Evidence map›Paper›PMID 42058146›Full record

ArticleHealth affairs scholar2026

Integrated impact of climate change on health outcomes and economic stability in PEPFAR-supported African countries.

Sachin Silva, Veronique Whittaker, Eric Goosby, Michael J A Reid

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sachin SilvaCenter for Global Health Delivery, Diplomacy, and Economics, Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA 94158, United States.ORCID https://orcid.org/0000-0002-8630-3736
Veronique WhittakerCenter for Global Health Delivery, Diplomacy, and Economics, Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA 94158, United States.ORCID https://orcid.org/0009-0004-3015-2432
Eric GoosbyCenter for Global Health Delivery, Diplomacy, and Economics, Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA 94158, United States.
Michael J A ReidCenter for Global Health Delivery, Diplomacy, and Economics, Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA 94158, United States.ORCID https://orcid.org/0000-0001-6777-9619

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Health impacts of global warming in sub-Saharan African countries that received President's Emergency Plan for AIDS Relief (PEPFAR)-funded HIV support are not known. Methods: Assuming the narrative of the Shared Socioeconomic Pathway 2, we estimated excess deaths, life expectancy losses at birth, and economic welfare losses in terms of full income. We relied on the MAGICC climate model for temperature predictions from 2025-2100 and net all-cause mortality risks estimated by others. Results: Surface temperature increases could reduce life expectancy at birth by 0.057 years in 2025 (95% CI: 0.024-0.095). By 2050, the reduction could increase by 30.7%, to 0.075 years (95% CI: 0.0311-0.1247). By 2100, it could further increase by 44.5%, to 0.083 years (95% CI: 0.034-0.138). Corresponding full income losses are US$11.44 billion in 2025 (95% CI: $4.77-$19.07 billion), which increases by 4-fold in 2050 to US$44.62 billion (95% CI: $18.65-$74.36 billion). By 2100, a 30-fold increase is possible, to US$353.56 billion (95% CI: $148.84-$588.32 billion). On a per capita basis, the highest full income losses consistently accrue to Lesotho between 2025 and 2100 (US$20.51, or 0.70% of per capita GDP, to US$355.39, or 0.80%). Conclusion: Adjusted investment is needed to address climate impacts, especially in countries such as Lesotho that may bear damage due to other regional emitters.

Indexed as

climate changefull income lossesPEPFARsub-Saharan Africa

Identifiers

PMID42058146
PMCPMC13122613

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.