Worsening Health Effects - Climate change will impact human health in a variety of ways. Warmer temperatures increase the risk of mortality from heat stress. For example, in July 1995, 465 deaths in Chicago were attributed to a heat wave with temperatures exceeding 90^o F day and night. Today, such events occur about once every 150 years. By 2100, they could become six times more frequent. The potential increases in the heat index, a calculation combining temperature and humidity, illustrate the magnitude of this threat. Washington, D.C. currently has an average July heat index of 85^o F, but if CO2 levels reach 550 ppm (double the preindustrial level), this could increase to 95⁰ F, and if concentrations quadrupled to 1100 ppm, it could increase to 110^o F. Climate change will also exacerbate air quality problems, such as smog, and increase levels of airborne pollen and spores that aggravate respiratory disease, asthma, and allergic disorders (Figure 15). Because children and the elderly are the most vulnerable populations, they are likely to suffer disproportionately with both warmer temperatures and poorer air quality.

Diseases that thrive in warmer climates, such as malaria, dengue and yellow fevers, encephalitis, and cholera, are likely to spread due to the expansion of the ranges of mosquitos and other disease-carrying organisms and increased rates of transmission. This could result in 50 million to 80 million additional malaria cases per year worldwide by 2100.

Rising Sea Level - Rising sea level erodes beaches and coastal wetlands, inundates low-lying areas, and increases the vulnerability of coastal areas to flooding from storm surges and intense rainfall. By 2100, sea level is expected to rise by 6 to 37 inches. A 20-inch sea level rise will result in substantial loss of coastal land in the United States, especially along the southern Atlantic and Gulf coasts, which are subsiding and are particularly vulnerable. The oceans will continue to expand for several centuries after temperatures stabilize. Because of this, the sea level rise associated with CO2 levels of 550 ppm (double pre-industrial levels) could eventually exceed 40 inches. A CO2 level of 1100 ppm could produce a sea level rise of 80 inches or even more, depending on the extent to which the Greenland and Antarctic ice sheets melt.

A 20-inch sea level rise would double the global population at risk from storm surges, from roughly 45 million at present to over 90 million, and this figure does not account for any increases in coastal populations. A 40-inch rise would triple the number.

South Florida is highly vulnerable to sea level rise (Figure 16). A third of the Everglades has an elevation of less than 12 inches. Salt water intrusion would adversely affect delicate ecological communities and degrade the habitat for many species.

Droughts and floods - Intensification of the water cycle will produce more severe droughts in some places and floods in others. Such events are costly. Damages from the Southern Plains drought of 1996 were estimated at $4 billion, the 1993 Mississippi River flood damages at $10 billion to $20 billion, the Pacific Northwest floods in the winter of 1996-1997 at about $3 billion, the 1997 Ohio River flood at about $1 billion, and the 1997 Red River flood in the Northern Plains at about $2 billion.

Water quality and quantity - Areas of greatest vulnerability are those where quality and quantity of water are already problems, such as the arid and semi-arid regions of the United States and the world (Figure 17).

Climate change would likely increase water supply problems in several U.S. river basins, such as the Missouri, Arkansas, Texas Gulf, Rio Grande, and Lower Colorado.

Water scarcity in the Middle East and Africa is likely to be aggravated by climate change, which could increase international tension among countries that depend on water supplies originating outside their borders.

Such changes could have profound effects on the U.S. system of national parks and refuges, leading to reductions in biological diversity and in the benefits provided by ecosystems, such as clean water and recreation. Wetlands are particularly at risk. The wetlands of the prairie pothole region, which support half the waterfowl population of North America, could diminish in area and change dramatically in character in response to climate change. The glaciers of Glacier National Park have receded steadily for decades (Figure 19). Model projections indicate that all the ParkÕs glaciers will disappear by 2030 unless temperatures begin to cool instead of warm.

Challenges to Agriculture and the Food Supply - Climate strongly affects crop yields. A CO2 concentration of 550 ppm is likely to increase crop yields in some areas by as much as 30 percent to 40 percent, but it will decrease yields in other places by similar amounts, even for the same crop. A warmer climate would reduce flexibility in crop distribution and increase irrigation demands. Expansions of the ranges of pests could also increase vulnerability and result in greater use of pesticides. Despite these effects, total global food production is not expected to be altered substantially by climate change, but there are likely negative regional impacts. Agricultural systems in the developed countries are highly adaptable and can probably cope with the expected range of climate changes without dramatic reductions in yields. It is the poorest countries, already subject to hunger, that are the most likely to suffer significant decreases in agricultural productivity (Figure 20).