Is enough attention given to climate change in health service planning? An Australian perspective

Burton, Anthony John; Bambrick, Hilary; Friel, Sharon

doi:10.3402/gha.v7.23903

Cited by 12 publications

(5 citation statements)

References 43 publications

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“…It is therefore imperative that healthcare policymakers develop adaptive, climate change-resilient, health care systems. [3][4][5]9,10 Natural disasters such as bushfires impact on patients' continuum of care, and subsequently impact on population health. The exact nature of this impact can be better understood by examining the Medication Management Pathway (MMP) Model ( Fig.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] These include coastal flooding, tsunamis, earthquakes, prolonged duration of heatwaves, and severe bushfires. [1][2][3] The impacts of climate change contributed to the extreme heatwaves and catastrophic bushfire conditions experienced in Australia during the summer of 2012/13 -termed the 'Angry Summer' by the Australian Climate Commission.…”

Section: Introductionmentioning

confidence: 99%

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Burning questions: Exploring the impact of natural disasters on community pharmacies

Mak

Singleton

2017

Research in Social and Administrative Pharmacy

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BackgroundThe past decade has seen a rapid change in the climate system with an increased risk of extreme weather events. On and following the 3 rd of January 2013, Tasmania experienced three catastrophic bushfires, which led to the evacuation of several communities, the loss of many properties, and a financial cost of approximately AUD$80 million. ObjectiveTo explore the impacts of the 2012/2013 Tasmanian bushfires on community pharmacies. MethodQualitative research methods were undertaken, employing semi-structured telephone interviews with a purposive sample of seven Tasmanian pharmacists. The interviews were recorded and transcribed, and two different methods were used to analyse the text. The first method utilised Leximancer® text analytics software to provide a birds-eye view of the conceptual structure of the text. The second method involved manual, open and axial coding, conducted independently by the two researchers for inter-rater reliability, to identify key themes in the discourse. ResultsTwo main themes were identified -'people' and 'supply' -from which six key concepts were derived. The six concepts were 'patients', 'pharmacists', 'local doctor', 'pharmacy operations', 'disaster management planning', and 'emergency supply regulation'. ConclusionThis study identified challenges faced by community pharmacists during Tasmanian bushfires. Interviewees highlighted the need for both the Tasmanian State Government and the Australian Federal Government to recognise the important primary care role that community pharmacists play during natural disasters, and therefore involve pharmacists in disaster management planning. They called for greater support and guidance for community pharmacists from regulatory and other government bodies during these events. Their comments highlighted the need for a review of Tasmania's 3-day emergency supply regulation that allows pharmacists to provide a three-day supply of a patient's medication without a doctor's prescription in an emergency situation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Burning questions: Exploring the impact of natural disasters on community pharmacies

Mak

Singleton

2017

Research in Social and Administrative Pharmacy

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“…Moreover, the sector's significant contribution to the gross domestic production, averaging nearly 20% across African countries, cannot be undermined [13]. The services sector, which is the highest contributor to the economic output of most African countries, is also sensitive to extreme climate-related events like drought and floods [14][15][16]. The impact of climate change across the key sectors has stimulated more discussion regarding proactive adaptation, notwithstanding the obstacles faced, particularly on confined financial, infrastructural, and technological resources [17].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Climate Adaptation Finance and Readiness on Vulnerability in African Economies

Maina,

Parádi-Dolgos

2024

Climate

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Addressing climate vulnerability remains a priority for economies globally. This study used the panel-corrected standard error (PCSE) methodology to investigate the impact of adaptation financing on climate vulnerability. This analysis examined 52 African countries from 2012 to 2021 while considering their climate adaptation readiness. The impact was also assessed based on the Human Development Index (HDI) categories to reflect different levels of development. The findings showed that adaptation finance considerably influenced climate vulnerability reduction in Africa, particularly in nations with a moderate HDI. However, most countries still need higher levels of adaptation financing, resulting in a small impact on vulnerability reduction. Furthermore, the impact of readiness measures differed by HDI category. Economic and social climate readiness strongly impacted climate vulnerability in high-HDI nations, but governance preparedness was more critical in low-HDI countries. Based on the empirical facts, two policy proposals emerge. First, it is critical to reconsider the distribution of adaptation financing to reduce disparities and effectively alleviate climate vulnerability. Moreover, African economies should consider implementing innovative localized financing mechanisms to mobilize extra adaptation finance. Second, African governments should customize climate readiness interventions based on their HDI levels to improve the achievement of a positive impact on climate vulnerability.

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“…An appreciation of climate change as a health issue will be essential for initiating meaningful action and mitigation, with the health profession being one of the rst sectors needing to adapt [10][11][12] . Meaningful action has been suggested to take the form of reviewing health-service planning and allocation of resources, preparing clinical practice to deal with climate-related increases in hospital presentations, and recognising the importance of primary health care in responding to climate-related health risks [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

“…Among health professionals, the perception that climate change is damaging health is widespread, although self-assessed knowledge of what these health impacts are is poor 16 . Likewise, health policy makers recognise that climates change will challenge the healthcare system in the future 17 , considering that most health-care systems are unprepared for increased incidence of speci c diseases and burden on both primary and tertiary care 13,15,[18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

First systematic review and meta-analysis of the risk magnitude of climate-change effects on child health

Weeda,

Bradshaw,

Judge

et al. 2023

Preprint

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Children are significantly more vulnerable than adults to climate-related health threats, but studies examining how climate change affects human health have been mainly descriptive and lack an assessment of the magnitude of health effects children face. In this systematic review and meta-analysis, we searched online databases PubMed, Medline, Embase, and Web of Science for observational studies published up to 5 January 2023 following PRISMA guidelines. We included studies if they explored climate variables/events and measured a quantifiable child-health outcome. We extracted data from published reports for a meta-analysis where we standardised effect sizes and compared them among different groupings of climate variables and health outcomes. We evaluated each study individually and aggregated and analysed relevant qualitative and quantitative data. We identified 1301 articles from the four large databases in our systematic literature review, of which 163 studies were eligible for analysis. We identified many relationships between climate change and child health, the strongest of which were increasing risk (60% on average) of preterm birth from exposure to temperature extremes. Respiratory disease, mortality, and morbidity were also influenced by climate changes, but to a lesser extent than preterm birth. The effects of different pollutants on health outcomes were considerably smaller compared to temperature effects, but with most (16/20 = 80%) pollutant studies indicating at least a weak effect. Most studies occurred in high-income regions, but we found no geographical clustering according to health outcome, climate variable, or magnitude of risk. We identified the following protective factors for climate-related child-health threats: (i) economic stability and strength, (ii) access to quality healthcare, (iii) adequate infrastructure, and (iv) food security. Threats to these services vary by local geographical, climate, and socio-economic conditions. Children will have increased prevalence and severity of disease due to anthropogenic climate change, and our quantification of the magnitude of expected increases is essential to plan for mitigation that will improve the health of current and future generations.

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Is enough attention given to climate change in health service planning? An Australian perspective

Cited by 12 publications

References 43 publications

Burning questions: Exploring the impact of natural disasters on community pharmacies

Burning questions: Exploring the impact of natural disasters on community pharmacies

The Effectiveness of Climate Adaptation Finance and Readiness on Vulnerability in African Economies

First systematic review and meta-analysis of the risk magnitude of climate-change effects on child health

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