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Transcript
Sustainability, climate change
and health
Dr Louise Newport
Sustainable Development,
Climate Change & Extreme Weather
Department of Health
Legislative Framework
Climate Change
Act
2008
Adaptation
Reporting
Power
Adaptation
Sub
Committee
Climate Change
Risk
Assessment
January 2012
UKCP09
(projections)
2009
National
Adaptation
Programme
2013
Policy and
economic
analysis
Review
every 5
years
Health Impacts of Climate Change
…and the benefits of a low carbon lifestyle
•
Assessing the risks to health since 2002…
& CCRA
•
Observed
temperatures
Simulated 2003
temperatures
With benefits to health too…reducing
NCDs
2060s
2040s
Summer 2003:
normal by 2040s,
cool by 2060s
Lower carbon saves lives! – and money!
Health Impacts of Climate Change
Developing the UK evidence – 2002/08/2012
•
Heatwave-related health problems
•
Aeroallergens – pollen etc
•
Air pollution – Respiratory &
Cardiovascular effects
•
Indoor environment
•
UV - Sunburn, skin cancer and cataracts
•
Flooding / mental health consequences
•
Vector-borne diseases
•
Water & Food-borne disease
•
Extreme weather-related events
(injuries / death)
•
But, decrease in cold-related illness &
deaths
How the health risks are managed…
NAP ‘Healthy & Resilient Communities’
• Obj. 11. Reduce the risk of death & illness associated
with severe weather events & CC… increase
preparedness & resilience to impacts on public health…
• Obj. 12. Ensure continuity of services & resilient assets /
estates, adapt to expected increased demand from
severe weather-related events…
NAP Steering Group – PHE, SDU, NHS England, Defra, EA
Health Co-benefits
•
Lancet co-benefits research, Nov 2009,
LSHTM
•
Health benefits of low carbon actions in
transport, built environment, food and
agriculture, both in the UK and the
developing world
•
Eg Health benefits from low car use
– increased active transport
– reduce obesity,
– reduce urban pollution,
– reduce road traffic accidents.
– ‘Greener’ fuels also lead to reduced
indoor and outdoor air pollution.
•
Currently in WHO European region
800,000 deaths/yr outdoor air pollution
1.5 million from indoor air pollution
1.9 million from physical inactivity
2.6 million from obesity
•
WHO ‘Health in the Green Economy’ series
Lower carbon saves lives!
– and money!
International collaboration
‘Climate Change is Global’
•
WHO Resolution on Climate Change
and Health (61.12), 2008.
•
Commonwealth Ministers
agreement to cooperate on climate
change and health. WHA, May 2008
•
UK co-chaired the WHO (Europe)
Climate Change Task Force, to
develop a Framework for Action on
Climate Change and Health.
•
WHO European Environment and
Health 5th Ministerial Conference,
Parma, 2010
•
DH chairs the WHO Euro Working
Group on Health Impacts of Climate
Change (HIC)
Greening Healthcare
• Procurement is 60% of the
NHS’s carbon footprint
– Procurement for Carbon
Reduction (P4CR)
– Sustainable messaging in
contracts ‘vanilla clauses’
– WHO looking at P4CR use
internationally / Pharma
• SD strategy – Health, Public
Health and Social Care – Jan 2014
• UNFCCC, IPCC – Health voice
• WHO Euro ‘7 countries pilot’
• MDGs – post-2015 SDGs
www.sdu.nhs.uk
Some Levers for Action
• National:
-
-
-
Health & Social Care Act
2012
Climate Change Act 2008:
Adaptation Reporting Power
-SDU to report for health and
social care sector
Scrutiny by Adaptation Sub
Committee, reporting 2015
Civil Contingencies Act 2004
National Planning Policy
Framework
Building Regulations
Flood & Water Management
Act 2010
Local:
- PHOF – SDMP indicator,
- H&WBs, JSNAs,
- Local Health Resilience
Partnerships
- Local Resilience
Forums
- Local Adaptation Plans
- Local Flood risk
mapping and strategies
- Built environment /
town planning
Pivotal role
played by
councils
Sustainability is everyone’s business
Think SD! - Supports growth, saves lives, improves wellbeing
• Raise awareness and communicate case for action.
– Public engagement, transformational behaviour change.
• Current financial situation – green growth
– Financial savings from sustainable ways of working and
sustainable models of care – (eg Nephrology, TLC,
Nottingham – see www.sdu.nhs.uk for examples)
• Get involved
– Student parliaments
– WHO Youth Networks & policy engagement
It’s Your Future!
Thank you
Dr Louise Newport
SD, Cimate change & extreme weather
Department of Health
London