The Political Economy of Health Co-Benefits: Embedding Health in the Climate Change Agenda

A complex, whole-of-economy issue such as climate change demands an interdisciplinary, multi-sectoral response. However, evidence suggests that human health has remained elusive in its influence on the development of ambitious climate change mitigation policies for many national governments, despite a recognition that the combustion of fossil fuels results in pervasive short- and long-term health consequences. We use insights from literature on the political economy of health and climate change, the science-policy interface and power in policy-making, to identify additional barriers to the meaningful incorporation of health co-benefits into climate change mitigation policy development. Specifically, we identify four key interrelated areas where barriers may exist in relation to health co-benefits: discourse, efficiency, vested interests and structural challenges. With these insights in mind, we argue that the current politico-economic paradigm in which climate change is situated and the processes used to develop climate change mitigation policies do not adequately support accounting for health co-benefits. We present approaches for enhancing the role of health co-benefits in the development of climate change mitigation policies to ensure that health is embedded in the broader climate change agenda.Annabelle Workman receives a Strategic Australian Postgraduate Award scholarship and was affiliated with the EU Centre on Shared Complex Challenges until December 2017. Kathryn Bowen receives funding from the National Health and Medical Research Council. The original manuscript was significantly improved thanks to the invaluable comments of two anonymous reviewers

Political leadership on climate change: The role of health in Obama-era U.S. climate policies

Urgent and ambitious climate action is required to avoid catastrophic climate change and consequent health impacts. Political will is a critical component of the ambitious climate action equation. The current level of political will observed for many national governments is considered inadequate, with numerous political leaders yet to commit to climate action commensurate with the projected risks and responsibilities for their respective jurisdictions. Under the leadership of the Obama administration, however, the United States of America arguably provided an example to the contrary. Strategically utilising an available legislative lever, the Obama administration pursued comparatively ambitious climate change mitigation policies, with health as a core motivation. Analysis of Obama-led climate policies and policy-making strategies provides valuable insight into the utility of health as a motivator for climate action. It also reaffirms that strong political leadership constitutes an essential element in the pursuit of increasingly ambitious climate change policies, particularly in the face of strong opposition.Annabelle Workman received an Australian Government Research Training Program scholarship and funding from the EU Centre on Shared Complex Challenges through the University of Melbourne during the conduct of this research

Coal transitions—part 1: a systematic map and review of case study learnings from regional, national, and local coal phase-out experiences

A rapid coal phase-out is needed to meet the goals of the Paris Agreement, but is hindered by serious challenges ranging from vested interests to the risks of social disruption. To understand how to organize a global coal phase-out, it is crucial to go beyond cost-effective climate mitigation scenarios and learn from the experience of previous coal transitions. Despite the relevance of the topic, evidence remains fragmented throughout different research fields, and not easily accessible. To address this gap, this paper provides a systematic map and comprehensive review of the literature on historical coal transitions. We use computer-assisted systematic mapping and review methods to chart and evaluate the available evidence on historical declines in coal production and consumption. We extracted a dataset of 278 case studies from 194 publications, covering coal transitions in 44 countries and ranging from the end of the 19th century until 2021. We find a relatively recent and rapidly expanding body of literature reflecting the growing importance of an early coal phase-out in scientific and political debates. Previous evidence has primarily focused on the United Kingdom, the United States, and Germany, while other countries that experienced large coal declines, like those in Eastern Europe, are strongly underrepresented. An increasing number of studies, mostly published in the last 5 years, has been focusing on China. Most of the countries successfully reducing coal dependency have undergone both demand-side and supply-side transitions. This supports the use of policy approaches targeting both demand and supply to achieve a complete coal phase-out. From a political economy perspective, our dataset highlights that most transitions are driven by rising production costs for coal, falling prices for alternative energies, or local environmental concerns, especially regarding air pollution. The main challenges for coal-dependent regions are structural change transformations, in particular for industry and labor. Rising unemployment is the most largely documented outcome in the sample. Policymakers at multiple levels are instrumental in facilitating coal transitions. They rely mainly on regulatory instruments to foster the transitions and compensation schemes or investment plans to deal with their transformative processes. Even though many models suggest that coal phase-outs are among the low-hanging fruits on the way to climate neutrality and meeting the international climate goals, our case studies analysis highlights the intricate political economy at work that needs to be addressed through well-designed and just policies.BMBF, 01LA1826A, Ökonomie des Klimawandels - Verbundprojekt: Die politische Ökonomie eines globalen Kohleausstiegs (PEGASOS) - Teilprojekt 1: Koordination, Analyse der politischen Ökonomie vergangener KohleausstiegeBMBF, 01LA1810A, Ökonomie des Klimawandels - Verbundprojekt: Die Zukunft fossiler Energieträger im Zuge von Treibhausgasneutralität (FFF) - Teilprojekt 1: Implementierung von AusstiegspfadenBMBF, 01LN1704A, Nachwuchsgruppe Globaler Wandel: CoalExit - Die Ökonomie des Kohleausstiegs - Identifikation von Bausteinen für Rahmenpläne zukünftiger regionaler StrukturwandelBMBF, 01LG1910A, Qualitätssicherung von IPCC-AR6: Chapter Scientist für WG III, Kapitel 2 (Emissions trends and drivers

Environmental Hazards and Behavior Change: User Perspectives on the Usability and Effectiveness of the AirRater Smartphone App

AirRater is a free smartphone app developed in 2015, supporting individuals to protect their health from environmental hazards. It does this by providing (i) location-specific and near real-time air quality, pollen and temperature information and (ii) personal symptom tracking functionality. This research sought to evaluate user perceptions of AirRater’s usability and effectiveness. We collected demographic data and completed semi-structured interviews with 42 AirRater users, identified emergent themes, and used two frameworks designed to understand and support behavior change—the Behavior Change Wheel (BCW) and the Protective Action Decision Model (PADM)—to interpret results. Of the 42 participants, almost half indicated that experiencing symptoms acted as a prompt for app use. Information provided by the app supported a majority of the 42 participants to make decisions and implement behaviors to protect their health irrespective of their location or context. The majority of participants also indicated that they shared information provided by the app with family, friends and/or colleagues. The evaluation also identified opportunities to improve the app. Several study limitations were identified, which impacts the generalizability of results beyond the populations studied. Despite these limitations, findings facilitated new insights into motivations for behavior change, and contribute to the existing literature investigating the potential for smartphone apps to support health protection from environmental hazards in a changing climate

The Political Economy of Health Co-Benefits: Embedding Health in the Climate Change Agenda

A complex, whole-of-economy issue such as climate change demands an interdisciplinary, multi-sectoral response. However, evidence suggests that human health has remained elusive in its influence on the development of ambitious climate change mitigation policies for many national governments, despite a recognition that the combustion of fossil fuels results in pervasive short- and long-term health consequences. We use insights from literature on the political economy of health and climate change, the science–policy interface and power in policy-making, to identify additional barriers to the meaningful incorporation of health co-benefits into climate change mitigation policy development. Specifically, we identify four key interrelated areas where barriers may exist in relation to health co-benefits: discourse, efficiency, vested interests and structural challenges. With these insights in mind, we argue that the current politico-economic paradigm in which climate change is situated and the processes used to develop climate change mitigation policies do not adequately support accounting for health co-benefits. We present approaches for enhancing the role of health co-benefits in the development of climate change mitigation policies to ensure that health is embedded in the broader climate change agenda

The role of health co-benefits in the development of climate change mitigation policies in Australia, the European Union, China and the United States

© 2019 Dr. Annabelle Emily Alice WorkmanGovernments are yet to commit to action on climate change commensurate with the likelihood and severity of predicted impacts. The human health consequences of a changing climate are substantial, already being felt and will be exacerbated without ambitious and urgent action. Acting to mitigate climate change can result in ancillary benefits to health outcomes, also known as health co-benefits. Numerous studies over the past two decades have estimated the monetised value of a range of health co-benefits that may result from the implementation of mitigation measures. These studies conclude that accounting for health co-benefits can partially, if not fully, offset abatement costs. Despite this economic rationale for climate action, numerous climate change and health scholars have questioned the influence of health co-benefits on final policies. To date, there has been limited research investigating the political traction of health co-benefits. To begin to address this knowledge gap, this thesis examines the role of health co-benefits in climate change mitigation policy-making in four Parties to the United Nations Framework Convention on Climate Change. To do so, I first review literature on i) the political economy of health and climate change; ii) the science-policy interface; and iii) power in policy-making in order to identify areas where barriers for the consideration of health co-benefits in climate change mitigation policies may exist. Next, I outline the methods and analytical approach used. I then examine the role of health co-benefits in climate change mitigation policies through the development of case studies for Australia and the European Union. Next, I present results of my analysis of select Chinese and American climate change policy documents published between 2007 and 2017. The key finding of this research is that while health co-benefits are often a driver of air pollution mitigation policies, their consideration in the development of climate change mitigation policies is context- and policy-dependent. In considering the implications of this finding, I discuss key factors influencing the political traction of health co-benefits in the context of existing literature and possible policy implications. This thesis concludes by outlining contributions of this research to the literature and suggesting future research opportunities. The significance of this research is its extension of the burgeoning literature on health co-benefits and climate change mitigation policy-making from a social science perspective. Further, this thesis articulates implications for policy and identifies potential opportunities to enhance the political traction of health co-benefits in climate change mitigation policies at a time when strong climate action is so desperately needed

Health co-benefits and the development of climate change mitigation policies in the European Union

The 2015 Paris Agreement requires increasingly ambitious emissions reduction efforts from its member countries. Accounting for ancillary positive health outcomes (health co-benefits) that result from implementing climate change mitigation policies can provide Parties to the Paris Agreement with a sound rationale for introducing stronger mitigation strategies. Despite this recognition, a knowledge gap exists on the role of health co-benefits in the development of climate change mitigation policies. To address this gap, the case study presented here investigates the role of health co-benefits in the development of European Union (EU) climate change mitigation policies through analysis and consideration of semi-structured interview data, government documents, journal articles and media releases. We find that while health co-benefits are an explicit consideration in the development of EU climate change mitigation policies, their influence on final policy outcomes has been limited. Our analysis suggests that whilst health co-benefits are a key driver of air pollution mitigation policies, climate mitigation policies are primarily driven by other factors, including economic costs and energy implications.AW receives an Australian Government Research Training Program scholarship through the University of Melbourne and received funding from the EU Centre on Shared Complex Challenges at the University of Melbourne to undertake research in Brussels, Belgium

Understanding the perspectives and needs of multiple stakeholders: Identifying key elements of a digital health intervention to protect against environmental hazards.

AirRater is a free environmental health smartphone app developed and available in Australia that collects individual health data and disseminates environmental hazard information to populations. Following previous evaluations with app users, the aim of this study was to better understand how clinicians, government agency and non-government advocacy group representatives perceive an app designed to reduce the impacts of environmental hazards on individual and public health. Nine government agency and non-government advocacy group representatives, along with 11 clinicians based in Australia participated in a semi-structured interview or focus group to explore perspectives on AirRater. Interview and focus group data were transcribed and analysed using the qualitative data analysis software NVivo. Results indicate that for clinicians, apps like AirRater can add value as an educational, patient self-management and diagnostic tool. For government and peak bodies, apps can add value by addressing environmental health literacy and monitoring and forecasting gaps, as well as supporting advocacy efforts and public health surveillance. We conclude that environmental health smartphone apps can support a range of stakeholders to achieve shared goals and priorities related to individual and public health outcomes. Further research is needed to better understand how apps could be embedded into clinical practice and policy settings