup surrounding the airport and other areas subject to environmental risk. Illnesses that normally occur in other areas of the world may emerge in this arena, given the geological milieu in which the airport sits, the meteorological conditions, and the increased levels of pollutants, including carbon dioxide.  Carbon dioxide is a sensitive indicator of global warming and climate change and may also impact the respiratory system in a similar fashion in the immediate neighborhood of the airport.
• Seasonal flu and emerging viruses, could recombine in the environment surrounding the airport, mixing human and bird migration patterns with environmental factors impacting local populations.  Thus viruses could serve as a vector for the incorporation of novel or emerging features resulting from the witches brew of chemicals.
• Chemicals emitted in the witches brew of chemical emitted from airport operations could be impacted by solar radiation, a source of energy, especially during periods of geomagnetic storms.  Potentially subatomic collisions could evoke a transitional state in molecules, and be incorporated into the body.  Any impact from the creation of transitional molecules would be in addition to any direct effect from any solar storms.
• The witches brew of chemicals emitted by air transport, given the power, acceleration, deceleration and forces put on aircraft engines, abrasion, means that more exotic chemicals may be created.  However, it is possible that similar types of reactions may also be occurring in different parts of the region, perhaps to a different extent.

Establishing Correlations between Pollutants and Medical Conditions

• While some pollutants in particular are points of focus, the extensive lists provided make it difficult to correlate exposures to any one or any combination of health outcomes.  This is an issue of multiple correlation analysis in the face of numerous variables and outcomes, many of which may interact with each other to alter individual correlation between any two variables. 
• Analysis of risk focuses on cancer metrics.  While the emergence of the cancer risk is important (and critical), identification of other outcomes is also important. Early indicators of future outcomes may serve as helpful markers of environmental distress before its impact becomes too severe.
• Environmental markers might include blood coagulation measurements, markers for the impact of oxidative stress, markes for nuclear DNA and mtDNA damage, and markers for the preference of glycolysis in cells (Warburg Hypothesis), among other things.
• Categorization of medical systems, or medical coding, puts medical conditions in "boxes" which may make analysis difficult when causes and/or outcomes cross boundaries, medical conditions are inappropriately categorized or new information informs medicine.
• The division of conditions into physiological versus psychological causes presents such difficulties, especially when these conditions are subject to such a wide disparity of treatment throughout the existing sociological framework. The bifurcation of conditions into physiological versus behavioral outcomes tends to create categories that diminish or ignore the health and sociological impact of pollution exposure and/or cross category lines.
• Some indices that represent psychological stress may combine various psychological indicators in a weighting formula that may impede the ability to do correlation analysis on any one factor. One is left with memories of Upton Sinclair's "The Jungle", a book about meat packing plants, wondering how the whole was constructed from the parts.   Thus, the question remains in indices and tests as to whether the manner in which the indices are constructed drive a certain result or whether indices keep pace with changes in their individual components.
• Occupational and environmental health outcomes are not appropriately measured in a manner that can express the full continuum of types of work that exists in the sociological sphere.  This reflects the existing dysfunctional definitions of work and disability, and impacts correlation analysis between occupational and environmental health.
• Medical fields studying intersecting fields of study, such as neurology, psychiatry and psychology can come into conflict at times, making it more difficult to study health outcomes emerging from environmental factors. 
• Definitions based on subjective issues such as behavior and, belief systems, emerge to complicate the analysis of the impacts of environmental pollutants.
• The drive to cut medical costs conflicts with testing the impacts of increased environmental load on the public, leaving the impacts uncertain and placing the burden on those impacted. 
• Increased population and economic activity has impacted Western Washington so that environmental risk exists in many places throughout the region, to varying degree.
• The medical system currently does not provide sufficient support to provide both testing and treatment of medical conditions which may arise from the increased exposure to environmental pathogens. There are barriers to entry into the medical system which impede the ability to measure outcomes and protect human test subjects in the evolutionary process.
• Assessment of different contributors to morbidity and mortality may confound research into the underlying environmental issues.  An example of this is assessing the contribution of smoking to morbidity and mortality versus the environmental effects caused by airport operations.
• Different statistical measures may be used by reports, confusing the reader or making it difficult to interpret data shown in different forms;  Data may be presented with an incidence rate (occurrence of a condition in a population over a period of time), a prevalence rate (percentage of a population having a condition at a specific period of time) or mortality rate (percentage of deaths in a population over a period of time).  The US Government publishes data on morbidity and mortality .

The challenge is to put together to what extent the environmental factors drive the medical and  socioeconomic factors and are in turn influenced by them, in a positive feedback loop.

Sources:
Puget Sound Clean Air Agency - Final Report - Puget Sound Air Toxics Evaluation - October 2003
Department of Ecology - Toxic Cleanup Program (ASARCO Smelter Plume)
World Health Organization - Electromagnetic Fields
Port of Seattle - Part 150 Study
Port of Seattle - Groundwater Monitoring
Port of Seattle - Stormwater Pollution Prevention Plan
Scandanavian Journal of Health - Glioblastoma Multiforme
Tacoma Smelter Plume Information - Washington Department of Ecology
King County Community Health Indicators - King County (Top 10 Leading Causes of Death)
King County Public Health -School District Health Profiles
King County Health Profile
King County Public Health - Data and Reports

Blog Articles:
Externalities and Risk - The Seattle-Tacoma International Airport
Seattle-Tacoma International Airport - Environmental Issues
Seattle-Tacoma International Airport - Pollution

Seattle-Tacoma International Airport - Environmental Issues

Airplane Landing in the Fog at Night

Seattle-Tacoma International Airport

In my recent article, "Externalities and Risks, the Seattle-Tacoma International Airport", I discussed externalities associated with Airport operations.  The Airport environment presents a number of environmental issues, many of which are impacted by meteorological factors.

Fog is an important risk factor.  Fog reduces visibility, and although airports have radar systems, fog is still a hazard for pilots to be aware of.  Fog is a cloud at ground level, water droplets or ice suspended in air.  Suspended particulates or gas molecules can provide a nucleus around which water droplets or ice can form, thus encouraging the formation of clouds.  Enucleated pollutants, such as sulfur dioxide gain an easier entry into the respiratory system, increasing the impact on health.

During the fall, winter and spring, when temperature inversions form, often in the wake of high pressure systems, there is an increased risk from pollutants, often accompanied by fog.  This is especially true in the Pacific Northwest with the influence of marine air from the Pacific Ocean.  

A normal temperature gradient is warmer air on the surface and colder air aloft.  A temperature inversion reverses the normal gradient, trapping colder air on the bottom layer, with warmer air aloft.

Temperature inversions early this year influenced the snow pack in the mountains, as temperatures warmed aloft.  Temperature inversions can impact the levels of ice pack and the availability of water from mountain sources.  Because pollutants are trapped with the warm air aloft and the cold air on the bottom,  pollutants are trapped within a lesser layer of air, increasing the density of pollutants. These conditions lead to air stagnation advisories and burn bans, which are called by the Puget Sound Clean Air Agency.

Climate change and global warming may impact a variety of meteorological factors, increasing severity.  Other meteorological factors affecting air traffic may include wind shear, thunderstorms, snow storms and heat, which is of concern in the southwest, where a certain air density is required for take off.

Pollutants from aviation operations are a concern.  Pollutants are the product of combustion of aircraft fuel, burning of oils and solvents as well as particulate matter which may become abraded especially during take off and landing (TO/L) where the stresses on parts are higher.

Aircraft emissions include a variety of gases, including those of interest in analysis of climate change and global warming.  These gases include carbon dioxide, methane, nitrous oxide, nitrogen oxides, volatile organic compounds, carbon monoxide and sulfur dioxide. 

A study by the Federal Aviation Administration (FAA) gives a comprehensive study of aircraft emissions.

The components of aircraft emissions may vary depending on whether they are aloft, and considered greenhouse gasses, or local air quality pollutants.  " Aircraft engine emissions are roughly composed of about 70 percent CO2, a little less than 30 percent H2O, and less than 1 percent each of NOx, CO, SOx, VOC, particulates, and other trace components including HAPs."

About ten percent (10%) of aircraft emissions, except for carbon monoxide and hydrocarbons occur at ground level.  Thirty percent (30%) of Carbon monoxide and hydrocarbon emissions from aircraft occur at ground level.

Carbon Dioxide and Nitric oxides, and methane, as well as water vapor have significant contributions to climate change and global warming. Ozone is also an issue with aircraft emissions, although the effect is felt downwind due to the impact and timing of the photochemical effect that produces ozone.

The airport industry, according to industry source Air Transport Action Group (ATAG), produces 2% of world carbon dioxide emissions and 12% of carbon dioxide emissions from transportation sources. The impact of carbon dioxide may be more significant before springtime, when leaves emerge on the deciduous trees.  Levels of carbon dioxide in the atmosphere can be illustrated by the Keeling Curve which graphs levels of carbon dioxide in the atmosphere over time. One concern is that carbon dioxide emissions may impact feedback mechanisms that determine breathing patterns and modulate delivery of oxygen throughout the body.

An Airport Report Quality Manual published by the International Civil Aviation Organization discusses Airport Pollution issues. They discuss various particulate matter of varying sizes (10 micrometers or less, or PM2.5 of 2.5 micrometers or less.  Particulate matter "has a very diverse composition (heavy metals, sulphates, nitrates, ammonium, organic carbons, polycyclic aromatic hydrocarbons, dioxins/furans)."

The manual states: "Effects: fine particles and soot can cause respiratory and cardiovascular disorders, increased mortality and cancer risk; dust deposition can cause contamination of the soil, plants and also, via the food chain, human exposure to heavy metals and dioxins/furans contained in dust."

Air pollution impacts many systems. Respiratory systems, in particular, are affected, impacting the delivery of oxygen to the bloodstream, and thus to the brain, affecting the respiratory muscles and vasculature, and impacting sleep.  Air Pollution and the Respiratory System is a comprehensive journal article discussing the topic.  Cardiovascular systems also are impacted.  Air quality issues raise a number of concerns.

Noise pollution from airport operations also have a significant impact.  Meteorological conditions also affect the sound propagation, or noise emissions from airport operations.  According the "Encyclopedia of the Earth", microclimate effects can impact the refraction of sound waves through the atmosphere, intensifying sound levels.  Noise emissions may result in a variety of physiological and psychological impacts, including cardiovascular effects.  Such effects may reflect exposure to short, high intensity effects from jet engine backblast, to longer term impacts of exposure to moderate sound levels.

Emissions from Airport operations play an important role in contributing to pollution, both in the immediate area of the airport, in a larger, regional context, and with regards to global issues of planetary climate change and global warming.   Externalities from such emissions encapsulate the full downstream effects of these emissions, which impact citizens who may incur the cost of such emissions but not share in the economic benefits that the airport brings to the region.

Meteorological conditions affect the deposition of such emissions, near or far, through the atmosphere, in soil or water, or perhaps deposited in human tissue, blood or other organs of the body. Thus the effects of emissions on water systems is important  It is interesting to note that the human body is about 55% to 65% water, depending on who and what is being measured, so that the study of water systems can include the atmosphere, rivers, lakes, oceans, and even the human body.

Given the dispersion and deposition of emissions from airport operations, a challenge is to pluck out the impacts attributable to airport operations from other sources surrounding the airport, some of which are directly related to, and gain from, the airport's presence.  This issue brings me back to the original blog article on "Externalities and Risks, the Seattle-Tacoma International Airport",

Future blog articles will further explore these issues, taking into account current locally available information, assessing the measurement of risks, and considering means of compensating those impacted for the economic and social burden of the externalities in question. These are important issues that have implications for both local and global health, extending into physiological and psychological areas that impact humanity.

Blog Articles:
Externalities and Risk - The Seattle Tacoma International Airport
Climate Change and Carbon 

Climate Change and Global Health

World Health Organization Report on Air Pollution and Health

Climate Change and Global Health

Storm Surge Flooding, Westport, Washington, November 2009

Climate Change and Global Health

Climate change poses a number of risks to global health.  These risks draw our attention to the fact that health issues operate on a scale that transcends our own individual concerns, extending well beyond local communities, state and national boundaries.  

I attended a lecture in February, 2011, by Dr Howard Frumkin, Dean of the University of Washington School of Public Health on the health risks of climate change.  It was an interesting talk, covering many areas where climate change impacts global health. These impacts may be associated with the increased frequency of extreme weather events. 

Extreme weather events discussed included increased heat, cold, melting, freezing, flooding and droughts.  Increased atmospheric instability may give rise to more frequent hurricanes and tornadoes. Extreme weather events can be viewed on various time scales, from 50 to 100 year storms, to events on a more geological time scale.

Heat stress is of particular concern to the elderly, the young and the immune-compromised. Extreme heat, especially in non or inadequately air-conditioned spaces may result in premature mortality during heat waves, in the vulnerable, especially in the city where paved areas draw heat.  Dr Frumkin was concerned about the "harvesting" effect of heat waves on elderly, urban, populations.

Cold, snow, ice and freezing also may become survivability issues, involving issues of heating and interruption of water and electrical service.  Storms may impact travel and thus food supply, transportation of vital supplies to population centers and medical facilities.  

Public health challenges may emerge with air or water quality issues, impacting respiratory, cardiovascular, and other associated systems.  Infectious diseases may spread via the air or water through vectors  such as tic or mosquitoes, or via zoonotic means through human to animal or animal to human spread).  Allergies may develop in response to climate changes, and new pathogens may emerge or spread to different areas.

Air pollution is a problem which affects more than just urban areas.  With experience working in the regulatory air quality sector, I realize the widespread impacts that pollutants such as ozone and other pollutants have.  Photochemical reactions involving products of combustion (e.g. auto exhaust) take place in the atmosphere resulting in ozone levels downwind of major urban areas. As the reactions involve sunlight and heat, the levels on sunny and hot days increase in the summer. In the fall and spring periods of extended air stagnation resulting from stalled high pressure weather systems may increase the respiratory and cardiovascular burden on the vulnerable patient group. Air pollution does not know boundaries, thus residential and industrial pollution from other countries may impact us, as ours impacts theirs.  Forest fires add to the impact.  Extreme weather may impact all these issues.

The impact of climate change, extreme weather events and public health challenges may impact food production, may result in civil conflict, dislocation of impacted people and may increase the expression of mental health issues .

The discussion of climate science drives the discussion on public health impacts as projections are made regarding the manner in which changes will take place in Earth's climate systems.  Modeling climate systems drives downstream weather and public health challenges. These challenges are studied in a variety of settings, including federal government institutions such as NOAA, NASA and the CDC, and at a variety of state and local governmental and, at private institutions.  The Intergovernmental Panel of Climate Change and the National Climate Assessment have comprehensive plans reflecting policy in this area.

Extreme weather events can result in significant mortality and morbidity, as well as impacts to property.  Tornadoes and Hurricanes and wind storms may result in death and injuries from flying objects, falling trees and power lines as well as medical emergencies secondary to the event.  Fires may result from damaged gas lines. 

Increased flooding and storm surge may result in drownings and damage to property. Flooding may increased the spread of infectious diseases, problems with sewage systems and interruptions in drinking supplies

Drought may bring about reductions in food supply.  This is a serious issue as crops may be challenged to grow in areas where they were previously able to.  Vegetation, vectors and pathogens may spread into other areas as a result of warming.  This impacts the latitude at which such impacts occur as well as the altitude above sea level, moving to cooler latitudes and elevations.

More weeds may develop in urban areas in response to climate change and global warming as vegetation adjusts to the changing environment.

Extreme weather events thus may have public health impacts relating to many systems, resulting in dislocation of people and mental health issues as citizens adjust to the events.

The challenge is how to address climate change issues in the context of these public health issues.