Prevention Research Center, UMass Chan Medical School, Worcester, MA 01655, USA.
Climate and Health Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Int J Environ Res Public Health. 2023 Jul 26;20(15):6447. doi: 10.3390/ijerph20156447.
Public health departments have important roles to play in addressing the local health impacts of climate change, yet are often not well prepared to do so. The Climate and Health Program (CHP) at the Centers for Disease Control and Prevention (CDC) created the Building Resilience Against Climate Effects (BRACE) framework in 2012 as a five-step planning framework to support public health departments and their partners to respond to the health impacts of climate change. CHP has initiated a process to revise the framework to address learnings from a decade of experience with BRACE and advances in the science and practice of addressing climate and health. The aim of this manuscript is to describe the methodology for revising the BRACE framework and the expected outputs of this process. Development of the revised framework and associated guidance and tools will be guided by a multi-sector expert panel, and finalization will be informed by usability testing. Planned revisions to BRACE will (1) be consistent with the vision of Public Health 3.0 and position health departments as "chief health strategists" in their communities, who are responsible for facilitating the establishment and maintenance of cross-sector collaborations with community organizations, other partners, and other government agencies to address local climate impacts and prevent further harm to historically underserved communities; (2) place health equity as a central, guiding tenet; (3) incorporate greenhouse gas mitigation strategies, in addition to its previous focus on climate adaptation; and (4) feature a new set of tools to support BRACE implementation among a diverse set of users. The revised BRACE framework and the associated tools will support public health departments and their partners as they strive to prevent and reduce the negative health impacts of climate change for everyone, while focusing on improving health equity.
公共卫生部门在应对气候变化对当地健康的影响方面发挥着重要作用，但它们往往对此准备不足。疾病控制与预防中心（CDC）的气候与健康项目（CHP）于 2012 年创建了“抵御气候影响的韧性建设（BRACE）”框架，作为一个五步规划框架，以支持公共卫生部门及其合作伙伴应对气候变化对健康的影响。CHP 已经启动了一个修订框架的进程，以解决 BRACE 十年经验和应对气候与健康的科学和实践进展方面的经验教训。本文的目的是描述修订 BRACE 框架的方法以及这一过程的预期成果。修订后的框架和相关指南及工具的开发将由一个多部门专家小组指导，并通过可用性测试提供最终意见。BRACE 的修订计划（1）符合公共卫生 3.0 的愿景，将卫生部门定位为其社区的“首席健康战略家”，负责促进与社区组织、其他合作伙伴和其他政府机构建立和维持跨部门合作，以应对当地的气候影响，并防止历史上服务不足的社区受到进一步伤害；（2）将健康公平作为一个核心、指导原则；（3）纳入温室气体减排战略，除了之前的重点关注气候适应；（4）提供一套新的工具，以支持不同用户实施 BRACE。修订后的 BRACE 框架和相关工具将支持公共卫生部门及其合作伙伴努力预防和减少气候变化对每个人的负面影响，同时专注于改善健康公平。
