Transcript Dr Felicity Harvey CBE Director General Public Health Directorate

Climate Change and Health
Dr Felicity Harvey CBE
Director General
Public Health Directorate
Department of Health
Climate Change and Health
General Outline of Talk
• Climate change and health – international work
• Climate change and health – UK & Regional impact
• SDU - NHS & Public health - PHOF and ARP
• Midlands & East – shining examples
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
Protecting health in an environment
challenged by climate change:
WHO European Regional Framework for Action
Health sector will need to plan for these
health impacts and adapt to expected
climate changes by:
– ensuring health is included in
climate change plans;
– strengthening health, social and
environmental systems;
– raising awareness to encourage
healthy policies in all sectors;
– reducing greenhouse gas
emissions in the health and
environment sectors;
– sharing best practice, tools and
research on climate change.
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
For summer average temperature, we see significant
increases over the decades to the 2080s
2020s
+1.4ºC
Increased tourism
Increased heat
stress
2050s
+2.5ºC
Infrastructure risks
Risks to biodiversity
2080s
+3.5ºC
But temperature on the
hottest day of the year
could be up to 9ºC higher
Heat related deaths
Risk to food
security
East Midlands
central estimate
Medium emissions
For the 2080s, it is very unlikely that the change will be lower than1.8ºC
and very unlikely that it will be higher than 5.8ºC
6
Example of UK Climate Projections (UKCP09):
Summer average temperature, significant increases over the
decades to the 2080s
2020
+1.4ºC
2050
+2.5ºC
But the temperature on the
hottest day of the year could
increase by up to 9ºC
Increased
Tourism
Increased Heat
stress
Infrastructure
risks
2080
+3.5ºC
Risks to
biodiversity
East of England
central estimate
Medium emissions
Heat related
deaths
Risk toand
Food
The change for the 2080s is very unlikely to be less than1.9ºC
very
Security
unlikely to be more than 5.9ºC
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Guidance produced…
NHS Sustainable Development Unit
• NHS Sustainable Development
Unit.
– Adaptation to Climate Change in
NHS Organisations – what you
need to know, 2010 / 2012
– PHOF – SDMP indicator
– Guidance on writing SDMPs,
2012
– ARP
– DH £50m capital fund
www.sdu.nhs.uk
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 800,000 deaths per year from outdoor
air pollution, 1.5 million from indoor air pollution,
1.9 million from physical inactivity and 2.6 million
from obesity (WHO European region).
•
WHO ‘Health in the Green Economy’ series
Lower carbon saves lives! – and money!
Shining examples in
Midlands & East
BMJ Sustainable Healthcare winner 2011
•
NHS Nottingham City, NHS Nottinghamshire County and the Nottingham Energy
Partnership, UK
•
for reducing their carbon footprint.
Public Sector Sustainability awards, HEALTH/NHS 2012
•
Norfolk Community Health and Care NHS Trust (NCH&C)
•
named the Most Sustainable NHS Organisation in the Country
•
The Trust has seen significant successes, having reduced its carbon footprint by around 865
tonnes of carbon dioxide (CO2) during 2011/2012 and reduced its carbon footprint by 9%
since 2007/2008.
BMJ Sustainable Healthcare Award 2011
•
Sandwell PCT has been at the forefront of implementing Good Corporate Citizenship and Carbon
Management work over the past 3 years.
•
The PCT has made tremendous progress in reducing its carbon footprint and introducing a number
of initiatives to support this aim.
North East Essex Clinical Commissioning Group
Sustainability Journey
•
•
•
•
•
•
Nominated Board lead and early sign up, presentation to Board by NHS SDU
Sustainable Development Action Plan in place
Undertaking Good Corporate Citizenship (GCC) self assessment
CCG assessment will inform SDMP
Business cases being assessed against social, economic and environmental
benefits
Sustainable Commissioning 5 year vision:
• Public Services (Social Value) Act (wider social, economic and
environmental considerations in place
• Integrated health and social care
• Services built around people and local communities using local
facilities
• Joint commissioning with Essex County Council
Thank you
Dr Felicity Harvey CBE
Director General
Public Health Directorate
Department of Health