Heading for the hills: climate-driven community relocations in the Solomon Islands and Alaska provide insight for a 1.5 °C future

Whilst future air temperature thresholds have become the centrepiece of international climate negotiations, even the most ambitious target of 1.5 °C will result in significant sea-level rise and associated impacts on human populations globally. Of additional concern in Arctic regions is declining sea ice and warming permafrost which can increasingly expose coastal areas to erosion particularly through exposure to wave action due to storm activity. Regional variability over the past two decades provides insight into the coastal and human responses to anticipated future rates of sea-level rise under 1.5 °C scenarios. Exceeding 1.5 °C will generate sea-level rise scenarios beyond that currently experienced and substantially increase the proportion of the global population impacted. Despite these dire challenges, there has been limited analysis of how, where and why communities will relocate inland in response. Here, we present case studies of local responses to coastal erosion driven by sea-level rise and warming in remote indigenous communities of the Solomon Islands and Alaska, USA, respectively. In both the Solomon Islands and the USA, there is no national government agency that has the organisational and technical capacity and resources to facilitate a community-wide relocation. In the Solomon Islands, communities have been able to draw on flexible land tenure regimes to rapidly adapt to coastal erosion through relocations. These relocations have led to ad hoc fragmentation of communities into smaller hamlets. Government-supported relocation initiatives in both countries have been less successful in the short term due to limitations of land tenure, lacking relocation governance framework, financial support and complex planning processes. These experiences from the Solomon Islands and USA demonstrate the urgent need to create a relocation governance framework that protects people’s human rights.     

Sea-level rise impacts on Africa and the effects of mitigation and adaptation: an application of DIVA

This paper assesses sea-level rise impacts on Africa at continental and national scales including the benefits of mitigation and of applying adaptation measures, considering four scenarios of global mean sea-level rises from 64 to 126 cm in the period of 1995–2100. We find that in 2100, 16–27 million people are expected to be flooded per year, and annual damage costs range between US5 and US 5 and US 9 billion, if no adaptation takes place. Mitigation reduces impacts by 11–36%. Adaptation in the form of building dikes to protect against coastal flooding and nourishing beaches to protect against coastal erosion reduces the number of people flooded by two orders of magnitude and cuts damage costs in half by 2100. Following such a protection strategy would require substantial investment. First, Africa’s current adaptation deficit with respect to coastal flooding would need to be addressed. DIVA suggests that a capital investment of US300 billion is required to build dikes adapted to the current surge regime and US 300 billion is required to build dikes adapted to the current surge regime and US 3 billion per year for maintenance. In addition, between US2 and US 2 and US 6 billion per year needs to be spent on protecting against future sea-level rise and socio-economic development by 2100. This suggests that protection is not effective from a monetary perspective but may still be desirable when also taking into account the avoided social impact. We conclude that this issue requires further investigation including sub-national scale studies that look at impacts and adaptation in conjunction with the development agenda and consider a wider range of adaptation options and strategies.     

Regional Risk Assessment addressing the impacts of climate change in the coastal area of the Gulf of Gabes (Tunisia)

Sound, cost efficient management strategies in developed coastal zones can be reinforced by a thorough understanding of risks associated with the combination of anthropogenic and natural drivers of change. A Regional Risk Assessment (RRA) methodology was developed for the assessment of the potential impacts of climate change in the Tunisian coastal zone of the Gulf of Gabes. It is based on the use of Multi-Criteria Decision Analysis techniques and Geographic Information Systems and is designed to support the development and prioritization of adaptation strategies. The RRA focuses on sea-level rise and storm surge flooding impacts for human and natural systems, i.e., beaches, wetlands, urban areas, agricultural areas, and terrestrial ecosystems. Results suggest that for both of the studied climate change impacts, i.e., sea-level rise and storm surge flooding, the area potentially exposed is limited to a narrow, low elevation region adjacent to the shoreline. However, the exposed areas showed a high relative risk score, obtained by the integration of exposure and susceptibility factors. Beaches have the lowest relative risk scores, while wetlands and terrestrial ecosystems have the higher relative risk scores. The final outputs of the analysis (i.e., exposure, susceptibility, and risk maps) can support end-users in the establishment of relative priorities for intervention and in the identification of suitable areas for human settlements, infrastructure, and economic activities, thus providing a basis for coastal zoning and land-use planning.     

What are the implications of sea-level rise for a 1.5, 2 and 3 °C rise in global mean temperatures in the Ganges-Brahmaputra-Meghna and other vulnerable deltas?

Even if climate change mitigation is successful, sea levels will keep rising. With subsidence, relative sea-level rise represents a long-term threat to low-lying deltas. A large part of coastal Bangladesh was analysed using the Delta Dynamic Integrated Emulator Model to determine changes in flood depth, area and population affected given sea-level rise equivalent to global mean temperature rises of 1.5, 2.0 and 3.0 °C with respect to pre-industrial for three ensemble members of a modified A1B scenario. Annual climate variability today (with approximately 1.0 °C of warming) is potentially more important, in terms of coastal impacts, than an additional 0.5 °C warming. In coastal Bangladesh, the average depth of flooding in protected areas is projected to double to between 0.07 and 0.09 m when temperatures are projected at 3.0 °C compared with 1.5 °C. In unprotected areas, the depth of flooding is projected to increase by approximately 50% to 0.21–0.27 m, whilst the average area inundated increases 2.5 times (from 5 to 13% of the region) in the same temperature frame. The greatest area of land flooded is projected in the central and north-east regions. In contrast, lower flood depths, less land area flooded and fewer people are projected in the poldered west of the region. Over multi-centennial timescales, climate change mitigation and controlled sedimentation to maintain relative delta height are key to a delta’s survival. With slow rates of sea-level rise, adaptation remains possible, but further support is required. Monitoring of sea-level rise and subsidence in deltas is recommended, together with improved datasets of elevation.

     

Socio-economic vulnerability of the megacity of Shanghai (China) to sea-level rise and associated storm surges

Sea-level rise (SLR) poses a significant threat to many coastal areas and will likely have important impacts on socio-economic development in those regions. Located on the eastern coast in China, the megacity of Shanghai is particularly vulnerable to SLR and associated storm surge risks. Using the municipality of Shanghai as a case study, the possible impacts of flooding risks caused by SLR and associated storm surges on socio-economic development in the region were analysed by a Source–Pathway–Receptor–Consequence (SPRC) conceptual model. The projections of flooding risk in the study area were simulated by MIKE21 (a two-dimensional hydrodynamic model) for the three time periods of 2030, 2050 and 2100. An index system for vulnerability assessment was devised, in which flooding depth, density of population, GDP per capita, GDP per unit land, loss rate under flooding and fiscal revenue were selected as the key indicators. A quantitative spatial assessment method based on a GIS platform was established by quantifying each indicator, calculating and then grading the vulnerability index. The results showed that in the 2030 projection, 99.3 % of the areas show no vulnerability to SLR and associated storm surges under the present infrastructure. By 2050, the areas with low, moderate and high vulnerabilities change significantly to 5.3, 8.0 and 23.9 %, respectively, while by 2100, the equivalent figures are 12.9, 6.3 and 30.7 %. The application of the SPRC model, the methodology and the results from this study could assist with the objective and quantitative assessment of the socio-economic vulnerability of other similar coastal regions undergoing the impacts of SLR and associated storm surges. Based on the results of this study, mitigation and adaptation measures should be considered, which include the controlling the rate of land subsidence, the reinforcement of coastal defence systems and the introduction of adaptation in long-term urban planning.     

Community-based adaptation in low-lying islands in the Philippines: challenges and lessons learned

Community-based adaptation (CBA) seeks to address climate risks and socio-economic drivers of vulnerability simultaneously. However, as CBA activities appear very similar to standard development work, difficulties in identifying good practices arise. To clarify the role of CBA, this study elucidated how climate change can impact pre-existing development problems by investigating the experiences of four low-lying island communities in central Philippines. The islands currently suffer from frequent and extreme tidal flooding (following an earthquake-induced land subsidence in 2013, with a magnitude that is broadly similar to sea-level rise projections under a 1.5 to 2 °C global warming scenario), and endured a dry spell in 2016. The study also identified various publicly and privately initiated adaptation strategies, and evaluated their resilience against actual biophysical events. The study conducted focus group discussions with local leaders and in-depth interviews with government officials and residents in March 2016. Results show that tidal flooding impacted almost all aspects of daily life on the islands, while the dry spell completely depleted their limited water supplies. The strategies implemented by governments and NGOs (e.g., seawalls, rainwater collectors) were found to be inadequate in preventing tidal flooding and compensating for the dry spell. Also, communities used coral stones and plastic waste for raising the floors of their homes, which have an erosive effect on their capacity to adapt in the long term. Lack of community participation in publicly initiated projects and lack of adaptation funding for community-based strategies were the greatest obstacles to implementing climate-resilient solutions.     

Climate change impacts on critical international transportation assets of Caribbean Small Island Developing States (SIDS): the case of Jamaica and Saint Lucia

This contribution presents an assessment of the potential vulnerabilities to climate variability and change (CV & C) of the critical transportation infrastructure of Caribbean Small Island Developing States (SIDS). It focuses on potential operational disruptions and coastal inundation forced by CV & C on four coastal international airports and four seaports in Jamaica and Saint Lucia which are critical facilitators of international connectivity and socioeconomic development. Impact assessments have been carried out under climatic conditions forced by a 1.5 °C specific warming level (SWL) above pre-industrial levels, as well as for different emission scenarios and time periods in the twenty-first century. Disruptions and increasing costs due to, e.g., more frequent exceedance of high temperature thresholds that could impede transport operations are predicted, even under the 1.5 °C SWL, advocated by the Alliance of Small Island States (AOSIS) and reflected as an aspirational goal in the Paris Climate Agreement. Dynamic modeling of the coastal inundation under different return periods of projected extreme sea levels (ESLs) indicates that the examined airports and seaports will face increasing coastal inundation during the century. Inundation is projected for the airport runways of some of the examined international airports and most of the seaports, even from the 100-year extreme sea level under 1.5 °C SWL. In the absence of effective technical adaptation measures, both operational disruptions and coastal inundation are projected to increasingly affect all examined assets over the course of the century.     

Integration, synthesis and climate change adaptation: a narrative based on coastal wetlands at the regional scale

The idea that integration and synthesis are critical for designing climate change adaptation and mitigation is well entrenched conceptually. Here, we review the concepts of adaptation, synthesis and integration and apply them to the case study of coastal wetlands in South East Queensland, Australia. The distribution and condition of coastal wetlands will change as climate changes. This will create conservation challenges and economic costs, but these can be minimised by drawing from a broad sectoral perspective in undertaking adaptation planning and by ensuring integration into policy. Our review indicates that adaptations to sea level rise that are focussed on wetland and biodiversity conservation are likely to have impacts for urbanisation patterns. Planning regulations that provide spatial buffering around wetlands may give rise to more compact urban forms that may lead to reductions in the cost of defence against sea level rise, reduce energy usage per person and provide more green space. However, more compact urban forms could exacerbate heat island effects and place greater burden on the economically disadvantaged as, for example, single-family homes become more expensive. Planning for climate change needs to balance these equity and cross-sectoral issues in order to reduce the likelihood of unforeseen negative consequences.     

Climate change and coastal vulnerability assessment: scenarios for integrated assessment

Coastal vulnerability assessments still focus mainly on sea-level rise, with less attention paid to other dimensions of climate change. The influence of non-climatic environmental change or socio-economic change is even less considered, and is often completely ignored. Given that the profound coastal changes of the twentieth century are likely to continue through the twenty-first century, this is a major omission, which may overstate the importance of climate change, and may also miss significant interactions of climate change with other non-climate drivers. To better support climate and coastal management policy development, more integrated assessments of climatic change in coastal areas are required, including the significant non-climatic changes. This paper explores the development of relevant climate and non-climate drivers, with an emphasis on the non-climate drivers. While these issues are applicable within any scenario framework, our ideas are illustrated using the widely used SRES scenarios, with both impacts and adaptation being considered. Importantly, scenario development is a process, and the assumptions that are made about future conditions concerning the coast need to be explicit, transparent and open to scientific debate concerning their realism and likelihood. These issues are generic across other sectors.

Historical area and shoreline change of reef islands around Tarawa Atoll, Kiribati

Low-lying reef islands on atolls appear to be threatened by impacts of observed and anticipated sea-level rise. This study examines changes in shoreline position on the majority of reef islands on Tarawa Atoll, the capital of Kiribati. It investigates short-term reef-island area and shoreline change over 30 years determined by comparing 1968 and 1998 aerial photography using geographical information systems. Reef islands have substantially increased in size, gaining about 450 ha, driven largely by reclamations on urban South Tarawa, accounting for 360 ha (~80 % of the net change). Widespread erosion and high average accretion rates appear to be related to disjointed reclamations. In rural North Tarawa, most reef islands show stability, with localised changes in areas such as embayments, sand spits and beaches adjacent to, or facing, inter-island channels. Shoreline changes in North Tarawa are largely influenced by natural factors, whereas those in South Tarawa are predominantly affected by human factors and seasonal variability associated with El Niño—Southern Oscillation (ENSO). However, serious concerns are raised for the future of South Tarawa reef islands, as evidence shows that widespread erosion along the ocean and lagoon shorelines is primarily due to human activities and further encroachment onto the active beach will disrupt longshore sediment transport, increasing erosion and susceptibility of the reef islands to anticipated sea-level rise. Appropriate adaptation measures, such as incorporating coastal processes and seasonal variability associated with ENSO when designing coastal structures and developing appropriate management plans, are required, including prohibiting beach mining practices near settlements.     

Improving cross-sectoral climate change adaptation for coastal settlements: insights from South East Queensland,Australia

Climate change impacts affecting coastal areas, such as sea-level rise and storm surge events, are expected to have significant social, economic and environmental consequences worldwide. Ongoing population growth and development in highly urbanised coastal areas will exacerbate the predicted impacts on coastal settlements. Improving the adaptation potential of highly vulnerable coastal communities will require greater levels of planning and policy integration across sectors and scales. However, to date, there is little evidence in the literature which demonstrates how climate policy integration is being achieved. This paper contributes to this gap in knowledge by drawing on the example provided by the process of developing cross-sectoral climate change adaptation policies and programmes generated for three coastal settlement types as part of the South East Queensland Climate Adaptation Research Initiative (SEQCARI), a 3-year multi-sectoral study of climate change adaptation options for human settlements in South East Queensland, Australia. In doing so, we first investigate the benefits and challenges to cross-sectoral adaptation to address climate change broadly and in coastal areas. We then describe how cross-sectoral adaptation policies and programmes were generated and appraised involving the sectors of urban planning and management, coastal management, emergency management, human health and physical infrastructure as part of SEQCARI. The paper concludes by discussing key considerations that can inform the development and assessment of cross-sectoral climate change adaptation policies and programmes in highly urbanised coastal areas.     

Sea-level rise in Indonesia: on adaptation priorities in the agricultural sector

Adaptation to climate-change impacts requires understanding of where impacts are to be expected and what their magnitude may be. Adaptation funds are only a limited resource for helping affected parties in coping with climate-change impacts. The application of suitable methods helps to determine the recipients of adaptation aid. A quantification of impacts based on different impact analyses can aid in taking on various perspectives on the same problem in order to identify the appropriate perspective for the given decision-making context or for identifying impact patterns. Once executed, this prioritizes adaptation needs and finding a suitable allocation rule, given the policy makers perception of the decision-making context. The study introduces a set of methods of spatially explicit, sub-national (province level), and country-wide impact analyses regarding inundation impacts on agricultural areas for four important food crops in Indonesia. These methods are applied to a 1 and 2 m sea-level rise scenario and include a novel approach for impact analyses, data envelopment analysis, which is not widely used in environmental studies as of yet. Based on the given case study, the paper demonstrates the applicability of these methods and identifies impact patterns.     

Understanding global sea levels: past, present and future

The coastal zone has changed profoundly during the 20th century and, as a result, society is becoming increasingly vulnerable to the impact of sea-level rise and variability. This demands improved understanding to facilitate appropriate planning to minimise potential losses. With this in mind, the World Climate Research Programme organised a workshop (held in June 2006) to document current understanding and to identify research and observations required to reduce current uncertainties associated with sea-level rise and variability. While sea levels have varied by over 120 m during glacial/interglacial cycles, there has been little net rise over the past several millennia until the 19th century and early 20th century, when geological and tide-gauge data indicate an increase in the rate of sea-level rise. Recent satellite-altimeter data and tide-gauge data have indicated that sea levels are now rising at over 3 mm year⁻¹. The major contributions to 20th and 21st century sea-level rise are thought to be a result of ocean thermal expansion and the melting of glaciers and ice caps. Ice sheets are thought to have been a minor contributor to 20th century sea-level rise, but are potentially the largest contributor in the longer term. Sea levels are currently rising at the upper limit of the projections of the Third Assessment Report of the Intergovernmental Panel on Climate Change (TAR IPCC), and there is increasing concern of potentially large ice-sheet contributions during the 21st century and beyond, particularly if greenhouse gas emissions continue unabated. A suite of ongoing satellite and in situ observational activities need to be sustained and new activities supported. To the extent that we are able to sustain these observations, research programmes utilising the resulting data should be able to significantly improve our understanding and narrow projections of future sea-level rise and variability.     

Impacts of predicted sea level rise on land use/land cover categories of the adjacent coastal areas of Mumbai megacity,India

Physical and ecological responses of the coastal areas in the vicinity of Mumbai, India, due to relative sea level rise are examined by different inundation scenarios. Evaluation of potential habitat loss under sea level rise was made by incorporating the land use/land cover (LULC) adopted from the digital elevation model with the satellite imagery. LULC categories overlaid on 1.0, 2.0, 3.0 and 4.0 m coastal elevation showed that the coastal areas of Mumbai were mostly covered by vegetation followed by barren land, agricultural land, urban areas and water bodies. For the relative sea level rise scenarios of 1.0, 2.0, 3.0 and 4.0 m, the tidal inundation areas were estimated to be 257.85, 385.58, 487.56 and 570.63 km², respectively, using GIS techniques. The losses of urban areas were also estimated at 25.32, 41.64, 54.61 and 78.86 km² for the 1.0, 2.0, 3.0 and 4.0 m relative sea level rise, respectively, which is most alarming information for the most populated city on the eastern coast of India. The results conclude that relative sea level rise scenario will lead profound impacts on LULC categories as well as on coastal features and landforms in the adjoining part of Mumbai. The sea level rise would also reduce the drainage gradients that promote flooding condition to rainstorms and subsequently increase saltwater intrusion into coastal regions. Alterations in the coastal features and landforms correlated with inundation characteristics that make the coastal region more vulnerable in the coming decades due to huge development activities and population pressures in Mumbai.     

Evaluation of the Design Features of Interactive Sea-Level Rise Viewers for Risk Communication

Interactive sea-level rise viewers (ISLRVs) are digital tools used to communicate about impacts of sea-level rise (SLR) and support decision-making. This study characterizes how ISLRVs communicate about SLR-related risks and provide decision-making support. It identifies key themes about fostering accurate mental models of SLR processes, informing about inundation likelihood, communicating about related social and ecological risks, and providing features users can apply to specific tasks. We present a framework for understanding this type of communication tool that designers can use to develop robust ISLRVs that can support audiences’ understanding and decision-making needs, and contribute to enhancement of coastal resiliency.     

Social capital and citizen perceptions of coastal management for tackling climate change impacts in Greece

There is a growing consensus among researchers that social aspects and the involvement of local communities play a critical role in public decision-making processes in the coastal zone. Social capital is a parameter which has recently gained significant attention in this context. It is regarded that it has a significant influence on the adaptation capacity of local communities to climate change impacts. The present paper aims to contribute to this field through an examination of citizens’ perceptions of three coastal zone management policies (hold the line, managed realignment and no active intervention) along with the influence of social capital on the level of social acceptability for these proposed policy options. For this purpose, a quantitative empirical study was conducted for the first time in five coastal areas of Greece that are regarded as high flood-risk areas due to sea-level rise. Respondents demonstrated that they are willing to accept changes in their social and natural environments in order to confront sea-level rise and are more positive towards the managed realignment option, as long as this is accompanied by financial compensation for those whose properties will be affected. Regarding the influence of social capital, through the results of an ordinal regression, it was observed that institutional and social trust influence positively citizens’ level of agreement for the managed realignment policy. Furthermore, respondents who believe that a sense of reciprocity exists in their community are also more willing to accept active intervention policies.     

Practical tools for quantitative analysis of coastal vulnerability and sea level rise impacts—application in a Caribbean island and assessment of the 1.5 °C threshold

The quantitative analysis of hurricane impacts on coastal development in the Caribbean is surprisingly infrequent and many tools to assess physical vulnerability to sea level rise (SLR) are insufficient to evaluate risk in coastal areas exposed to wave attack during extreme events. This paper proposes a practical methodology to quantify coastal hazards and evaluate SLR impact scenarios in coastal areas, providing quantitative input for coastal vulnerability analysis. We illustrate the implementation of the proposed methodology with results from a site-specific analysis. We quantify how storm wave impacts penetrate farther inland and reach higher elevations for increasing SLR conditions. We also show that the increase in elevation of storm wave impacts is more than the nominal increase in mean sea level, and that elevation increase may be on the order of up to twice the nominal SLR. By developing design parameters for multiple scenarios, as opposed to the determination of a single SLR value for design established by consensus, this approach generates information that we argue encourages resilient design and embedding future adaptation in coastal design. We discuss how government planners and regulators, as well as real estate developers, lenders, and investors, can improve coastal planning and resilient design of coastal projects by using this approach.     

Physical basis of coastal adaptation on tropical small islands

Small tropical islands are widely recognized as having high exposure and vulnerability to climate change and other natural hazards. Ocean warming and acidification, changing storm patterns and intensity, and accelerated sea-level rise pose challenges that compound the intrinsic vulnerability of small, remote, island communities. Sustainable development requires robust guidance on the risks associated with natural hazards and climate change, including the potential for island coasts and reefs to keep pace with rising sea levels. Here we review these issues with special attention to their implications for climate-change vulnerability, adaptation, and disaster risk reduction in various island settings. We present new projections for 2010–2100 local sea-level rise (SLR) at 18 island sites, incorporating crustal motion and gravitational fingerprinting, for a range of Intergovernmental Panel on Climate Change global projections and a semi-empirical model. Projected 90-year SLR for the upper limit A1FI scenario with enhanced glacier drawdown ranges from 0.56 to 1.01 m for islands with a measured range of vertical motion from ?0.29 to +0.10 m. We classify tropical small islands into four broad groups comprising continental fragments, volcanic islands, near-atolls and atolls, and high carbonate islands including raised atolls. Because exposure to coastal forcing and hazards varies with island form, this provides a framework for consideration of vulnerability and adaptation strategies. Nevertheless, appropriate measures to adjust for climate change and to mitigate disaster risk depend on a place-based understanding of island landscapes and of processes operating in the coastal biophysical system of individual islands.     

Vulnerability assessment of sea-level rise in Viti Levu, Fiji Islands

Fiji is expected to come under increasing pressure and risk from various threats resulting from climate change and sea-level rise (SLR). Fiji consists of 332 islands and thus has a predominant and large coastline. Viti Levu is the largest and most important of the islands, harboring Fiji’s capital city and most of the major towns concentrated around its coast. The objectives of this study were to evaluate the extent of possible sea-level rise using GIS, and to identify high-risk locations. Potential sea level rise was shown graphically as an output to determine where inundation or flooding would take place. This analysis allowed important areas facing risk to be highlighted for future action. Flooding/inundation can be classified into two kinds: ‘permanent inundation’, which is the result of sea-level rise with tide; and ‘temporary flooding’, also including occasional storm surge events. The inundated area was displayed under different projections and quantified. The results produced output maps showing the distribution of inundation/flooding around the island of Viti Levu as well as the extent of flooding. Six scenarios for sea-level rise were used (0.09, 0.18, 0.48, 0.50, 0.59, 0.88 m). Six scenarios for storm surge were used with return intervals of 1, 2, 5, 10, 25, 50 years. High risk and priority locations are identified as Fiji’s capital Suva, the major tourist center and arrival port of Nadi, and Fiji’s second city Lautoka. Future action, adaptation and response strategies in these identified locations must occur to reduce risk from climate change.     

Climate change: an amplifier of existing health risks in developing countries

Global warming is perceived as one of the biggest global health risks of the twenty-first century and a threat to the achievement of sustainable (economic) development; especially in developing countries, climate change is believed to further exacerbate existing vulnerability to disease and food security risks, because their populations are, for example, more reliant on agriculture and more vulnerable to droughts and have a lower adaptive capacity. Furthermore, the health-related impacts of climate change are threatening to undo decades of development policies. The interactions between climate and non-climate factors are of vital importance in shaping human vulnerability to global warming. Climate change cannot be seen as ‘a stand-alone risk factor,’ but rather as an amplifier of existing health and food security risks and an additional strain on institutional infrastructures. In order to avoid a multiplication of health risks in the developing world, there is a need to better understand the multifaceted and complex linkages involved. This is further illustrated for two important climate change–induced health risks, namely malnutrition and malaria. As the amplification of existing and emerging health risks in the developing world might become the greatest tragedy of climate change, adaptation ranks high on developing countries’ agendas. Of particular importance are the discussions about the ‘Green Climate Fund,’ which aims to administer billions of dollars for mitigation and adaptation. Of course, making funds for adaptation available is an important first step, but we also need to ask ourselves the question how such adaptation policies and projects should take shape. This paper demonstrates that an adequate response to climate change health risks should take a systems approach toward adaptation, acknowledging the importance of the local context of the most vulnerable.