Abstract

A complex, whole-of-economy issue such as climate change demands an interdisciplinary, multi-sectoral response. However, evidence suggests that human health has remained elusive in its influence on the development of ambitious climate change mitigation policies for many national governments, despite a recognition that the combustion of fossil fuels results in pervasive short- and long-term health consequences. We use insights from literature on the political economy of health and climate change, the science–policy interface and power in policy-making, to identify additional barriers to the meaningful incorporation of health co-benefits into climate change mitigation policy development. Specifically, we identify four key interrelated areas where barriers may exist in relation to health co-benefits: discourse, efficiency, vested interests and structural challenges. With these insights in mind, we argue that the current politico-economic paradigm in which climate change is situated and the processes used to develop climate change mitigation policies do not adequately support accounting for health co-benefits. We present approaches for enhancing the role of health co-benefits in the development of climate change mitigation policies to ensure that health is embedded in the broader climate change agenda.

Highlights

  • Anthropogenic climate change remains a pivotal issue on global, national and sub-national scales given the pervasive adverse consequences that are projected

  • A review of the literature on the political economy of health and climate change, the science–policy interface and power in the policy-making process facilitated the identification of four key interrelated areas where barriers may exist for health co-benefits: discourse, efficiency, vested interests and structural challenges

  • We highlight some of the central tenets and examples from these fields to guide a meaningful discussion on the implications for health co-benefits and to aid the consideration of strategies to enhance their uptake in the development of national climate change mitigation policies

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Summary

Introduction

Anthropogenic climate change remains a pivotal issue on global, national and sub-national scales given the pervasive adverse consequences that are projected. The Paris Agreement, negotiated and adopted in December 2015, represents the latest attempt by national governments and others to commit to emissions reduction targets at a global level in order to adequately address the predicted consequences of climate change. The Health Impacts of Climate Change and Health Co-Benefits of Mitigation Measures. Vulnerability to the health impacts of climate change are influenced by various factors including geography, current health status, age, gender, socioeconomic status, and infrastructure that “combine in a complex and place-specific manner” [20] The IPCC stratifies the health impacts of climate change into one of three classifications: direct impacts, ecosystem-mediated (indirect) impacts, and human institution-mediated impacts [20] (see Table 1)

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