Public Health Implications of Land Use Change and Agricultural Intensification with Respect to the Canterbury Plains a Literature Review
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Public Health Implications of Land Use Change and Agricultural Intensification with respect to the Canterbury Plains A Literature Review Prepared by Dr Jackson Green Peer reviewed by Dr Cheryl Brunton Community and Public Health Canterbury District Health Board July 2014 1 Contents Executive summary ................................................................................................................................. 2 Introduction ............................................................................................................................................ 3 Public health and the environment .................................................................................................... 3 Methods .................................................................................................................................................. 5 Literature review ..................................................................................................................................... 6 What are land cover and land use? .................................................................................................... 6 What is intensification? ...................................................................................................................... 6 Global trends in land use .................................................................................................................... 6 The Canterbury plains ........................................................................................................................... 10 History of land use in Canterbury ..................................................................................................... 10 Geology and hydrology ..................................................................................................................... 11 Geology of the Canterbury plains ................................................................................................. 11 Hydrology of the Canterbury plains .............................................................................................. 13 Health effects of land use change and agricultural intensification ...................................................... 18 Zoonotic disease emergence and transmission ................................................................................ 18 Antimicrobial resistance ................................................................................................................... 20 Reduced water quality ...................................................................................................................... 21 Pathogens ..................................................................................................................................... 22 Chemical contamination ............................................................................................................... 27 Nutrients ....................................................................................................................................... 28 Availability of water ...................................................................................................................... 35 Ways to support water quality ..................................................................................................... 36 Climate change.................................................................................................................................. 46 Ecosystem dysfunction and loss of biodiversity ............................................................................... 47 Importance for health ................................................................................................................... 47 Effect of land use change .............................................................................................................. 47 Strong rural communities ................................................................................................................. 48 Importance for health ................................................................................................................... 48 Effect of land use change .............................................................................................................. 48 Conclusions ........................................................................................................................................... 52 Glossary ................................................................................................................................................. 53 References ............................................................................................................................................ 56 1 Executive summary Land use change has been occurring rapidly in recent years, both at a global scale and within Canterbury. While there is potential for this change to create wealth – indeed wealth creation is usually the purpose of land use change – there is also potential for unintended effects which may impair the health of communities. This review is intended to provide information to help anticipate and avoid negative consequences of land use change. This literature review was originally completed in 2010 and updated in 2014. There is a focus on Canterbury and New Zealand literature where available, and international literature is also considered in the Canterbury context. There is also substantial reference to non-peer reviewed reports produced by New Zealand and International governmental and research organisations. The history of land use change in Canterbury is as long as the history of human occupation, and has allowed substantial increases in health and wellbeing. Recently, the dairy boom has driven rapid expansion of irrigation and agricultural intensification, while the ‘lifestyle block’ trend and the 2010- 2011 Canterbury earthquakes have driven urban expansion of Christchurch’s rural fringe and satellite towns. The majority of literature examining the health effects of land use change is focussed on water quality. There is clear evidence linking agricultural intensification and urban expansion in Canterbury with decreases in water quality and increases in the incidence of waterborne disease. Furthermore, these effects are often most keenly felt by those who can least afford mitigation measures – people who are often already vulnerable and can easily be pushed in to poor health. Poor health of any member of a community has a financial cost to all, both in the cost of treatment and the loss of productivity to the economy. Many mitigation technologies are available which, if implemented, could allow intensification of existing agricultural activities without the negative external effects on water quality. However, these mitigation technologies also add cost so may make more intensive agriculture uneconomic. Furthermore, the currently available mitigation technologies are not sufficiently effective to offset conversions of land from low-intensity activities such as forestry and dryland sheep-beef farming to high-intensity activities such as dairying or cropping. Apart from water quality, agricultural intensification and urban expansion have the potential to affect health through increased greenhouse gas emissions, loss of biodiversity and ecosystem services, and weaker rural communities. Furthermore, agricultural intensification could also affect health through increased zoonotic disease risk and increased antimicrobial resistance. The evidence for the health implications of these effects is not specific to Canterbury, but national and international evidence demonstrates that the kinds of changes occurring in Canterbury are likely to have similar effects as elsewhere. Furthermore, although the health effects of these changes are less immediate than those of declining water quality, they could be much more substantial in the long term, so they cannot be ignored. Land use in Canterbury will continue to change along with the global environment and economy. Care must be taken to ensure land use decisions support economic growth without creating adverse health outcomes. 2 Introduction This paper is a 2014 update of a literature review originally performed in 2010. This update has been prepared in response to a request from the Protection Team, Community and Public Health, Canterbury District Health Board (CDHB). This document provides an overview of the literature relevant to water quality and public health in relation to land use change, particularly agricultural intensification. This information is then discussed in the context of the Canterbury region of New Zealand. Public health and the environment The World Health Organization defines environmental health as addressing ...all the physical, chemical, and biological factors external to a person, and all the related factors impacting behaviours. It encompasses the assessment and control of those environmental factors that can potentially affect health. It is targeted towards preventing disease and creating health-supportive environments (World Health Organization, 2010) The World Health Organisation (WHO) Director General emphasises that water quality is a key aspect of environmental health, fundamental to human health, equity, and economic development (Dr Margaret Chan, 2013). Traditionally the risks to human health from water-related hazards have been viewed in terms of a dose-response