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. 2008 Jul 30;3(7):e2838. doi: 10.1371/journal.pone.0002838

Table 2. Local health department director's perceptions about specific local impacts of climate change.

Has climate change already affected this health issue in your jurisdiction? Over the next 20 years, will climate change make this issue more common or severe, less common or severe, or will it remain the same in your jurisdiction?
Health issue: Yes No DK NA More Less Same DK NA
Heat waves and heat-related illnesses 56.4 (75) 33.1 (44) 8.3 (11) 2.3 (3) 72.9 (97) 0.8 (1) 15.0 (20) 8.3 (11) 3.0 (4)
Storms (including hurricanes) and floods 47.4 (63) 41.4 (55) 11.3 (15) 0.0 (0) 57.9 (77) 1.5 (2) 24.1 (32) 16.5 (22) 0.0 (0)
Droughts, forest fires, or brush fires 46.6 (62) 40.6 (54) 9.0 (12) 3.8 (5) 59.4 (79) 0.8 (1) 19.5 (26) 18.0 (24) 2.3 (3)
Vector-borne infectious diseases 42.1 (56) 38.3 (51) 19.5 (26) 0.0 (0) 56.4 (75) 3.0 (4) 21.1 (28) 19.5 (26) 0.0 (0)
Water- and food-borne diseases 18.0 (24) 64.7 (86) 16.5 (22) .08 (1) 36.1 (48) 1.5 (2) 34.6 (46) 27.1 (36) 0.8 (1)
Anxiety, depression or other mental health conditions 21.1 (28) 45.9 (61) 27.8 (37) 5.3 (7) 40.6 (54) 0.8 (1) 19.5 (26) 36.1 (48) 3.0 (4)
Quality or quantity of fresh water available to your jurisdiction 42.9 (57) 40.6 (54) 12.8 (17) 3.8 (5) 63.2 (84) 3.0 (4) 18.0 (24) 13.5 (18) 2.3 (3)
Quality of the air, including air pollution, in your jurisdiction 41.4 (55) 37.6 (50) 16.5 (22) 4.5 (6) 65.4 (87) 2.3 (3) 13.5 (18) 15.8 (21) 3.0 (4)
Unsafe or ineffective sewage and septic system operation 12.8 (17) 72.2 (96) 12.8 (17) 2.3 (3) 18.8 (25) 6.0 (8) 47.4 (63) 26.3 (35) 1.5 (2)
Food safety and security 14.3 (19) 74.4 (99) 8.3 (11) 3.0 (4) 30.8 (41) 3.0 (4) 48.9 (65) 15.8 (21) 1.5 (2)
Housing for residents displaced by extreme weather events 18.6 (25) 69.9 (93) 7.5 (10) 3.8 (5) 42.1 (56) 0.0 (0) 37.6 (50) 18.0 (24) 2.3 (3)
Health care services for people with chronic conditions during service disruptions, such as extreme weather events 25.6 (34) 59.4 (79) 11.3 (15) 3.8 (5) 53.4 (71) 1.5 (2) 30.1 (40) 12.0 (16) 3.0 (4)

The first entry in each cell is the percent of respondents; second is the actual number of respondents.

DK = Don't Know; NA = No answer was given.