Healthy climate adaptation is a key prerequisite for achieving a natural and vital rural environment. Addressing the physical and mental health impacts of climate change in rural areas requires a system-based approach that accounts for the fact that these impacts are mediated by changes in population, agriculture, nature and biodiversity. Vulnerability is a function of the extent to which individuals/populations are sensitive to direct and indirect climate change impacts and of the capacity of the population, agriculture, nature and biodiversity to adapt in a healthy way to new climate conditions. Human population vulnerability is highly dependent on socio-economic, demographic and technical context, while vulnerability of agriculture, nature and biodiversity are mostly determined by local conditions, such as (extreme) weather conditions, nutrients and water availability. To date, however, there is relatively little (empirical) knowledge on the vulnerability of human health to climate change and adaptation measures within this broader web of demographic, socio-economic, technical, nature, biodiversity and agricultural developments. Using a system perspective, we will explore how climate impacts and adaptation measures will affect human health and its interrelations with agriculture, nature and biodiversity. In doing so, we will identify the most important challenges for future health and well-being in each of the selected rural regions. For the human population we will explore future climate scenarios, accounting for possible trends in risk factors, and identify at-risk groups within the selected regions in support of rural climate adaptation measures.
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