Session 1 Climate Health for the Health Professional

Summary

Highlights

• The Western Pacific Climate Change and Health Responder Course is spearheaded by the Global Consortium on Climate and Health Education. 🎓
• This initiative aims to educate health professionals globally, focusing on reducing health disparities induced by climate change. 🏥
• The course includes expert lectures, case studies, and spans 10 sessions covering vital climate-health topics. 📝
• A new Western Pacific Network for climate and health education is being launched to enhance regional collaboration. 🌐
• The course requires a 70% attendance and exam pass rate for certification. 🎯

Key Takeaways

• Climate change is the greatest health challenge of our time, requiring global education for health professionals. 🌍
• The course aims to build a quarter million students' capacity to tackle climate-driven health issues globally. 🏥
• Efforts include launching the Western Pacific Network on Climate and Health Education. 🌏
• Engagement with international partners ensures region-specific expertise and fosters collaboration. 🤝
• Health professionals play a crucial role in policy-making and advocacy for climate action. 📢

Overview

Chapters

• 00:00 - 00:30: Introduction and Welcome The chapter titled 'Introduction and Welcome' likely serves as an opening to the content or book it belongs to. It may provide an overview of the material to be covered, introduce main themes or ideas, and set the tone for the reader's experience. The chapter might also include a welcoming message to engage the audience and prepare them for the content that's about to follow.
• 00:30 - 03:00: Background and Mission of the Global Consortium on Climate and Health Education The chapter begins with Cecilia Sension, the director of the Global Consortium on Climate and Health Education at Columbia University, introducing the Western Pacific Climate Change and Health Responder Course. This marks the first session, and she expresses her honor and delight to have attendees join from various locations.
• 03:00 - 05:30: Overview of the Western Pacific Climate Health Responder Course The Global Consortium on Climate and Health Education aims to equip health professionals worldwide with the necessary skills to tackle health challenges posed by climate change. The organization includes nearly 390 health professional schools from over 70 countries, committed at the leadership level, to enhancing health education to mitigate climate-related health disparities and improve overall health quality.
• 06:30 - 08:30: Introduction to Ying Zang and the Importance of Health Professionals in Climate Change Education The chapter titled 'Introduction to Ying Zang and the Importance of Health Professionals in Climate Change Education' emphasizes the critical role of health professionals in addressing climate change. It highlights a dedicated effort to educate students globally on the intersection between climate change and health. With health professional training members' pledges, the initiative is reaching nearly a quarter million students annually. The work aims to enhance the capability of health practitioners worldwide to manage the health impacts of climate change. Additionally, it boasts a worldwide educational platform, offering courses in every region of the World Health Organization (WHO).
• 09:00 - 15:00: Lecture by Dr. Ying Zang: Climate Change and Health Risks The chapter discusses the Western Pacific Climate Health Responder Course, which aims to reach approximately 10,000 health professionals annually through various tiers of courses. This particular course is the first to be offered in the Western Pacific region and follows the model of similar courses conducted in other global regions. The course development involved regional working groups to ensure local experts are identified and included.
• 25:00 - 31:00: Role of Health Professionals in Climate Change Adaptation and Mitigation The chapter focuses on the role of health professionals in addressing climate change through adaptation and mitigation strategies. It highlights a collaborative approach that involves various prestigious institutions and networks. The creation of the Western Pacific climate and health responder course serves as a model for such collaborations, incorporating expertise from international universities and health organizations to educate and prepare health professionals in dealing with climate-related health issues. Key collaborators include the University of Sydney, Lancet Countdown, Monash University, and several other global health institutes, underscoring the importance of a united, interdisciplinary approach to climate health education.
• 31:00 - 40:00: Overview of Lancet Countdown's Health and Climate Change Work in Oceania and Asia The chapter discusses the collaborative efforts of various organizations, including The Lancet Countdown, focusing on the intersection of health and climate change in Oceania and Asia. A working group composed of regional experts has been established to create a course aimed at educating health professionals about the health impacts of climate change and how they can effectively respond. Additionally, there's an introduction of the Western Pacific Network on climate change, which is being launched to further this cause.
• 47:00 - 80:00: Q&A on Adaptation, Mitigation, and Policy Collaboration The chapter titled 'Q&A on Adaptation, Mitigation, and Policy Collaboration' begins with the introduction of a health education initiative based at the University of Sydney. Dr. Ying Xang, the director of the network, is introduced and acknowledged for joining the session. The aim is to welcome participants to the inaugural Western Pacific climate and health response course.
• 85:00 - 86:00: Final Remarks and Invitation to Join Course WhatsApp Group The chapter focuses on the launch of the GC Western Pacific Network on climate health education. This initiative is an educational opportunity for health professionals and students in the region to address climate change, acknowledged as the greatest health challenge of our era. The region is notably vulnerable, experiencing rising temperatures, extreme weather events, and health inequities. The emphasis is on enhancing capability to respond to these challenges.

Session 1 Climate Health for the Health Professional Transcription

• 00:00 - 00:30 for
• 00:30 - 01:00 hello everyone and welcome my name is Cecilia senson I am the director of the global Consortium on climate and health education basic Columbia University and I am honored and delighted to welcome you to the Western Pacific climate change and health responder course this is our first session today and from wherever you are we're so delighted you're here to join
• 01:00 - 01:30 us for a little bit of background the global Consortium on climate and health education has a mission to ensure that all health professionals throughout the world have the Knowledge and Skills to identify prevent reduce and respond to the health impacts of climate change thereby reducing Health disparities and improving quality of health and well-being we are an organization of now nearly 390 health professional schools from over 70 countries who have pledged that the level of the dean or head of
• 01:30 - 02:00 school to train their students in climate and health on an annual basis we are reaching nearly a quarter million students through these pledges of our health professional training members we invite you to join us on this exciting work to increase the capacity of health professionals everywhere to address the health impacts of climate change part of what we do is we provide Global education on the intersection of climate change and health we now have courses running in every single w o
• 02:00 - 02:30 region reaching approximately 10,000 health professionals every year through tier one tier 2 and tier three courses this course which we are about to start today the Western Pacific climate Health responder course is the first course that we put together in the Western Pacific region and is similar to the other climate Health responder courses we have run in other Global areas to create these courses we bring together working groups from the region in order to ensure that experts from the region are being being identified and
• 02:30 - 03:00 presenting on our webinars and also to build collaboration and cooperation in the regions around climate and health education so in the creation of the Western Pacific climate and health responder course we brought together so many tremendous Partners from the University of Sydney from the Lance at countdown from monach University from cafia from the heel network from the planetary Health Alliance of the Philippines from the global Health Institute at Duke from Sunway University from chir University and the University
• 03:00 - 03:30 of Cana as well as others and just to give you a little bit of background on who's behind these great organizations we had an incredible working group representing these organizations and more trying to bring together experts in the region in order to build this course to bring health professionals up to speed on the health impacts of climate change and what they can do to respond to it with the launch of this course we are also launching a network called the Western Pacific Network on climate and
• 03:30 - 04:00 health education which will be based at the University of Sydney and we are lucky to be joined today by the director of the network Dr Ying xang over to you Ying hello everyone can you hear me okay I'm St to welcome you here to the um first ever Western Pacific climate and health respond course uh as the new director of the uh
• 04:00 - 04:30 uh GC Western Pacific Network on climate health education which was officially launched last week at the University cine I'm so pleased that we can offer this educational opportunity to all health professionals and students in the region and there's no doubt that climate change is the greatest Health Challenge of our time and our region is on the front lines and facing Rising temperatures um extreme weather events and growing Health in equities and strengthening our capacity to respond is
• 04:30 - 05:00 very um uh critical so in this course um and in within the the new network and the new Partnerships we will explore um collaboration opportunities and critical topics that we can work together uh in addressing climate change and um public Global public health issues so our goal is to take the opportunity in responding to climate change and to build a climate resilient sustainable healthier
• 05:00 - 05:30 Equitable health system for everyone especially the most vulnerable populations in the Western Pacific so stay tuned we will um send more informations and welcome Partners from the region to join the um uh elective Collective efforts thank you so much thank you so much and we welcome everybody and anyone to join the global Consortium and soon to uh join the uh Western Pacific Network on climate and
• 05:30 - 06:00 health education and more information will be coming on that opportunity so with that thank you all so much um we are delighted to be launching this course and I will now turn it over um to Dr Paul begs thank you great thank you so much Cecilia I will just share my screen so good morning morning everyone
• 06:00 - 06:30 or good afternoon wherever you may be uh again it's a great privilege and honor to be with you uh today uh it's a very exciting day for us a huge amount of planning has gone into this course and in particular this uh session one so we hope that you're going to get a great deal out of this so I wanted to start off by talking generally about the course um so some of the course objectives uh we have three objectives in particular and you can see those there so the first objective is to
• 06:30 - 07:00 increase health professionals knowledge self-efficacy and communication related to climate change and health the second course objective is to expand the global Workforce capacity to develop and Implement educational programs on climate change and health and thirdly to build and strengthen an agile and informed Community around climate change and health education advocacy and policy
• 07:00 - 07:30 this is the course schedule so you can see that the course has 10 sessions uh usually we have two sessions per week on Tuesdays and Thursdays uh you can see that we're in session number one there focused on climate change for the health professional so you're going to be hearing a lot from ying and shei which I'll introduce a bit later uh regarding the contribution of the health profession to the climate change and health issue on Thursday this week we have session
• 07:30 - 08:00 two on degraded air quality uh and then next week we move on to two other topics uh session three looking at extreme weather events and disasters with a focus on typhoons and flooding and then the important topic of temperature related illness and mortality uh in week three um we have sessions five and six looking at climate extremes agriculture food and water security uh and then uh moving on to
• 08:00 - 08:30 looking at Vector born diseases and xotic diseases and climate change and then in session seven we have the very important topic of climate change and mental health and to finish up the course we have a couple of sessions looking at adaptation and mitigation session eight looking at Health System adaptation and resilience in a changing climate and session nine looking at health Co benefits of climate action and then the
• 08:30 - 09:00 very final session session 10 looks at advancing climate Justice through climate change communication engagement and advocacy so that's the uh course schedule uh what you have ahead of you over the coming 10 sessions so moving on to the learning objectives for today's session session one uh you can see that we have six uh learning objectives for today
• 09:00 - 09:30 so I'll just go through those quickly so that you know what today is all about so first of all we're going to be um explain the general mechanism of the greenhouse effect uh which Ying will talk about and describe how human activities mainly the combustion of fossil fuels are exacerbating this natural phenomenon uh one of the objectives is to distinguish between climate mitigation adaptation and resilience uh to explain the main Health
• 09:30 - 10:00 impacts of climate change and how the health sector contributes to both climate change and environmental degradation the fourth learning objective as you see there is to identify ways in which climate change preferentially impacts socioeconomically racially and eth ethnically marginalized communities both locally and globally uh one of the objectives is to describe the importance of the health profession in advocacy and policy making
• 10:00 - 10:30 to address climate and health and finally to describe the role of Public Health in monitoring mitigating and responding to the impact of climate change on human health so they are the six learning objectives for today's session I wanted to say a bit about the logistics of the course overall uh as I said there are going to be 10 sessions uh and each of those sessions will be 9 20 minutes long an hour and a half and
• 10:30 - 11:00 they will usually include an expert lecture and uh one or two case study presentations at the end of each session uh there will be the opportunity for questions and answers um so if you have any questions uh as we go through today's session please put those into the Q&A uh it's important that you put your questions into the Q&A not the chat facility um so we won't be keeping an eye on the chat facility um as you can
• 11:00 - 11:30 see it's already been really busy the chat so please use the Q&A for your questions um that means we'll uh get to them and the session video recordings slide decks and resources will be made available on the course website so you'll have access to all of the resources through that website uh some important uh notes regarding attendance uh so attendance is automatically recorded during the live
• 11:30 - 12:00 Zoom session so um if you're in the live Zoom session then your attendance is automatically recorded so your individual attendance is only counted if you're using your personal Zoom link so it's really important that you use your personal Zoom link to join the live Zoom sessions so your attendance will not be counted if you join with a colleague's link so please make sure that you use your own personal link uh and finally
• 12:00 - 12:30 YouTube views will not count towards attendance so you have to be in these live Zoom sessions for your attendance to be counted uh and uh this is why um your attendance is are really important um participants who attend greater than 70% of the live sessions and also pass the final exam with a score of greater than 70% at the end of the course will be
• 12:30 - 13:00 awarded a certificate of participation in climate change and health from the global Consortium on climate and health education so you need to attend 70% of the sessions um and get a score of greater than 70% in the final exam so coming to the final exam um it's 10 sessions away um but it's good for you to know a bit about it at the moment so the exam as I said must be completed
• 13:00 - 13:30 using the same email address used to attend the zoom sessions and the exam link will be sent on the final day of class um and it will also be um sent out via WhatsApp so the format of the final exam will be approximately 25 multiple choice questions or true false questions so it will be a mix of those and as I said participants um should be prepared to take the exam in one
• 13:30 - 14:00 sitting okay so this brings us to our two presenters for today um and it's my great honor to introduce these two speakers um they are wonderful colleagues of mine I've been working with them for a number of years now um and we're very lucky to have them opening this course for the Western Pacific um so we have Ying Zang um and Chi Zang um I'll introduce Ying now who's going to give us lecture uh and
• 14:00 - 14:30 I'll introduce Chi a little later on so Dr Ying Zang is an associate professor at the school of Public Health at the University of Sydney and is also a fellow of the international Society for environmental epidemiology she co-chairs the Atlantic countdown Oceania on health and climate change and is the founding chair of the Sydney sustainability climate and health collaboration uh Ying serves on the editorial Board of the Journal of
• 14:30 - 15:00 climate change and health and is the inaugural director as we've heard of the GC Western Pacific Network for health and climate education um so a warm welcome back um to Ying um I will finish um sharing my screen uh and Ying you can get going thank you Paul and bear with me while I'm sharing my screen
• 15:00 - 15:30 that looking good yep all good okay thanks for the introduction Paul and um I'm so pleased to give the first session uh of the Western Pacific climate houseal responder course um I'd like to begin by acknowledging the
• 15:30 - 16:00 traditional custodian of the land and paying my respect to their Elders past present and emerging I am speaking today from the Camaro land um in Nini Australia um okay um Paul has briefly mentioned the learning objectives of today's session I'd like to highlight that um this is a
• 16:00 - 16:30 um fundamental like introduction to climate change as a health risk health risk um so in the next 40 minutes also I'd like to um I try my best to give you um a brief introduction of uh why climate change is a health issue including the key Concepts in responding to climate change as well as the action oriented um evidence and research that
• 16:30 - 17:00 we need to address together um and also very importantly as a health professional um as most of audience are working in health sector what we could do to protect Public Health from climate change and extreme weather events so by the end of the session I will um provide uh brief overview uh including the key messages from our lesson countdown uh health and climate change in the um Oceania
• 17:00 - 17:30 region so um by achieving the learning outcomes I like to address these questions in the uh session so basically we would like to understand what is the greenhouse gas effect and who is um contributing to that and what are the key strategies um and um more importantly what are the high-risk populations and what we can do in responding to climate
• 17:30 - 18:00 change um so according to um the UN definition climate change refers to a longer term shifts in temperatures and weather patterns um and such shifts U can be natural for example due to the changes in the songs activity but since the 1800s um human activities have been the main driver of climate change which has been Pro proved by scientific evidence
• 18:00 - 18:30 there's no argument about that in the scientific community and um primarily due to the um burning fossil fuels like coal oil and gas and the main greenhouse gas um that are causing climate change uh include carbon dioxide and Maan Etc so these come from using gasolines um for driving a car for example or for um Cooling and um heating our buildings um I'm not a a physicist to be honest but
• 18:30 - 19:00 um this is a very short video um that briefly um explains what green house gas effects are so that indicates um we are responsible for the changes in the climate system let's see if I can play the the video
• 19:00 - 19:30 oh we can't see that uh sorry uh there is no just an audio and very can you hear this no it's it's not
• 19:30 - 20:00 good enough oh um maybe I could share the share computer sound this is how a greenhouse keeps plants warm even at night and in the winter the greenhouse effect keeps earth warm in pretty much the same way Earth isn't surrounded by glass but it is surrounded by a jacket of gases called
• 20:00 - 20:30 the [Music] atmosphere in the daytime the sun shines through the atmosphere warming Earth's surface after the sun goes down Earth's surface cools this releases heat back into the air but some of that heat is trapped by the gases in the atmosphere these heat trapping gases are called greenhouse gases carbon dioxide water vapor and methane are all examples
• 20:30 - 21:00 of greenhouse gases earth needs a balance of greenhouse gases to maintain just the right temperature for living things but some human activities are changing Earth's natural greenhouse effect for example burning fossil fuels like coal and oil releases more carbon dioxide into our atmosphere these extra greenhouse gases can cause the atmosphere to trap more and more Heat leading to a warmer Earth NASA
• 21:00 - 21:30 satellites are constantly measuring the gases in our atmosphere from space they've observed increases in the amounts of carbon dioxide and other greenhouse gases the information from NASA satellites can help scientists figure out where greenhouse gases are coming from and how they are ending up in our atmosphere this information will help us better understand the impact that greenhouse gases have on our climate and help us better understand this very special Greenhouse
• 21:30 - 22:00 that we call home find out more about our Earth at Nasa climate [Music] kids that's a simple explanation explanation that you could explain to your child as well so now um move on to answer this question how
• 22:00 - 22:30 are human activities worsening the greenhouse effect as you would agree um modern human activities um release um amounts of greenhouse gas emissions intensifying the Greenhouse Effect and closing global warming and more frequent and um severe intensive extreme weather events and natural disasters so the pi chart shows that almost three quarters of emissions came from um um energy use um for
• 22:30 - 23:00 buildings electricity um transportation Industries and almost one fif um from Agriculture and land use and the remaining around 8% from industry and waste so um notably Health sector uh contributes 5% roughly 5% of the global greenhouse gas emissions largely due to energy use for
• 23:00 - 23:30 building operations uh medical equipment transportation and production of disposal of medical suppliers so that's where the um Health sector could think about how we can mitigate the um the greenhous gas effects from our daily works so then um what can we do about it you must have already heard of these two climate change strategies mitigation and adaptation these are the two bz words in
• 23:30 - 24:00 climate change responses so here are some um um more details in case you are not familiar with these two concepts mitigation is to avoid the unmanageable um it aims to reduce greenhouse gases in atmosphere uh either by reducing their sources or increasing their syns the long-term importance of Med mitigation is critical um as degree that um to
• 24:00 - 24:30 which the global climate conditions will change is subject to the mitigation efforts that we can make uh today so some mitigation measures include policies um uh legislations to reduce greenhouse gas emissions for example the the carbon price that has been applied to many countries but not here in Australia yet um the adoptation of new technologies and investmenting renewable
• 24:30 - 25:00 energies so China uh has the world's largest carbon Market at the moment and also the um the largest solar panel manufacturers as well so leading the way in renewable energy and also uh in addition to the you know policy level and legislation level uh there are lots of actions that individuals can take to reduce carbon emissions and to improve our environment
• 25:00 - 25:30 and bring the co benefits to our own health for example active transportation and reduce private car driving and there are some websites that um you can measure your own Echo footprint to understand uh where um we as individ individuals can change our consumer behaviors reduce our impact on the planet unfortunately um even the most optimistic um mitig ation scenarios
• 25:30 - 26:00 cannot stop or reverse climate change within a short time period uh that means um that individuals and communities organizations will need to adapt to manage the unable impacts unavoidable consequences so the aim of adaptation is to reduce vulnerability to climate change so as you can see here in the um graph here the ipcc the interg government
• 26:00 - 26:30 panel on climate uh climate change describes vulnerability and to climate change as being determined by three factors uh exposure to climate risks sensitivity to those risks uh as well as the capacity to adapt to those risks so adaptation measures can help reduce vulnerability by lowering sensitivity or building up adaptive capacity in Community or at other levels so it is important to
• 26:30 - 27:00 increase the ability to adjust um and take opportunities the opportunities um to cope with consequences faster and more effectively um however um there is currently a lack of community-based adaptation um resilience research to understand what me measures can be more effective and culturally acceptable um in reducing health inequalities in responding to climate change so in the
• 27:00 - 27:30 health sector um better adaptation means reduced adverse Health outcomes from climate change and extreme weather events so many of the um adverse Health outcomes which I will um mention later on for example More Death from heat um uh could be preventable uh it is recognized that Collective efforts from governments communities um individuals heal professional knows are essential to better adapt to climate change and
• 27:30 - 28:00 protect the most vulnerable uh populations so um climate change is not a only deemed as a environmental issue um but uh but all more developmental health and social justice issue as you could understand the most recent ipcc assessment reports defines the climate resilient development Pathways in a whole chapter it defines it as a process of
• 28:00 - 28:30 implementing greenhouse gas mitigation and adaptation uh options to support sustainable development for all so as we um Endeavor to achieve sustain sustainable development goals and building climate resilience brings all sorts of opportunities to address the shared uh underlying fundamental issues such as poverty and air quality um also
• 28:30 - 29:00 uh we need fresh air clean water uh food nutrition safe housing for more than eight billion people on the planet which are the fundamental Health determinants that uh are unfortunately impacted by climate change uh however there's a a rapidly uh narrowing window uh of opportunity to implement system transitions uh needed to enable this um climate resilience development Pathways so opportunities for climate resilient
• 29:00 - 29:30 development uh vary greatly by location so hopefully we can see more of the the co- benefits from developing settings um you may um understand that climate change is a health issue but without um understanding the pathways um given its profound impact of uh climate change on the health on our health the who has recognized climate
• 29:30 - 30:00 change as the greatest Global Public Health threat of our time not one love is the greatest that um demands urgent action um even beyond the scale of the covid um 19 responses so climate change affects our health both directly and indirectly so more frequent and intense extreme weather events lead to um increased death L injuries and hospital adiss um
• 30:00 - 30:30 indirectly environmental changes um can cause uh really severe air pollutions and um limited uh access to water and the um uh you know more infectious diseases through you know the survival um longer survival period of mosquitos for example um that cause more infectious diseases to the community such as malaria the dungi even to those
• 30:30 - 31:00 areas that currently um haven't got any such um VAB bone diseases and the risk has been increased uh additionally climate change accessores non-comic diseases uh including cardiovascular and respiratory um conditions um as well because of heat in responding to extreme heat exposure we need a heal healthy heart system to maintain our core body temperatures and to adapt uh additionally um the food insecurity uh issues um caused by
• 31:00 - 31:30 climate change will bring more uh under nutritions in developing settings especially and also the long-term um mental health outcomes can be also very significant because of natureal disasters and the forced um displacement um causing drama stress and other psychological um issues so addressing climate change is not just an environmental change is issue as I mentioned so it's a healthy
• 31:30 - 32:00 um Health imperative requiring coordinated Global actions so um here are some numbers and facts these are the evidence um that um support the argument that climate change is a health issue so unfortunately those who are already disadvantaged socially uh economically politically uh marginalized populations
• 32:00 - 32:30 um are the ones who suffer the most even though um um they contributed the least to the problem uh the older the very young um the indigenous are living in remote areas Etc these marginalized commun communities often lack um access to technology and often a lack the opportunity to be engaged in decision- making and policym process that further accessib basee there health risks um
• 32:30 - 33:00 it's very important to prioritize this vulnerable populations particularly in developing settings and uh we could actually take the opportunity to reduce the health inequality within and between countries so these are the numbers that I won't um read them all um but again the climate crisis is a Health crisis so as I mentioned that these are the um high-risk populations that we need to
• 33:00 - 33:30 pay more attention to climate change acts as a um threat multiplier um disproportionately affecting those who are already vulnerable in the society so by addressing climate change issues we could uh reduce the health inequity as I mentioned um there are some um prescriptions from the nature from the health professionals we just need to take take action and uh focus on
• 33:30 - 34:00 more implementation part of this um solution so the interactions among climate change mitigation adaptation um and climate um disas risk management may have a significant influence on resilience and sustainable Pathways as I mentioned earlier um but also the interactions um between the goals of mitigations and adaptations will play out Lo equally um but have Global consequences as
• 34:00 - 34:30 well um as I mention that we have to take a precautionary P principle in addressing climate change as you would um argue that um given we don't have 100% confidence in the scientific evidence that's not an excuse for us to not take actions so that's why the ipcc and the who has recognized the
• 34:30 - 35:00 precautionary principle to take action even that we do not have a 100% uh certainty in the evidence just to avoid the unmanageable consequences to the society to our economy to the culture um to our systems so now move on to the um action so what role uh we can do as a house professionals academic and um working in
• 35:00 - 35:30 the health sector this is a even more relevant questions for you all to think about the list here is by no means a complete uh list uh as health professionals can advocate for policies uh that reduce greenhouse gas emissions as the most trusted voices in uh especially in communicating house risks um we can educate the public uh beyond
• 35:30 - 36:00 your patient rooms on climate related health risks and sustainable behaviors as well as um support sustainable Health Care uh practices for example reduce Hospital Cardon Footprints and health professionals can also help with adaptations for example to um prepare uh communities better respond to climate related Health threat from uh disasters uh through strengthening uh Health Systems
• 36:00 - 36:30 improving civilian and health professionals also serve as um Frontline responders Educators um and also um Advocates um policy makers in addressing climate change and protecting public health so there's a long list for us to take action uh in addressing climate change and protect our patients and the communities that we
• 36:30 - 37:00 serve so um move on to the next part I'd like to share some insights about the L and countown of health and climate change in Australia and the Oceania region uh especially how we use the evidence to advanc policies and practices in responding to climate change for those who are not familiar with Ling
• 37:00 - 37:30 countown and its work um the global initiative aims to develop indicators meaningful uh relevant and useful indicators to evaluate the progress on health and climate research and uh responses to inform policy making and engage stakeholders to accelerate the transition to a more sustainable and climate resilient Equitable and healthier Society so far um they have produced
• 37:30 - 38:00 seven Global reports uh and all are freely available on the website um if you are interested in read all the reports there there are six Regional centers that can better leverage um global resources to advance uh local changes so you today in this session you will hear um some key messages from Oceania team and as well as the the Asia
• 38:00 - 38:30 team so we take a holistic um and integrated approach in the methodology to uh develop indicators covering five major interconnected domains including the risks the impacts and vulnerability adaptation uh mitigation and co- benefits um finance and uh engagement so it's a real uh multidisiplinary project that involves over 300 experts
• 38:30 - 39:00 around the world so for the um Oceana team originally um focused only um on Australia uh we have published six uh Lon countown Australia AIA reports so far um all the uh reports are freely available on the medical journal of Australia website which is the leading Medical Journey Australia that informs and influence um local policy makers and
• 39:00 - 39:30 uh medical and health practitioners so we do hope that if if you know as as you may have noticed that the subtitles of these uh report so far have been um negative and we do hope that we could see more positive results um in the future reports as we track the progress in the region now in the most recent report we have uh 25 indicators cross five sections uh we
• 39:30 - 40:00 have uh in the first original report in uh 2018 we have more than 40 indicators but not every indicator uh requires annual update as you can understand there are also changes in combining some indicators as we followed the uh changes in the global assessment uh we uh use local data and contexts for our analysis for the region we have developed unique uh indicators
• 40:00 - 40:30 for Australia uh we also used tax boox for some important topics that have not yet been able to be uh presented and included as a mature indicators but important to be addressed in the report in our assessment um for example we um uh have um the uh text boxes for climate change impacts AB Regional and touristry Island house and also the um perspective perspective from New Zealand and venan in our most recent
• 40:30 - 41:00 report so in the next few slides I will briefly very briefly mention um some key messages from each section um so you can get the key messages there and in the first um section on on the um vulnerability we have four indicators in the section and we have uh identified increase exposure to all
• 41:00 - 41:30 the measured indicators here it's all upwards in terms of the exposure to the extreme um bush fires heat DRS in Australia as you can imagine with a developed economy and people still died because of weather is too hot here in Australia and which can be preventable largely preventable and we don't want um to see that happen uh of course so for
• 41:30 - 42:00 adaptation we have four indicators uh sorry five indicators in adaptation and um this indicator tracks population exposure to Future sea level rise um uh weather uh sorry um of one meter and in 2021 nearly 50,000 people were forced to leave their home by weather related disaster in Australia and the number um has been
• 42:00 - 42:30 increasing as you see in the trend in the graph so for mitigation these are the um seven indicators tracked in this section well we have seen uh continued uh but small decline in fossil fuels uh beyond the the decline um observed due to the impact of covid um there're still we're still um
• 42:30 - 43:00 very much lag behind other comparable developed countries in term of transition to Renewables for example the sale of um electric vehicles in 20 22 only U accounts for less than 4% uh which is um substantially behind the global average of 14% and our other comparable countries so more robust policy these um incentives are essential to accelerate
• 43:00 - 43:30 um the uptake given the lack of federal and rebate and we also look at indicators um for the uh economic losses uh here in this graph you can see the the increasing in the dollars lost in the Australian economy uh in 2022 alone uh also the highest amount on Reg um they um total annual insured uh loss
• 43:30 - 44:00 from uh primate disasters were more than S billion Australian dollars in that year alone and mainly due to the fls in new sou Wells and and um Queensland uh at the moment um we are lots there are lots of people in Australia suffering from the Cyclones the floods in Northern rivers in US Wells as well as lots of people uh lots of their um
• 44:00 - 44:30 Power and and the houses are flooded um and it it happens every year but each year the cons consequences are more severe and we really need to think about the systematic changes to protect people in the mo most vulnerable regions and finally um we look at the um topics related to climate and health issues covered by the uh newspapers scientific Publications uh government documents as
• 44:30 - 45:00 well as the foundings to support uh research on health and climate change and the increasing um uh discussion in the Australia newspapers was mainly due to the federal election happened in 2022 where climate change was a clear focus on the um uh political um uh discourse um as Australia is holding the next federal election this year in the
• 45:00 - 45:30 next couple months um climate change could be a critical topic to engage the public engaged uh Community uh to address why this is an important health issue that everyone should be involved and should take action on this so um in conclusion um the floods has caused significant health and E uh Economic Consequences to the Australian Society well we have made some progress but we um that's not um sufficient
• 45:30 - 46:00 especially in protecting the most vulnerable people um from climate disasters and we call for Urgent actions to address this so we also um understand that um the politicians won't actually have time to read the full um like 30 or 50 pages of the scientific report so that's why we took um uh we uh collaborate with is uh our partners including the leading health
• 46:00 - 46:30 professional organizations to develop uh policy briefs for Australian policy makers to really highlight and it reiterates the important policy oriented recommendations for them to uh lead the changes uh as I mentioned that um we are very proud that our evidence has been cited widely by a range of leading health professional organizations in Australia
• 46:30 - 47:00 such as the Australia Medical assoc Association um that declared climate uh change as a health emergency which was followed by other health organizations based on the evidence and also last year the Australian government uh released the first ever National Level Health and climate strategy which is a big step forward in terms of policy change to address climate health issues and at the moment um at the national level uh uh the team
• 47:00 - 47:30 is developing uh the first uh he uh Health adaptation action plan that will actually strengthen the topown approach uh to uh Advance our policy changes and practices so um basically this is a very brief wrap up about the um uh lensing countdown on
• 47:30 - 48:00 health and climate change for the Oceania region and I like to acknowledge the um members of the team as you can see that we are real a multi-disciplinary team and all the um partners and health organizations that we've been working with to um Advance the policy and practice practices in climate actions to protect People's Health uh um so I will finish here um
• 48:00 - 48:30 what I like to say is that any um overnight policy changes requires the many years of research and advocacy so let's work together to um accelerate the transition to renewable and to a next zero Society so I'll stop here and i' like to take any questions afterwards thank you so much great thank you so much Ying um that's a wonderful Foundation looking at the issue of health and climate change
• 48:30 - 49:00 and also a really good overview of the Atlantic countdown work uh globally um in Oceania and as you said Ying um we're about now to look at um lant countdown in Asia okay so uh we will move on um from our lecture to our case study and I'll introduce our speaker so I will just reshare my screen
• 49:00 - 49:30 so our second speaker for today is chi Zang and I'll just introduce Chi now so Chi is a professor of the School of Management and the assistant Dean and professor of the school of global governance at the Beijing Institute of Technology she is the vice director of Lance countdown AIA Center the associate editor of the the journal Applied Energy and the editorial board member of the
• 49:30 - 50:00 journal Environmental Research letters she is an expert consultant of the United Nations development um DP uh for training and empowering youth to take actions for SGS and the UNICEF climate and environment data Advisory Board member uh she teaches advises and conducts research on economic and health valuations of climate change and the energy transition uh environmental economics energy policy and management
• 50:00 - 50:30 as well as Global governance and sustainable development so um a warm welcome to Chi um who's joining us from China I will stop sharing my screen and um you can commence after that thank you Paul thank you uh y I gonna share my screen now um can you see it now yep that's perfect thank you okay great
• 50:30 - 51:00 um well hello everyone uh over in the next uh 15 minutes we will discuss its impact on Asia um explore Frontline data and redefine the role of the health professionals in this fight well let's begin well um when examing Global report through an Asia lens the region exhibits disproportionately High Absolute House burdens from climate change uh attribute
• 51:00 - 51:30 both to both climatic drivers and its demographic skills for instance Asia accounts for 53 of the global Heatwave exposed of infant well that means that uh under the age of one year old well uh it accounts for 57 of the global Heatwave exposures of the Elder adults that means the over the uh age of 65 align with its uh 60% share uh of the
• 51:30 - 52:00 world population additionally China rank uh Asia sorry Asia ranks second globally in the per capita heat stress risk hours for outdoor running reaching 1,991 hours annually what does it mean that means over uh 20 three% of ours in each year in Asia are
• 52:00 - 52:30 not safe to have outdoor exercise any longer furthermore Asia leads globally in vibral infections by case numbers exposed populations and at risk coastlines analysis of Asia's climate Health response reviews three critical insights first Asia attribute did uh 49% of the global climate houseal
• 52:30 - 53:00 Publications in 2022 reflecting very strong academic engagement only fif uh for 49% of Asia countries participate in the WHL Elite Alliance for transformative action on climate and health which will C the attach laging behind the small island developing States uh which participants over 100% indicating Ender
• 53:00 - 53:30 prioritization of climate resilience Health Care system thirdly while in the All 48 Asian countries over 80% of Asian meteorological agencies provide basic climate data to house Department fewer than 35 supply products such as the long-term climate project or sector specific risk assessments are
• 53:30 - 54:00 provided well in 2022 um the heat related deaths among the elderly people in Asia exceeded 150,000 people representing 49 of the global total even when adjusting from the population size climate driving house burdens in Asia remains very severe for instance the Asia region exhibit the highest per capital heat
• 54:00 - 54:30 related labor productivity loss and the highest per capital heat with exposure days for elderly populations globally Regional risks such as climate sensitive infect disease for example the donkey fevers uh vibral infections and sea level rise exposures continues to proliferate at the same time Asia's C domained energy structure poses substantial health
• 54:30 - 55:00 challenges the region exhibits the highest pm2.5 related mortality rate globally driven by its Reliance on fil fuel in 2020 energy related carbon emissions in Asia accounts for 59% of global total well pm2.5 related mortality from fossil fuels in 2020 contributed to 77 of the global deaths from this
• 55:00 - 55:30 cost consequently scientific attentions to climate Health linkage in Asia has intensified among high impact scientific initiatives the L condom report stands as a global influential Benchmark as the mentioned by Professor JN before so uh since uh Ling is first Global report in 2 16 the lens cont has systematically tracked and monitored climate change
• 55:30 - 56:00 impact on population Health worldwide through a robotic indicator framework as we just saw before and Publishing is n annual report to date well uh for us like the L countown Asia Center we collaborate with multidisciplinary experts to release our fifth China report in 2024 through data driven analysis we would like to share some key messages from the
• 56:00 - 56:30 global Trend and the Asia specific findings the first one is that uh climate change poses unprecented threat to global population health and well-being with particularly severe impact on vulnerable groups potentially exacerbating existing he in equality as we mentioned before among the five countries with the largest Heatwave
• 56:30 - 57:00 exposure experienced by people over 65 year old and by infant four are in Asia they are India Indonesia Pakistan and China the heat related deaths of adults over 65 year old in 2023 as exists 400,000 globally well the deaths from the southeast Asia countries
• 57:00 - 57:30 surpassed 55,000 accounting for nearly uh 13% of the total well Indonesia experienced a dramatic increase of 242 percentage while Vance increased reached 148% the global heat related labor productivity loss in 2023 reached the 52 billion hours marking a
• 57:30 - 58:00 49% increase compared to the year 1990s to 1999 among the top 10 countries with the highest the labor productivity loss among the top 10 nine are in Asia the southeast Asia is one of the region with the most significant absolute increase in D transmission globally in some Asia countries the
• 58:00 - 58:30 growth rate has far exit the global average taking a ayti a kind of mosquito that uh infected the Dunkey Fus as an example the increase in Malaysia papini and India has raged uh 91% 67% and 63% respectively the second key message uh is that uh the continued
• 58:30 - 59:00 Reliance on fossil fuel will exacerbate the health risk among the top five countries with the highest net fossil Fu subsidy globally four are in Asia they are Russia Iran China and South Arabia in 2021 there were 8.4 million deaths attributed to PM
• 59:00 - 59:30 2.5 China India Indonesia experien the large death per 100, about3 death 115 and 105 deaths C consumption in electricity and household energy sector is the major driver of the air pollution related mortality in Asia highlighting the need for greater attention to these health
• 59:30 - 60:00 risks the share of clean energy use remains lower in the certain regions of Asia and Africa compared to the other parts of the world the transition to clean household energy consumption in Asia varies significantly across the regions for example those developed countries such as Japan South Korea they all reached the nearly universal access to clean energy well the other countries such as China India Indonesia there are
• 60:00 - 60:30 about moderate access to clean energies well some countries for example LS uh in very low access to clean energy in countries with low clean energy access there is a significant disparity between the rural and urban populations the resulting in indoor air pollution in rural areas post a critical health risks that requires very serious
• 60:30 - 61:00 attention in the future well this one is a new indicator we has uh introduced into the global report and China report uh in the L countown report uh that is the accumulated uh stranded asset that means that if uh we do not add new cold fire power generation in the future from now on we still will have cumulative stranded assets just because we have
• 61:00 - 61:30 already those kind of existing coldfire power Generations globally so those kind of amount will be as high as uh one64 billion US Dollars globally while Asia would experience9 US dollar billions loss accounting for the over 72 2 percentage of the global loss well the top three countries with the largest loss are all
• 61:30 - 62:00 in Asia including China Japan and India the third key messages is uh is that promoting Health centered mitigation and adaptation strategies will definitely contribute to a more prosperous and a secure future in terms of mitigation how centered response will drive energy companies to swiftly transition to clean fuels which can not
• 62:00 - 62:30 only directly prevent the increase in climate change related mortality and morbility but also gain health benefit by enhancing energy Securities improving air qualities reducing the risk of zuntic disease transmissions and foresting more livable and sustainable cities the global direct employment in fossil fuel extraction uh increased by
• 62:30 - 63:00 only 0.4% in 2022 to 11.8 million employees in total of all the employees in the renewable sectors over 62 were in Asia while 40% in China the global annual sale of electricity cars increased ined from 0.7 B millions in
• 63:00 - 63:30 2016 to 17 millions in 2024 so so over like uh uh over eight years we have like uh increased uh around 16 million like U electricity Car Sales well it's mainly contributed to China the well the death attributable to the PM 2.5 from fil fuel combustions decreased 6.9 percentage from 2.2 million in 2016 to 2.09 million in
• 63:30 - 64:00 2021 per capital Transportation energy consumption in Asia is relatively low compared to the others regions worldwide as for the uh in the end of 2023 over 52% of wh members uh that committed to build a climate resilient health system through the cob 26 health program reported
• 64:00 - 64:30 having developed its uh AG naap uh up from just 6% uh the year before that is a very uh positive news like um well uh in the end we would like to uh have some implications for Asia the first is that the significant region disparities uh exist in the health risks associated with climate change across the whole Asia region necess Target risk
• 64:30 - 65:00 awareness such as the extreme heat waves in Middle East heat related productivity loss in South and in Southeast Asia the risk of heat sensitive disease transmissions in Southeast Asia the second is that many Asia countries are still undergoing industrialization with a fcil fuel consumption particularly household energy use posing
• 65:00 - 65:30 a very considerable health risks accelerating the transition to low carbon Energy Systems can help reduce Associated mortality and Mobility uh last but not least with large populations and the rapid urbanization Asia countries must proactively integrated climate change related health risk into urban planning to build a resilience
• 65:30 - 66:00 cities well we would like to thank all the participants including the over uh 70 experts and uh 33 institutes worldwide uh to contribute themselves to our L countdown Asia Center and the global report and um uh last but not least uh we are very welcome the young talented to join our group and uh we would like to help to build a more
• 66:00 - 66:30 prosperous and more sustainable uh like a society in the future together so if you have any questions uh are very welcome to to contact me so that's the end of my uh presentation today thank you great thank you so much ch um a wonderful coverage of of the great work being done in Lan countdown Asia uh so we've now had a lecture on climate
• 66:30 - 67:00 change and human health generally um and we've had a great look at the Atlantic countdown work uh both here in Australia and Oceania and across China so we've had um excellent questions coming in to the Q&A so thank you everyone for sending in those questions I've been reading through the questions um as the presenters have been going through their presentations um trying to pull out some common themes um so I've got a couple of questions here and I think I'll get a response from both of you uh ying and
• 67:00 - 67:30 shei regarding these two questions um so the first question um is about the ability to adapt and mitigate um so there's a great focus on our response to climate change climate change action um so both adaptation and mitigation but of course uh there are many countries around the world that don't have the resources to adapt and or mitigate um so can you provide a response to that um how do we uh facilitate all countries
• 67:30 - 68:00 around the world doing what they need to do to address the health and climate change threat uh Ying maybe you first yeah that's a great question and uh of course we have lots of challenges faced by resource po setes um even in developed countries as well I think there are two um points that I like to raise is the collaboration the Partnerships really important um and today is a case app point that we could
• 68:00 - 68:30 build the capacity across the region and um share the resources and increase equity in the capacity building opportunities and the other one is that um uh responding to climate change is not actually requiring something from the scratch we don't want to revent the Views and ask for money to build everything new from the scratch we just need to fill the gaps when we improve or
• 68:30 - 69:00 review our existing systems right health system or social welfare education system we just need to add a more integrated perspective that can address climate change issues so we are all resource pool in many regions areas but we need to be uh I think creative and also Innovative drawing upon the existing systems that we have been working with and also there's a a good angle there to you know not asking for
• 69:00 - 69:30 more money we just need to convince people that we will improve take the opportunities to improve our ex existing systems to serve better and to serve more communities and and that's my true sense and also I think the most important thing is to um to to change our mindsets you know every people's mindsets basically uh it's us who will create the problem so we can't actually use the same thinking to solve the
• 69:30 - 70:00 problem so we need to be more um you know um collect collectively address this issue at different levels and also uh some regions a lack of the you know top down approach lack of leadership lack of determinations in driving climate change changes uh and Community Based adaptations and nature-based solutions are part of the you know prescriptions that we need to look at so sorry hope that's helpful yeah
• 70:00 - 70:30 absolutely and I like your point that this uh course itself is hopefully uh providing capacity um extra capacity in the Western Pacific um to be able to both adapt and mitigate um so Chi do you have anything to add to that in terms of um financing or facilitating um adaptation and mitigation um perhaps in low and middle inome countries yeah thank you Paul and thank you in uh from my perspective I I think uh I
• 70:30 - 71:00 totally agree with in's opinion that uh like uh we from the top down strategy like uh especially as the scientist or researcher we have some responsibility to provide the evidence and the data driven based uh research result uh especially for the multi-stakeholders in different departments because uh we need a collaborations uh for with multi-stakeholders not only in the uh
• 71:00 - 71:30 specific like from the Ministry of Health or the from the ministry of uh ecological or environment but also from the other Ministry that uh if we can like U encourage them to participate together so that we can uh like uh solve this problems and maybe uh to contribute to the society uh like more um effectively and uh that is from the top
• 71:30 - 72:00 down strategy well from the bottom up strategy uh I also uh find out some like a new uh accessible like uh measures for example from the individual level as we mentioned before we could enhance off our capacity uh our awareness of the uh impact of climate change to Public Health because uh most most of the people nowadays we uh can experience the climate change but we do not have this
• 72:00 - 72:30 kind of knowledge where a wellness or or were this kind of uh Behavior change during our daily life so I think for those kind of audience and the students who registered for this course today after you're learning the whole course you can share this kind of informations with your relatives your friends or your community and to remind them maybe under the very hot day or extreme uh heat uh exposure situations
• 72:30 - 73:00 you need to protect yourself especially for those kind of uh children and vulnerable people such as the elderly where the labors were are working outwards so that is a very good thing from the individual level for the community level for those kind of young talents were are capable of to uh raise the some like uh uh issues or were activities or were those kind of uh
• 73:00 - 73:30 engagement uh um uh or clubs they can like uh maybe uh hold some uh like some uh uh new activities relevate related to this kind of issue and to to share this kind of information most importantly is the changing our behaviors and adaptation measures in the future so I I think we can do more things things from both the top down strategy and the bottom up strategy yeah great thank you um so you
• 73:30 - 74:00 mentioned um you know working with government um and obviously government is organized in various ways around the world um but quite often there will be a a health Ministry um and a separate um environment Ministry um with health and climate change we need those uh Ministries to be working together um so quite often they work um in a Silo you know so the health people focused on health and the environment people focus on the environment um so again coming
• 74:00 - 74:30 back to both of you um how do you think um we can get the people in government um in the health area uh talking with the people in government in the environment area um they need to be talking together developing policy together um how do we do that Ying always big question questions yeah uh that that's uh also a challenge that
• 74:30 - 75:00 we face at the moment just trying to um put Health as the center of all climate change negotiations um cop is the uh the UN climate uh change conferences at the global level where all global leaders meet and negotiated to the you know shared um but on equal responsibilities uh and um I noticed that Health sector has only you know been recently joined
• 75:00 - 75:30 the cop conferences and increasingly raise the voice from Health sectors I think for the first um point is that the health professionals play a strong you know very important role here to let people understand why climate change is a health issue back to our key message here because people don't collaborate with health sector because they don't really understand and realize that this is a health issue that is relevant to everyone's Health outcome so that's the
• 75:30 - 76:00 first step um I think um also um as I mentioned earlier for both adaptation and mitigation Health sector plays a a crucial role here U especially uh with a ready and willing uh you know Health Workforce is importantance so we need to create the opportunities basically to bring them on board if they don't understand we keep sending the messages repeating our
• 76:00 - 76:30 messages to them and create the opportunities as a leader to identify the gaps we know the Gap here is to work Sil work differently that's a long-term issue for any government to address but now as a you know Health um professionals leading climate Health researchers academics in the field we know that we cannot solve the problem um by working differently you know asyo so that's why we need to create opportunities to work with them join their Workforce join their
• 76:30 - 77:00 forums and we can develop training programs for the government um um officers Beyond Health sector so I think there are many ways that we can work collaboratively collaboratively to address that Gap yeah right thank you Ying Chi do you have any thoughts on how we can get the different parts of government working better together yeah uh thank you Paul and uh yes uh I also noticed that in the cop uh
• 77:00 - 77:30 28 they first initiate the first house day and uh in the uh and then they have the Declaration signed by over 150 countries together and uh in the cope 29 last year they uh still have the house day and also they have the like uh urbanization day so they uh they have like uh intentionally uh to collaborate
• 77:30 - 78:00 those kind of stake uh uh multi-stakeholders from different uh Ministries including the Ministry of Health Ministry of uh environment and the ministry of maybe meteorological uh bureaus for ETC and the ministries of uh like architecture and constructions for ETC to join together and have the Round Table meeting together not only does the unfccc and ipcc they they do this kind
• 78:00 - 78:30 of things but also I recognize that uh for example the uh un uh organizations such as the UNICEF the UN women the IL they all have this kind of uh issues or meetings or this kind of big conference uh that relative with the climate change and health together for example the itu they have uh uh 5,000 uh people's uh
• 78:30 - 79:00 participants uh conference each year which is called the AI for good so they especially the they have this this kind of uh topic about the uh adaptation measures which you use the AI technology for the mological um like uh Technologies and also to have the uh medication or adaptation measures in your community or in your countes so I think from the uh
• 79:00 - 79:30 International like Global level uh those kind of uh organizations they recognize uh this kind of importance to collaborate together and uh in uh in the developing countries like for example in China uh we recently also uh have this kind of uh actions or or this kind of uh adaptation um measures has been published recently for example the uh National Climate Change and house
• 79:30 - 80:00 adaptation action plans uh the house China 2030 action plans they all mention about this kind of issues uh that's collaborated with different departments uh at the same mechanisms together so I I think it's very good uh and uh promising um starts from now on yeah right thank you Chief um so we've talked a bit about um decision makers uh
• 80:00 - 80:30 government um and also you know how we can um build capacity and resourcing for adaptation and mitigation um I thought we might um move now to look at the work of the Atlantic countdown um given we've got uh three of the senior people um across oania and the Asia team here um so we have a question about the indicators um so the Atlantic countdown work um is founded on tracking indicators um looking at whether we're
• 80:30 - 81:00 making progress over time or not um I thought maybe um each of you could just say a few words about um some of the criteria for the indicators that are used in the lant countdown um obviously um we have to conform to a particular set of criteria in terms of Standards um uh the requirements for data and so on um so yeah um just a few words from each of you regarding the indicators um how they're developed um you know what the
• 81:00 - 81:30 criteria are for including them and so on and again maybe starting with you Ying oh you would be the the better person to address your question um but I can see um very briefly that um in the um deciding which indicators we can include there are several issues that we consider here the first of for and importantly we have to make these indicators relevant and useful so the policy makers or the
• 81:30 - 82:00 communities or um you know the consumers really understand what we are talking about in terms of climate and health responses um so then the second is that we have the data we have the resources available to meaningfully um measure uh the the trends over the years so uh we hope that we have National or Regional represented data um that we can track every year um to update the indicator so that's measurable in terms
• 82:00 - 82:30 of the the indicators and also I think the um uh the other uh aspect is to make it um uh like um accurately represent what we are uh meant to track so whether for some indicators that we have a proxy indicators for example the um adaptation to bushire we have the number of uh firefighters volunteers the number of uh fli in responding to you know bush fires
• 82:30 - 83:00 so um whether we uh you know use the indicators that can meaningfully track what way uh aim to track is really important so we want to make it scientifically and sound as well as um um that can be interpreted meaningfully usefully um to different stakeholders um soort if you have anything to add on um I've got lots I could add on but um I'll hand over to she first um do you
• 83:00 - 83:30 have anything to add regarding um indicator development or requirements yeah I think in has uh introduced very very well and uh I would like to say that if we you would like to participate uh with a new indicator you could propose a white paper first so that we will have have a board to uh exam the methodology part and the the data part and uh after this kind of peer
• 83:30 - 84:00 reviewed cycle so uh if it is all well done um we will very welome to introduce the new indicators so that is uh what we uh all the centers what we have done so far that we would like to have new indicators each year new findings each years not just the repeat and update the data yes right thank you okay so we're
• 84:00 - 84:30 coming up to 25 past the hour so um we should start to wrap up um there are lots of questions um coming through which is fantastic so um please keep this up over the remainder of the course we've got another nine sessions some of the questions relate to things that we're going to be looking at into the future so for example there was a great question there about the vulnerability to H stress um and we will of course um cover that in depth um in the session on heat related illness and
• 84:30 - 85:00 mortality um so I I'll leave those questions out for the moment and we can um address those in more detail in future sessions okay so um at this point in time um I would thank uh both ying and shei for fantastic presentations today in session one um and thank you so much both also for your answering of the questions coming in from um all of the attendees um and I've noticed um that we've had a thousand participants um in the session today which is um absolutely wonderful
• 85:00 - 85:30 and we look forward to seeing you all back um in the future sessions um starting with uh Thursday this week um so just to finish off I'm going to again share my screen because we have two important final slides for you so first of all um to finish up this week uh we wanted to invite you to join
• 85:30 - 86:00 the course WhatsApp group or WeChat for those in China um so through WhatsApp and WeChat um you'll get updates uh and extra information from the course planning team um so the development of this course um has involved many people um many of those at Columbia University um so they've been great um in helping us develop this course and they will provide extra information as the course goes on so you can see the QR codes
• 86:00 - 86:30 there uh for the WhatsApp group and uh for China the WeChat um so please uh join those now so you can scan those with your phone as I said the slides will be made available to you as well um so we hope that there will be lots of communication and engagement um both within the sessions um and offline over the coming weeks and to finish up um we hope that
• 86:30 - 87:00 you've enjoyed the session today uh session number one um the presentations have been fantastic um we had great questions coming in so keep that going over the coming weeks um and we have a post session survey that we invite you to fill out as well so again there's a QR code there so you can scan that with your phone camera um or apparently there will be a link in the chat as well so keep your eye out for that link um or scan the QR code um we would love your
• 87:00 - 87:30 feedback on this first session um and the general overview of the course that we have given you today um and beyond that um we thank you for your attendance your engagement um and we'll see you in the future sessions uh thank you very much thank you Paul thank you Paul and the team thank you thank you