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1. Climate history of the Earth and background concepts I PROCESSES 2. Climatic processes 3. Scales of heat and mass transfers in the atmosphere 4. The role of oceans II CHANGE 5. Scales of climate change: Pleistocene to modern 6. Causes of climate change 7. Human effects on climate III IMPACTS 8. Health impacts of climate change 9. Ecosystem impacts of climate change 10. Epilogue.