The 2021 WHO health and climate change survey report has provided vital snapshot of the overall progress that the governments have made in the field of health and climate change to date as well as insight into what work remains in order to protect their populations form the most devastating health impacts of climate change. Out of 95 countries participated in the survey, India is one of them.

The reports shows that India has conducted a climate change and health vulnerability and adaptation assessment, but no other information were given to the WHO regarding its year of completion of latest assessment. India did not even responded to the two other most important questions – First, Did the results of the latest assessment result in the development of new or revision of existing health policies or programmes? Second, Did the result of the latest assessment influence the allocation of human and financial resources within the ministry of health to address health risks of climate change? Thus it can safely be concluded that India is not yet ready to tackle any emergency situation arising due to the impact of climate change.

It should be noted that the health and climate change country survey is conducted every three years and in addition to tackling global progress, the national data are presented in the health and climate change country profiles. The survey was sent to the national health authorities who in collaboration with other relevant ministries and stakeholders, provided updated information on key areas including leadership and governance, national vulnerability and adaptation assessments, emergency preparedness, disease surveillance, adaptation and resilience measures, climate and health finance, and mitigation in the health sector.

The report also presents regular updates on key health and climate change indicators that provide insight into the implementation of policies and plans, the status of assessments of health vulnerability and capacity to respond to climate change and better understand the barriers to achieving health adaptation and mitigations priorities.

The report shows that India do have a national health and climate change plan/strategy in place, and it was shown completed only the current year 2021. However, the level of implementation of the national health and climate change or strategy has been given three out of four points, which means high level of action being taken on a majority of the plan/strategy priorities.

India has provided no information on the question, “Are climate change and health considerations included in COVID-19 recovery package in your country?” This gives rise to a doubt about our countries performance in this regard. It suggests that government had done nothing, and hence needs to address the issue urgently.

Does the ministry of health have a designated focal point responsible for health and climate change? And as the ministry of health established a multi-stakeholder mechanism on health and climate change that is currently operational, e.g task force or committee? The Government of India has answered both the questions in affirmative.

Agriculture, Education, Energy, Environment, and National meteorological and hydrological services are considered the major health determining sectors. If there is a joint memorandum of understanding or other agreement in place between the ministry of health and this sector/ministry which defines specific roles and responsibilities in relation to health and climate change policy or programmes, Government of India has given reply in affirmative for all sectors save education. Therefore, it is imperative that education should also be made part of the plan and strategy.

The report has found that only 67 per cent countries have yet conducted a climate change and health vulnerability and adaptation assessment or are currently undertaking one.

A total of 77 per cent of the countries have developed or are currently developing national health and climate change plans or strategies. However, implementation is impeded by insufficient financing, human resource constraints, and limited research, evidence, technologies and tools.

About half (52 per cent) countries reported that the COVID-19 pandemic had a significant impact on their work to protect health from climate change, diverting health personnel and resources and slowing the implementation of protective measures. Just one third of countries (33 per cent) have taken the opportunity to include climate change and health considerations in their plans for recovery from COVID-19.

As for multi-sectoral collaboration on policies and programmes related to health and climate change, over 75 per cent of the countries have established coordination mechanism which included representation from stakeholders or sectors addressing the environmental determinants of health, such as safe water, sanitation, and hygiene services, clean air and meteorological services. However, representation of stakeholders or sectors focused on the structural and social determinants of health such as education, urban planning, housing, energy and transportations systems, was found in the range of 40-50 per cent.

Less than 40 per cent of countries currently include weather and climate information in their health surveillance systems for climate sensitive diseases. Those who have, they included only vector-borne, waterborne, airborne, or respiratory diseases. Only 33 per cent of the countries have heat-related illness and only 30 per cent for injury and mortality from extreme weather events despite strong evidence that these risks are increasing around the world.

Only 42 per cent countries have conducted training to their health workers for climate related health risks, and therefore further efforts are needed to ensure the capacity-building of the health workforce has been suggested by the report. Moreover, only 27 per cent countries have conducted assessments of the climate resilience of their healthcare facilities.

The report suggests that more access to international funds including multilateral climate funds should be provided to the low and lower middle income countries, since only 28 per cent of them are presently able to access them. Moreover, the funds need to be substantially increased. (IPA Service)