Stresses on the climate system are already causing impacts on Earth’s surface. These include not only rising surface temperatures, but also increasingly frequent floods and droughts, and changes in natural ecosystems, such as earlier flower- ing of plants, and poleward shifts in the distribution of several species. All of these changes are inextricably linked to the health of human societies. Climatic conditions affect human well-being both directly, through the physical effects of climatic extremes, and indirectly, through influences on the levels of pollution in the air, on the agricultural, marine and freshwater systems that provide food and water, and on the vectors and pathogens that cause infectious diseases. As.