Lea Berrang-Ford

University of Leeds · Priestley International Centre for Climate

Climate change exerts wide-ranging and significant effects on global mental health via multifactorial pathways, including food insecurity. Indigenous Peoples and pregnant women inequitably experience the harms associated with climate change and food insecurity. This study explores food security and maternal mental health during pregnancy among rura...

Despite increasing global recognition of Indigenous knowledge and rights in climate governance, Indigenous Peoples’ initiatives are often constrained by state-centric structures. Their perspectives frequently clash with development strategies that prioritize economic growth and resource extraction, particularly in biodiversity hotspots where many I...

For many Indigenous Peoples, relationships to the land are inherent in identity and culture, and to all facets of health and wellbeing, physically, emotionally, psychologically, and spiritually. The Batwa are Indigenous Peoples of rural, southwest Uganda who have experienced tremendous social and economic upheaval, due to relatively recent forced d...

Research on the impact of seasonal and climatic variability on childhood nutritional status in the Amazon is limited. We examined how the nutritional status of Shawi children under five years changed seasonally and explored parental participation in food system activities (fishing, livestock, agriculture, hunting) as a potential influence. Using a...

Dietary adequacy is hard to achieve for many people living in low-income countries, who suffer from nutritional deficiencies. Climate change, which alters weather conditions, has contributed with other compound events to disrupt Indigenous communities’ food systems, limiting the consumption of adequate diets. The aim of this work was to conduct a p...

This article provides a stocktake of the adaptation literature between 2013 and 2019 to better understand how adaptation responses affect risk under the particularly challenging conditions of compound climate events. Across 39 countries, 45 response types to compound hazards display anticipatory (9%), reactive (33%) and maladaptive (41%) characteri...

Biodiversity and ecosystem conservation in the Amazon play a critical role in climate-change mitigation. However, institutional responses have had conflicted and complex relations with Indigenous peoples. There is a growing need for meaningful engagement with—and recognition of—the centrality of Indigenous peoples’ perceptions and understanding of...

Adequate complementary foods contribute to good health and growth in young children. However, many countries are still off-track in achieving critical complementary feeding indicators, such as minimum meal frequency (MMF), minimum dietary diversity (MDD) and minimum acceptable diet (MAD). In this study, we used the 2016 Ugandan Demographic Health S...

In this Personal View, we explain the ways that climatic risks affect the transmission, perception, response, and lived experience of COVID-19. First, temperature, wind, and humidity influence the transmission of COVID-19 in ways not fully understood, although non-climatic factors appear more important than climatic factors in explaining disease tr...

This article provides a stocktake the adaptation literature between 2013 and 2019 to better understand how responses affect risk under the particularly challenging conditions of compound climate impacts. Across 39 countries, 45 response types to compound hazards display anticipatory (9%), reactive (33%) and maladaptive characteristics (41%), as wel...

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19, emerged in late 2019, halfway through the preparation of the IPCC WGII Sixth Assessment Report. This Cross-Chapter Box assesses how the massive shock of the pandemic and response measures interact with climate-related impacts and risks as well as its significan...

Following publication of the original article [1], the authors flagged that the article had published with several formatting errors: First, the author Kristie Ebi had been erroneously affiliated with all of the affiliations rather than affiliation 13, the correct affiliation; Second, Fig. 3 and Tables 6 and 7 had been incorrectly positioned in the...

Background There is concern in the international community regarding the influence of climate change on weather variables and seasonality that, in part, determine the rates of malaria. This study examined the role of sociodemographic variables in modifying the association between temperature and malaria in Kanungu District (Southwest Uganda). Meth...

Improving breastfeeding and complementary feeding practices is needed to support good health, enhance child growth, and reduce child mortality. Limited evidence is available on child feeding among Indigenous communities and in the context of environmental changes. We investigate past and present breastfeeding and complementary feeding practices wit...

Objective To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda. Methods As part of a larger community-based, participatory project, a retrospective survey of maternal health histor...

We assess whether the household is an apt scale of analysis to examine food insecurity of Indigenous Batwa of Kanungu District, Uganda. Our objectives were: 1) estimate the prevalence and range of food insecurity, 2) estimate the variation in food insecurity associated with household and community factors. The survey was administered 6 times at 3-m...

Adaptation to impacts of climate change is a key pillar of climate change policy, and local governments have historically played a major role in the design and implementation of these policies. An array of political, economic, institutional, social, and individual factors influence adaptation policy instrument choice. At the local government level,...

Introduction: Indigenous populations in low-income regions are often the most acutely affected by social gradients that impact health, including high burdens of infectious disease. Using a mixed methods approach, this study characterized the lived experience of acute gastrointestinal illness (AGI) in an Indigenous Batwa population in south-western...

Objectives Malnutrition is a persistent health concern throughout the world. Globally, Indigenous peoples experience poorer health outcomes compared to their non-Indigenous neighbours. Despite this, malnutrition among Indigenous populations is poorly understood. This analysis estimated the prevalence, and modeled possible determinants of, moderate...

Although governments are developing and implementing policies to adapt to the impacts of climate change, it remains unclear which factors shape how states are developing these policies. This paper aims to assess whether or not administrative traditions matter for the formation of national climate change adaptation policy in 32 high-income countries...

Climate change is a significant threat to public health, and governments at all scales will need to adapt to protectthe health of their populations. The impacts of climate change are highly localized and thus federal systemstheoretically have the inherent advantage of allowing for regional diversity and policy experimentation inadaptation. However,...

Equity and efficiency should be considered when allocating resources for climate change adaptation. More than a decade after the Least Developed Countries Fund approved adaptation funds for 18 countries in 2003, it is possible to take the stock of investment data and to test empirically whether equity and efficiency have been factored into adaptati...

Background Acute respiratory infections (ARI) are a leading cause of morbidity and mortality globally, and are often linked to seasonal and/or meteorological conditions. Globally, Indigenous peoples may experience a different burden of ARI compared to non-Indigenous peoples. This protocol outlines our process for conducting a systematic review to i...

Megacities in low- and middle-income countries face unique threats from climate change as vulnerable populations and infrastructure are concentrated in high-risk areas. This paper develops a theoretical framework to characterize adaptation readiness in Global South cities and applies the framework to Dhaka, Bangladesh, a city with acute exposure an...

The capacity to collect and analyze massive amounts of data is transforming research in the natural and social sciences (1). And yet, the climate change adaptation community has largely overlooked these developments. Here, we examine how “big data” can inform adaptation research and decision-making and outline what’s needed from the adaptation comm...

Objective: Climate change is projected to increase the burden of food insecurity (FI) globally, particularly among populations that depend on subsistence agriculture. The impacts of climate change will have disproportionate effects on populations with higher existing vulnerability. Indigenous people consistently experience higher levels of FI than...

Climate change is a major challenge facing public health. National governments play a key role in public health adaptation to climate change, but there are competing views on what responsibilities and obligations this will—or should—include in different nations. This study aims to: (1) examine how national-level public health adaptation is occurrin...

Injury is the leading cause of death for Canadians aged 1 to 44, occurring disproportionately across regions and communities. In the Inuit territory of Nunavut, for instance, unintentional injury rates are over three times the Canadian average. In this paper we develop a framework for assessing vulnerability to injury and use it to identify and cha...

Objectives: Unintentional injury is a leading cause of morbidity and mortality in Nunavut, where the importance of land-based activities and reliance on semi-permanent trails create unique risk profiles. Climate change is believed to be exacerbating these risks, although no studies have quantitatively examined links between environmental condition...

Cities globally face significant risks from climate change, and are taking an increasingly active role in formulating and implementing climate change adaptation policy. However, there are few, if any, global assessments of adaptation taking place across cities. This study develops and applies a framework to track urban climate change adaptation pol...

Climate change adaptation is increasingly considered an urgent priority for policy action. Billions of dollars have been pledged for adaptation finance, with many donor agencies requiring that adaptation is distinct from baseline development. However, practitioners and academics continue to question what adaptation looks like on the ground, especia...

Background The indigenous Batwa of southwestern Uganda are among the most highly impoverished populations in Uganda, yet there is negligible research on the prevalence of malaria in this population. Plasmodium falciparum malaria parasitaemia prevalence was estimated in an indigenous Batwa and a non-indigenous neighbouring population, and an explora...

Major efforts for malaria prevention programs have gone into scaling up ownership and use of insecticidal mosquito nets, particularly in sub-Saharan Africa where the malaria burden is high. Socioeconomic inequities in access to long lasting insecticidal nets (LLINs) are reduced with free distributions of nets. However, the relationship between soci...

Classification of individual long lasting insecticidal net (LLIN) use and non-use for 10 Batwa communities in Kanungu District, Jan 2013 and April 2014, after a targeted free-distribution in November 2012 (% are calculated across rows within population sub-groups). (DOCX)

Relative wealth index: variable description and justification. (DOCX)

Background: Leishmaniasis has been estimated to cause the ninth largest burden amongst global infectious diseases. Occurrence of the disease has been anecdotally associated with periods of conflict, leading to its referral as a disease of 'guerrilla warfare.' Despite this, there have been few studies that quantitatively investigate the extent to w...