Stockholm Environment Institute, Asia Centre, Bangkok 10330, Thailand.
KnowlEdge Srl, 21057 Olgiate Olona, Italy.
Int J Environ Res Public Health. 2021 Mar 1;18(5):2398. doi: 10.3390/ijerph18052398.
Multiple sectors-health and non-health-can determine the health and well-being of people and the condition of the socio-ecological environment on which it depends. At the climate and human health nexus, a systems-based understanding of climate change and health should inform all stages of the policy process from problem conceptualization to design, implementation, and evaluation. Such an understanding should guide countries, their partners, and donors to incorporate health in strategic climate actions based on how health is affected by, and plays a role in, the dynamic interactions across economic, environmental, and societal domains. A systems-based approach to sustainable development has been widely promoted but operationalizing it for project level and policy development and implementation has not been well articulated. Such an approach is especially valuable for informing how to address climate change and health together through policy actions which can achieve multiple, mutually reinforcing goals. This commentary article describes strategic steps including the complementary use of health impact assessment, quantification of health impacts, and linking climate and health actions to national and global policy processes to apply a systems-based approach for developing climate mitigation and adaptation actions with human health benefits.
多个部门（包括卫生和非卫生部门）可以决定人民的健康和福祉以及其赖以生存的社会-生态环境的状况。在气候与人类健康的关联中，需要从问题概念化到设计、实施和评估的政策过程的所有阶段，都基于对气候变化和健康的系统理解。这种理解应指导各国及其合作伙伴和捐助者，根据健康在经济、环境和社会领域的动态相互作用中受到的影响及其所发挥的作用，将健康纳入基于战略的气候行动。可持续发展的系统方法已得到广泛推广，但在项目层面和政策制定与实施方面的具体操作还不够明确。这种方法对于告知如何通过能够实现多重相互强化目标的政策行动共同应对气候变化和促进健康特别有价值。本文描述了战略步骤，包括互补使用健康影响评估、量化健康影响以及将气候和健康行动与国家和全球政策进程联系起来，以应用系统方法制定具有人类健康效益的气候缓解和适应行动。
