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For example, microbiological water pollution in developing countries could become an even more important source of ill-health than at present. Environmental contamination with persistent pollutants and heavy metals could increase and cause unexpectedly severe harm to health. The scenario is vulnerable to institutional failure, resulting in an increased inequality of the distribution of the greater resources predicted in this scenario. Order from Strength This scenario represents a regionalized and fragmented world that is concerned with security and protection, and where regional markets are emphasized.

The complications, particularly from diabetes occurring at an earlier age of onset and a possible increase in cancer, are likely to result in a heavy burden on health services. Adverse ecological surprises, such as runaway climate change, may be of sufficient magnitude to have serious adverse health consequences including severe damage to infrastructure and economic conditions. Many environmental conditions needed for good public health could worsen. For example, microbiological water pollution in developing countries could become an even more important source of ill-health than at present.

Human factors include: demographics, technology, behaviour, policy and culture. But pressure also depends critically on the resilience of the ecosystem in question. In some cases, conservation measures may reduce the human pressure on ecosystems considered to be nearing a critical threshold. In other cases, a small incremental increase in pressure may result in an unexpected, non-linear adverse ecosystem response, such as the collapse of a marine fishery or a coral reef ecosystem. 1 Direct drivers The direct drivers of change vary by location.

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