Climate Change Adaptation Research Articles

Unveiling mid-century conservation priorities: Co-occurrence of biodiversity, climate change exposure, and carbon storage in the Middle and Lower Yangtze River Basin, China

The global challenges of biodiversity loss and climate change necessitate the implementation of integrated conservation strategies. A forward-looking framework is necessary to reconcile climate change adaptation and mitigation efforts with biodiversity goals, supporting effective long-term planning and management of protected areas (PAs) network. This study develops a comprehensive approach to identify priority areas for biodiversity conservation until 2050, integrating assessments of species distributions, climate change exposure and carbon storage under distinct shared socioeconomic pathways. The Middle and Lower Yangtze River Basin (MLYRB) in China serves as a case study. Using an ensemble species distribution modeling (ESDM) method, we predicted the distributions of 435 threatened terrestrial vertebrate species and plants. We then mapped their richness in the MLYRB. Distance-based climate velocity analysis was performed to identify climate change coldspots and hotspots. The patch-generating land use simulation (PLUS) model and InVEST model were coupled to simulate carbon storage changes. Systematic conservation planning tool, Zonation, was used to prioritize species conservation hotspots. By examining the co-occurrence of these hotspots with climate change coldspots/hotspots and areas of high carbon storage, conservation priorities for the MLYRB were revealed. Our findings indicate that 18.27–24.94% of the MLYRB risks over 20% species richness declines by 2050 under various scenarios, while increases over 10% are projected for only 0.81–1.75% of the area. Co-occurrence analysis highlights significant associations, such as a 32.26% overlap between species conservation hotspots and climate change hotspots in SSP1-2.6. Particularly noteworthy is the substantial co-occurrence (57.93–59.50% across scenarios) between areas maximizing species conservation and carbon storage. The identified conservation priority areas, covering 41.95% of the MLYRB (441554km2), hold potential for long-term species conservation, climate resilience, and nature-based climate solutions by 2050. However, only 6.08% of these priorities currently benefit from protection. These results offer valuable guidance for region-specific landscape management and conservation policy aligned with international goals. The presented methodology provides a broader application, serving as a valuable resource for prioritizing conservation efforts in other regions integrating biodiversity, climate change adaptation, and mitigation goals.

Nitrogen fertilization and sowing date as wheat climate change adaptation tools under Mediterranean conditions

In the current situation, climate change has substantially disturbed precipitation occurrence in the Mediterranean region, by increasing its variability and decreasing the total annual amount, which both negatively affect rainfed crop productivity. We hypothesize that a simple cost-effective method for enhancing crop adaptation to new climate conditions would consist of modifying the crop sowing date. Traditional nitrogen (N) fertilization rates could also be adjusted to the current situation given the interdependent water/N relation in plant nutrition. Based on this hypothesis, during a 4-year field experiment with bread wheat (Triticum aestivum L., var. Pistolo), the effects of three sowing dates (October, November, February) and three N fertilization rates (54kgN ha-1, 27kgN ha-1, 0kgN ha-1) on crop development, yield, grain quality, soil N content and N use efficiency were analyzed. The results showed that water scarcity was the predominant limiting factor, because it outweighed N deficiency with half-fertilized crops being as productive as fully fertilized treatments. Nevertheless, sowing date was the most influential factor, with up to a 30% yield increase noted for the November-sown wheat compared to that sown in October, while delaying wheat sowing to February decreased crop yields. Grain protein content remained the same between the November- and October-sown crops, but increased in the February one crops. Optical sensor measurements showed that an optimal assessment of the current water/N nutritional status of crops can be achieved with these tools.

A comparison of the early growth and survival of lesser-known tree species for climate change adaptation in Britain

Globally, climate change is altering both seasonal climates and the occurrence of extreme climate events, resulting in a drive to ensure our forests are resilient to these changes and the challenges they will bring. In Great Britain (GB), there has been a reliance on a limited number of species grown in monospecific plantations and concerns over the resilience of these forests is leading to a growing recognition of the need to diversify tree species composition. However, evidence of the relative growth rate and survival of alternative tree species and provenances during the critical establishment phase (typically within five or six years of planting) is often limited, hampering consideration of the wider adoption of many potentially suitable species. To address this knowledge gap, we compared tree height and survival data six years after planting from 34 provenances across 18 tree species at five experimental sites established across GB in 2012 in monospecific plots. For coniferous species, we found that Larix decidua, Larix x marschlinsii and Pinus radiata (on drier sites) were consistently amongst the tallest species, but survival could be variable. Pseudotsuga menziesii and Pinus pinaster also showed good early growth, matching the growth rate of Picea sitchensis (the most widely planted conifer in GB) when co-occurring and often exhibited good survival. In contrast Picea orientalis was slow to establish and amongst the smallest species at all five sites after six years, with Cedrus atlantica also performing poorly where planted. Surprisingly, we found very few differences in both mean tree height and survival between most provenances of the same species across all experimental sites, though more obvious differences may emerge as these trees mature. Only a small number of broadleaf species were available for analysis at age six in this study, but as expected Betula pendula generally performed well, while Acer macrophyllum often had very high mortality. While there are concerns around the susceptibility of pine species to Dothistroma septosporum and the future use of larch species in GB forestry is currently limited by the disease Phytophthora ramorum, our results highlight the potential for these species to establish well and exhibit good initial growth and survival on drier sites, with the same true of P. menziesii on moister sites. Future work should aim to understand whether further differences between species and provenances emerge with age and explore the potential of these emerging species as components of mixed-species stands to increase GB forest resilience to climate change.

Projecting future minimum mortality temperature in China

Minimum mortality temperature (MMT) increases with global warming due to climate adaptation, which is crucial for the precise assessment of mortality burden attributed to climate change. Nevertheless, forecasting future MMT poses a challenge given the unavailability of future mortality data. Here, we attempted to develop a novel approach to project future MMT. First, we estimated the MMT of 334 locations in China using a distributed lag nonlinear model. Then, meta regression models were applied to investigate the associations between MMT and several temperature variables(Most Frequent Temperature(MFT), average daily mean temperature, average daily minimum temperature, average daily maximum temperature and percentiles of temperature from 1st to 100th). A generalized linear regression model was employed to investigate whether significant differences existed in the relationships between MMT and temperature from the 1st to the 100th percentile. Finally, an optional indicator of MMT for projecting future values was identified. Our results indicated that temperatures in the 85th to 89th percentiles were closely associated with MMT, with the 88th percentile temperature serving as the most effective indicator, as confirmed by meta-regression models. Using the 88th percentile of temperature as alternative indicator of MMT, compared with the period of 2006-2015, the projected MMT in most districts and counties in China tended to rise under three representative concentration pathways (RCPs) in the 2030s (2030-2039), 2060s (2060-2069), and 2090s (2090-2099). Our findings provide some insight to project future MMT for assessing mortality burden related to temperature change driven by global warming.

A Study on the Effectiveness of Climate Adaptation Materials for Urban Heat Islands using Digital Twin and Computational Fluid Dynamics

This study analyzed the impact of climate adaptation materials on the mitigation of urban heat islands (UHI) using digital twin visualization and computational fluid dynamics (CFD) technology. The effects of UHI due to increased impervious surfaces have become more pronounced, and climate-adaptation materials are gaining attention as potential solutions. In this study, the impact of climate adaptation materials on UHI mitigation was analyzed using the CFD program STAR-CCM+ based on the finite volume method (FVM). The selected research site was Byeoryang-dong, Gwacheon City, and four simulation scenarios were created based on the emissivity values of the asphalt and concrete materials. The results showed that application of climate adaptation materials decreased the surface and aboveground (1.5 m) temperatures by 6.3 and 0.8 °C, respectively. This study suggests that climate adaptation materials can significantly mitigate UHI.

The Geography of Inequality: Socio-Spatial Segregation and Climate Vulnerability in Brazilian Urban Peripheries

This article elaborates on the relationship between socio-spatial segregation and climate vulnerability in urban peripheries, pointing out how the structural inequalities of cities are further deepened by climate change processes. The paper critically engages with the core question: How does urban planning, and its public policies fall short of protecting marginalized populations while prioritizing more central and valued areas? This research rests on a critical review of literature, referring to the theories of Henri Lefebvre, David Harvey, Flavio Villaça, Roberto Lobato Corrêa, Milton Santos, and Mike Davis. Their theories on the unequal production of urban space and the exclusion of poor populations are crucial for understanding data on the effects of climate change on Brazilian urban peripheries. The adopted methodology explores intersections between spatial segregation and climatic vulnerability, highlighting how the neoliberal model of urbanization deepens the exposure of peripheries to environmental risks. The research establishes the urgency of rethinking urban policies as the intensity of extreme weather events increases, suggesting fair solutions to promote climate justice. The study's findings indicate that the current configuration of urban space not only intensifies the marginalization of peripheries but also amplifies their vulnerability to climate crises. This underscores the need for urban planning that fairly redistributes investments and resources, prioritizing the most vulnerable areas and promoting socio-spatial inclusion.

Climate leadership competencies in public sector organisations in the Pirkanmaa region of Finland

Regions play an important role in concretising climate change mitigation and adaptation action. In this study, we asked those who work in designing and implementing climate strategies in regional public sector organisations in the Pirkanmaa region of Finland, for their views on what is needed for climate leadership in a regional organisation. We characterise the attributes of a climate leader in the context of regional public sector organisations in terms of the resources, processes, challenges and motivations in their work on climate change mitigation and adaptation, and describe the competencies needed for regional climate leadership. This research aims to support education design better to respond to the needs of regional climate actors.

Climate-sensitive training for sustainable business in Dickson County with global applications

Purpose This paper aims to examine the implementation and impact of climate-sensitive training programs tailored to the specific climate risks and business needs of Dickson County, Tennessee. It aims to emphasize the importance of integrating climate adaptation strategies into business training and to propose a replicable model that can be adapted to regions facing similar challenges, contributing to global sustainability efforts. Design/methodology/approach The research uses Dickson County’s climate profile as a case study, analyzing its impact on local businesses in sectors such as agriculture, manufacturing and tourism. This paper integrates theoretical frameworks, including organizational learning and adaptive capacity, to provide practical strategies for climate-sensitive training. It further incorporates insights from local institutions, industry partnerships and public data, using a qualitative approach to analyze key themes related to training effectiveness and sustainability. Findings The findings demonstrate that climate-sensitive training significantly enhances the resilience and sustainability of businesses by preparing them to address local climate challenges. Critical factors for successful implementation include stakeholder engagement, industry-specific customization and the continuous evaluation of training outcomes. The model presented shows promise for broader applicability in other regions, especially when localized climate data and collaborative efforts are integrated. Originality/value This paper provides a novel, region-specific approach to climate-sensitive training, distinguishing itself by combining theoretical insights with practical strategies for businesses. By focusing on localized adaptation and stakeholder collaboration, the model addresses an existing gap in the literature on climate adaptation training for smaller, climate-vulnerable regions. This work offers a replicable and scalable framework that contributes to the global discourse on sustainable development and climate resilience in business practices.

Research trends of collaborative governance in climate change: a bibliometric analysis

Purpose Climate change, a complex global issue, has prompted a wide range of actors – from nations to tiny communities – to seek solutions to mitigate its consequences. The growing emphasis on collaborative governance has resulted in substantial research on the topic. This paper aims to address the existing research void by using a bibliometric approach to investigate the evolution of studies on collaborative governance in the context of climate change. Design/methodology/approach This study conducted a bibliometric mapping of research on collaborative governance on climate change issues from the first study presented in 2007 to the research conducted in 2023, using 222 articles derived from the Scopus database and Web of Science. Steps for comprehensive bibliometric literature mapping via the VOSviewer software. Findings The study includes a complete overview of significant themes, including the most cited research, contributions from authors, countries, and institutions, as well as network analysis including co-citation, bibliographic coupling, and co-occurrence. Notably, the study looks at which countries have made the most substantial contributions, with the United States dominating with 40 studies over the last decade. The analysis reveals that collaborative governance in climate change, emphasizing its importance as a tool for governments and communities to mitigate climate risks. This is consistent with research emphasizing the need for coordination across multiple players to accomplish effective climate adaptation. The paper focuses on nine diverse research clusters, including community engagement, urban governance, disaster response and economic implications. Research limitations/implications This study is restricted to bibliometric analysis, which is conducted using sources from the Scopus and Web of Science databases. Future research is required to investigate the use of additional databases that offer a wider range of sources. In the interim, this investigation provides an overview of the concept of Collaborative Governance, which has the potential to serve as a strategy for the adaptation and resilience to climate change in global regions, cities and urban areas. Originality/value This study conducts a rigorous bibliometric review that improves our theoretical knowledge and practical use of collaborative governance in addressing climate change. It reveals innovative trends, research gaps and important recommendations for future studies, strengthening the strategic approach to collaborative climate action.

Association between gender inequality and climate adaptation across the global

Abstract Introduction Climate change has a disproportionate impact on women in comparison to men and women have a key role to play in climate adaptation. However, evidence is lacking on how gender inequalities may be associated with climate vulnerability and ability to respond at country level. Methods This ecological study investigated the association between climate adaptation, measured by the Notre Dame Global Adaptation Initiative Country Index (ND-GAIN), and gender inequality, measured by the Global Gender Gap Index (GGGI) developed by the World Economic Forum and the Gender Inequality Index (GII) developed by the United Nations. Simple linear regression was used to estimate the associations between the indices and their subdomains for 146 countries. Results There was an approximately linear association between the GGGI and climate adaptation. Each 1% increase in gender equality was associated with a 0.6% increase in the ND-GAIN score (slope 0.59, 95% confidence interval [0.33 to 0.84]). This was driven by a negative association between gender equality and vulnerability (-0.41 [-0.62 to -0.20]), and a positive association between gender equality and readiness (0.77 [0.44 to 1.10]). Gender equality in the education domain of the GGGI had the strongest association with climate adaptation. There was a strong negative linear association between the GII and climate adaptation, which explained most (87%) of the between-country variation in climate adaptation. Each 1% increase in gender inequality was associated with a 0.5% decrease in the ND-GAIN score (-0.53 [-0.57 to -0.50]). The association between gender inequality and readiness was stronger than the association with vulnerability (0.40 [0.37 to 0.44] for vulnerability versus -0.67 [-0.72 to -0.61] for readiness). Conclusions Gender inequality measured broadly across different domains of life is associated with climate adaptation at country level, both in terms of vulnerability to impact and readiness to respond. Key messages • Gender inequality, considered broadly across multiple domains of life, is associated with increased vulnerability to climate change and poor readiness to respond. • Addressing gender inequality needs to be a priority for governments and inter-governmental organisations if populations worldwide are to adapt to climate change.

Exploring Climate Health Risks and Adaptations among Vulnerable Populations in Israel’s Negev Desert

Abstract Background Climate change represents the paramount challenge to global health, disproportionately impacting particular vulnerable individuals and communities. By identifying and elucidating disparities in health-related climate risks among these groups, we can facilitate the development of appropriate and equitable climate adaptation strategies. This research identified climate-related risks, health perceptions and needs, and behaviors among Jewish and Bedouin populations in the Negev Desert, a region highly susceptible to climate change, located at the intersection of geographical and social marginality. Methods Ten focus groups (n = 69) among vulnerable Jewish and Bedouin residents were conducted and systematically analyzed to identify disparities in health-related climate risks and behaviors. Vulnerabilities were defined based on income, age, health status, living environment, and outdoor activities. Results The findings highlight both shared and distinct difficulties and barriers vulnerable Jewish and Bedouin Negev residents face in the context of climate-related health risks. Key themes that emerged address: a) the direct and indirect impacts of climate-related events on health and well-being; b) the exacerbation of climate-related health risks by existing vulnerabilities and systemic barriers; c) the pivotal role of community resources in coping strategies; and d) lack of trust in the state and its institutions which underpin climate-related experiences. Conclusions The complexity of coping with climate change encompasses individual, community, and national/institutional levels. Vulnerable populations’ experiences with climate change are impacted by factors such as poverty, social marginality, violence, and barriers to accessing healthcare and other services, and is not a standalone phenomenon. Therefore, climate change adaptation and mitigation cannot be distinguished from other challenges impacting the health and well-being of populations. Key messages • Climate adaptation efforts must integrate with broader social and health strategies to effectively support vulnerable groups. • Community resources and trust in institutions are crucial for vulnerable populations facing climate change impacts.

7.F. Scientific session: Living lab Cartesius: multidisciplinary cooperation for health monitoring of an ‘urban blue zone’

Abstract This workshop will be based on health monitoring in living lab Cartesius; a neighbourhood that is currently developed in the city of Utrecht, the Netherlands (Home - Cartesius Utrecht (cartesius-utrecht.nl). The design of this neighbourhood is inspired by the concept of the “blue zones” of Pes and Poulain, places in the world, that they argue are inhibited by the healthiest, longest-living populations because they integrate sustainability, climate adaptation and healthy living. In Cartesius citizens will for example be encouraged to move by inviting outer spaces, meet each other in the community areas and eat healthily nudged by the food options in the food court. An important element of these blue zones is the incorporation of green spaces in the neighbourhood. Examples are (community) parks/gardens, a green walking route around the neighbourhood, trees in the bike parking lots, green facades etc. The neighbourhood is designed to become a home to local species such as plants and animals as well as people. In addition, climate change adaptation is incorporated, the appartements are well insulated and contain solar panels and green and white roofs. Preventing heat stress is considered in the green design of the outdoor spaces and special drainage and water storage equipment throughout the neighbourhood. The municipality has been closely involved in this project from the start, they created the call for developers to create a healthy urban neighbourhood and after selecting the Cartesius project they have remained involved in its development. Of special interest to the municipality is community building (in new neighbourhoods) in order to strengthen social cohesion and prevent loneliness. We will conduct a research on this topic of which the results could permanently impact how new neighbourhoods in Utrecht will be approached. Designers, developers, research institutes, governments and the current inhabitants are now collectively working on a holistic monitoring programme in this neighbourhood to collect evidence for the effects of the “blue zone” interventions and design choices on behaviour, health and well-being of residents. This workshop will focus on various aspects of the Blue Zone Concept, the importance of green in urban living, the participatory role of local residents, the role of stakeholders and the relevance for local governance. First of all the participants will be informed about a unique healthy/green urban living concept based on the blue zones currently in development. The participants will get insights in the process of developing a new healthy neighbourhood where different challenges (e.g. climate adaptation, community building, healthy living environment) are experimented with stakeholders from the quadruple helix (private, government, science and societal stakeholders). Simultaneously, we want to allow room for ample time for audience interaction to share their experiences on similar multi transdisciplinary cooperations and monitoring strategies. Key messages • This session will provide room for knowledge exchange in the area of healthy urban living and transdisciplinary collaboration. • Specific focus on holistic monitoring of the effectiveness of health interventions in urban living areas and (international) policy implications. The concept of Cartesius The workshop will start with a presentation about the concept of the Cartesius neighbourhood. The incorporation of the elements of the Blue Zones will be discussed and images of both the current state of the development and artist impressions of the future finished neighbourhood will be presented. Room for (among other topics) discussion about the ‘translation’ of the blue zone concept to this urban area. This presetntation will be done by Marije Lammers (University Utrecht, postdoc and coordinator monitoring programme healthy urban living in Cartesius) Incorporating citizens in monitoring 300 appartements in Cartesius are already realized, in which +/- 600 citizens are currently living. In a time span of about 8 years the number of apartments will have increased to 3000, with about 6000 inhabitants. The current citizens are involved in designing the monitoring strategy and community building approach. In order to measure effectively whether the health interventions in Cartesius will impact the citizens’ health their involvement and cooperation is crucial. Room for (among other topics) discussion about involving citizens in monitoring and community building effectively. WHO Europe Healthy Cities This presentation will discuss how developments in the Cartesius neighbourhood are in line with WHO Europe Healthy Cities ambitions for bringing about change and achieving improved health, well-being and equitable and sustainable development in cities across the European Region and globally. Room for (among other topics) discussion about possibilities for international knowledge exchange and applications. This presentation will be by: Kira Fortune, Regional Advisor, Healthy Cities, Health Promotion and Well- being, World Health Organization

Climate change and health vulnerability assessments to increase regional climate resilience

Abstract Background The impacts of climate change on health and healthcare systems exhibit complex interrelationships, varying across time and space. Population groups already disadvantaged due to their demographics, health, socioeconomic status, or geographical location tend to be particularly vulnerable to climate-related health risks. Our work aims to develop a method for a systematic quantitative vulnerability assessment to make regional vulnerabilities comparatively measurable. Methods Building on the WHO framework on Climate Change and Health Vulnerability and Adaptation Assessment (2021) a data mapping process was carried out to identify and validate vulnerability factors and quantitative indicators on a small-scale spatial resolution for the five dimensions: demographic, socioeconomic, biological/health, sociopolitical, and geographic/climate. Regional vulnerability scores for each indicator were calculated and visualized as geographic maps and circular barplots to allow for easily understandable interpretation. Results A set of 25 quantitative vulnerability indicators from a multitude of data sources - combining register data, survey data, and geospatial data - was compiled. Main challenges were the identification of sociopolitical vulnerability factors suitable for Austria and data availability on a small-scale level. The indicator set was used to identify regions that are particularly vulnerable due to their population composition, disease burden, and geographical location (e.g. regions in Eastern Austria with high shares of persons < 65 years of age, unemployment, and heat days). Conclusions Systematically assessing vulnerabilities in key dimensions is central to identifying regionally specific pressure points, allowing for a quantitative baseline to derive adequate and tailored climate change adaptation measures to sustain future health. Systematic assessment provides essential insights for policymakers, public health officials, and disaster management agencies.

Climate change adaptation measures in the context of health promotion using participatory foresight

Abstract Issue/problem Climate change is regarded as a big threat to human health (WHO 2023), requiring action to prepare our health systems. Using participatory foresight approach has the potential to increase capacities of communities and to sustain future health. The process is easily transferable to other regions or countries across Europe. The work is part of the Austrian “Climate-Resilience-Check Health for regions and municipalities”. Description of the problem We present an innovative qualitative method to contribute to a climate change and health vulnerability and adaptation assessment following WHO’s guidelines. Questions answered by the project were: • What measures can be taken to shape the regions’ potential for a health-promoting lifestyle and to increase climate resilience? • Does participatory foresight represent a well-suited method to develop climate adaptation measures which address local needs? Taking place between 10/23 to 12/23, the participatory foresight process consisted of (1) a foresight-workshop facilitating development of adaptation measures through the creation of personas and (2) intervention boards, which gave the broader population the opportunity to vote for measures developed in the workshop. The aim of the approach was to identify measures that receive approval within the population. Results The participatory foresight process highlighted the local populations’ wish of revitalizing village centers to strengthen social cohesion. Particular emphasis was placed on the establishment of a community center and the expansion of daycare services. Lessons The process will be conducted in further regions as part of the Climate-Resilience-Check Health for Austrian regions and provides lessons of good practice for roll-out across European countries aiming to bridge efforts for climate adaptation and health promotion at regional levels.

Climate-Resilient Horticulture: Adapting to Climate Change through Innovative Practices and Technologies

Climate change is a serious threat to horticulture as it will increase temperatures, cause unpredictable rainfall patterns, and extreme weather events that will affect crop yields, quality, and overall agricultural sustainability. Climate-resilient horticulture uses cutting-edge technologies and equipment to overcome these obstacles. Developing crop varieties that are resistant to heat, drought, and salt is a key strategy to make plants more resilient to adverse conditions. To conserve water and guarantee a constant supply of moisture, advanced water management techniques such as drip irrigation and rainwater collection are crucial. Climate adaptation is aided by soil management techniques that increase soil fertility and health, such as conservation tillage and organic amendments. Technological advancements such as precision horticulture enable farmers to optimize inputs and reduce waste, while controlled environment agriculture (CEA) systems, including greenhouses, hydroponics, allow cultivation of crops in regulated environments, reducing external climate impacts. Additionally, genetic engineering and biotechnology offer promising solutions to develop crops with increased climate resilience. Despite the potential of these innovations, challenges such as high costs, knowledge barriers, and policy constraints must be addressed for widespread adoption. This summary underscores the need to integrate these strategies to secure the future of horticulture in a changing climate, ultimately contributing to global food security and agricultural sustainability.

Is health being considered by funding towards climate adaptation and mitigation?

Abstract Introduction Funding is essential to build climate resilience in public health and healthcare systems and enable populations to adapt to the increasing impacts on climate change on health across the globe. This study aimed to investigate how health has been considered by the projects supported by the Green Climate Fund (GCF), created by the Paris Agreement to support climate adaptation and mitigation. Methods Adaptation, mitigation, and cross-cutting projects funded by the GCF between 2021 and 2023 were included. Information was collected for the percentage of funding allocated to health adaptation by cross-cutting and adaptation projects. For mitigation projects, information was extracted on the extent to which health co-benefits were considered. Results The 69 adaptation and cross-cutting projects funded by the GCF in 2021-2023 contributed $226 million towards adaptation, of which $59 (26%) million were for health adaptation. There was an increase in the funding provided by the GCF to adaptation from $1 million in 2021 to $156 million in 2023. Funding for health adaptation increased from $178,000 in 2021 to $42 million in 2023. Of the co-funding provided by beneficiaries, $637 million contributed to adaptation and $165 (26%) million to health adaptation. There was an increase in co-funding for adaptation provided by beneficiaries from $131 million in 2022 to $506 million in 2023, with funding for health adaptation increasing from $23 (18%) million to $142 (28%) million. Among the 48 mitigation and cross-cutting projects, 15 did not mention health, 13 mentioned did not correctly articulate health co-benefits, 11 identified specific health co-benefits, and 9 correctly labelled and measured health co-benefits. The main co-benefits derived from reducing air pollution. Conclusions Among the projects funded by the GCF, funding for health adaptation remains a small proportion of the adaptation funding and health co-benefits are rarely considered by mitigation projects. Key messages • The proportion of adaptation funding provided for the health sector remains low. • Health co-benefits are seldom considered and measured by climate mitigation projects.

2.E. Round table: Building climate resilient health systems in the EU

Abstract Climate change is one of the biggest challenges for modern society. The health effects of climate change lead to negative impacts on European health systems, and conversely, European health systems contribute significantly to climate change. To overcome challenges posed by the climate crisis, European cooperation is essential. The interdependencies between climate change and public health and its broader impact underline the importance of resilience in European health systems, calling for concrete actions from both EU institutions and national governments. Additionally, the topic of resilient health systems currently ranks high on the European agenda, with the Belgian Presidency promoting health care strengthening as one of its six priorities. The European Commission will also continue its work on this issue for the next five years. The EU has already taken steps in this matter, such as the launch of the European Health Union and the adoption of the EU4Health Programme. However, in order to better prepare for climate resilient health systems, the EU must further develop in this regard. To explore this pressing issue, the round table discussion will focus on how EU actions in climate adaptation can synergistically contribute to the resilience of health systems. Resilience, often associated with adaptation, embodies the capacity to anticipate, withstand, and recover from shocks and stresses related to climate change. By delving into this question, the workshop seeks to uncover ways in which EU and Member State climate initiatives can reinforce health system resilience, thereby fostering a more adaptive and responsive health workforce and infrastructure. Featuring 4 panellists from Erasmus University Rotterdam, the Austrian National Public Health Institute, the Dutch Green Healthcare Alliance and the European Environment Agency, the round table will bring together diverse perspectives on this issue. The added value of the round table is laying out possible ways of how both the EU and Member States can contribute to enhancing the resilience of European health systems. After establishing the necessity for action, the round table discussion will focus on generating ideas to address climate change. Specifically, this discussion will cover examples of national policies, such as from the Netherlands, Austria, and other Member States. Also discussed will be the importance of monitoring and surveillance, and conducting a health and vulnerability assessment. This ensures better understanding of the relevant current and future health impacts, which will inform resilience measures. This will be followed by a discussion with the audience to formulate recommendations for improving the resilience of EU health systems for the next five years. Key messages • Climate change challenges European health systems, emphasising the need for European cooperation in resilience efforts. • Synergising climate adaptation with health system strengthening enhances EU’s capacity for resilience. Speakers/Panelists Chiara Cadeddu Erasmus University Rotterdam, Rotterdam, Netherlands Aleksandra Kazmierczak European Environment Agency, Copenhagen, Denmark Andrea Schmidt Austrian Public Health Institute, Vienna, Austria Juliette Mattijsen Groene Zorg Alliantie, Rotterdam, Netherlands

A Systematic Literature Review on the Operationalization of Usability in Urban Pluvial Flooding Climate Services and the Influence of Contextual Factors

ABSTRACTExtreme weather impacts due to climate change, such as urban pluvial flooding, necessitate adaptive measures. To support decision making in climate adaptation, climate services provide information and guidance to policy makers and other stakeholders. Effective use of climate services is prohibited by usability gaps. Some causes for these gaps originate from contextual factors. However, these factors are not well understood within academic literature. Therefore, our systematic review has two research questions: (1) What dimensions of climate service usability are considered in the design and evaluation of their use and how are these operationalized?; and (2) What contextual influences may affect these identified dimensions? To this end, we analyzed 51 articles that cover one or more urban pluvial flooding climate services. Our results show several overarching categories of usability dimensions (functionality, ease of use, reducing time and effort, reliability, matching user needs, and other). However, these dimensions are not always fully operationalized by authors. Furthermore, our results show that most contextual factors originate from the meso level (within or between organizations), and in lesser extent the macro (e.g., national policies) and micro level (individual users). Here especially organizational (e.g., Does the climate service fit organizational work approaches?); and process factors (e.g., Was the climate service co‐produced?) have been shown to affect usability. We conclude that more attention should be given to usability as a concept within the design and evaluation of climate services well as to the influence of contextual influences.

Ensuring sustainable impact of the national report on climate change and health in Germany 2023

Abstract Issue/problem The Robert Koch Institute recently coordinated a status report on climate change and health for Germany, detailing the current and future impact of climate change on health through 14 chapters. Description of the problem A central aim was to ensure the report’s long-term impact and public health value. Essential areas of focus have therefore been stakeholder-specific communication and establishing a network of experts for continued scientific exchange. Results The publication of the report as peer-reviewed articles has served to reach the scientific community. Another target group are public health practitioners and decision makers at subnational levels, who can contribute towards climate change mitigation and adaptation measures relevant to health, as recommended in the report. This latter group was reached through various methods and formats of science communication, including conferences aimed at the public health sector, through target-group oriented podcasts, social media engagement and digital town hall discussions. Following publication, the experts involved in writing, reviewing and using the report were invited to establish a network in order to support long-term scientific exchange and collaborations and in turn ensure the report’s sustainable impact and value. Lessons Through follow-up evaluations, the reception of the report and the further communication needs of this target group were analysed. A major lesson was to include the insights of public health practitioners more systematically and at an earlier stage in any future reports. As for the establishment of a network, a survey amongst the authors and other experts showed what this group considers the goals of this network: creating synergies and connections with existing initiatives and providing a platform for further exchange, especially amongst researchers addressing similar questions, such as the efficacy of mitigation and adaptation measures, from different angles. Key messages • Local public health practitioners are important stakeholders for climate change and health for ensuring public health impact. • The expertise in the network will support continued scientific exchange on climate change and health and thus ensure the national report’s sustainability.

Climate Litigation

The last decade has seen an increase in the number, specificity and importance of laws codifying national and international responses to climate change. As these laws have recognised new rights and created new obligations, they have led to the initiation of lawsuits challenging either their effectiveness or their concrete application. The aim of these disputes is to force legislators and policy makers to take a more ambitious and thorough approach to climate change. In addition, litigation has continued to fill the gaps left by legislative and regulatory inaction. As a result, the courts are increasingly adjudicating disputes over actions – or inaction – in relation to climate change mitigation and adaptation efforts.