Dr Will Stahl-Timmins 
VISUALISING HEALTH RESEARCH 
March 2014
Wst graphical web_v2
Wst graphical web_v2
WELLBEING AND THE ENVIRONMENT: 
POSSIBLE LINKS BETWEEN CONSERVATION ACTIVITIES AND HEALTH 
ACHIEVEMENT / CONTRIBUTION 
CHANGE IN PERSONAL / SOCIAL IDENTITY 
EXPECTATIONS 
BEING KNOWLEDGE SPIRITUALITY 
OUTCOMES 
AWAY ACQUISITION 
CONTACT 
SOCIAL RECUPERATION 
POTENTIAL ENJOYMENT/FROM STRESSORS 
PLEASURE 
STORATION / REPHYSICAL GOING CONFIDENCE 
PROCESS INTO NATURE 
SELF-MECHANISMACTIVITY 
CHANGE / S OF ACTIVITY MODERATORS 
TYPE OF 
ENGAGEMENT 
ENGAGEMENT 
ROUTE(S) 
EXPECTATIONS 
ENVIRONMENTAL MODERATORS 
MECHANISM MODERATORS 
PERSONAL MEDIATORS 
CHANGE IN 
SOCIAL / GROUP 
COHESION 
TYPE OF 
ENVIRONMENTAL 
CHANGE 
ENJOYMENT 
ACHIEVEMENT(S) 
DEVELOPMENT 
OF SOCIAL 
CAPITAL 
ACTIVITY TYPE / 
INTENSITY 
TYPE 
DEGREE OF 
ENVIRONMENTAL 
CHANGE 
QUIETNESS 
FEATURES 
CONTEXT 
(AWAY / NEAR) 
OTHER 
PARTICIPANTS 
TYPE OF PROGRAMME 
(AIMS, OBJECTIVES, ETC.) 
MOTIVATIONS 
FULFILMENT 
PERSONAL 
IDENTIFICATION 
PERCEPTIONS 
OF SELF 
SOCIAL 
IDENTITY 
PHYSICAL 
ABILITY 
MENTAL 
HEALTH 
SOCIAL 
FUNCTION 
PHYSICAL 
HEALTH 
QUALITY 
OF LIFE 
OTHER 
ACTIVITIES
Wst graphical web_v2
Wst graphical web_v2
Seeing is Believing 
Randomised, controlled study 
Measuring impact of visualisation on knowledge and risk perception 
Quota sample, using online market research panel (926 participants)
Wst graphical web_v2
Working Group II Report 
impacts, Adaptation and Vulnerability 
! 
Chapter 8 
Human Health
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FLOODS AND STORMS 
HEALTH IMPACTS FLOOD CAUSES GLOBAL TRENDS 
CLIMATE CHANGE 
The majority of climate scientists agree that human activity is causing 
temperatures to rise around the world. As these higher temperatures free 
water that is usually frozen at the poles, sea levels are rising. Increased 
temeratures also lead to more evaporation of water from seas and lakes. 
This can lead to increased rainfall and greater numbers of storms, 
cyclones and extreme weather events. 
STORMS 
URBANISATION 
The number of people living in 
cities is growing, particularly in 
low income countries. 
1900 
1950 
2005 
SEA LEVEL RAINFALL EVAPORATION SURFACE 
DEATH & INJURY 
VENEZUELA 
MOZAMBIQUE 
CHINA 
1999 
2000/2001 
2003 
30,000 DEAD 
1,813 DEAD 
130m AFFECTED 
CASE STUDY 1: BANGLADESH 
If human activity continues to warm global temperatures, 
countries like Bangladesh are likely to see more flooding. 
ASSUMPTIONS 
Global temperature rise 
Global Sea level rise 
Increase in monsoon rains 
Increase in monsoon 
discharge into rivers 
People affected 
Flooding depth 
2°c 
30cm 
18% 
5% 
4.8% 
30–90cm 
4°c 
100cm 
33% 
10% 
57% 
90–180cm 
INFECTIOUS 
DISEASES 
RUN-OFF 
= 100m people 
in towns or cities 
LOCAL 
TOPOGRAPHY 
TOXIC CON-TAMINATION 
MENTAL 
HEALTH 
CASE STUDY 2: USA 
Studies in industrialised countries indicate that densely 
populated urban areas are at risk from sea-level rise. 
FUTURE CHANGES 
FLOODS 
Coastal regions 
are more 
vulnerable to 
flooding as sea 
levels rise. 
Extreme rainfall 
can overwhelm 
rivers and lakes, 
causing them to 
flood. 
Drowning by 
storm surge is 
the major killer 
in coastal 
storms. 
Global warming 
and changes in 
land use (like 
urbanisation) 
affect how much 
water is carried 
in the air. 
Urbanisation can 
affect how much 
excess water 
can be absorbed 
into the ground. 
Sometimes, 
the shape of the 
land can make 
areas vulnerable 
to flooding. 
Floods are low-probability, high-impact events that can overwhelm 
physical infrastructure, human resilience and social organisation. 
Floods are the most frequent natural weather disaster. This information 
graphic shows some of the causes and health impacts of floods, and 
shows how the number and severity of floods may increase in the future. 
LATIN 
AMERICA 
SOUTH ASIA 
MICRONESIA 
BAY OF BENGAL 
(particularly at 
risk from storm 
surges) 
VULNERABLE 
PEOPLE 
Those living in 
Low lying places 
(especially those 
with high density) 
One-quarter of the 
world’s population 
resides within 100 km 
distance and 100 m 
elevation of the 
coastline. 
In the USA, lower-income 
groups were most 
affected by Hurricane 
Katrina in 2005. 
Such as children, the 
infirm, or those living 
in sub-standard housing. 
Poorer communities 
Those with limited 
ability to escape 
VULNERABLE PLACES 
THE NORTH 
SEA COAST 
SEYCHELLES 
THE GULF 
COAST 
THE NILE 
DELTA 
GULF OF 
GUINEA 
Deaths recorded in disaster databases 
are from drowning and severe injuries. 
Improved warnings have decreased mortality from floods 
and storm surges in the last 30 years; however, the impact 
of weather disasters in terms of social and health effects 
is still considerable and is unequally distributed, 
particularly affecting women. 
Particularly in 
places with 
poor sanitation: 
From storage or 
from chemicals 
already in the 
environment: 
Insufficiently 
investigated, 
but may include: 
Diarrhoeal 
diseases 
Cholera 
Cryptosporidiosis 
Typhoid fever 
Oil 
Pesticides 
Heavy metals 
Hazardous 
waste 
Post-traumatic 
stress 
Behavioural 
disorders in 
children 
Anxiety? 
Depression? 
LIKELY EFFECTS 
NEW ORLEANS (USA) 
Mid-range estimate 
of 48 cm sea level 
rise by 2100 plus 
subsidence 
2.5–4m below 
sea level by 2100 
1.5–3m below 
sea level now 
This would mean that 
a storm surge from a 
Category 3 hurricane 
(estimated at 3 to 4 m 
without waves) could be 6 to 7 m above 
areas that were heavily populated in 2004.
FLOODS AND STORMS 
HEALTH IMPACTS FLOOD CAUSES GLOBAL TRENDS 
CLIMATE CHANGE 
The majority of climate scientists agree that human activity is causing 
temperatures to rise around the world. As these higher temperatures free 
water that is usually frozen at the poles, sea levels are rising. Increased 
temeratures also lead to more evaporation of water from seas and lakes. 
This can lead to increased rainfall and greater numbers of storms, 
cyclones and extreme weather events. 
STORMS 
URBANISATION 
The number of people living in 
cities is growing, particularly in 
low income countries. 
1900 
1950 
2005 
SEA LEVEL RAINFALL EVAPORATION SURFACE 
DEATH & INJURY 
VENEZUELA 
MOZAMBIQUE 
CHINA 
1999 
2000/2001 
2003 
30,000 DEAD 
1,813 DEAD 
130m AFFECTED 
CASE STUDY 1: BANGLADESH 
If human activity continues to warm global temperatures, 
countries like Bangladesh are likely to see more flooding. 
ASSUMPTIONS 
Global temperature rise 
Global Sea level rise 
Increase in monsoon rains 
Increase in monsoon 
discharge into rivers 
People affected 
Flooding depth 
2°c 
30cm 
18% 
5% 
4.8% 
30–90cm 
4°c 
100cm 
33% 
10% 
57% 
90–180cm 
INFECTIOUS 
DISEASES 
RUN-OFF 
= 100m people 
in towns or cities 
LOCAL 
TOPOGRAPHY 
TOXIC CON-TAMINATION 
MENTAL 
HEALTH 
CASE STUDY 2: USA 
Studies in industrialised countries indicate that densely 
populated urban areas are at risk from sea-level rise. 
FUTURE CHANGES 
FLOODS 
Coastal regions 
are more 
vulnerable to 
flooding as sea 
levels rise. 
Extreme rainfall 
can overwhelm 
rivers and lakes, 
causing them to 
flood. 
Drowning by 
storm surge is 
the major killer 
in coastal 
storms. 
Global warming 
and changes in 
land use (like 
urbanisation) 
affect how much 
water is carried 
in the air. 
Urbanisation can 
affect how much 
excess water 
can be absorbed 
into the ground. 
Sometimes, 
the shape of the 
land can make 
areas vulnerable 
to flooding. 
Floods are low-probability, high-impact events that can overwhelm 
physical infrastructure, human resilience and social organisation. 
Floods are the most frequent natural weather disaster. This information 
graphic shows some of the causes and health impacts of floods, and 
shows how the number and severity of floods may increase in the future. 
LATIN 
AMERICA 
SOUTH ASIA 
MICRONESIA 
BAY OF BENGAL 
(particularly at 
risk from storm 
surges) 
VULNERABLE 
PEOPLE 
Those living in 
Low lying places 
(especially those 
with high density) 
One-quarter of the 
world’s population 
resides within 100 km 
distance and 100 m 
elevation of the 
coastline. 
In the USA, lower-income 
groups were most 
affected by Hurricane 
Katrina in 2005. 
Such as children, the 
infirm, or those living 
in sub-standard housing. 
Poorer communities 
Those with limited 
ability to escape 
VULNERABLE PLACES 
THE NORTH 
SEA COAST 
SEYCHELLES 
THE GULF 
COAST 
THE NILE 
DELTA 
GULF OF 
GUINEA 
Deaths recorded in disaster databases 
are from drowning and severe injuries. 
Improved warnings have decreased mortality from floods 
and storm surges in the last 30 years; however, the impact 
of weather disasters in terms of social and health effects 
is still considerable and is unequally distributed, 
particularly affecting women. 
Particularly in 
places with 
poor sanitation: 
From storage or 
from chemicals 
already in the 
environment: 
Insufficiently 
investigated, 
but may include: 
Diarrhoeal 
diseases 
Cholera 
Cryptosporidiosis 
Typhoid fever 
Oil 
Pesticides 
Heavy metals 
Hazardous 
waste 
Post-traumatic 
stress 
Behavioural 
disorders in 
children 
Anxiety? 
Depression? 
LIKELY EFFECTS 
NEW ORLEANS (USA) 
Mid-range estimate 
of 48 cm sea level 
rise by 2100 plus 
subsidence 
2.5–4m below 
sea level by 2100 
1.5–3m below 
sea level now 
This would mean that 
a storm surge from a 
Category 3 hurricane 
(estimated at 3 to 4 m 
without waves) could be 6 to 7 m above 
areas that were heavily populated in 2004. 
This can lead to increased rainfall and greater numbers of storms, 
cyclones and extreme weather events. 
HEALTH IMPACTS FLOOD CAUSES GLOBAL STORMS 
1900 
1950 
2005 
SEA LEVEL RAINFALL EVAPORATION SURFACE 
One-quarter world’s resides distance elevation coastline. 
In the USA, groups affected Katrina Such as infirm, or in sub-standard Poorer DEATH & INJURY INFECTIOUS 
DISEASES 
RUN-OFF 
TOXIC CON-TAMINATION 
FLOODS 
Coastal regions 
are more 
vulnerable to 
flooding as sea 
levels rise. 
Extreme rainfall 
can overwhelm 
rivers and lakes, 
causing them to 
flood. 
Drowning by 
storm surge is 
the major killer 
in coastal 
storms. 
Global warming 
and changes in 
land use (like 
urbanisation) 
affect how much 
water is carried 
in the air. 
Urbanisation can 
affect how much 
excess water 
can be absorbed 
into the ground. 
LATIN 
AMERICA 
SOUTH ASIA 
MICRONESIA 
BAY OF BENGAL 
(particularly at 
risk from storm 
surges) 
VULNERABLE 
PEOPLE 
Those living in 
Low lying places 
(especially those 
with high density) 
communities 
Those with limited 
ability to escape 
VULNERABLE PLACES 
THE NORTH 
SEA COAST 
SEYCHELLES 
THE GULF 
COAST 
THE NILE 
DELTA 
GULF OF 
GUINEA 
Deaths recorded in disaster databases 
are from drowning and severe injuries. 
VENEZUELA 
1999 
MOZAMBIQUE 
2000/2001 
CHINA 
2003 
30,000 DEAD 
1,813 DEAD 
130m AFFECTED 
Particularly in 
places with 
poor sanitation: 
From storage or 
from chemicals 
already in the 
Diarrhoeal environment: 
diseases 
Oil 
Cholera 
Pesticides
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION
6 
5 
4 
3 
RISK GROUP 1: 
STORMS & FLOODS 
RISK GROUP 2: 
AIR QUALITY 
d 
mean 
approval 
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION
a b 
6 mins 
3 mins 
RISK GROUP 1: 
STORMS & FLOODS 
RISK GROUP 2: 
AIR QUALITY 
mean view 
time (log10) 
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION
80% 
70% 
60% 
RISK GROUP 1: 
STORMS & FLOODS 
RISK GROUP 2: 
AIR QUALITY 
d 
mean 
knowledge 
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION
28 
21 
14 
RISK GROUP 1: 
STORMS & FLOODS 
RISK GROUP 2: 
AIR QUALITY 
c 
mean risk 
perception 
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION
Wst graphical web_v2
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION 
mean 
knowledge 
(baseline)
mean 
knowledge 
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION 
(time 2)
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION 
mean 
risk perception 
(baseline)
KEY MEAN 
& 95% CI 
ANOVA 
SIGNIFICANT 
(P < 0.05) 
ANOVA NOT 
SIGNIFICANT 
(P > 0.05) 
CONTROL 
CONDITION 
TEXT 
CONDITION 
GRAPHIC 
CONDITION 
mean 
risk perception 
(time 2)
control text graphic 
Mean knowledge 
80% 
70% 
60% 
50% 
Error Bars: 95% CI 
Age 
group: 
18-27 
28-37 
38-47 
48-57 
58-67 
68-77 
18-27 
28-37 
38-47 
48-57 
58-67 
68-77 
18-27 
28-37 
38-47 
48-57 
58-67 
68-77
Conclusions 
- This type of box / arrow diagram can be used to communicate 
information on climate change health impacts in less time and more 
effectively than using text, for this audience. 
- The technique might be used to effectively present other non-linear 
narratives. 
- Non-linear information graphics like this could be particularly useful for 
younger audiences 
- The study suggests that understanding the mechanisms for climate 
change health impacts could increase risk awareness.
Limitations 
-Questions asked only test limited knowledge. 
-Captive audience - doesn’t investigate whether information graphics also 
attract attention. 
-Higher drop-out in experimental conditions. 
– More in high socio-economic status groups than national average 
– Only surveys internet users
Software: 
Presentation software 
Illustrator 
InDesign 
! 
Premiere 
Flash 
! 
Processing / D3 
PhP / HTML5 
Other programming languages 
Stills { 
}Motion 
Interactive {
Wst graphical web_v2
Stahl- Timmins, W.; Pitt, M. & Peters, J. 
2010. 
Graphical presentation of data for health 
policy decisions: An exploratory online 
decision task experiment to measure 
effectiveness. 
Information Design Journal 18:3.
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Wst graphical web_v2
http://processing.org/ 
Processing
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Wst graphical web_v2
Dr Will Stahl-Timmins 
blog.willstahl.com 
Twitter: @will_s_t 
www.thebmj.com

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Wst graphical web_v2

  • 1. Dr Will Stahl-Timmins VISUALISING HEALTH RESEARCH March 2014
  • 4. WELLBEING AND THE ENVIRONMENT: POSSIBLE LINKS BETWEEN CONSERVATION ACTIVITIES AND HEALTH ACHIEVEMENT / CONTRIBUTION CHANGE IN PERSONAL / SOCIAL IDENTITY EXPECTATIONS BEING KNOWLEDGE SPIRITUALITY OUTCOMES AWAY ACQUISITION CONTACT SOCIAL RECUPERATION POTENTIAL ENJOYMENT/FROM STRESSORS PLEASURE STORATION / REPHYSICAL GOING CONFIDENCE PROCESS INTO NATURE SELF-MECHANISMACTIVITY CHANGE / S OF ACTIVITY MODERATORS TYPE OF ENGAGEMENT ENGAGEMENT ROUTE(S) EXPECTATIONS ENVIRONMENTAL MODERATORS MECHANISM MODERATORS PERSONAL MEDIATORS CHANGE IN SOCIAL / GROUP COHESION TYPE OF ENVIRONMENTAL CHANGE ENJOYMENT ACHIEVEMENT(S) DEVELOPMENT OF SOCIAL CAPITAL ACTIVITY TYPE / INTENSITY TYPE DEGREE OF ENVIRONMENTAL CHANGE QUIETNESS FEATURES CONTEXT (AWAY / NEAR) OTHER PARTICIPANTS TYPE OF PROGRAMME (AIMS, OBJECTIVES, ETC.) MOTIVATIONS FULFILMENT PERSONAL IDENTIFICATION PERCEPTIONS OF SELF SOCIAL IDENTITY PHYSICAL ABILITY MENTAL HEALTH SOCIAL FUNCTION PHYSICAL HEALTH QUALITY OF LIFE OTHER ACTIVITIES
  • 7. Seeing is Believing Randomised, controlled study Measuring impact of visualisation on knowledge and risk perception Quota sample, using online market research panel (926 participants)
  • 9. Working Group II Report impacts, Adaptation and Vulnerability ! Chapter 8 Human Health
  • 11. FLOODS AND STORMS HEALTH IMPACTS FLOOD CAUSES GLOBAL TRENDS CLIMATE CHANGE The majority of climate scientists agree that human activity is causing temperatures to rise around the world. As these higher temperatures free water that is usually frozen at the poles, sea levels are rising. Increased temeratures also lead to more evaporation of water from seas and lakes. This can lead to increased rainfall and greater numbers of storms, cyclones and extreme weather events. STORMS URBANISATION The number of people living in cities is growing, particularly in low income countries. 1900 1950 2005 SEA LEVEL RAINFALL EVAPORATION SURFACE DEATH & INJURY VENEZUELA MOZAMBIQUE CHINA 1999 2000/2001 2003 30,000 DEAD 1,813 DEAD 130m AFFECTED CASE STUDY 1: BANGLADESH If human activity continues to warm global temperatures, countries like Bangladesh are likely to see more flooding. ASSUMPTIONS Global temperature rise Global Sea level rise Increase in monsoon rains Increase in monsoon discharge into rivers People affected Flooding depth 2°c 30cm 18% 5% 4.8% 30–90cm 4°c 100cm 33% 10% 57% 90–180cm INFECTIOUS DISEASES RUN-OFF = 100m people in towns or cities LOCAL TOPOGRAPHY TOXIC CON-TAMINATION MENTAL HEALTH CASE STUDY 2: USA Studies in industrialised countries indicate that densely populated urban areas are at risk from sea-level rise. FUTURE CHANGES FLOODS Coastal regions are more vulnerable to flooding as sea levels rise. Extreme rainfall can overwhelm rivers and lakes, causing them to flood. Drowning by storm surge is the major killer in coastal storms. Global warming and changes in land use (like urbanisation) affect how much water is carried in the air. Urbanisation can affect how much excess water can be absorbed into the ground. Sometimes, the shape of the land can make areas vulnerable to flooding. Floods are low-probability, high-impact events that can overwhelm physical infrastructure, human resilience and social organisation. Floods are the most frequent natural weather disaster. This information graphic shows some of the causes and health impacts of floods, and shows how the number and severity of floods may increase in the future. LATIN AMERICA SOUTH ASIA MICRONESIA BAY OF BENGAL (particularly at risk from storm surges) VULNERABLE PEOPLE Those living in Low lying places (especially those with high density) One-quarter of the world’s population resides within 100 km distance and 100 m elevation of the coastline. In the USA, lower-income groups were most affected by Hurricane Katrina in 2005. Such as children, the infirm, or those living in sub-standard housing. Poorer communities Those with limited ability to escape VULNERABLE PLACES THE NORTH SEA COAST SEYCHELLES THE GULF COAST THE NILE DELTA GULF OF GUINEA Deaths recorded in disaster databases are from drowning and severe injuries. Improved warnings have decreased mortality from floods and storm surges in the last 30 years; however, the impact of weather disasters in terms of social and health effects is still considerable and is unequally distributed, particularly affecting women. Particularly in places with poor sanitation: From storage or from chemicals already in the environment: Insufficiently investigated, but may include: Diarrhoeal diseases Cholera Cryptosporidiosis Typhoid fever Oil Pesticides Heavy metals Hazardous waste Post-traumatic stress Behavioural disorders in children Anxiety? Depression? LIKELY EFFECTS NEW ORLEANS (USA) Mid-range estimate of 48 cm sea level rise by 2100 plus subsidence 2.5–4m below sea level by 2100 1.5–3m below sea level now This would mean that a storm surge from a Category 3 hurricane (estimated at 3 to 4 m without waves) could be 6 to 7 m above areas that were heavily populated in 2004.
  • 12. FLOODS AND STORMS HEALTH IMPACTS FLOOD CAUSES GLOBAL TRENDS CLIMATE CHANGE The majority of climate scientists agree that human activity is causing temperatures to rise around the world. As these higher temperatures free water that is usually frozen at the poles, sea levels are rising. Increased temeratures also lead to more evaporation of water from seas and lakes. This can lead to increased rainfall and greater numbers of storms, cyclones and extreme weather events. STORMS URBANISATION The number of people living in cities is growing, particularly in low income countries. 1900 1950 2005 SEA LEVEL RAINFALL EVAPORATION SURFACE DEATH & INJURY VENEZUELA MOZAMBIQUE CHINA 1999 2000/2001 2003 30,000 DEAD 1,813 DEAD 130m AFFECTED CASE STUDY 1: BANGLADESH If human activity continues to warm global temperatures, countries like Bangladesh are likely to see more flooding. ASSUMPTIONS Global temperature rise Global Sea level rise Increase in monsoon rains Increase in monsoon discharge into rivers People affected Flooding depth 2°c 30cm 18% 5% 4.8% 30–90cm 4°c 100cm 33% 10% 57% 90–180cm INFECTIOUS DISEASES RUN-OFF = 100m people in towns or cities LOCAL TOPOGRAPHY TOXIC CON-TAMINATION MENTAL HEALTH CASE STUDY 2: USA Studies in industrialised countries indicate that densely populated urban areas are at risk from sea-level rise. FUTURE CHANGES FLOODS Coastal regions are more vulnerable to flooding as sea levels rise. Extreme rainfall can overwhelm rivers and lakes, causing them to flood. Drowning by storm surge is the major killer in coastal storms. Global warming and changes in land use (like urbanisation) affect how much water is carried in the air. Urbanisation can affect how much excess water can be absorbed into the ground. Sometimes, the shape of the land can make areas vulnerable to flooding. Floods are low-probability, high-impact events that can overwhelm physical infrastructure, human resilience and social organisation. Floods are the most frequent natural weather disaster. This information graphic shows some of the causes and health impacts of floods, and shows how the number and severity of floods may increase in the future. LATIN AMERICA SOUTH ASIA MICRONESIA BAY OF BENGAL (particularly at risk from storm surges) VULNERABLE PEOPLE Those living in Low lying places (especially those with high density) One-quarter of the world’s population resides within 100 km distance and 100 m elevation of the coastline. In the USA, lower-income groups were most affected by Hurricane Katrina in 2005. Such as children, the infirm, or those living in sub-standard housing. Poorer communities Those with limited ability to escape VULNERABLE PLACES THE NORTH SEA COAST SEYCHELLES THE GULF COAST THE NILE DELTA GULF OF GUINEA Deaths recorded in disaster databases are from drowning and severe injuries. Improved warnings have decreased mortality from floods and storm surges in the last 30 years; however, the impact of weather disasters in terms of social and health effects is still considerable and is unequally distributed, particularly affecting women. Particularly in places with poor sanitation: From storage or from chemicals already in the environment: Insufficiently investigated, but may include: Diarrhoeal diseases Cholera Cryptosporidiosis Typhoid fever Oil Pesticides Heavy metals Hazardous waste Post-traumatic stress Behavioural disorders in children Anxiety? Depression? LIKELY EFFECTS NEW ORLEANS (USA) Mid-range estimate of 48 cm sea level rise by 2100 plus subsidence 2.5–4m below sea level by 2100 1.5–3m below sea level now This would mean that a storm surge from a Category 3 hurricane (estimated at 3 to 4 m without waves) could be 6 to 7 m above areas that were heavily populated in 2004. This can lead to increased rainfall and greater numbers of storms, cyclones and extreme weather events. HEALTH IMPACTS FLOOD CAUSES GLOBAL STORMS 1900 1950 2005 SEA LEVEL RAINFALL EVAPORATION SURFACE One-quarter world’s resides distance elevation coastline. In the USA, groups affected Katrina Such as infirm, or in sub-standard Poorer DEATH & INJURY INFECTIOUS DISEASES RUN-OFF TOXIC CON-TAMINATION FLOODS Coastal regions are more vulnerable to flooding as sea levels rise. Extreme rainfall can overwhelm rivers and lakes, causing them to flood. Drowning by storm surge is the major killer in coastal storms. Global warming and changes in land use (like urbanisation) affect how much water is carried in the air. Urbanisation can affect how much excess water can be absorbed into the ground. LATIN AMERICA SOUTH ASIA MICRONESIA BAY OF BENGAL (particularly at risk from storm surges) VULNERABLE PEOPLE Those living in Low lying places (especially those with high density) communities Those with limited ability to escape VULNERABLE PLACES THE NORTH SEA COAST SEYCHELLES THE GULF COAST THE NILE DELTA GULF OF GUINEA Deaths recorded in disaster databases are from drowning and severe injuries. VENEZUELA 1999 MOZAMBIQUE 2000/2001 CHINA 2003 30,000 DEAD 1,813 DEAD 130m AFFECTED Particularly in places with poor sanitation: From storage or from chemicals already in the Diarrhoeal environment: diseases Oil Cholera Pesticides
  • 17. KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION
  • 18. 6 5 4 3 RISK GROUP 1: STORMS & FLOODS RISK GROUP 2: AIR QUALITY d mean approval KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION
  • 19. a b 6 mins 3 mins RISK GROUP 1: STORMS & FLOODS RISK GROUP 2: AIR QUALITY mean view time (log10) KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION
  • 20. 80% 70% 60% RISK GROUP 1: STORMS & FLOODS RISK GROUP 2: AIR QUALITY d mean knowledge KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION
  • 21. 28 21 14 RISK GROUP 1: STORMS & FLOODS RISK GROUP 2: AIR QUALITY c mean risk perception KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION
  • 23. KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION mean knowledge (baseline)
  • 24. mean knowledge KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION (time 2)
  • 25. KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION mean risk perception (baseline)
  • 26. KEY MEAN & 95% CI ANOVA SIGNIFICANT (P < 0.05) ANOVA NOT SIGNIFICANT (P > 0.05) CONTROL CONDITION TEXT CONDITION GRAPHIC CONDITION mean risk perception (time 2)
  • 27. control text graphic Mean knowledge 80% 70% 60% 50% Error Bars: 95% CI Age group: 18-27 28-37 38-47 48-57 58-67 68-77 18-27 28-37 38-47 48-57 58-67 68-77 18-27 28-37 38-47 48-57 58-67 68-77
  • 28. Conclusions - This type of box / arrow diagram can be used to communicate information on climate change health impacts in less time and more effectively than using text, for this audience. - The technique might be used to effectively present other non-linear narratives. - Non-linear information graphics like this could be particularly useful for younger audiences - The study suggests that understanding the mechanisms for climate change health impacts could increase risk awareness.
  • 29. Limitations -Questions asked only test limited knowledge. -Captive audience - doesn’t investigate whether information graphics also attract attention. -Higher drop-out in experimental conditions. – More in high socio-economic status groups than national average – Only surveys internet users
  • 30. Software: Presentation software Illustrator InDesign ! Premiere Flash ! Processing / D3 PhP / HTML5 Other programming languages Stills { }Motion Interactive {
  • 32. Stahl- Timmins, W.; Pitt, M. & Peters, J. 2010. Graphical presentation of data for health policy decisions: An exploratory online decision task experiment to measure effectiveness. Information Design Journal 18:3.
  • 46. Dr Will Stahl-Timmins blog.willstahl.com Twitter: @will_s_t www.thebmj.com