Climate Change and Human Health in Africa in Relation to Opportunities to Strengthen Mitigating Potential and Adaptive Capacity: Strategies to Inform an African "Brains Trust".

Background: Africa faces diverse and complex population/human health challenges due to climate change. Understanding the health impacts of climate change in Africa in all its complexity is essential for implementing effective strategies and policies to mitigate risks and protect vulnerable populations. This study aimed to outline the major climate change-related health impacts in Africa in the context of economic resilience and to seek solutions and provide strategies to prevent or reduce adverse effects of climate change on human health and well-being in Africa. Methods: For this narrative review, a literature search was conducted in the Web of Science, Scopus, CAB Abstracts, MEDLINE and EMBASE electronic databases. We also searched the reference lists of retrieved articles for additional records as well as reports. We followed a conceptual framework to ensure all aspects of climate change and health impacts in Africa were identified. Results: The average temperatures in all six eco-regions of Africa have risen since the early twentieth century, and heat exposure, extreme events, and sea level rise are projected to disproportionately affect Africa, resulting in a larger burden of health impacts than other continents. Given that climate change already poses substantial challenges to African health and well-being, this will necessitate significant effort, financial investment, and dedication to climate change mitigation and adaptation. This review offers African leaders and decision-makers data-driven and action-oriented strategies that will ensure a more resilient healthcare system and safe, healthy populations-in ways that contribute to economic resiliency. Conclusions: The urgency of climate-health action integrated with sustainable development in Africa cannot be overstated, given the multiple economic gains from reducing current impacts and projected risks of climate change on the continent's population health and well-being. Climate action must be integrated into Africa's development plan to meet the Sustainable Development Goals, protect vulnerable populations from the detrimental effects of climate change, and promote economic development.

Building climate resilience in the Blue Nile/Abay Highlands: a role for Earth system sciences.

The Blue Nile (Abay) Highlands of Ethiopia are characterized by significant interannual climate variability, complex topography and associated local climate contrasts, erosive rains and erodible soils, and intense land pressure due to an increasing population and an economy that is almost entirely dependent on smallholder, low-input agriculture. As a result, these highland zones are highly vulnerable to negative impacts of climate variability. As patterns of variability and precipitation intensity alter under anthropogenic climate change, there is concern that this vulnerability will increase, threatening economic development and food security in the region. In order to overcome these challenges and to enhance sustainable development in the context of climate change, it is necessary to establish climate resilient development strategies that are informed by best-available Earth System Science (ESS) information. This requirement is complicated by the fact that climate projections for the Abay Highlands contain significant and perhaps irreducible uncertainties. A critical challenge for ESS, then, is to generate and to communicate meaningful information for climate resilient development in the context of a highly uncertain climate forecast. Here we report on a framework for applying ESS to climate resilient development in the Abay Highlands, with a focus on the challenge of reducing land degradation.

Building climate resilience in the Blue Nile/Abay Highlands: a framework for action.

Ethiopia has become warmer over the past century and human induced climate change will bring further warming over the next century at unprecedented rates. On the average, climate models show a tendency for higher mean annual rainfall and for wetter conditions, in particular during October, November and December, but there is much uncertainty about the future amount, distribution, timing and intensity of rainfall. Ethiopia's low level of economic development, combined with its heavy dependence on agriculture and high population growth rate make the country particularly susceptible to the adverse effects of climate change. Nearly 90% of Ethiopia's population lives in the Highlands, which include the critical Blue Nile (Abay) Highlands--a region that holds special importance due to its role in domestic agricultural production and international water resources. A five year study of climate vulnerability and adaptation strategies in communities of Choke Mountain, located in the center of the Abay Highlands, has informed a proposed framework for enhancing climate resilience in communities across the region. The framework is motivated by the critical need to enhance capacity to cope with climate change and, subsequently, to advance a carbon neutral and climate resilient economy in Ethiopia. The implicit hypothesis in applying a research framework for this effort is that science-based information, generated through improved understanding of impacts and vulnerabilities of local communities, can contribute to enhanced resilience strategies. We view adaptation to climate change in a wider context of changes, including, among others, market conditions, the political-institutional framework, and population dynamics. From a livelihood perspective, culture, historical settings, the diversity of income generation strategies, knowledge, and education are important factors that contribute to adaptive capacities. This paper reviews key findings of the Choke Mountain study, describes the principles of the climate resilience framework, and proposes an implementation strategy for climate resilient development to be applied in the Abay Highlands, with potential expansion to agricultural communities across the region and beyond.