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ELECTION 2018
                                                                                                     HEALTH
















































         the health profile of current and future generations,   V cholera environmental suitability in coastal areas.
         will challenge already overwhelmed health systems,      The carbon intensity of the energy system will need
         and undermine progress towards the UN Sustainable     to reduce to near zero by 2050. Over the past 15 years,
         Development Goals (SDGs) and universal health         carbon intensity has largely plateaued, as the growth
         coverage (UHC).                                       of low-carbon energy has been insufficient to displace
           The health effects of wildfires range from direct   fossil fuels. Coal phase-out is essential, not only as a
         thermal injuries and death, to the exacerbation of    key measure to mitigate climate change, but also to
         acute and chronic respiratory symptoms due to         reduce morbidity and mortality from air pollution.
         exposure to wildfire smoke. Additionally, the global    As of December 2018, 30 national governments,
         economic burden per person affected by wildfires      along with many sub-national governments and busi-
         is more than twice that of earthquakes and 48 times   nesses, have committed to coal phase-out for power
         higher than that of floods, although the global number   generation through the Powering Past Coal Alliance.
         of events and number of people affected by floods are   Rapidly decreasing coal use to zero is crucial to meet-
         much higher than for wildfires.                       ing the commitments of the Paris Agreement. For
                                                               example, no less than an 80 per cent reduction in coal
         ONSET OF INFECTIOUS DISEASES                          use from 2017 to 2050 (a 5·6 per cent annual reduction
         Climate change affects the distribution and risk of   rate) is consistent with a 1·5°C trajectory.
         many infectious diseases.  The 2019 Lancet Count-       With the power generation sector accounting for
         down report provides an updated analysis of the       38 per cent of total energy-related emissions, the
         environmental suitability for transmission of den-    displacement of fossil fuels with renewable energy
         gue virus, malaria, and Vibrio, with the most recently   sources is of crucial importance. Globally, 3·8 mil-
         available data, and presents an additional analysis of   lion deaths per year are estimated to be attributable


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