Table 1.

‘What do you think is the significance of the following health impacts in your nation now, and 5 years from now?’

	Both	T&T	GND
Heat waves and heat-related illnesses	Increased  Admissions for  Heat stroke  Heart attack	Increased  Heat stress (human and animal)  COPD	Increased  Dehydration  Sunburn
Storms (including hurricanes and floods)	Increased  Flooding  Diarrhea  Mosquitoes  Mosquito-borne disease	Increased  Animal death  Agricultural loss  Dengue fever  Yellow fever Decreased  Water quality (and related disease)	Increased  Depression (especially elderly and uninsured)  Crowding  Disease clusters
Droughts, forest fires or brush fires	Increased  Bush fires	Increased  Harms involving  Livestock  Crops  Water distribution  Floods  Seasonal patterns	Ignore fire bans
Vector-borne infectious diseases	Increased  Mosquitoes  Dengue fever	Increased  Cholera  Yellow fever  Zoonotic diseases  H1N1  Rabies  Rat aggression	Poor mosquito control
Anxiety, depression or other mental health conditions	Increased  Depression	Increased  Mental illness	Increased  Suicide attempts
Quality or quantity of fresh water available	Increased  Use of bottled water Decreased  Water quality in floods and dry season	Questionable quality Rusty pipes Inadequate supply	Rivers drying up Inadequate storage
Unsafe or ineffective sewage and septic system operation		Septic tanks leak (especially in floods)	Harms fish and coralsHas improved
Food safety and security	Increased  Imported food use		Decreased  Farming
Housing for residents displaced by extreme weather events		Increased  Stress  House prices	Improved  Construction quality  Number of shelters
Health-care services for people with chronic conditions during service disruptions such as extreme weather events		Increased  Preparedness  Upgrades to health centres	Vulnerable location of main hospital