Preprints
https://doi.org/10.5194/egusphere-2025-4062
https://doi.org/10.5194/egusphere-2025-4062
30 Oct 2025
 | 30 Oct 2025
Status: this preprint is open for discussion and under review for Natural Hazards and Earth System Sciences (NHESS).

Brief communication: 'Multi-hazard-to-health-outcome' (MH2O) pathways: the known, the unknown, and ten most urgent priorities.

Harriet Moore, Qiuhua Liang, Lee Bosher, John Atanbori, Mark Gussy, Amogh Madbhatkal, Joe Swift, Jaspreet Phull, Kirsten Guy, Lynsey Collinson, Andy Penny, Maria Athanassiadou, Kaja Milczewska, Ebenezer Amankwaa, Lucy Kennedy, Edward Hanna, Gregory Sutton, Bartholomew Hill, and Colin Hopkirk

Abstract. Climate-driven hazards like heat and flooding have complex impacts on human health. Most research considers the impact of individual hazards (e.g., heatwaves) on discrete health outcomes (e.g., heatstroke). However, climate-driven hazards often precipitate additional hazards with cumulative health impacts, such as the compound effect of drought and heatwaves on the physical and mental health of farming communities. Little is known about ‘multi-hazard-to-health-outcome’ (MH2O) pathways. We engaged multi-sectorial and international stakeholders through the newly established MH2O Working Group and report our co-developed ten most urgent priorities for guiding research, policy and practice towards preparing our global One Community for future uncertainty.

Publisher's note: Copernicus Publications remains neutral with regard to jurisdictional claims made in the text, published maps, institutional affiliations, or any other geographical representation in this paper. While Copernicus Publications makes every effort to include appropriate place names, the final responsibility lies with the authors. Views expressed in the text are those of the authors and do not necessarily reflect the views of the publisher.
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Harriet Moore, Qiuhua Liang, Lee Bosher, John Atanbori, Mark Gussy, Amogh Madbhatkal, Joe Swift, Jaspreet Phull, Kirsten Guy, Lynsey Collinson, Andy Penny, Maria Athanassiadou, Kaja Milczewska, Ebenezer Amankwaa, Lucy Kennedy, Edward Hanna, Gregory Sutton, Bartholomew Hill, and Colin Hopkirk

Status: open (until 11 Dec 2025)

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Harriet Moore, Qiuhua Liang, Lee Bosher, John Atanbori, Mark Gussy, Amogh Madbhatkal, Joe Swift, Jaspreet Phull, Kirsten Guy, Lynsey Collinson, Andy Penny, Maria Athanassiadou, Kaja Milczewska, Ebenezer Amankwaa, Lucy Kennedy, Edward Hanna, Gregory Sutton, Bartholomew Hill, and Colin Hopkirk
Harriet Moore, Qiuhua Liang, Lee Bosher, John Atanbori, Mark Gussy, Amogh Madbhatkal, Joe Swift, Jaspreet Phull, Kirsten Guy, Lynsey Collinson, Andy Penny, Maria Athanassiadou, Kaja Milczewska, Ebenezer Amankwaa, Lucy Kennedy, Edward Hanna, Gregory Sutton, Bartholomew Hill, and Colin Hopkirk
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Latest update: 30 Oct 2025
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Short summary
Climate change will increase the frequency of extreme weather events like floods, droughts and storms. These hazards have impacts on human health. Some hazards, like storms, cause additional hazards like flooding. Little is known about the compound effects of multiple hazards on health, or how impacts vary between communities and areas. We present ten urgent research priorities related to the impact of multiple hazards on health to guide future decision-making towards climate resilience.
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