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After its modest beginnings focusing on arctic Quebec in 1999, the Quebec research programme on health and climate change became interested in the remainder of the province around 2002. The European heat wave in 2003 accelerated the pace of this programme and prompted the Quebec health sector's participation in the Ouranos Research Consortium. The research findings from the 2003-2006 period have directly fed into the health component of the Quebec government's climate change action plan (2006-2012), financed through the first carbon tax in the Americas. This component is planning for a series of adaptations to the health network and to some other public networks, which will apply to construction, the built environment and outdoor developments, clinical management methods and practices, public health surveillance as well as emergency preparedness. In this article, the authors describe how research is supporting action and implementation, while also preparing for the future, and how this interaction has progressively established itself over the last 10 years.

The present study examines the mortality levels from primary bronchial cancer in the miners of Houillieres du Bassin de Lorraine, including pneumoconiotics and non-pneumoconiotics aged more than 45. 48, or 8.87% of deaths of known cause occurring between 1977 and 1981 amongst pneumoconiotics were due to a primary bronchial cancer, proved cytologically and histologically. This level did not differ from that of 7.66% seen in 796 coal miners who had worked for more than 15 years underground and unscathed by any occupational disorder, nor for the 8.57% level of men residing in the Moselle department. It is, on the other hand, significantly elevated versus the 6.34% of Frenchmen for the same age range. Tobacco consumption and industrial atmospheric pollution in the Moselle is more important than in most other French departments and should be considered when interpreting this excess mortality for bronchial cancer in this department when compared to the french national average. For the coal miners of Lorraine this study had not established a correlation between the work, the pneumoconiotic lesions and the frequency of primary bronchial cancer.

Rising greenhouse gas levels due to human activity are already having an impact on climate by increasing the atmospheric temperature. The current concentration of carbon dioxide released by industrial activity is the highest it has been for more than one million years. The oceans are warming and becoming more acidic. This climate change is causing radical changes to ecosystems, plants, marine life and wildlife, not to mention humans for whom agricultural resources and fresh water are becoming scarcer and coastal homes are under threat. There is still time for us to change our lifestyles.

Climate change is set to be the most important determinant of health in the coming years. Like greenhouse gases, air pollution is a result of human activities. It leads to acute and chronic respiratory, cardiovascular, neurological, renal and tumoural diseases. Acting on global warming will help to reduce the emission of pollutants into the air and protect public health.

The stratum corneum materializes the interface between the body and its environment. Such a structure is influenced by the climate and seasons. A series of physicochemical parameters are involved in this relationship. Among them, the relative humidity, the dew point, the insensible loss of water and the concepts of water-as-ice and the higgledy-piggledy-water.

The impact of climate change on the health of individuals raises fears of significant long-term effects. Certain repercussions are already evident. Health professionals, particularly those working with vulnerable people, play a key role in health promotion and taking into account the challenges posed by hot weather. They need to be better trained in order to promote behaviours more favourable to health.

Description du sujet. La baisse et l’irrégularité des pluies modifient considérablement les saisons culturales, ce qui oblige les paysans à une restructuration du calendrier agricole en s’appuyant sur les savoirs locaux. Objectifs. L’objectif de cette étude est de valoriser les savoirs locaux utilisés par les paysans dans la gestion du calendrier agricole. Les objectifs spécifiques sont, d’une part, d’inventorier les indicateurs biophysiques utilisés dans la définition des calendriers culturaux et, d’autre part, de déterminer les espèces végétales repères communes aux trois zones écologiques étudiées. Méthode. Ce but fut atteint grâce à des interviews semi-directes individuelles et via des focus groups auprès d’un échantillon de 689 agriculteurs répartis dans 65 localités. Résultats. Il ressort que la totalité des paysans enquêtés utilisent des marqueurs temporels dans la définition des calendriers culturaux, surtout dans la reconnaissance des débuts de saison pluvieuse (période de semis) et de saison sèche (période de récolte). Il s’agit principalement des indicateurs biologiques tels que la phénologie des plantes (en saison sèche : Triumfetta rhomboidea Jacq. [floraison], Spathodea campanulata P.Beauv. [floraison], Vitellaria paradoxa C.F.Gaertn. [fructification] et en saison pluvieuse : Millettia thonningii (Schum. & Thonn.) Baker [floraison], V. paradoxa [floraison], Delonix regia (Hook.) Raf. [floraison], Ceiba pentandra (L.) Gaertn. [éclatement du fruit]). Au total, 67 espèces végétales ont été recensées comme indicateurs des variations des saisons agricoles. Outre les espèces végétales, la migration saisonnière des oiseaux (73 %), l’apparition des insectes (48 %), mais aussi des indicateurs abiotiques comme le sens du vent (100 %), les observations des étoiles (82 %) et le déplacement des nuages (69 %) sont utilisés comme repères dans la gestion des périodes agricoles. Conclusions. La connaissance de ces signaux permet aux paysans d’anticiper sur d’éventuelles variabilités climatiques et suivre, diriger et adapter leurs activités culturales. Ces savoirs locaux constituent dès lors une aubaine pour l’adaptation aux changements climatiques.

While many studies have looked into the consequences of climate change on physical health, its impact on mental health is still relatively unknown. Climate-related disasters lead to psychotrauma in populations, as well as sleeping disorders, anxiety and depression. Rising temperatures increase the level of agression and violence. Climate migration also leads to psychological disorders in migrants. Mental health professionals must be trained in these pathologies which are set to become more common over the decades to come.

In the context of environmental and socio-economic changes, the agriculture of Sub-Saharan African countries will have to ensure food security of the population, while reducing its environmental footprint. The biophysical and social systems of agricultural production are complex. Innovative agricultural practices will be based on an intensification of ecological processes that determine the functioning of the soil-plant system, farmers' fields and agro-ecosystems. This ecological engineering approach is useful to take up the challenge of Sub-Saharan agricultures in the future, as shown in researches conducted by IESOL International Joint Lab "Intensification of agricultural soils in West Africa" (ISRA, UCAD, TU, OU, INERA, IRD).

This study investigated the role of N, P and Si enrichments on phytoplankton in the Bizerte Lagoon (southwestern Mediterranean Sea, Tunisia) during March, June, August, October and December 2004. Polycarbonate bottles were enriched with different nutrients according to four treatments N:Si:P ratios [+NSi/-P (40:40:1), +P/-NSi (20:20:2,5), +NP/-Si (16:0:1) and +Si/-NP (16:32:1)] and incubated in situ during six days. Chl a and carbon biomass of phytoplankton varied significantly during the course of months, with the highest levels recorded in summer (4-4.4 microg Chl a L(-1) or 1126-1721 microg C L(-1)). Dinoflagellates dominated the initial phytoplankton communities, except in August, when diatoms represented a high fraction of microalgae (48%). Enrichment experiments induced significant increases in Chl a and in the final phytoplankton carbon biomasses. In summer (June/August), Si was the main limiting element for phytoplankton. Diatoms strongly responded to +Si/-NP and +NSi/-P enrichments and dominated the final phytoplankton communities (52-61%) in both treatments. Si played the most important role in the growth and development of diatoms. The biomasses and growth rates of dinoflagellates were significantly stimulated by +P/-NSi and +NP/-Si enrichments. After 6 days, dinoflagellates represented more than 70% of the total phytoplankton biomass in samples subjected to these treatments. Moreover, the addition of +P/-NSi increased the biomasses of several dinoflagellates. This suggests that dinoflagellates were mostly controlled by P availability. Unlike diatoms and dinoflagellates, flagellates showed weak responses to nutrient treatments during only some months of the year. The results showed that phytoplankton dynamics in the lagoon were influenced by nutrients in different manners.