Department of Public Health and Epidemiology, School of Population Health, RCSI University of Medicine and Health Sciences, 123 St Stephen's Green, D02 YN77 Dublin, Ireland.
School of Earth and Environment, University of Leeds, Leeds LS2 9JT, UK.
Int J Environ Res Public Health. 2022 Oct 21;19(20):13665. doi: 10.3390/ijerph192013665.
The World Health Organization identified climate change as the 21st century's biggest health threat. This study aimed to identify the current knowledge base, evidence gaps, and implications for climate action and health policymaking to address the health impact of climate change, including in the most underserved groups.
The Horizon-funded project ENBEL ('Enhancing Belmont Research Action to support EU policy making on climate change and health') organised a workshop at the 2021-European Public Health conference. Following presentations of mitigation and adaptation strategies, seven international researchers and public health experts participated in a panel discussion linking climate change and health. Two researchers transcribed and thematically analysed the panel discussion recording.
Four themes were identified: (1) 'Evidence is key' in leading the climate debate, (2) the need for 'messaging about health for policymaking and behaviour change' including health co-benefits of climate action, (3) existing 'inequalities between and within countries', and (4) 'insufficient resources and funding' to implement national health adaptation plans and facilitate evidence generation and climate action, particularly in vulnerable populations.
More capacity is needed to monitor health effects and inequities, evaluate adaptation and mitigation interventions, address current under-representations of low- or middle-income countries, and translate research into effective policymaking.
世界卫生组织将气候变化确定为 21 世纪最大的健康威胁。本研究旨在确定当前的知识基础、证据差距,以及应对气候变化对健康的影响,包括最服务不足群体的气候行动和卫生决策的影响。
ENBEL(“加强贝尔蒙特研究行动以支持欧盟就气候变化和健康问题制定政策”)是一个由霍华基金会资助的项目,该项目在 2021 年欧洲公共卫生会议上组织了一次研讨会。在介绍了缓解和适应策略后,七名国际研究人员和公共卫生专家参加了一个小组讨论,将气候变化和健康联系起来。两名研究人员转录并对小组讨论录音进行了主题分析。
确定了四个主题:(1)“证据是关键”,在引领气候变化辩论方面;(2)“为政策制定和行为改变宣传健康”的必要性,包括气候行动的健康共同效益;(3)“国家之间和内部的现有不平等”;以及(4)“资源和资金不足”,无法实施国家卫生适应计划,并促进证据的产生和气候行动,特别是在弱势群体中。
需要更多的能力来监测健康影响和不平等,评估适应和缓解干预措施,解决低收入和中等收入国家代表性不足的问题,并将研究转化为有效的决策。