ICS Estudos e Relatórios Nº1 / 2019

ICS E S T U D O S e R E L A T Ó R I O S 2019 Prof. Virginia Murray, Public Health England (PHE) “Monitoring and evaluation of climate change adaptation to provide simple messages about urban health and wellbeing is a major issue.” Notable outcomes for me include: 1) The commitment of all to the issues around implementing system science for urban health and wellbeing under climate change; and 2) The value of the commitment by PHE to the implementation of urban health and wellbeing under climate change was mirrored in the discussions by Portuguese partners including the Directorate General of Health, Portugal, CDC China and the International Science Council collaboration with El Salvador and wider partners including Guatemala, Honduras, Haiti, Paraguay, Jamaica, Bolivia, Dominican Republic, Spain, Cuba and Brazil. Of note was the commonality of implementation analysis and planning for heatwaves and the need to understand mortality and morbidity impacts for climate change adaptation. Monitoring and evaluation of climate change adaptation to provide simple messages about urban health and wellbeing was identified as a significant issue with the statement used by oy PHE Chief Executive being seen as a helpful model : “A decent home, a job, and friends are more important to good health than the health care [NHS]. ….. Reports highlight how we can build places and communities that encourage healthier choices.” Areas for development include 1) Value of mapping UHWB and climate change aims and objectives onto the four UN Landmark agreements; 2) Need for the development of UHWB international centres of excellence to develop to build the networks for a partnership to share learning and good practice together maybe PHE could engage here, and 3) Possible need for a more extensive pilot site to test UHWB under climate change and disaster risk reduction to observe more active engagement and implementation. Policy Recommendations 1. Inter-sectoral and inter-departmental platforms are needed to overcome the complexity of urban health conditions in many countries.