Download - W hy aren’t we doing more?
![Page 1: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/1.jpg)
LRudolph May 20141
“Climate change is the biggest global health threat of the 21st century.”
The Lancet
“ Climate change threatens our fragile existence on this planet.”
Jim Kim, World Bank
“Climate change is affecting agriculture, water resources, human health, and ecosystems on land and in the oceans. It poses sweeping risks for economic stability and the security of nations. We can avert these risks if we take bold, decisive action now.” Ban Ki-Moon
![Page 2: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/2.jpg)
2
Why aren’t we doing more?
No funding, no resources No mandate, not our job, silos Competing priorities
Tyranny of the urgent Lack workforce capacity
Knowledge, expertise Lack leadership Unclear exactly how this relates to what we do now Unclear what exactly we can do
LRudolph May 2014
![Page 3: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/3.jpg)
3
Frameworks can help to:
Organize our thinking Provide a shared understanding of an issue Show key factors and variables Visualize complex relationships Identify opportunities for action
LRudolph May 2014
![Page 4: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/4.jpg)
4
We wanted a framework that explicitly: Links to current public health thinking and
practice Addresses health inequities and the climate gap Shows upstream determinants of health Shows causes of climate change Helps identify opportunities for intervention
across the spectrum of prevention and climate action
LRudolph May 2014
![Page 5: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/5.jpg)
5
How we developed a framework
Review literature and existing frameworks Focus groups and interviews with 135 people
LRudolph May 2014
![Page 6: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/6.jpg)
6
Source: Institute of Medicine, USA
L. Cohen, Contra Costa County Health Services
http://www.who.int/social_determinants/corner/SDHDP2.pdf
LRudolph May 2014
![Page 7: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/7.jpg)
LRudolph May 20147
![Page 8: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/8.jpg)
LRudolph May 20148Hambling T. www.ncbi.nlm.nih.gov/pmc/articles/PMC3155333/pdf/ijerph-08-02854.pdf
L. Rudolph 12-8-2013
![Page 9: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/9.jpg)
9
McMIchael 1997
WHO
McGeehin CDC
Hess, NIEHS
Patz, EHP 2000
Patz 2000
LRudolph May 2014
Friel 2011
![Page 10: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/10.jpg)
LRudolph May 201410Patz and Haines, JAMA, 2004.
![Page 11: W hy aren’t we doing more?](https://reader035.vdocument.in/reader035/viewer/2022062310/56816287550346895dd2f7be/html5/thumbnails/11.jpg)
LRudolph May 201411