Abstract

The scientific consensus is that global warming is occurring and is largely the result of greenhouse gas emissions from human activity. This paper examines the health implications of global warming, the current socio-political attitudes towards action on climate change and highlight the health co-benefits of reducing greenhouse gas emissions. In addition, policy development for climate change and health should embrace health systems strengthening, commencing by incorporating climate change targets into Millennium Development Goal 7.

Highlights

  • The final report of the Lancet commission on climate change suggested that “climate change is the biggest global health threat of the 21st century” [1]

  • World Health Organisation (WHO) estimates in 2000 suggested that 5.5 million DALYs were lost as a consequence of increased cardiovascular disease, diarrhoea, malaria, injuries from flooding and malnutrition due to climatic changes [6]

  • Under the provisions of the protocol, 37 countries and the EU have committed to reducing greenhouse gas emissions by an average of 5% over the 1990 levels by 2012, but the largest emitter of greenhouse gases is not a signatory to the protocol [28]

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Summary

Introduction

The final report of the Lancet commission on climate change suggested that “climate change is the biggest global health threat of the 21st century” [1]. Poor countries need economic development to provide them with the means to adapt to climate change, but at the same time, global carbon emissions must be reduced. For example the Gates Foundation states that while they believe climate change to be a major issue and they do fund some projects designed to help adaptation, they do not fund mitigation efforts [26] Organizations such as the Gates Foundation or the Global Fund see that the wider task of climate change mitigation is the role of government and not compatible with their business model approach to health improvement. Adaptive management Similar to quality improvement methods, ‘adaptive management’ has been suggested as one approach to practically respond to climate change [40] This approach identifies potential collaborators, determines each stakeholders’ interpretation of causes and options for management, models the potential consequences of different choices, and evaluates and modifies the public health intervention based on the lessons learned. Rather than think of this as a challenge, perhaps climate change is the impetus that is needed to unite policy makers in considering the social determinants of health

Conclusion
Findings
41. McDonald M
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