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A New Prognosis

image of Jeff Turrentine
CLEARING THE AIR Kim Knowlton uncovers the ways climate change is affecting public health.
A scientist monitors the inextricable connections between the planet's fragile health and our own

When Kim Knowlton was only a toddler, she found a dead bumblebee in her yard. But rather than recoil, she rejoiced. A fascinated Knowlton took the expired insect inside her house, where she performed a protracted and detailed autopsy, an experience she credits with launching her scientific career before she could even read. "I worked on that bumblebee for days," she recalls. "It blew my mind."

Today, Knowlton combines a rigorous approach to collecting hard data with the same energizing curiosity that her preschool self brought to the task of poking around at bee wings and antennae. Her area of specialty -- studying how climate change is adversely affecting human health -- is still young enough that new puzzles, in ever more urgent need of solving, keep rolling in at a rapid clip.

Knowlton has been a senior scientist in NRDC's health and environment program since 2007; she is also part of the organization's India initiative and is a co–deputy director of the NRDC Science Center. Her work allows her to play two of her strongest cards. One is a broad base of academic knowledge, amassed during a career that has touched upon not only climate change but also geology and radiation science. The other is a deep-seated humanism that has found expression in the arts (Knowlton was a member of Watchface, an avant-garde performance troupe, in the 1980s) and in her decision to pursue a doctorate in public health. Her job, appropriately, is to map the intersection of human and environmental pathologies.

What Knowlton has been finding there makes it clear that health-related suffering attributable to climate change isn't just something we will experience if we stay on our current path. It's something we're experiencing right now. She notes that "rising temperatures are lengthening the pollen-production season," citing a study she co-authored showing that the ragweed season in the Midwest grew by anywhere from 13 to 27 days between 1995 and 2009. More heat waves mean more heatstrokes, heart attacks, even suicides. Increased flooding as a result of storm surges and hurricanes means an increased risk of microbial or chemical contamination, as pathogens and toxins are whisked down streams that used to be streets.

One relatively uncharted frontier Knowlton feels compelled to explore further is the link between disasters related to climate change and mental health. Among the aftermaths of an event like Hurricane Sandy, she says, can be the despair that accompanies the loss of a home, job, or loved one. A major drought like the one that hit the Midwest last summer can lead to an epidemic of anxiety as "whole communities see their economic base shattered, just as happened during the Dust Bowl." And since mental health issues often go untreated, "we're dealing with a set of symptoms that don't always get better over time," she says.

Recently Knowlton has noticed an uptick in requests to speak about climate change and health. One request came from an organization of municipal clerks. She sees these clerks as "climate-change first responders" who may be wondering if semi-regular calamity has become the new normal. "People walk into their offices and say, 'Something's wrong. We need help.'" If climate-change awareness is starting to make real headway in the American heartland, one reason may well be that both rural and city dwellers "are getting hammered by all these extreme weather events, and people who are economically disadvantaged or underserved by doctors and health-care facilities are more vulnerable to the health effects."

As awareness continues to grow, Knowlton hopes our public health infrastructure will grow along with it so that we can meet what she deems the "preparedness challenge." It's a challenge that is clearly already upon us. "We need to wrap our heads around one basic fact," she says. "These events are much worse, and are happening at a much faster rate, than they were before."

Visit switchboard.nrdc.org/blogs/kknowlton for more on public health

image of Jeff Turrentine
Jeff Turrentine is OnEarth's articles editor. A former editor at Architectural Digest, he is also a frequent contributor to Slate, The Washington Post, The New York Times Book Review, and other publications.