TABLE 1—

Climate-Sensitive Operations and Programs by CDC Health Focus Area and Examples of Potential Adaptation Activities

CDC Health Focus Area	Climate-Sensitive Operations and Programs	Examples of Potential Adaptation Activities
CDC operations: administrative services, facilities	Personnel safety, infrastructure and facilities vulnerability, disruption of health services provision	Vulnerability assessment of existing facilities and operations
Global health	Vector-borne and zoonotic disease surveillance, prevention, and treatment (e.g., malaria, dengue), emergency response	Enhanced surveillance of climate sensitive diseases, coordination with World Health Organization and World Meteorological Organization climate and health programs
Health preparedness and response, emergency operations	Emergency preparedness and response	Vulnerability mapping, revision of evacuation plans based on sea-level projections, review of National Planning Scenarios to determine climate change adaptation needs
State, tribal, local and territorial support	Climate-sensitive diseases within these jurisdictions (e.g., hantavirus); disruption of health services provision	Support outbreak investigations of climate sensitive conditions, assist with local planning for disaster response
Occupational Safety and Health	Occupational safety and health of workers exposed to climate-related hazards	Research, update guidelines, communications for affected workers and industries
Informatics, surveillance, epidemiology, and vital statistics	Surveillance of climate-sensitive health outcomes, formulation of case definitions and diagnostic guidelines, coordination of vital statistics research, and public and interagency access to health databases, mental health impacts	Facilitation of location-specific, longitudinal surveillance of climate-sensitive health outcomes; support surveillance of emerging and re-emerging diseases (e.g., dengue); dissemination of case definitions for climate sensitive health outcomes (e.g., heat-related death); training of public health personnel in new case definitions and surveillance priorities
Birth defects and developmental disabilities	Investigation of health outcomes associated with weather, climate variability, and climate change; surveillance of teratogenic compounds in the environment	Enhanced surveillance of climate sensitive conditions
Chronic disease	Education regarding climate sensitivity of certain chronic health conditions (e.g., heat and cardiovascular disease), promotion of local awareness of climate-health impacts	Facilitating early warnings to susceptible populations, expanded educational efforts
Environmental health	Heat, air pollution, extreme weather, emergency response, investigation of health outcomes related to weather and climate	Enhanced surveillance, expanded tracking of climate-sensitive indicators
Injury prevention	Injury from extreme weather events	Expanded educational efforts
Respiratory diseases, asthma	Surveillance and programming related to climate-sensitive respiratory conditions (e.g., asthma)	Facilitation of respiratory health tracking
Vectorborne, foodborne, waterborne, and zoonotic diseases	Spread of vectorborne, zoonotic, foodborne and waterborne diseases, migration effects on disease	Enhanced surveillance, expanded global migration and quarantine programs, increased collaboration with other centers
Sexually transmitted Infections, HIV/AIDS	Migration effects on disease distribution; surveillance of these diseases in displaced populations	Expanded educational efforts
Mental health	Mental health impacts from extreme events	Enhanced surveillance and prevention

Note. CDC = Centers for Disease Control and Prevention.