Download 6 NOVEMBER 2017, MILAN Global Strategy for the

Italy in the G7
PREPARATORY PROCESS
G7 Health Experts Working Group (G7-HEWG)
Towards the
G7 HEALTH MINISTERS’ CONFERENCE
5 – 6 NOVEMBER 2017, MILAN
Global Strategy for the mitigation
of the effects of Climate Change on Planetary Health
RATIONALE
Human health and the health of planet Earth are strictly interconnected: damaging the
planet damages our own health. Referring to this interconnection, there is a strong
need to adopt an inclusive, comprehensive approach to protect planetary health on the
basis of the “One Health” and “Health in whole of government and whole of society”
principles.
OBJECTIVE
The formulation and launch of a “Global Strategy for the mitigation of the effects of
Climate Change on Planetary Health”. This should define both the high priorities and
policies, and translate these into practical tools.
This Global Strategy focuses on policies in the health sector and aims at actively involving
other relevant sectors such as environment, energy, agriculture, transportation, urban
planning and economy with specific advocacy.
Climate changes have an impact on human and animal health in several direct and
indirect ways, e.g. leading to alterations in homeostasis and physiopathology, spikes in
mortality, worsened living and working environments, also affecting food availability,
security and safety. In particular, those changes have major effects on the most vulnerable
groups of population.
METHODOLOGY
A preparatory process based on:
• a Matrix: a broad and cross-cutting framework, used as a tool to investigate
all the available information, to share strategies and to highlight a set of
feasible actions
• a Delphi questionnaire: structured on the statements and actions
identified in the Matrix for a global two step expert consultation
This process is based on the best knowledge and collective awareness, with
methods used for complex systems analysis, with the aim at identifying policies
and strategies to strengthen the resilience of biological, economic and social
systems and safeguarding the global health homeostasis.
MATRIX
Considering the known climate drivers (Intergovernmental Panel on Climate
Change in its assessment reports), eight main topics have been identified:
- extreme events
- health effects of air pollution related to climate change
- vector borne diseases
- water access and waterborne diseases
- food system and nutrition
- animal health at the animal/human interface
- migrant’s flows
- antimicrobial resistance
Each topic is considered from the ‘exposures’ to the ‘health outcomes’ on
human and animal health in order to identify strategies (‘expert statements’)
leading to possible corrective ‘actions’.
DELPHI QUESTIONNAIRE
The Delphi survey will be developed into two steps:
• 1st phase (April-May): all experts from different countries are invited to
compile an online questionnaire containing statements and related actions.
Respondents will be asked to indicate the level of relevance on a scale 1-6.
In this first phase, experts are asked to assess the relevance of the actions
regardless of their time horizon. Acknowledging that most, if not all, the
actions proposed could be considered important, the judgment asked is of
"relative" relevance.
• 2nd phase (June-August): analysis of expert assessments will help identify
most relevant actions, central for G7 action. The second Delphi round will be
conducted in July. The main objective is to identify specific strategies. For
this reason, the second round of the Delphi will focus on the few actions
resulted as more relevant in the first phase, and experts will be asked to
indicate how to implement them in the short, medium and long term.
Screening of undocumented migrants rescued 2013 – 2017
per month of arrival (updated March 2017)
MONTH
January
February
March
April
May
June
July
August
September
October
November
December
Total
2013
1.734
3.591
3.574
1.659
256
2014
1.813
2.331
4.361
11.019
11.201
17.438
20.083
21.480
22.748
12.336
8.753
6.478
2015
2.833
3.034
1.974
13.225
18.305
21.669
19.010
20.665
14.661
7.697
2.406
7.973
2016
4.310
4.453
9.096
8.591
19.846
21.292
22.225
17.566
16.257
28.348
12.993
8.146
2017
4.121
6.792
7.910
10.814 140.041 133.452 173.123 18.823
Grand total
13.077
16.610
23.341
32.835
49.352
60.399
61.318
61.445
57.257
51.955
25.811
22.853
476.253