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Howard Frumkin, MD, DrPH, Jeremy Hess, MD, MPH, George Luber, PhD, Josephine Malilay, PhD, MPH and Michael McGeehin, PhD, MSPH

The authors are with the National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, US Centers for Disease Control and Prevention, Atlanta, Ga. Jeremy Hess is also with the Department of Emergency Medicine, Emory Medical School, Atlanta, Ga.

Correspondence: Correspondence should be sent to Howard Frumkin, MD, DrPH, Director, National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, US Centers for Disease Control and Prevention, 1600 Clifton Rd, MS E-28, Atlanta, GA 30333 (e-mail haf6{at}cdc.gov).

There is scientific consensus that the global climate is changing, with rising surface temperatures, melting ice and snow, rising sea levels, and increasing climate variability. These changes are expected to have substantial impacts on human health. There are known, effective public health responses for many of these impacts, but the scope, timeline, and complexity of climate change are unprecedented. We propose a public health approach to climate change, based on the essential public health services, that extends to both clinical and population health services and emphasizes the coordination of government agencies (federal, state, and local), academia, the private sector, and nongovernmental organizations.