Abstract

The Lancet Countdown: tracking progress on health and climate change is an international, multidisciplinary research collaboration between academic institutions and practitioners across the world. It follows on from the work of the 2015 Lancet Commission, which concluded that the response to climate change could be "the greatest global health opportunity of the 21st century". The Lancet Countdown aims to track the health impacts of climate hazards; health resilience and adaptation; health co-benefits of climate change mitigation; economics and finance; and political and broader engagement. These focus areas form the five thematic working groups of the Lancet Countdown and represent different aspects of the complex association between health and climate change. These thematic groups will provide indicators for a global overview of health and climate change; national case studies highlighting countries leading the way or going against the trend; and engagement with a range of stakeholders. The Lancet Countdown ultimately aims to report annually on a series of indicators across these five working groups. This paper outlines the potential indicators and indicator domains to be tracked by the collaboration, with suggestions on the methodologies and datasets available to achieve this end. The proposed indicator domains require further refinement, and mark the beginning of an ongoing consultation process-from November, 2016 to early 2017-to develop these domains, identify key areas not currently covered, and change indicators where necessary. This collaboration will actively seek to engage with existing monitoring processes, such as the UN Sustainable Development Goals and WHO's climate and health country profiles. The indicators will also evolve over time through ongoing collaboration with experts and a range of stakeholders, and be dependent on the emergence of new evidence and knowledge. During the course of its work, the Lancet Countdown will adopt a collaborative and iterative process, which aims to complement existing initiatives, welcome engagement with new partners, and be open to developing new research projects on health and climate change.

Highlights

  • The 2015 Lancet Commission on Health and Climate Change: policy responses to protect public health built on these foundations and explored the health benefits of climate change mitigation and adaptation policies.[5]

  • The Lancet Countdown plans to use this as an indicator of growth in renewable energy, using the International Energy Agency (IEA) and International Renewable Energy Agency’s (IRENA) regularly published estimates

  • For the purposes of the Lancet Countdown on Health and Climate Change, the IEA and World Bank produce national statistics on metrics of energy use based on surveys and data provided by member countries and their own research

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Summary

Introduction

The 2015 Lancet Commission on Health and Climate Change: policy responses to protect public health built on these foundations and explored the health benefits of climate change mitigation and adaptation policies.[5]. The proposed indicator domains reflect a pragmatic need to capture markers of progress in the key interactions between health and climate change using the best available data, and those that can be translated to the health community and more widely They were developed through an iterative process, following an initial, broad consultation process. Indicator domain was assessed for its ability to cover a unique part of the relationship between health and climate change; potential data availability; feasibility given current resource constraints; applicability to countries across a variety of resource settings; and policy relevance This collaborative process is intended to work closely with other monitoring initiatives, such as the information being collected under the WHO’s Climate and Health Country Profiles, the SHUE (Sustainable Healthy Urban Environments) project, the Sendai Framework, and the ClimateWorks. We invite direct input on the content, methods, and data for the proposed indicators and indicator domains, as well as proposals for new partnerships, through the website here: www.LancetCountdown.org/IndicatorConsultation

Health and climate change in the UNFCCC and UNGA high-level statements
1.1-1.5: Human exposure to extreme weather
1.6: Human Exposure to Infectious Disease
1.7: Food security and undernutrition
2.1: Health adaptation planning
2.2: Climate services for health
2.3: Adaptation finance for health
3.1-3.5: The Energy Sector
3.1: Coal phase-out
3.3: Energy access
3.4: Energy access for health facilities
3.5: Ambient and household air pollution exposure
3.6-3.7: The Transport Sector
3.6: Deployment of low-emission vehicles
3.7: Active transport infrastructure and uptake
3.8: The Food System
3.9: Emissions from the Healthcare System
4.4: Valuing the health co-benefits of climate change mitigation
4.5-4.7: Pricing the health externalities of fossil fuels
5.1: Public engagement in health and climate change
Conclusion
B-1. Number of affected people per
Prevalence of undernourishment
Proportion of agricultural area under productive and sustainable agriculture
Proportion of population with access to electricity
Mortality rate attributed to household and ambient air pollution
Findings
12.3.1 Global food loss index

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