Towards climate resilient and environmentally sustainable health care facilities

The aim of building climate resilient and environmentally sustainable health care facilities is: (a) to enhance their capacity to protect and improve the health of their target communities in an unstable and changing climate; and (b) to empower them to optimize the use of resources and minimize the release of pollutants and waste into the environment. Such health care facilities contribute to high quality of care and accessibility of services and, by helping reduce facility costs, also ensure better affordability. They are an important component of universal health coverage. Action is needed in at least four areas which are fundamental requirements for providing safe and quality care: having adequate numbers of skilled human resources, with decent working conditions, empowered and informed to respond to these environmental challenges; sustainable and safe management of water, sanitation and health care waste; sustainable energy services; and appropriate infrastructure and technologies, including all the operations that allow for the efficient functioning of a health care facility. Importantly, this work contributes to promoting actions to ensure that health care facilities are constantly and increasingly strengthened and continue to be efficient and responsive to improve health and contribute to reducing inequities and vulnerability within their local settings. To this end, we propose a framework to respond to these challenges

Health professionals, the Paris agreement, and the fierce urgency of now

A stable climate is the most fundamental determinant of human health. Therefore, the goal of the Paris Agreement—limiting global warming to no more than 2 degrees Celsius—is arguably humanity's most important public health goal. To accomplish this goal, nearly all nations must greatly increase the ambition of their Nationally Determined Contributions at the upcoming United Nations COP26 meeting in 2021. We argue that health professionals and health organizations can and must join the growing global community of science-based advocates working to achieve the goal of the Paris Agreement. Doing so can be our greatest contribution to the health and wellbeing of all people, especially the world's most vulnerable, marginalized and disempowered people who tend to be harmed first and worst