PMID- 34886242
OWN - NLM
STAT- MEDLINE
DCOM- 20211216
LR  - 20240404
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 23
DP  - 2021 Nov 27
TI  - Urban Climate Policy and Action through a Health Lens-An Untapped Opportunity.
LID - 10.3390/ijerph182312516 [doi]
LID - 12516
AB  - Motivated by a growing recognition of the climate emergency, reflected in the 
      26th Conference of the Parties (COP26), we outline untapped opportunities to 
      improve health through ambitious climate actions in cities. Health is a primary 
      reason for climate action yet is rarely integrated in urban climate plans as a 
      policy goal. This is a missed opportunity to create sustainable alliances across 
      sectors and groups, to engage a broad set of stakeholders, and to develop 
      structural health promotion. In this statement, we first briefly review the 
      literature on health co-benefits of urban climate change strategies and make the 
      case for health-promoting climate action; we then describe barriers to 
      integrating health in climate action. We found that the evidence-base is often 
      insufficiently policy-relevant to be impactful. Research rarely integrates the 
      complexity of real-world systems, including multiple and dynamic impacts of 
      strategies, and consideration of how decision-making processes contend with 
      competing interests and short-term electoral cycles. Due to siloed-thinking and 
      restrictive funding opportunities, research often falls short of the type of 
      evidence that would be most useful for decision-making, and research outputs can 
      be cryptic to decision makers. As a way forward, we urge researchers and 
      stakeholders to engage in co-production and systems thinking approaches. 
      Partnering across sectors and disciplines is urgently needed so pathways to 
      climate change mitigation and adaptation fully embrace their health-promoting 
      potential and engage society towards the huge transformations needed. This 
      commentary is endorsed by the International Society for Environmental 
      Epidemiology (ISEE) and the International Society for Urban Health (ISUH) and 
      accompanies a sister statement oriented towards stakeholders (published on the 
      societies' websites).
FAU - de Nazelle, Audrey
AU  - de Nazelle A
AUID- ORCID: 0000-0002-1092-3971
AD  - Centre for Environmental Policy, Imperial College London, London SW7 1NE, UK.
AD  - MRC Centre for Environment and Health, Department of Epidemiology and 
      Biostatistics, School of Public Health, Imperial College London, Norfolk Place, 
      London W2 1PG, UK.
FAU - Roscoe, Charlotte J
AU  - Roscoe CJ
AUID- ORCID: 0000-0002-9169-6458
AD  - Landmark Centre, Harvard T.H. Chan School of Public Health, Harvard University, 
      Boston, MA 02215, USA.
FAU - Roca-Barcelomicron, Aina
AU  - Roca-Barcelomicron A
AD  - MRC Centre for Environment and Health, Department of Epidemiology and 
      Biostatistics, School of Public Health, Imperial College London, Norfolk Place, 
      London W2 1PG, UK.
FAU - Sebag, Giselle
AU  - Sebag G
AD  - International Society for Urban Health, New York, NY 10003, USA.
FAU - Weinmayr, Gudrun
AU  - Weinmayr G
AD  - Institute of Epidemiology and Medical Biometry, Ulm University, 89081 Ulm, 
      Germany.
FAU - Dora, Carlos
AU  - Dora C
AD  - International Society for Urban Health, New York, NY 10003, USA.
FAU - Ebi, Kristie L
AU  - Ebi KL
AUID- ORCID: 0000-0003-4746-8236
AD  - Center for Health and the Global Environment (CHanGE), University of Washington, 
      Seattle, WA 98195, USA.
FAU - Nieuwenhuijsen, Mark J
AU  - Nieuwenhuijsen MJ
AD  - Institute for Global Health (ISGlobal), 08003 Barcelona, Spain.
AD  - CIBER Epidemiologia y Salud Publica (CIBERESP), 28029 Madrid, Spain.
AD  - Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), 
      08003 Barcelona, Spain.
FAU - Negev, Maya
AU  - Negev M
AUID- ORCID: 0000-0002-5523-3210
AD  - School of Public Health, University of Haifa, Haifa 31905, Israel.
LA  - eng
GR  - MR/S019669/1/MRC_/Medical Research Council/United Kingdom
PT  - Journal Article
DEP - 20211127
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Cities
MH  - *Climate Change
MH  - Environmental Health
MH  - Health Policy
MH  - Policy
MH  - *Urban Health
PMC - PMC8657069
OTO - NOTNLM
OT  - cities
OT  - climate change
OT  - co-benefits
OT  - co-production
OT  - systems thinking
COIS- The authors declare no conflict of interest.
EDAT- 2021/12/11 06:00
MHDA- 2021/12/17 06:00
PMCR- 2021/11/27
CRDT- 2021/12/10 01:09
PHST- 2021/11/04 00:00 [received]
PHST- 2021/11/24 00:00 [revised]
PHST- 2021/11/25 00:00 [accepted]
PHST- 2021/12/10 01:09 [entrez]
PHST- 2021/12/11 06:00 [pubmed]
PHST- 2021/12/17 06:00 [medline]
PHST- 2021/11/27 00:00 [pmc-release]
AID - ijerph182312516 [pii]
AID - ijerph-18-12516 [pii]
AID - 10.3390/ijerph182312516 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 Nov 27;18(23):12516. doi: 
      10.3390/ijerph182312516.