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 Policy Recommendations 1. Health (SDG 3) is central and can be a critical entry point to delivering the 2030 Sustainable Development Agenda. 2. Environmental and health costs could serve as a counterintuitive incentive for implementing a systems approach for urban health. 3. Demonstration studies are critical for illustrating multi- and transdisciplinary cooperation to build systems-based understanding and to apply that understanding to inform decisions. 4. When we address the impacts on Public Health, the decisive matter lies in the "Public" and, therefore, it is essential to communicate awareness and a culture of prevention and self- protection; to implement new practices and better habits; to increase responsibility. 5. To communicate knowledge in the field of Public Health requires to inform people without alarmism; to warn and raise awareness, without causing despond; it implies keeping a delicate balance that requires techniques and 'technicians' to be well communicated. Final Policy Recommendation Highlights Under climate change impacts, we are facing significant urban health challenges such as non- communicable disease burden, emerging infectious disease, ageing population, rising health expenditure, and health inequity. The complexity of urban health and the health co-benefits of low carbon transition need to be further comprehended, and actions need to embrace intersectoral collaborative and participatory approaches. Systems approaches could contribute to managing urban health under climate change, and understanding the local context, including the decision-making culture, process, and power relations are essential. Changes in the cultures of public awareness-raising and decision-making are needed to build sustainable and climate-healthy cities. Furthermore, implementation of a systems approach for urban health under climate change should integrate a robust public health surveillance component executed periodically and systematically and strengthened by the application of risk models for significant threats to the urban population within different geographic and socioeconomic contexts.