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Climate change and its respective environmental impacts, such as dying lakes, is widely acknowledged. Studies on the impact of shrinking hyper-saline lakes suggest severe negative consequences for the health of the affected population. The primary aim was to investigate the relationship between changes in the water level of the hyper-saline Lake Urmia, along with the associated salt release, and the prevalence of hypertension and the general state of health of the local population in Shabestar County north of the lake. Moreover, we sought to map the vulnerability of the local population to the health risks associated with salt-dust scatter using multiple environmental and demographic characteristics. We applied a spatiotemporal analysis of the environmental parameters of Lake Urmia and the health of the local population. We analyzed health survey data from local health care centers and a national STEPS study in Shabestar County, Iran. We used a time-series of remote sensing images to monitor the trend of occurrence and extent of salt-dust storms between 2012 and 2020. To evaluate the impacts of lake drought on the health of the residences, we investigated the spatiotemporal correlation of the lake drought and the state of health of local residents. We applied a GIScience multiple decision analysis to identify areas affected by salt-dust particles and related these to the health status of the residents. According to our results, the lake drought has significantly contributed to the increasing cases of hypertension in local patients. The number of hypertensive patients has increased from 2.09% in 2012 to 19.5% in 2019 before decreasing slightly to 16.05% in 2020. Detailed results showed that adults, and particularly females, were affected most by the effects of the salt-dust scatter in the residential areas close to the lake. The results of this study provide critical insights into the environmental impacts of the Lake Urmia drought on the human health of the residents. Based on the results we suggest that detailed socioeconomic studies might be required for a comprehensive analysis of the human health issues in this area. Nonetheless, the proposed methods can be applied to monitor the environmental impacts of climate change on human health., (© 2023. The Author(s).)

In many parts of the world, lake drying is caused by water management failures, while the phenomenon is exacerbated by climate change. Lake Urmia in Northern Iran is drying up at such an alarming rate that it is considered to be a dying lake, which has dire consequences for the whole region. While salinization caused by a dying lake is well understood and known to influence the local and regional food production, other potential impacts by dying lakes are as yet unknown. The food production in the Urmia region is predominantly regional and relies on local water sources. To explore the current and projected impacts of the dying lake on food production, we investigated changes in the climatic conditions, land use, and land degradation for the period 1990-2020. We examined the environmental impacts of lake drought on food production using an integrated scenario-based geoinformation framework. The results show that the lake drought has significantly affected and reduced food production over the past three decades. Based on a combination of cellular automaton and Markov modeling, we project the food production for the next 30 years and predict it will reduce further. The results of this study emphasize the critical environmental impacts of the Urmia Lake drought on food production in the region. We hope that the results will encourage authorities and environmental planners to counteract these issues and take steps to support food production. As our proposed integrated geoinformation approach considers both the extensive impacts of global climate change and the factors associated with dying lakes, we consider it to be suitable to investigate the relationships between environmental degradation and scenario-based food production in other regions with dying lakes around the world., (© 2022. The Author(s).)

Precision public health approaches are crucial for targeting health policies to regions most affected by disease. We present the first sub-national and spatially explicit burden of disease study in Africa. We used a cross-sectional study design and assessed data from the Kenya population and housing census of 2009 for calculating YLLs (years of life lost) due to premature mortality at the division level (N = 612). We conducted spatial autocorrelation analysis to identify spatial clusters of YLLs and applied boosted regression trees to find statistical associations between locational risk factors and YLLs. We found statistically significant spatial clusters of high numbers of YLLs at the division level in western, northwestern, and northeastern areas of Kenya. Ethnicity and household crowding were the most important and significant risk factors for YLL. Further positive and significantly associated variables were malaria endemicity, northern geographic location, and higher YLL in neighboring divisions. In contrast, higher rates of married people and more precipitation in a division were significantly associated with less YLL. We provide an evidence base and a transferable approach that can guide health policy and intervention in sub-national regions afflicted by disease burden in Kenya and other areas of comparable settings.