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   <dc:title>Impact of climate change and human health in Spain. The first approach to the State-of-the-Art.</dc:title>
   <dc:creator>Senciales-González, José María</dc:creator>
   <dc:creator>Echevarría Lucas, Lucía</dc:creator>
   <dc:creator>Rodrigo Comino, Jesús</dc:creator>
   <dc:subject>Salud - Factores de riesgo</dc:subject>
   <dc:subject>Enfermedades de origen ambiental</dc:subject>
   <dc:subject>Cambio medioambiental global</dc:subject>
   <dcterms:abstract>Spain is reaching the forecasts set by the Intergovernmental Panel on Climate Change (IPCC)&#xd;
since 1990-1992. To get a consensus and reach a minimum governmental awareness of the&#xd;
problem, numerous global meetings were necessary in Spain, like in other countries. However, it&#xd;
was clear that there is a need to transfer this reality to society clearly, concisely and forcefully,&#xd;
influencing changes in social norms, political priorities and cultural values. The scientific&#xd;
literature agrees that the most important climate change events affecting human health are: high&#xd;
temperatures, heat waves and ultraviolet radiation, as well as air, soil and water pollution. In&#xd;
addition, torrential rains, droughts, forest fires, diminishing water resources, coastal phenomena&#xd;
and endangered habitats could be also included.. The aim of this chapter is to present the state of&#xd;
the art on the effects of climate change on health in Spain. So, methodologically, diseases&#xd;
exacerbated by climate change detected in Spain were organized according to medical specialities&#xd;
and climatic elements, analysing morbidity and mortality. Spain increased its population from&#xd;
2000 to 2020 by 16.6% and stabilised its mortality at 9.01‰ (omitting Covid-19). Other reasons&#xd;
aside, increases in morbidity or mortality above these demographic values may be due to the&#xd;
effects of climate change. Thus, the data consulted indicate that 26.7% of mortality is due to&#xd;
cancers, which increase in women (26% between 2000 and 2020) and stabilise in men.</dcterms:abstract>
   <dcterms:abstract>This is&#xd;
followed by heart disease (18.8%), which has fallen since 2000; digestive diseases (11.8%),&#xd;
which have increased by 20.3%; and respiratory and neurological diseases (13.1% and 12%,&#xd;
respectively), which have stabilised since the effect of Covid-19 has been cancelled out; this&#xd;
zoonotic disease, in 2020 alone, increased mortality by 1.37‰, and thus increased mortality due&#xd;
to infectious diseases to 18.2% of all deaths.. Climate change-related illnesses increase more in&#xd;
women. After reviewing this, we conclude that, in addition to the need to reduce greenhouse&#xd;
gases, mitigation measures should include self-protection against heat, ultraviolet rays and water&#xd;
purification, as well as increased research on the environmental effects of climate on human&#xd;
health.. Any of these measures can be understood as "disease sinks".</dcterms:abstract>
   <dcterms:dateAccepted>2025-10-16T09:46:55Z</dcterms:dateAccepted>
   <dcterms:available>2025-10-16T09:46:55Z</dcterms:available>
   <dcterms:created>2025-10-16T09:46:55Z</dcterms:created>
   <dcterms:issued>2023</dcterms:issued>
   <dc:type>book part</dc:type>
   <dc:identifier>Climate Change and Human Health Scenarios. International Case Studies, pp. 253-282</dc:identifier>
   <dc:identifier>https://hdl.handle.net/10630/40270</dc:identifier>
   <dc:identifier>10.1007/978-3-031-38878-1_17</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:rights>open access</dc:rights>
   <dc:publisher>Springer</dc:publisher>
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