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The scheme indicates how socioeconomic development in different sectors (which can be manipulated within scenarios) is related to environmental change. Possible response strategies can occur with governance through the mitigation of environmental change or through the influence of the relationship between exposure and health outcome. Coloured arrows delineate health effects specific to environmental risk; the black arrow leading from direct adaptation responses is used to indicate the potential for a positive feedback loop, which potentially leads to reinforced environmental change over a long period, despite reducing health effects in the immediate term. The health effects (labelled H1H9) and environmental effects were used to codify and organise the literature.
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