Global Framework for Climate Services Partners Advisory Committee 9 October 22-23, 2018 Rome

Transcription

1 WHO Climate and Health Priorities and Climate Service Applications Diarmid Campbell-Lendrum, WHO Climate Coordinator Joy Shumake-Guillemot, WMO/WHO Climate and Health Office Global Framework for Climate Services Partners Advisory Committee 9 October 22-23, 2018 Rome

2 WHO commitments on Health and climate Prevention: Reduce mortality from climate sensitive diseases by 10%, through strengthening health resilience to climate risks, and gaining health co-benefits of climate change mitigation. Impact in every country Stepped-up leadership Focus global public goods on impact Leadership: Mutually reinforcing health, climate and SDG objectives Evidence: Countryspecific climate-health risks, and cobenefits of mitigation measures Implementation: Policy, technical guidance and direct programme support in LMICs Finance: Mobilizing finance to address current deficit in support to health Targets during GPW13 First health report to UNFCCC, mobilization of health community and civil society WHO/UNFCCC climate and health profiles for 90 countries, incl. all SIDS Strengthening health resilience in 40 LMI countries; piloting healthy mitigation Tripling climate finance for health in low and middleincome countries

3 Focus 1. Gaining health co-benefits of climate change mitigation measures Global platform on air quality and health WHO-led initiative, in collaboration with nearly 50 other international/regional agencies and research institutions, to strengthen capacity for air quality monitoring worldwide and assessment and reporting of related health impacts in a transparent and harmonized way. 1 st Global Conference on Air Pollution and Health

4 Focus 2: Building Climate Resilience into Health Systems 10 components to build climate-resilient health systems

5 Systemic climate sensitivity of health sector

6 Evidence and Monitoring Progress WHO-UNFCCC Country Profile Project Global monitoring project launched in Joint Collaboration between WHO and UNFCCC to respond to WHO Member States request to strengthen national-level evidence on climate change and health Today over 45 country profiles published with aim to double this by Website:

7 Climate Health Country Profile / Italy

8 WHO UNFCCC Country Profile / Italy

9 WHO Climate and Health Country Survey 5 Key Areas: Leadership & governance Building climate resilience in the health sector Promoting health while cutting GHG emissions Climate and health finance Health sector participation in the UNFCCC process

10 Monitoring Climate Service Access and Use in the Health Sector 2017 Indicator 2.4: Out of the 100 WHO Member States responding to the WMO Survey, 73% report providing climate information to the health sector in their country Indicator 2.5: The NMHS of 55 countries report providing climate services to the health sector Report Embargoed until 28th of November

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12 Example Outcomes with high demand for climate intelligence National V&A assessment Integrated Surveillance Early warning systems for heatwaves, infectious diseases National CCHH research agenda

13 Example Outcomes with high demand for climate intelligence Siting and enhanced building regulations against storms Promotion of access to climate resilient and sustainable WASH and energy provision

14 Example Outcomes with high demand for climate intelligence Developing climateresilient Water Safety Plans Climate-informed risk maps for VectorBorne Diseases Improved health-sector SOPs for floods / drought

15 CLIMATE AND HEALTH DECISION DASHBOARD Past UNDERSTAND Present MONITOR Future ANTICIPATE Future PREPARE Decision Toolbox Requirements Examples Descriptive baselines of health outcomes and risks Descriptive analyses of local climate conditions (climatology/seasonality, ENSO influence) Spatial and temporal epidemiological analyses of sensitivity: mechanistic and ecological impact studies Analysis of population exposure and vulnerability Indicators, Indices, Thresholds Risk Assessments Seasonal Climate Bulletins Risk monitoring Integrated surveillance systems Disease Modeling and Mapping Environmental Suitability Modeling and Mapping Severe Weather Alerts Early Warning Systems Seasonal Forecasts and Impact Calendars ENSO prediction and Monitoring Climate Projections Climate Scenarios Action Plans Adaptation Plans Risk Management Resilience Building Awareness, Communications, and Climate Services to provide historical Climate Data Sufficient historical Epidemiological Data Analytical Capacity Consistent Climate Data Access Systems based data collection Decision process to feed into Weather and Climate Services to provide SW Alerts, forecasts, projections, scenarios Partnerships Sufficient evidence and understanding Political and social will Resources V&A Assessment Climate Profiles Scientific Literature Meningitis Bulletin Air Quality and UV Indices Outbreak Monitor Seasonal Disease Calendar ENSO Profiles Heat Action Plans Safe Hospitals H-NAPs

16 Special initiative: Climate change and health in Small Island Developing States Empowerment Raising the voice of SIDS health leaders for climate action. Evidence Identifying priority investments, and monitoring their success. Implementation Transformational shift to prevention, resilience and sustainability. Resources Increasing access to climate and health finance.

17 Climate Resilient Water and Sanitation Phase 2 Donor: DFID 10,000,000 GBP Ethiopia, Malawi, Mozambique, Nepal, Bangladesh Climate Information Activities Information needs assessment Climate Impact research on water facilities and water borne diseases Risk Mapping in relation to water and sanitation infra-structure Early warning on water borne diseases Integrated Surveillance Systems with DHIS-2

18 Strengthening climate resilience of public health sector Mozambique Donor: Government of Flanders 2,000,000 Euro 4yrs Goals 1) Improve governance, institutional and human capacity; 2) Strengthen existing climate-sensitive disease surveillance systems, and scientific evidence on health impacts from climate change; 3) Build the resilience of specific health policies, strategies, programmes and plans. Climate Information Activities Protocols for climate related disasters (floods, cyclones, drought) Integrated Surveillance Systems Health and Climate Outlook Vulnerability and Adaptation Assessment Research Agenda Screening for climate vulnerabilities in health programmes

19 Building resilience of health systems in 6 Asian LDCs to climate change Donor: GEF 4yrs 9,000,000USD Bangladesh, Cambodia, Lao PDR, Nepal, Myanmar and Timor Leste Outcomes Institutional capacities strengthened to integrate climate risks and adaptation options in health sector planning and implementation Effective decision-making for health interventions is enabled through generation of information and improved surveillance and/or early warning systems Climate resilience is enhanced in health service delivery Enhanced regional cooperation and knowledge exchange for promoting scale-up and replication of interventions HNAP are effectively integrated into ongoing NAP processes

20 WHO- GFCS APA Phase 2 Malawi and Tanzania Donor: NORAD 900k USD 2yrs 1. Mainstreaming climate to health policy 2. Coordination 3. Health and Climate Vulnerability and Adaptation Assessment 4. Capacity Building 5. Awareness Raising and Risk Communication 6. Developing and Piloting Climate Services for Health 7. Operational Research and Learning Climate Information Activities Integrated Surveillance Systems with DHIS-2 Application of subnational ENSO Watches Analytical Products for Cholera

21 10 components to build climate-resilient health systems Climate Services inform move from research to programming - Process and Lessons for using evidence and decision-tools to support investments. - Enhancing core systems, e.g. surveillance practice for climate sensitive water-borne disease. - Systematically linking research to build climate-intelligence into decision-support and program design

22 Climate Service Readiness Assessment Streamlined readiness components and categories: For research, production and delivery, application, and evaluation of CS Problem definition Enabling Environment for research, production, application and evaluation Policies and Mandates Coordination and collaboration mechanism Adequate and sustained funding Capacity New Directions Human capacity (both at Met and Health sector) Engage Generate evidence Produce Apply Evaluate Adequate infrastructure both on users and providers side Evidence and Information Baseline data and information that allows for problem information and support product&service development Know/How for Product and Service design and development Application Methodologies for Evaluation

23 Key Considerations for the Future Integrated Needs Climate is not climate only. Climate is rarely the only or most important driver. Local decisions, require local information, local capacity Operational products and services heavy dependence on health research often from expert boundary institutions for climate service R&D and rollout Capacity and data availability and access remain a major barrier to application R&D Expert Mechanisms to help bridge and address these gaps

24 New Directions Climate and Health Science Portal

25 New Directions - Impact Focused User Interface Platform - Structured Community of Practice

26 New Directions New Textbook Seeking opportunities for developing training

27 New Directions 5 year WHO WMO workplan Seamless and holistic five-year programme of work on climate, environment, and health, including proposed mechanisms and means for implementation of integrated health services Proposal for Integrated Health Services Cg 18 (2019)

28 Unmet needs: Emergencies Current Emergencies in Western Pacific Mechanisms and tools needed for better use of climate and weather information