Climate and Health Climate and Health

Vulnerability & Adaptation Vulnerability & Adaptation

Assessment Profile: Assessment Profile:

Russian FederationRussian Federation

Andrej GrjibovskiAndrej Grjibovski

National Institute of Public Health, National Institute of Public Health, Oslo, Oslo, NorwayNorway

RussianRussian FederationFederation

�� 17,075,400sq.km.17,075,400sq.km.

�� 9 time 9 time zoneszones

�� ClimateClimate: from : from arcticarctic

to to subtropicalsubtropical

�� 145 145 mlnmln..

�� GDP $ 14,909GDP $ 14,909

�� Life Life expectancyexpectancy::

M: 61.8 M: 61.8 yearsyears

F: 74.16 F: 74.16 yearsyears

Pilot Pilot studystudy: Arkhangelsk region: Arkhangelsk region

Arkhangelsk regionArkhangelsk region

� Part 1: Brief overview of Assessment Planned

� Part 2: Assessment Methods

� Part 3: Major Challenges & Quality of Assessment

� Part 4: Utility of Assessment & Meeting Decision Needs

Stakeholders Stakeholders onon thethe federalfederal levellevel

�� Ministry of Health and Social Development Ministry of Health and Social Development

�� Ministry of Nature Ministry of Nature

�� ““RoshydrometRoshydromet”” and and HydrometeorologicalHydrometeorological Centre Centre of Russiaof Russia

�� Federal Service of Epidemiological SurveillanceFederal Service of Epidemiological Surveillance

�� Ministry of EmergenciesMinistry of Emergencies

�� LLaboratoryaboratory for Environment and Population for Environment and Population Health ForecastingHealth Forecasting

�� Geophysical ObservatoryGeophysical Observatory

�� Pasteur Institute of Epidemiology and Pasteur Institute of Epidemiology and MicrobiologyMicrobiology

�� Public Health Research institutePublic Health Research institute

�� Russian Regional Ecological CentreRussian Regional Ecological Centre

Stakeholders at Stakeholders at thethe locallocal levellevel

�� Ministry of health of the Arkhangelsk Ministry of health of the Arkhangelsk

regionregion

�� Northern State Medical University Northern State Medical University

�� Centre for Epidemiological SurveillanceCentre for Epidemiological Surveillance

�� Ministry of Emergency of the Arkhangelsk Ministry of Emergency of the Arkhangelsk

regionregion

�� HydrometeorologicalHydrometeorological centrecentre

�� Medical Informational Analytical Centre of Medical Informational Analytical Centre of

the Arkhangelsk Regionthe Arkhangelsk Region

ObjectivesObjectives�� To assess the impact of climate change To assess the impact of climate change on health of the population in the pilot on health of the population in the pilot region and adaptive capacity of the region and adaptive capacity of the regional health systemregional health system

�� To establish cooperation between To establish cooperation between meteorological and health care service to meteorological and health care service to forecast and prevent negative health forecast and prevent negative health consequences of climate change consequences of climate change

�� To develop adaptation strategy for To develop adaptation strategy for regional health care system regional health care system

�� To create an action plan for preventing the To create an action plan for preventing the impact of climate change on health, which impact of climate change on health, which could be extended to other Russian Arctic could be extended to other Russian Arctic RegionsRegions

Assessment Methods

1.1. Identification of the assessment scopeIdentification of the assessment scope2.2. Systematic review of the burden and distribution Systematic review of the burden and distribution

of diseases at the momentof diseases at the moment

3.3. Description of currently existing strategies, Description of currently existing strategies, political directions and measures, aimed to political directions and measures, aimed to decrease the burden of diseases sensitive to decrease the burden of diseases sensitive to climate changesclimate changes

4.4. Collect and analyse data on identified health and Collect and analyse data on identified health and meteorological indicators in order to establish meteorological indicators in order to establish and assess climate changes impact of healthand assess climate changes impact of health

5.5. Forecast future potential impact on health, using Forecast future potential impact on health, using scenarios of climate changesscenarios of climate changes

6.6. Combine the results and prepare the assessment Combine the results and prepare the assessment reportreport

7.7. Develop adaptation strategyDevelop adaptation strategy

Criteria used to establish the Criteria used to establish the

scope of assessment scope of assessment

�� Priority health risksPriority health risks

�� Climate sensitivity of the health Climate sensitivity of the health

problems selectedproblems selected

�� Data availabilityData availability

Climate sensitive health Climate sensitive health

outcomes to be evaluated? outcomes to be evaluated?

�� Mortality from cardiovascular and respiratory diseasesMortality from cardiovascular and respiratory diseases

�� Acute respiratory and cardiovascular events and their Acute respiratory and cardiovascular events and their associations with climatic factors and air pollutionassociations with climatic factors and air pollution

�� Change with the notification rates of climate sensitive Change with the notification rates of climate sensitive infectious diseases (tickinfectious diseases (tick--borne encephalitis, borne encephalitis, salmonellosissalmonellosis))

�� Changes in the amount and severity of emergencies Changes in the amount and severity of emergencies (floods) and their consequences for health due to climate (floods) and their consequences for health due to climate changes changes

�� Impact of climate change on health and traditional way of Impact of climate change on health and traditional way of living of the indigenous populations, including access to living of the indigenous populations, including access to health care facilitieshealth care facilities

Major Major challengeschallenges

�� Little cooperation between stakeholdersLittle cooperation between stakeholders

�� Hierarchic structure of servicesHierarchic structure of services

�� Public opinion (often shared by the Public opinion (often shared by the authorities)authorities)

�� Data ownership issuesData ownership issues

�� Data quality issues (paper based, Data quality issues (paper based, ““holesholes””))

�� Strong social confoundersStrong social confounders

�� No experience in climateNo experience in climate--related issues in related issues in the health sectorthe health sector

�� No previous experience in downscaling the No previous experience in downscaling the global climate change models to the global climate change models to the regional level regional level

LeadingLeading organizationsorganizations::

�� WHO WHO officeoffice in Moscowin Moscow

�� NorthernNorthern State State MedicalMedical University, University,

ArkhangelskArkhangelsk

�� Time Time frameframe: 2009: 2009--20112011

ThankThank youyou