APPENDIX B

Conference Agenda

Conference on Human Health and Global Climate Change

The National Science and Technology Council, the Institute of Medicine, and the National Academy of Sciences

September 11–12, 1995

National Academy of Sciences

Main Auditorium

2101 Constitution Avenue, N.W.

Washington, DC 20418

AGENDA

MONDAY, SEPTEMBER 11, 1995

7:30–9:00 a.m.

REGISTRATION

9:00–9:10 a.m.

WELCOMING REMARKS

Kenneth I. Shine, M.D.

President, Institute of Medicine

John H. Gibbons, Ph.D.

Assistant to the President for Science and Technology

9:10–9:50 a.m.

PANEL I: OVERVIEW

Kenneth I. Shine, M.D. (Chair)

President, Institute of Medicine

The Science and Impacts of Climate Change and Ozone Depletion

Robert Watson, Ph.D.

Associate Director for the Environment, Office of Science and Technology Policy, Executive Office of the President

Climate Change and Human Health Risks

Anthony McMichael, Ph.D.

Professor of Epidemiology, London School of Hygiene and Tropical Medicine

9:50–10:10 a.m

QUESTION AND ANSWER SESSION



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Conference on Human Health and Global Climate Change: Summary of the Proceedings APPENDIX B Conference Agenda Conference on Human Health and Global Climate Change The National Science and Technology Council, the Institute of Medicine, and the National Academy of Sciences September 11–12, 1995 National Academy of Sciences Main Auditorium 2101 Constitution Avenue, N.W. Washington, DC 20418 AGENDA MONDAY, SEPTEMBER 11, 1995 7:30–9:00 a.m. REGISTRATION 9:00–9:10 a.m. WELCOMING REMARKS Kenneth I. Shine, M.D. President, Institute of Medicine John H. Gibbons, Ph.D. Assistant to the President for Science and Technology 9:10–9:50 a.m. PANEL I: OVERVIEW Kenneth I. Shine, M.D. (Chair) President, Institute of Medicine The Science and Impacts of Climate Change and Ozone Depletion Robert Watson, Ph.D. Associate Director for the Environment, Office of Science and Technology Policy, Executive Office of the President Climate Change and Human Health Risks Anthony McMichael, Ph.D. Professor of Epidemiology, London School of Hygiene and Tropical Medicine 9:50–10:10 a.m QUESTION AND ANSWER SESSION

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Conference on Human Health and Global Climate Change: Summary of the Proceedings 10:10–11:10 a.m. PANEL II: CLIMATE CHANGE AND INFECTIOUS DISEASES Mary E. Wilson, M.D. (Panel Chair) Assistant Professor, Harvard University Vector-Borne Diseases Duane Gubler, Sc.D. Centers for Disease Control and Prevention Marine Ecosystems Rita Colwell, Ph.D., M.S. President, American Association for the Advancement of Science Emerging and Reemerging Diseases Steven Morse, Ph.D. Assistant Professor of Virology, Rockefeller University 11:10–12:00 p.m. QUESTION AND ANSWER SESSION 12:00–12:30 p.m. LUNCH (Provided in the Great Hall) 12:30–1:00 p.m. SPECIAL BRIEFING El Niño: Analogue for Long-Term Climate Change J. Michael Hall, Ph.D. Director, Office of Global Programs, National Oceanic and Atmospheric Administration Paul Epstein, M.D., M.P.H. Harvard Medical School 1:00–1:30 p.m. PANEL III: DIRECT HEALTH EFFECTS FROM CLIMATE CHANGE AND OZONE DEPLETION Terri Damstra, Ph.D. (Panel Chair) Deputy Director, National Institute of Environmental Health Sciences Climate Change and Heat Stress Larry Kalkstein, Ph.D. Professor of Geography, University of Delaware Ozone Depletion and Its Health Effects: Skin Cancer, Cataracts, and Immune Suppression Margaret Kripke, Ph.D., M.A. Professor and Chairman, University of Texas M.D. Anderson Cancer Center 1:30–2:00 p.m. QUESTION AND ANSWER SESSION

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Conference on Human Health and Global Climate Change: Summary of the Proceedings 2:00–2:45 p.m. PANEL IV: INDIRECT HEALTH EFFECTS OF CLIMATE CHANGE Andrew Haines, M.D. (Panel Chair) Professor of Primary Care, University of London Medical School Impacts on Nutritional Health David Oot, Ph.D. Director, Office of Nutrition and Health, United States Agency for International Development Impacts on Fresh Water Quality and Quantity Reds Wolman, Ph.D., M.A. Professor of Geography, Johns Hopkins University Impacts on Air Quality Joel Schwartz, Ph.D. Professor of Environmental Epidemiology, Harvard University 2:45–3:15 p.m. QUESTION AND ANSWER SESSION 3:15–3:30 p.m. COFFEE BREAK 3:30–4:00 p.m. SPECIAL ADDRESS Implications for International Cooperation Mr. J. Brian Atwood Administrator, United States Agency for International Development 4:00–4:30 p.m. INTRODUCTION OF KEYNOTE SPEAKER John H. Gibbons, Ph.D. Assistant to the President for Science and Technology KEYNOTE ADDRESS The Interplay of Climate Change, Ozone Depletion, and Human Health Albert Gore, Jr., Vice President of the United States 4:30–5:15 p.m. PANEL V: POLICY IMPLICATIONS Anne Solomon, M.P.A. (Panel Chair) Deputy Assistant Secretary for Science, Technology and Health, Department of State Implications for Global Health Surveillance and Response Stephen Joseph, M.D., M.P.H. Assistant Secretary for Health Affairs, Department of Defense Implications for Disease Prevention Sir George A.O. Alleyne, M.D. Director, Pan American Health Organization

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Conference on Human Health and Global Climate Change: Summary of the Proceedings   Implications for Education in the Medical and Public Health Communities Eric Chivian, M.D. Chair, Physicians for Social Responsibility 5:15–5:45 p.m. QUESTION AND ANSWER SESSION 5:45–6:00 p.m. WRAP UP, INSTRUCTIONS FOR THE NEXT DAY 6:00 p.m. ADJOURN 6:15 p.m. RECEPTION—GREAT HALL TUESDAY, SEPTEMBER 12, 1995 7:00–8:00 a.m. CONTINENTAL BREAKFAST-NAS GREAT HALL 8:00–9:00 a.m. BREAKOUT SESSION COCHAIRS CONVENE TO DISCUSS GOALS AND STRATEGIES 9:00–9:15 a.m. MORNING PLENARY Charge to Breakout Groups Bernard Goldstein, M.D. (Chair) 9:15–12:30 p.m. BREAKOUT GROUP SESSIONS GROUP 1: IMPLICATIONS FOR GLOBAL HEALTH SURVEILLANCE AND RESPONSE Ruth Berkleman, M.D. (Government Cochair) Deputy Director, National Center for Infectious Diseases, Centers for Disease Control and Prevention Demisse Habte, M.D. (Nongovernment Cochair) Director, Centre for Health and Population Research GROUP 2: IMPLICATIONS FOR DISEASE PREVENTION Sheila Newton, Ph.D. (Government Cochair) Coordinator for Environment, Disease Prevention and Health Promotion, Department of Health and Human Services Jonathan Patz, M.D., M.P.H. (Nongovernment Cochair) Johns Hopkins University

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Conference on Human Health and Global Climate Change: Summary of the Proceedings   GROUP 3: IMPLICATIONS FOR EDUCATION OF THE MEDICAL AND PUBLIC HEALTH COMMUNITIES Max Lum, Ed.D., M.P.A. (Government Cochair) Director, Office of Health Communications, National Institute of Occupational Safety and Health Bernard Goldstein, M.D. (Nongovernment Cochair) Chair, Department of Environmental and Community Medicine, Robert Wood Johnson School of Medicine GROUP 4: IMPLICATIONS FOR INTERNATIONAL COOPERATION Rafe Pomerance (Government Cochair) Deputy Assistant Secretary for the Environment and Development, State Department Rudi Slooff, Ph.D. (Nongovernment Cochair) Division of Environmental Health, World Health Organization GROUP 5: IMPLICATIONS FOR RESEARCH AND DEVELOPMENT NEEDS Robert Corell, Ph.D. (Government Cochair) Chair, Subcommittee on Global Change Research and Development, United States Global Change Research Program David P. Rall, M.D., Ph.D. (Nongovernment Cochair) Foreign Secretary, Institute of Medicine GROUP 6: IMPLICATIONS FOR PUBLIC OUTREACH AND RISK COMMUNICATION Bill Farland, Ph.D. (Government Cochair) Director of National Center for Environmental Assessment, Environmental Protection Agency Thomas Malone, Ph.D. (Nongovernment Cochair) Director of Sigma Xi Center's Human Development Program 12:30–1:00 p.m. LUNCH (PROVIDED IN THE GREAT HALL) 1:00–1:30 p.m. SPECIAL ADDRESS Biodiversity, Climate Change, and Human Health Thomas Lovejoy, Ph.D. Counselor to the Secretary for Biodiversity and Environmental Affairs, Smithsonian Institution

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Conference on Human Health and Global Climate Change: Summary of the Proceedings 1:30–3:30 p.m. CLOSING PLENARY Bernard Goldstein, M.D. (Plenary Chair) Chair, Department of Environmental and Community Medicine, Robert Wood Johnson School of Medicine Breakout group Cochairs report on strategies for addressing potential health effects of global climate change developed during their discussions. 3:00–4:00 p.m. OPEN DISCUSSION 4:00 p.m. ADJOURN