Global Health Risks, the Urban Poor, and Climate Change Impacts

2016 ◽  
pp. 159-188
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Marcus ◽  
E Hanna

Abstract Background Climate change has introduced a series of unprecedented threats to human health, ranging from rising food and water insecurity to deteriorating air quality, novel disease outbreaks, and intensifying natural disasters. The Paris Agreement pushes countries to develop adaptation plans that will protect human health from the worst impacts of climate change -a process referred to as climate change adaptation (CCA). Yet despite international pressure and escalating health threats, vast shortcomings persist in national CCA for public health progress. Thus, we investigated the major governance constraints underlying these trends. Methods A mixed-methods online survey was distributed to representatives of national public health associations and societies of 82 member countries under the World Federation of Public Health Associations. Results 9 of the 11 respondent countries (82%) affirmed the existence of a national CCA plan that includes an explicit public health focus. All respondees listed governance challenges in developing and operationalising their national CCA agenda. The major identified barriers to CCA for public health progress were lack of inter-government policy coordination and insufficient political will to mobilize human and non-human resources in support of public health-oriented adaptation efforts. Conclusions Climate change-driven amplification of global health risks necessitates that all nations generate clear CCA plans to protect human health. Our findings assist by highlighting the need for new platforms for organizational collaboration/networked governance and enhanced forums for CCA agenda-setting and ambition-raising. Such forms of enriched knowledge may facilitate decision-making amongst key public health stakeholders and global institutions for how best to align climate advocacy and country-wide support initiatives with cross-cutting national needs and constraints. Key messages Climate change-driven amplification of global health risks necessitates that all nations generate clear climate change adaptation plans to protect human health. New platforms for organizational collaboration/networked governance and enhanced forums for adaptation agenda-setting and ambition-raising may significantly bolster public health adaptation progress.


2019 ◽  
Vol 38 (1) ◽  
pp. 131-144
Author(s):  
Phyllis Eide ◽  
Tamara Odom-Maryon

Climate change has been labeled the greatest threat to public health and to global health in the 21st century. Addressing climate change has also been reframed as the greatest opportunity for global health in the 21st century, providing a more proactive lens through which to plan and implement actions. Significant climate change impacts to human health are numerous and mounting, including the direct effects of heatwaves, thermal stress and changed frequency or intensity of other extreme weather events. Climate change has been termed a complex public health issue affecting all areas of nursing practice dealing with individuals, families, communities, and the national health arena, and is therefore deserving of inclusion into nursing curricula throughout the entirety of prelicensure coursework. Nursing education programs that include this content will better prepare future nurses to face projected environmental challenges to human health.


Author(s):  
Tigere Chagutah

Land tenure is an important variable impacting on vulnerability to climate-related disaster. Land tenure insecurity is widespread in southern Africa and manifests itself in a number of ways that accentuate vulnerability to climate change impacts. Insecure tenure is seen to heighten vulnerability against growing demand for land for residential purposes and working space in urban areas while in the rural areas insecure tenure militates against diversified livelihoods and hinders investment in appropriate technologies and uptake of sound environmental management practices. Using the focused synthesis method, this article (1) maps the intersections between land tenure insecurity and vulnerability to climate-induced disaster in southern Africa; and (2) identifies the opportunities tenure reforms hold for vulnerability reduction in a region predicted to suffer widespread impacts from climate change. The paper contends that land tenure is a critical component of the milieu of factors – economic, social, cultural, institutional, political and even psychological – that are known to shape vulnerability and determine the environment that people live in. The study finds that land tenure reforms can help to reduce vulnerability and enhance community resilience to climate change. In this regard, the article outlines how tenure reforms can help build diverse household livelihoods, improve environmental management, particularly in the rural areas, and encourage investment in robust housing and safe neighbourhoods among the urban poor – all of which are integral to the region’s response to climate change.


Author(s):  
Cliff Zinyemba ◽  
Emma Archer ◽  
Hanna-Andrea Rother

There is potential for increased pesticide-related adverse health outcomes in the agricultural sector linked to adaptive increases in pesticide use necessitated, in part, by climate change-related increases in pest populations. To understand the role of adaptation practices in pesticide use and health risks, this study assessed Zimbabwean smallholder cotton farmers’ adaptive responses linked to their climate change perceptions. In depth interviews were conducted with 50 farmers who had been growing cotton for at least 30 years. The study identified farmers’ adaptation practices that increased their pesticide use, as well as those that presented opportunities for reducing pesticide use through non-pesticide-dependent adaptation pathways. The findings show that due to perceived climate change impacts, such as a shorter growing season, farmers were adopting a range of adaptive practices. These included changes in pest management practices, such as increasing pesticide spraying frequencies due to keeping ratoon crops, which were increasing farmers’ overall pesticide use. Such incremental adaptive practices are potentially maladaptive, as they may increase farmers’ pesticide-related health risks. Other practices, however, such as reducing cotton acreage and diversifying crops, resulting in transformational adaptation, suggest the existence of opportunities for decreasing overall pesticide use or totally eliminating pesticides from the farming system.


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