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Climate change is currently increasing the vulnerability of many forests to wildfire. Climate change is <br /> projected to increase the frequency of wildfires in certain regions of the United States. Long periods of <br /> record high temperatures are associated with droughts that contribute to dry conditions and drive <br /> wildfires in some areas. Wildfire smoke contains particulate matter, carbon monoxide, nitrogen oxides, <br /> and various VOCs(which are ozone precursors) and can significantly reduce air quality, both locally and in <br /> areas downwind of fires. Smoke exposure increases respiratory and cardiovascular hospitalizations; <br /> emergency department visits; medication dispensations for asthma, bronchitis, chest pain, chronic <br /> obstructive pulmonary disease (commonly known by its acronym, COPD), and respiratory infections; and <br /> medical visits for lung illnesses. <br /> Drought conditions may increase environmental exposure to dust storms, extreme heat events, flash <br /> flooding, degraded water quality, and reduced water quantity. Dust storms associated with drought <br /> conditions contribute to degraded air quality. Extreme heat events have long threatened public health in <br /> the United States. Heat waves are also associated with increased hospital admissions for cardiovascular, <br /> kidney, and respiratory disorders. Extreme summer heat is increasing in the United States, and climate <br /> projections indicate that extreme heat events will be more frequent and intense in coming decades. <br /> Milder winters resulting from a warming climate can reduce illness, injuries, and deaths associated with <br /> cold and snow. Vulnerability to winter weather depends on many non-climate factors, including housing, <br /> age, and baseline health. Although deaths and injuries related to extreme cold events are projected to <br /> decline due to climate change,these reductions are not expected to compensate for the increase in heat- <br /> related deaths. <br /> The frequency of heavy precipitation events has already increased for the nation as a whole and is <br /> projected to increase in all U.S. regions. Increases in both extreme precipitation and total precipitation <br /> have contributed to increases in severe flooding events in certain regions. In addition to the immediate <br /> health hazards associated with extreme precipitation events when flooding occurs, other hazards can <br /> often appear once a storm event has passed. Elevated waterborne disease outbreaks have been reported <br /> in the weeks following heavy rainfall, although other variables may also affect these associations. Water <br /> intrusion into buildings can result in mold contamination that manifests later, leading to indoor air quality <br /> problems. Buildings damaged during hurricanes are especially susceptible to water intrusion. Populations <br /> living in damp indoor environments experience increased prevalence of asthma and other upper <br /> respiratory tract symptoms, such as coughing and wheezing, as well as lower respiratory tract infections <br /> such as pneumonia, Respiratory Syncytial Virus (RSV), and RSV pneumonia. <br /> Climate is one of the factors that influence the distribution of diseases borne by vectors such as fleas, <br /> ticks, and mosquitoes, which spread pathogens that cause illness. The geographic and seasonal <br /> distribution of vector populations, and the diseases they can carry, depend not only on climate but also <br /> on land use,socioeconomic and cultural factors, pest control,access to health care, and human responses <br /> to disease risk, among other factors. Daily, seasonal, or year-to-year climate variability can sometimes <br /> result in vector/pathogen adaptation and shifts or expansions in their geographic ranges. North Americans <br /> are currently at risk from numerous vector-borne diseases, including Lyme, dengue fever,West Nile virus, <br /> Rocky Mountain spotted fever, plague, and tularemia.Vector-borne pathogens not currently found in the <br /> Dunn Ranch Area LBA and Mining Plan Modification 50 <br /> Technical Resources Report <br />