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Mlinarić M, Moebus S, Betsch C, Hertig E, Schröder J, Loss J, Moosburger R, van Rüth P, Gepp S, Voss M, Straff W, Kessel TM, Goecke M, Matzarakis A, Niemann H. Climate change and public health in Germany - A synthesis of options for action from the German status report on climate change and health 2023. JOURNAL OF HEALTH MONITORING 2023; 8:57-85. [PMID: 38105793 PMCID: PMC10722518 DOI: 10.25646/11774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/25/2023] [Indexed: 12/19/2023]
Abstract
Background This article represents the conclusion of the updated German status report on climate change and health, which was jointly written by authors from over 30 national institutions and organisations. The objectives are (a) to synthesise the options for action formulated in the report, (b) to combine them into clusters and guiding principles, (c) to address the success factors for implementation, and (d) to combine the options for action into target parameters. Methods The options for action from the individual contributions of the status report were systematically recorded and categorised (n=236). Topical clusters were then formed with reference to Essential Public Health Functions, and options for action were assigned to them. Results Eight topical clusters of options for action and ten guiding principles were identified. These can be summarised in four overarching meta-levels of action: (a) cross-sectorally coordinated structural and behavioural prevention, (b) monitoring, surveillance, and digitalisation (including early warning systems), (c) development of an ecologically sustainable and resilient public health system, and (d) information, communication, and participation. The main success factors for implementation are the design of governance, positive storytelling and risk communication, proactive management of conflicting goals, and a cross-sectoral co-benefit approach. Conclusions Based on the status report, systematically compiled target parameters and concrete options for action are available for public health.
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Affiliation(s)
- Martin Mlinarić
- Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany
| | - Susanne Moebus
- University of Duisburg-Essen, Germany, University Medicine Essen, Institute for Urban Public Health
| | - Cornelia Betsch
- University of Erfurt, Germany, Institute for Planetary Health Behaviour
- Bernhard Nocht Institute for Tropical Medicine, Health Communication, Hamburg, Germany
| | - Elke Hertig
- University of Augsburg, Germany, Faculty of Medicine
| | - Judith Schröder
- University of Duisburg-Essen, Germany, University Medicine Essen, Institute for Urban Public Health
| | - Julika Loss
- Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany
| | - Ramona Moosburger
- Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany
| | - Petra van Rüth
- German Environment Agency, Subject area I 1.6 KomPass – Climate Impacts and Adaptation, Dessau-Roßlau, Germany
| | - Sophie Gepp
- Centre for Planetary Health Policy, Berlin, Germany
| | - Maike Voss
- Centre for Planetary Health Policy, Berlin, Germany
| | - Wolfgang Straff
- German Environment Agency, Subject area II 1.5 Environmental medicine and health assessment, Berlin, Germany
| | | | | | - Andreas Matzarakis
- German Meteorological Service, Research Centre Human Biometeorology, Freiburg, Germany
| | - Hildegard Niemann
- Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany
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