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
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