Youth Think Tank

on

Climate Change and Health

Dr. Iqbal Kabir

Climate Change & Health Promotion Unit (CCHPU)Ministry of Health & Family Welfare

Rising atmospheric temperature

Rising sea level

Reductions in North

Hemisphere snow cover

The climate is changing fastThe climate is changing fast

IPCC Summary for Policymakers: WG I (2007).

The changes will continue in the future

IPCC Summary for Policymakers: WG I (2007).

Higher temperatures, more floods,more droughts

Higher temperatures, more floods,more droughts

Inconvenient truths for the planet

Inconvenient truths for health

- Each year:

- Undernutrition kills 3.5 million

- Diarrhoea kills 2.2 million

- Malaria kills 900,000- - Extreme weather events kill 60,000

These, and others, are highly sensitive to changing climate.

- WHO estimates that climate change causes over 140,000 additional deaths per year

SIDR, AILA…The Innocent Victims Women and Children the most vulnerable group

Health is directly linked with Food, Water, Shelter and Livelihood crisis

in Disaster

CASE STUDY: BANGLADESH VULNERABILITYCASE STUDY: BANGLADESH VULNERABILITYBangladesh: Part of GBM Bangladesh: Part of GBM --

Highly Vulnerable to Climate ChangeHighly Vulnerable to Climate Change

Sea

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CycloneCyclone

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Cost estimation for climate attributable diseases (2010-2021)

Approaches in Addressing Health Impacts of Climate Change

• Documentation of the risks and vulnerability within and betweenpopulations

• Development of health protection strategies

• Identification of health co-benefits

• More investment and resources for strengthening health systems

• Estimation of the financial costs of action

• Community based PHC approach

A model best practice for LDCs

Climate Change and Health Promotion Unit

Ministry of Health and Family WelfareGovernment of the People’s Republic of Bangladesh

Goal of the CCHP Unit

To build capacity and strengthen health systems to combat the health impact of

climate change and to protect human health from current and projected risks due to

climate change.

CCHPU Office Location in G-Earth

web site is www.cchpu-mohfw.gov.bd

Current project from MOEF Trust Fund

Risk reduction and adaptive measures in the context of climate change impact on health sector in

Bangladesh.

Broader Objective: To conduct research and monitor disease patterns and develop effective adaptive measures in the

context of climate change impact on health.

Health and Climate Change

Eco-system

Human Health

Health and Nutrition

A) Inadequate food

B) Metabolic disorders

C) Malnutrition

D) Infection

Disease

Climate Change

Disaster

Conceptual Framework on Impact of Climate Change on Health

Risk reduction through research and awareness

building

Climate change

adaptive measures

Healthy population

Capacity building on adaptive measures

on Health and Nutrition

Innovative and appropriate

technology to strengthen community

participation

Health care providers

Local government

Community people

CBO, NGO

Project areas

Cyclone prone Costal areas • 7 Upazials of Satkhira District total 175 community clinics• 9 Upazials of Bagerhat District total 153 community clinics.• 5 Upazials of Barguna District total 105 community clinics. Salinity prone areas• 9 Upazials of Khulna District total 153 community clinics.River erosion and flood prone areas • 9 Upazials of Serajganj District total 275 community clinics.• 9 Upazials of Faridpur District total 166 community clinics.• 2 Upazials of Chittagong District total 51 community clinicsUrban areas for research comparison :• 6 District town in 6 Division.Gopalganj in Dhaka, Jessore in Khulna,

Chapainawabganj in Rajshahi, Rangamati in Chittagong, Sunamganj in Sylhet, Patuakhali in Barisal Division.

BCCSAP 2009BCCSAP 2009

Under thematic area 1 Under thematic area 1 (Food security, social protection and health)(Food security, social protection and health) some some programs and actions have been identified on health sector, namely:programs and actions have been identified on health sector, namely:

Research on the impact of climate change on health (including Research on the impact of climate change on health (including the incidence of malaria and dengue, diarrheal diseases, the incidence of malaria and dengue, diarrheal diseases, heatstroke) and the cost to society of increased mortality, heatstroke) and the cost to society of increased mortality, morbidity and consequent fall in productivitymorbidity and consequent fall in productivity

Develop adaptive strategies against outbreaks of malaria, Develop adaptive strategies against outbreaks of malaria, dengue and other vector borne diseases, and invest in dengue and other vector borne diseases, and invest in preventive and curative measures and facilitiespreventive and curative measures and facilities

Develop adaptive strategies against diarrheal and other Develop adaptive strategies against diarrheal and other diseases, which may increase due to climate change, and invest diseases, which may increase due to climate change, and invest in preventive and curative measures and facilitiesin preventive and curative measures and facilities

The health care network of Bangladesh

Domiciliary Workers

Outpatient static facility

31-50 bed hospital

50-250 bed hospital

Medical college/tertiary

hospitalDivision (6)

District (64)

Sub-district (482)

Union (4,498)

Ward (13,394)

Villages (87,000)

National

Super-specialty hospital

Level

Type of Facility

Community Clinics (PHC)

Domiciliary Workers

Outpatient static facility

31-50 bed hospital

50-250 bed hospital

Medical college/tertiary

hospitalDivision (6)

District (64)

Sub-district (482)

Union (4,498)

Ward (13,394)

Villages (87,000)

National

Super-specialty hospital

Level

Type of Facility

• In Ward level, there were lack of static health facility

• Community Clinics will fulfill this lack

Why Community Participation is Important to Address the Health Impacts of Climate Change

• Cost Effective

• Higher Acceptability

• Early Warning

• Rapid Feedback

• Direct Communication

• Reality Check for both service recipients and service providers

• Community Empowered (CBO, NGO,GO Mix)

• Community Choice Reflected

How to Mitigate?

How to Adapt?

Do we have

The Answers?

Government NGO/CBOPrivate Sector

Community Development & Disaster Risk Mgmnt

National Scale

Health Policy, National strategies, Governance, & Resource Mobilization

Community Scale

Health Risks, Needs & Implementation

Mechanisms

Youth Think Tank

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Some Activitiesof CCHPU

Baseline Survey

Base line Survey was conducted in the project area in order to make an assessment of health outcomes relating to Climate Change and knowledge about Climate Change among rural population in Bangladesh.

Training manual on Climate Change & Health for Model School Health and Community Clinics using PHC approach

Based on the suggestions from the Experts in climate change, manual development, representatives from MOEF, MOHFW, DGHS, NIPSOM, IPH, IEDCR, ICDDRB,BHE, NGO, civil society and Member and Senior Specialists of the National Curriculum & Text Board (NCTB) of MOE attended the two workshops to prepare the manual.

Training manual on Climate Change & Health for Model School Health and Community Clinics using PHC approach

The manual on Climate Change and Health for School Children has been already approved as supplementary reading by National Curriculum & Text Board (NCTB).

Community Radio Initiative for Climate resilience and effective early warning system in costal belt

• Community Radio for building awareness on early warning system and climate resilience on public health for the costal population.

• PPP Model- MOHFW and NHCHF (Nalta Hospital & Community Health Foundation, Satkhira) is broadcasting 2 hours radio program every day on early warning system and climate resilience on public health with edutainment approach using folk media and local languages. 'Radio Sagargiri‘ in Shitakunda, Chittagong is going to start their broadcasting soon.

CCHPU is going to facilitate 56 Community Clinics with tele- medicare in the climate victim areas with solar PV system.

E-Health and Telemedicine

Inauguration of Telemedicine in Community Level

Location: Sarafvata Village, Rangunia, Chittagong Date: 17 September, 2011

Inauguration of Telemedicine in Community Level

Location: DhakaDate: 17 September, 2011

Community Based Approach for Adaptation-To Remove Salinity of Water

To facilitate pure and safe drinking water in the cyclone 'Aila' affected regions CCHPU took an attempt to purify water for removing salinity and monitor the changes.

Community Radio- Radio Nalta

Location: Nalta, Kaliganj ,Satkhira.

Community Radio- Radio Sagargiri

Location: Shitakunda, Chittagong.

Health Fairs

CCHPU arranges Health Fair at Community Level to create awareness

Training to PH professionals

In District level, Upazilla level, Union level and Community level training on Climate Change and Health is being provided by CCHPU.

Training on Climate Change and Health

Awareness Billboards

Way Forward

CoordinationMinistry

ResponseCommunity Group

PreparednessLocal Government+ Health

CBAYOUTH+ School students+ CC+ CBO

Youth Climate Leaders : The Future

Youth Think TankA hope Ahead

• Group of energetic, dedicated, innovative, enthusiastic youths

• 350 applicants from all over Bangladesh

• Selected 100 based on essay writing and innovative ideas

• 64 from each district,16 from costal belt, 20 with health background

1st Conference 2012

• Training, Workshop, conference

• Local problem, solutions, need assessment, action plan

Thank you

www.cchpu-mohfw.gov.bd