Abstract

Background: The U.S. National Institutes of Health (NIH) have supported climate change and health-relevant research for decades. Through the years 2010 to 2020, annual NIH support for climate change and health research hovered around $10 million funded by 21 NIH components. The NIH Climate Change and Health Initiative, launched in 2021, is an NIH-wide effort to develop the first coordinated NIH plan for research on the impacts of climate change on human health. Methods: The Initiative created a core framework in 2021 that was informed by a month’s long planning and engagement process. Directors of seven Institutes and Centers at the NIH have joined together to create a strategic framework document that highlights the core focus areas of the work. The group released a Public Request for Information to gather input from community organizations and academic scientists and conducted a federal and international landscape assessment to map out organizations working in the space. Internally, NIH conducted a portfolio analysis of funded climate research from the past decade, engaged staff through workshops, and developed an internal data call for planned climate related programs. Results: The strategic framework will guide a community of practice comprising outstanding and committed scientists, trainees, and specialists. Key areas of interest outlined include: Health Effects Research, Health Equity, Intervention Research and Training and Capacity Building. The framework also identifies nine key areas of supporting science for climate change and health research. Conclusions: Climate change is impacting health and communities around the world but there remain many key research knowledge gaps. NIH’s role as a leading funder of biomedical and human health research can play an important role in coordinating research to better understand health impacts, health adaptation, and outcomes in communities impacted related to climate change. There is perhaps no greater opportunity for NIH to fulfill its mission than by providing global leadership in the response to the burgeoning climate change and health crisis. Key words: Climate change; public health; research

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