Paz-Soldán Valerie A, Valcarcel Ariana, Canal-Solis Katya, Miranda-Chacon Zaray, Palmeiro-Silva Yasna K, Hartinger Stella M, Suárez-Linares Ana G, Falla-Valdez Valeria, Intimayta-Escalante Claudio, Lehoucq Mariana, Pretell Angelica, Castillo-Neyra Ricardo
Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Delft University of Technology, Delft, the Netherlands.
Lancet Reg Health Am. 2023 Oct 9;26:100604. doi: 10.1016/j.lana.2023.100604. eCollection 2023 Oct.
Climate adaptation measures are critical for protecting human health. National Adaptation Plans (NAPs), Nationally Determined Contributions (NDCs), and National Communications (NCs) play a crucial role in helping countries identify, analyze, and address their vulnerabilities to climate change impacts, while also assessing available resources and capacities. This study aimed to assess the comprehensiveness of South American countries' NAPs, NDCs, and NCs in addressing the effects of climate change on health. A total of 38 NAPs, NDCs, and NCs of 12 South American countries were analysed. Ad hoc scores were developed to assess baseline information, adaptation proposals, identification of involved institutions, funding needs and allocation, measurable progress indicators, and coherence. Overall, all South American countries have NDCs and NCs, and seven have NAPs. In most countries, the intersectoral health analysis revealed a lack of linkage to health issues related to that sector. Additionally, most planning documents lack detailed information to guide policymakers in taking practical actions; areas with low scores include allocation of funds, involvement of health-related institutions, and measurable indicators. While South American countries acknowledge the health impacts of climate change in their plans, enhancing public health protection requires maximizing climate policy benefits and including health-related issues across all relevant sectors.
This study was not funded. However, three co-authors received funding for some of their time: AV and KC were supported by the Wellcome Trust (209734/Z/17/Z); RCN was funded by K01AI139284 (NIH-NIAID). Funding for the publication was provided by Universidad Peruana Cayetano Heredia.
气候适应措施对于保护人类健康至关重要。国家适应计划（NAPs）、国家自主贡献（NDCs）和国家信息通报（NCs）在帮助各国识别、分析和应对其在气候变化影响方面的脆弱性，同时评估可用资源和能力方面发挥着关键作用。本研究旨在评估南美国家的国家适应计划、国家自主贡献和国家信息通报在应对气候变化对健康影响方面的全面性。对12个南美国家的38份国家适应计划、国家自主贡献和国家信息通报进行了分析。制定了临时评分标准来评估基线信息、适应建议、相关机构的确定、资金需求和分配、可衡量的进展指标以及连贯性。总体而言，所有南美国家都有国家自主贡献和国家信息通报，7个国家有国家适应计划。在大多数国家，跨部门健康分析显示与该部门相关的健康问题缺乏联系。此外，大多数规划文件缺乏详细信息来指导政策制定者采取实际行动；得分较低的领域包括资金分配、卫生相关机构的参与和可衡量指标。虽然南美国家在其计划中承认气候变化对健康的影响，但加强公共卫生保护需要最大限度地提高气候政策效益，并将与健康相关的问题纳入所有相关部门。
本研究未获得资助。然而，三位共同作者在部分时间获得了资金支持：AV和KC得到了惠康信托基金（209734/Z/17/Z）的支持；RCN由K01AI139284（美国国立卫生研究院 - 国家过敏和传染病研究所）资助。本出版物的资金由秘鲁卡耶塔诺·埃雷迪亚大学提供。
