Health workers are already being transformed by climate change. COP29 stakeholders can either support this transformation to strengthen health systems, or risk watching the health workforce collapse under mounting pressures. The World Health Organization’s “COP29 Special Report on Climate Change and Health: Health is the Argument for Climate Action“ highlights the health sector’s role in climate action. Health professionals are eyewitnesses and first responders to climate impacts on people and communities firsthand – from escalating respiratory diseases to spreading infections and increasing humanitarian disasters. The report positions health workers as “trusted members of society” who are “uniquely positioned” to champion climate action. The context is stark: WHO projects a global shortage of 10 million health workers by 2030, with six million in climate-vulnerable sub-Saharan Africa. Meanwhile, our communities and healthcare systems already bear the costs of climate change through increasing disease burdens and system strain. Health workers are responding, because …
Critical evidence gaps in the Lancet Countdown on health and climate change
The 2024 report of the Lancet Countdown on health and climate change “reveals the health threats of climate change have reached record-breaking levels” and provides “the most up-to-date assessment of the links between health and climate change”. Yet its treatment of experiential knowledge – particularly the direct observations and understanding developed by frontline health workers and communities – reveals both progress and persistent gaps in how major global health assessments value different forms of knowing. The fundamental tension appears right at the start. The report notes a significant challenge: “A global scarcity of internationally standardised data hinders the capacity to optimally monitor the observed health impacts of climate change and evaluate the health-protective effect of implemented interventions.” This framing privileges standardized, quantifiable data over other forms of knowledge. Yet paradoxically, the report recognizes that “health workers are already intimate witnesses to the impacts of climate change on the health of …