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<tr class="odd">
<td colspan="6"><strong>COMMENTS FROM PEER REVIEWERS</strong></td>
<td colspan="7"><strong>AUTHOR'S RESPONSE</strong></td>
</tr>
<tr class="even">
<td><blockquote>
<p><strong>Comment</strong></p>
<p><strong>Number</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Reviewer</strong></p>
<p><strong>ID</strong></p>
</blockquote></td>
<td><strong>Chapter</strong></td>
<td><strong>Page</strong></td>
<td><strong>Line</strong></td>
<td><strong>Comment Text</strong></td>
<td><blockquote>
<p><strong>Acknowledged,</strong></p>
<p><strong>but no further</strong></p>
<p><strong>reponse or revisions</strong></p>
<p><strong>are required</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Revisions have</strong></p>
<p><strong>been incorporated</strong></p>
<p><strong>as suggested in the</strong></p>
<p><strong>comment</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Agree, but see</strong></p>
<p><strong>"Notes on</strong></p>
<p><strong>Response"</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Agree, but</strong></p>
<p><strong>elaboration is</strong></p>
<p><strong>precluded by length</strong></p>
<p><strong>limitations</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Disagree; see</strong></p>
<p><strong>"Notes on</strong></p>
<p><strong>Response"</strong></p>
</blockquote></td>
<td><blockquote>
<p><strong>Beyond scope of</strong></p>
<p><strong>report/chapter</strong></p>
</blockquote></td>
<td><strong>Notes on Response</strong></td>
</tr>
<tr class="odd">
<td>4-1</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td><p>This section mentions some extremely important concepts that must
be understood for Earth science outcomes and remote sensing technology
to be successful in public health decision-making.</p>
<p>The use of DDSPL as an example tool works well for pointing out the
challenges that the public health practice community faces that
ultimately will determine whether or when Earth science outcomes will
have a place in public health practice.</p>
<p>Unfortunately, the concepts are only briefly described and not
covered in much depth.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Try expand</strong></td>
</tr>
<tr class="even">
<td>4-2</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td><p>the sentence at lines 1890-1 about stopping short of
characterizing risk in human populations represents an important issue
for maintaining credibility with the public health community.</p>
<p>Kudos for including it!</p>
<p>Too often, Earth science outcomes and remote sensing technology
capabilities are misconstrued by non-technical people as a result of
being oversold or sloppily described by the Earth science community.</p>
<p>More on this would be helpful and welcomed.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Out of scope or try to address</strong></td>
</tr>
<tr class="odd">
<td>4-3</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td>The notion that the application of science and technology depends
upon healthcare policy decisions is incredibly important for the Earth
science community to understand.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Make it bold</strong></td>
</tr>
<tr class="even">
<td>4-4</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td><p>Success of the application is only partly dependent upon
performance of the technology and of the validity of the science
results. Even if we could image a tick from space, it may not yield more
success in fighting Lyme Disease than an inexpensive vaccine.</p>
<p>These decisions belong to public health policy makers.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Point well made</strong></td>
</tr>
<tr class="odd">
<td>4-5</td>
<td>08</td>
<td>Public Health</td>
<td>80</td>
<td>1807</td>
<td><p>The statement that begins "Public health is an approach to
medicine..." represents a minority view in the public health community
that is somewhat offensive to practitioners who consider public health a
freestanding discipline and profession.</p>
<p>This is an old debate, but one that NASA ought to avoid if it wishes
to avoid a catfight with sensitive members of the public health practice
community...such as this reviewer.</p>
<p>Use a better definition of public health to lead off this section.
See the American Public Health Association for an "official"
version.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Address in phrase</strong></td>
</tr>
<tr class="even">
<td>4-6</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td>Discussion of the complex relationship between climate change and
public health outcomes is short and never really generalizes--or draws
lessons learned--from the experience of the DDSPL tool in identifying
the distribution of the Black Legged Tick for use in forecasting Lyme
Disease. This should be the major point of the chapter.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Expand if possible</strong></td>
</tr>
<tr class="odd">
<td>4-7</td>
<td>08</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td>What challenges can the Earth science community expect in
transitioning Earth science outcomes to use in public health practice,
and what can the public health community expect technologically and
scientifically from the investment in climate change science and
technology?</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Make a paragraph on challenges uses and
limitations</strong></td>
</tr>
<tr class="even">
<td>4-8</td>
<td>08</td>
<td>Public Health</td>
<td>80</td>
<td>1819</td>
<td>The phrase "key constraint" sounds odd. Not sure how public health
is a problem solving constraint in climate change situations. Protecting
public health makes sense as a "key goal" for addressing climate change
and may become a "key challenge" under certain climate change
scenarios.</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>4-9</td>
<td>09</td>
<td>Public Health</td>
<td>80-82</td>
<td></td>
<td><p>The charge is described in the Introductory chapter rather than
within each individual chapter.</p>
<p>However, only the overall goals of the project are discussed.</p>
<p>It would be helpful to include the major questions this reports is
intended to address as well.</p>
<p>Currently, the reader is only aware of the specific questions by
reading chapters where these have been explicitly stated (e.g. Chapter
5)</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>This will be addressed in the Introduction.</strong></td>
</tr>
<tr class="even">
<td>4-10</td>
<td>09</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td><p>This chapter would benefit from further details in:</p>
<p>the observations use in the DST and the work being done at Yale to
develop and validate "appropriate analytical methods to develop
interpretations that can deal with many of the challenges of spatially
structured data"</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Expand if possible</strong></td>
</tr>
<tr class="odd">
<td>4-11</td>
<td>09</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td>This chapter would benefit from further details in: information on
the use of this tool, or information from it, in pubic health practice
and decision making at the local, state, and federal levels.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>How is it being used. Contact Piesman</strong></td>
</tr>
<tr class="even">
<td>4-12</td>
<td>09</td>
<td>Public Health</td>
<td></td>
<td></td>
<td>It might be helpful to "fit" the DDSPL into the decision support
framework (figure 1) as was done in Chapter 1: Decision support for
Agricultural Efficiency for PECAD.</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>4-13</td>
<td>09</td>
<td>Public Health</td>
<td></td>
<td></td>
<td><p>The author is able to draw on existing published research on the
validity and reliability of the DDSPL as well as the impact of climate
change on the habitat of the black-legged tick.</p>
<p>The author appropriately points out that this DST is not a predictor
of human health outcome. The actual public health impact is determined
by human contact with the vector and is impacted by population dynamics,
and sociological and behavioral factors.</p>
<p>However, the author is vague about "issues" of public health
infrastructure that limit access to detailed disease data to local and
state health agencies and should expand on this (for example: limits due
to privacy constraints.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Expand as per ‘for example…’</strong></td>
</tr>
<tr class="even">
<td>4-14</td>
<td>09</td>
<td>Public Health</td>
<td></td>
<td></td>
<td>It would be helpful to see more information on the results of
Brownstein et al's evaluation of the utility of the DDSPL using local
data on human health outcomes.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Landscape patterns example</strong></td>
</tr>
<tr class="odd">
<td>4-15</td>
<td>09</td>
<td>Public Health</td>
<td></td>
<td></td>
<td>It would be helpful to show the projected distribution of the
population with the distribution of the tick in 2020. 2050. and 2080 to
support the authors conclusion that "the impact in range distribution
also produces an overall decrease in human disease risk".</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td><strong>Out of scope</strong></td>
</tr>
<tr class="even">
<td>4-16</td>
<td>09</td>
<td>Public Health</td>
<td></td>
<td></td>
<td><p>I would recommend adding a short description of the broader
potential impacts of climate change on public health endpoints (e.g.
health related illness and death; cardiorespiratory disease
exacerbation; injuries, etc) before focusing on</p>
<p>zoonotic diseases.</p>
<p>The author correctly points out that public health is an important
outcome component of DSTs involving air quality, water management,
etc.</p>
<p>However, since this is the public health chapter, the reasons for
that should be explicit.</p></td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Expand it in rationale</strong></td>
</tr>
<tr class="odd">
<td>4-17</td>
<td>09</td>
<td>Public Health</td>
<td>All</td>
<td>All</td>
<td>The definition of earth observations should be clearer. In Chapter
4, the focus appears to specific to NASA derived Validate Fields</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>In situ, RS,</strong></td>
</tr>
<tr class="even">
<td>4-18 and G-6</td>
<td>01</td>
<td>All</td>
<td>All</td>
<td>All</td>
<td>The sections on "uncertainty" for each case study are vague and
don't convey a sense of improvement other than through a positive
language in the report -but this can be read as significant
hand-waving.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Out of scope or add something</strong></td>
</tr>
<tr class="odd">
<td>4-19</td>
<td>02</td>
<td>All</td>
<td>All</td>
<td>All</td>
<td>Are there any big lessons that we might take away? I think this is a
significant item.</td>
<td></td>
<td></td>
<td><strong>X</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>Out of scope or add something</strong></td>
</tr>
</tbody>
</table>