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ASPHER’s Ambition in Climate Change &
Health Education
Professor John Middleton
President, Association of Schools of Public
Health in the European Region
Carbon dioxide – a legacy for future generations, 15 to 40% of emitted
CO2 will remain in the atmosphere longer than 1,000 years
https://climate.nasa.gov/climate_resources/24/graphic-the-relentless-rise-of-carbon-dioxide/
Climate projections after COP 26
Climate breakdown and health
Climate breakdown: food insecurity, conflict,
migration
Climate breakdown and direct health effects : heat,
and extreme weather events, air pollution,
pandemic risk, vector borne disease
The role of education
Climate breakdown and health
Climate breakdown: food insecurity, conflict,
migration
Climate breakdown and health
Climate breakdown: food insecurity
Impacts of climate change on the
productivity of food crops in 2050
World Bank Publishers
World bank Development report 2010
http://wdronline.worldbank.org/
~1 billion people exposed to extreme heat preventing moderate physical
labour in the hottest month after global temperature >2·5°C above pre-
industrial levels.
(Andrews et al 2018 Lancet Planetary Health )
Climate
breakdown
is here now!
marine life
extinction
Climate breakdown and health
Climate breakdown: conflict
Interconnectedness:
conflict over natural
resources: oil, water
Interconnectness: Loss of agricultural land through global
warming, crop failure, food riots, Arab Spring, Syrian war
Climate breakdown and health
Climate breakdown: migration
Climate breakdown: migration
Climate breakdown and health
Climate breakdown and direct health effects : heat,
extreme weather events, air pollution, pandemic
risk, vector borne disease
Climate breakdown and health
Climate breakdown and direct health effects : heat,
and extreme weather events
The 1995 Chicago
heat wave led to
approximately 700
heat-related deaths in
Chicago over a period
of five days
France, August 2003
~14800 deaths (30,000+ in Europe)
Heatwave
deaths – the
early warnings
Climate breakdown and direct health effects : heat
More than 35% of the total heat deaths from 1990-2018 attributed to human-induced climate
change using data from 732 sites in 43 countries. No data for much of Africa and Asia
(Vicedo-Cabrera et al Nature Climate Change 2021).
Climate breakdown and direct health effects : heat
70% of 405 extreme weather events and trends were found to be made more likely or more severe by human-
caused climate change (Carbon Brief 2021).
-e.g. Siberian heat and fires in 2020- a I in ~ 90,000 year event in a pre-1900 climate, ‘almost impossible’ without
Climate Change (Ciavarella et al Climatic Change 2021)
Climate
breakdown
is here
now!- 1 fire
Increased wildfire risks to health from climate change.
https://sciencebrief.org/topics/climate-change-science/wildfires
Health effects --Xu et al NEJM 2020, 4 articles Lancet Planetary Health 2021.
marcus-kauffman--iretlQZEU4-unsplash-2
Wildfire particles are smaller than
those in particulate matter from
urban sources (i.e., with a higher
proportion of PM2.5 in PM10) and
may contain more oxidative and
proinflammatory components.
Chen G et al The Lancet Planetary Health 2021 5e579-e587DOI: (10.1016/S2542-5196(21)00200-X)
• Climate breakdown is
here now!- 2 floods
Indonesia
floods
Climate
breakdown is here
now!- 2 floods
Climate breakdown and health
Climate breakdown and direct health effects : air
pollution
Climate breakdown and direct health effects : air pollution
Climate breakdown and health
Climate breakdown and direct health effects :risk of
pandemics, and vector borne diseases
Climate breakdown and direct health effects :risk of pandemics
Climate breakdown and direct health effects :risk of pandemics
Melting permafrost – emergent threats to health.
Methuselah microorganisms and viruses have developed many adaptations
to survive in permafrost for millennia.
A representative Arctic permafrost system showing contaminants and
microorganisms corresponding to specific soil horizons (Miner et al Nature
Climate Change 2021)
Future risk of mosquito-borne disease in a hotter world
Colón-González et al., The Lancet Planet Health 2021
Across the nine countries
studied, by 2040, ambitious
NDCs that put health at the
centre of new climate policies
to meet the ‘well below 2°C’
goals of the Paris Agreement
could reduce annual deaths
due to air pollution by over 1.6
million, annual deaths due to
diet-related risk factors by over
6.4 million, and annual deaths
attributable to physical
inactivity by almost 2.1 million.
The public health benefits of the Paris Agreement
(Hamilton et al Lancet Planetary Health 2021)
Climate breakdown and health
Climate breakdown and direct health effects :
mental health effects, anxiety, depression, ‘climate
despair’, ‘climate futilitarianism’
Mental health effects of climate change (e.g. increases in common mental
disorders after extreme events, solastalgia and climate anxiety) and effective
responses increasingly documented.
RACGP (Image: David Mariuz)
https://www.who.int/health-topics/floods#tab=tab_1
(Photo by Pedro Paulo Xerente for the Fundação Nacional do Índio,
Brazil)
https://www.vice.
com/en/article/j5
w374/climate-
despair-is-making-
people-give-up-
on-life
Climate breakdown and health: The role of
education
Multidisciplinary
Inter-disciplinary
Life long
Health impact awareness in all policies and
programmes
Health community as global corporate citizens
Alert to the uses and abuses of the Information Age
Integrated climate action for health
image from https://www.calgary.ca/UEP/ESM/Pages/Energy-Savings/Climate-Change.aspx?redirect=/climateprogram
Reducing the carbon emissions from health care
--NHS England commits to net zero by 2040 for direct emissions and by 2045 for indirect
emissions
Climate breakdown and health: The role of education
Health and educational communities as global
corporate citizens
Climate breakdown and health: The role of education
ASPHER Actions in climate change and health
education :
Studies of ASPHER members involvement and
ASPHER executive’s carbon footprint
A Climate change and health education curriculum
(from the Global Consortium for Climate Change and
Health Education )
Unsuccessful bid for Jean Monet funding for short
course development ( unsuccessful but learning and
networking)
EU Health policy platform
Climate breakdown and health: The role of education
Health and educational communities as global corporate citizens
Climate Change and Health
Introduction
• Climate change has well-documented public health impacts
• Climate change is now a required competency for public health degree programs in
Europe and Australia
• Little research exists on employer perspectives on need for public health graduates with
climate change training
Main findings
• Skills/competencies required by surveyed employers align with climate and health
competencies from ASPHER, CAPHIA, and the Global Consortium on Climate and Health
Education
• Job market is small but growing
Is there a demand for graduates with training in
both climate change and public health?
Citation:
Krasna H, Czabanowska K, Jiang S, Khadka S, Morita H, Kornfeld J and Shaman J, The Future of Careers at the
Intersection of Climate Change and Public Health: What Can Job Postings and an Employer Survey Tell Us?
International Journal of Environmental Research and Public Health (Feb. 2020)
Population Health Exposure:
• Health impact assessment
• GIS Mapping
• Risk assessment
• Pollution-health consequences,
causes and sources
• Scientific methods
• Epidemiological methods
Climate-Related Knowledge
• Knowledge of climate, carbon and
water cycles
• Climate modeling
• Climate change mitigation/adaptation
Statistics
• Statistical & epidemiological
analysis/software (SAS, R)
Other
• Communications/writing
• Climate justice/equity
• Financing/Budgeting/Economic
analysis
• Policy analysis
• Systems thinking/critical thinking
• Ecological/Agricultural/Geological/
Environmental knowledge
• Interdisciplinary understanding
• Marketing; advocacy
Key Skills Requested by Employers
Thank you
John Middleton,
President
Association of Schools of Public Health
In the European Region
John.middleton@aspher.org
Public health:
‘promoting health, preventing disease, prolonging life through
the organised efforts of society’
Sustainable development:
‘protecting resources from one generation to the next’
Environmental justice:
‘the pursuit of equal justice and equal protection under the law
for all environmental statutes and regulations without
discrimination based on race, ethnicity, and /or socioeconomic
status.’
What is ASPHER ?
The Association of Schools of Public Health in the European
Region (ASPHER) is the key independent European
organisation dedicated to strengthening the role of public
health by improving education and training of public health
professionals for both practice and research.
We have 120 member schools of public health in Europe and
associates globally.
We are developing our partnerships with sister public health
organisations in America, Africa, Asia, Australasia and the
Arab world

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Climate Change Impacts on Public Health and Education

  • 1. ASPHER’s Ambition in Climate Change & Health Education Professor John Middleton President, Association of Schools of Public Health in the European Region
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  • 5. Carbon dioxide – a legacy for future generations, 15 to 40% of emitted CO2 will remain in the atmosphere longer than 1,000 years https://climate.nasa.gov/climate_resources/24/graphic-the-relentless-rise-of-carbon-dioxide/
  • 7. Climate breakdown and health Climate breakdown: food insecurity, conflict, migration Climate breakdown and direct health effects : heat, and extreme weather events, air pollution, pandemic risk, vector borne disease The role of education
  • 8. Climate breakdown and health Climate breakdown: food insecurity, conflict, migration
  • 9. Climate breakdown and health Climate breakdown: food insecurity
  • 10. Impacts of climate change on the productivity of food crops in 2050 World Bank Publishers World bank Development report 2010 http://wdronline.worldbank.org/
  • 11. ~1 billion people exposed to extreme heat preventing moderate physical labour in the hottest month after global temperature >2·5°C above pre- industrial levels. (Andrews et al 2018 Lancet Planetary Health )
  • 13. Climate breakdown and health Climate breakdown: conflict
  • 15. Interconnectness: Loss of agricultural land through global warming, crop failure, food riots, Arab Spring, Syrian war
  • 16. Climate breakdown and health Climate breakdown: migration
  • 18. Climate breakdown and health Climate breakdown and direct health effects : heat, extreme weather events, air pollution, pandemic risk, vector borne disease
  • 19. Climate breakdown and health Climate breakdown and direct health effects : heat, and extreme weather events
  • 20. The 1995 Chicago heat wave led to approximately 700 heat-related deaths in Chicago over a period of five days France, August 2003 ~14800 deaths (30,000+ in Europe) Heatwave deaths – the early warnings
  • 21. Climate breakdown and direct health effects : heat
  • 22. More than 35% of the total heat deaths from 1990-2018 attributed to human-induced climate change using data from 732 sites in 43 countries. No data for much of Africa and Asia (Vicedo-Cabrera et al Nature Climate Change 2021).
  • 23. Climate breakdown and direct health effects : heat 70% of 405 extreme weather events and trends were found to be made more likely or more severe by human- caused climate change (Carbon Brief 2021). -e.g. Siberian heat and fires in 2020- a I in ~ 90,000 year event in a pre-1900 climate, ‘almost impossible’ without Climate Change (Ciavarella et al Climatic Change 2021)
  • 25. Increased wildfire risks to health from climate change. https://sciencebrief.org/topics/climate-change-science/wildfires Health effects --Xu et al NEJM 2020, 4 articles Lancet Planetary Health 2021. marcus-kauffman--iretlQZEU4-unsplash-2 Wildfire particles are smaller than those in particulate matter from urban sources (i.e., with a higher proportion of PM2.5 in PM10) and may contain more oxidative and proinflammatory components. Chen G et al The Lancet Planetary Health 2021 5e579-e587DOI: (10.1016/S2542-5196(21)00200-X)
  • 26. • Climate breakdown is here now!- 2 floods Indonesia floods Climate breakdown is here now!- 2 floods
  • 27. Climate breakdown and health Climate breakdown and direct health effects : air pollution
  • 28. Climate breakdown and direct health effects : air pollution
  • 29. Climate breakdown and health Climate breakdown and direct health effects :risk of pandemics, and vector borne diseases
  • 30. Climate breakdown and direct health effects :risk of pandemics
  • 31. Climate breakdown and direct health effects :risk of pandemics
  • 32. Melting permafrost – emergent threats to health. Methuselah microorganisms and viruses have developed many adaptations to survive in permafrost for millennia. A representative Arctic permafrost system showing contaminants and microorganisms corresponding to specific soil horizons (Miner et al Nature Climate Change 2021)
  • 33. Future risk of mosquito-borne disease in a hotter world Colón-González et al., The Lancet Planet Health 2021
  • 34. Across the nine countries studied, by 2040, ambitious NDCs that put health at the centre of new climate policies to meet the ‘well below 2°C’ goals of the Paris Agreement could reduce annual deaths due to air pollution by over 1.6 million, annual deaths due to diet-related risk factors by over 6.4 million, and annual deaths attributable to physical inactivity by almost 2.1 million. The public health benefits of the Paris Agreement (Hamilton et al Lancet Planetary Health 2021)
  • 35. Climate breakdown and health Climate breakdown and direct health effects : mental health effects, anxiety, depression, ‘climate despair’, ‘climate futilitarianism’
  • 36. Mental health effects of climate change (e.g. increases in common mental disorders after extreme events, solastalgia and climate anxiety) and effective responses increasingly documented. RACGP (Image: David Mariuz) https://www.who.int/health-topics/floods#tab=tab_1 (Photo by Pedro Paulo Xerente for the Fundação Nacional do Índio, Brazil)
  • 38. Climate breakdown and health: The role of education Multidisciplinary Inter-disciplinary Life long Health impact awareness in all policies and programmes Health community as global corporate citizens Alert to the uses and abuses of the Information Age
  • 39. Integrated climate action for health image from https://www.calgary.ca/UEP/ESM/Pages/Energy-Savings/Climate-Change.aspx?redirect=/climateprogram
  • 40. Reducing the carbon emissions from health care --NHS England commits to net zero by 2040 for direct emissions and by 2045 for indirect emissions
  • 41.
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  • 43. Climate breakdown and health: The role of education Health and educational communities as global corporate citizens
  • 44. Climate breakdown and health: The role of education ASPHER Actions in climate change and health education : Studies of ASPHER members involvement and ASPHER executive’s carbon footprint A Climate change and health education curriculum (from the Global Consortium for Climate Change and Health Education ) Unsuccessful bid for Jean Monet funding for short course development ( unsuccessful but learning and networking) EU Health policy platform
  • 45. Climate breakdown and health: The role of education Health and educational communities as global corporate citizens
  • 47. Introduction • Climate change has well-documented public health impacts • Climate change is now a required competency for public health degree programs in Europe and Australia • Little research exists on employer perspectives on need for public health graduates with climate change training Main findings • Skills/competencies required by surveyed employers align with climate and health competencies from ASPHER, CAPHIA, and the Global Consortium on Climate and Health Education • Job market is small but growing Is there a demand for graduates with training in both climate change and public health? Citation: Krasna H, Czabanowska K, Jiang S, Khadka S, Morita H, Kornfeld J and Shaman J, The Future of Careers at the Intersection of Climate Change and Public Health: What Can Job Postings and an Employer Survey Tell Us? International Journal of Environmental Research and Public Health (Feb. 2020)
  • 48.
  • 49. Population Health Exposure: • Health impact assessment • GIS Mapping • Risk assessment • Pollution-health consequences, causes and sources • Scientific methods • Epidemiological methods Climate-Related Knowledge • Knowledge of climate, carbon and water cycles • Climate modeling • Climate change mitigation/adaptation Statistics • Statistical & epidemiological analysis/software (SAS, R) Other • Communications/writing • Climate justice/equity • Financing/Budgeting/Economic analysis • Policy analysis • Systems thinking/critical thinking • Ecological/Agricultural/Geological/ Environmental knowledge • Interdisciplinary understanding • Marketing; advocacy Key Skills Requested by Employers
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  • 52. Thank you John Middleton, President Association of Schools of Public Health In the European Region John.middleton@aspher.org
  • 53. Public health: ‘promoting health, preventing disease, prolonging life through the organised efforts of society’ Sustainable development: ‘protecting resources from one generation to the next’ Environmental justice: ‘the pursuit of equal justice and equal protection under the law for all environmental statutes and regulations without discrimination based on race, ethnicity, and /or socioeconomic status.’
  • 54. What is ASPHER ? The Association of Schools of Public Health in the European Region (ASPHER) is the key independent European organisation dedicated to strengthening the role of public health by improving education and training of public health professionals for both practice and research. We have 120 member schools of public health in Europe and associates globally. We are developing our partnerships with sister public health organisations in America, Africa, Asia, Australasia and the Arab world