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Stress Testing the Capacity of Health Systems to Manage Climate Change-Related Shocks and Stresses

Author

Listed:
  • Kristie L. Ebi

    (Center for Health and the Global Environment, University of Washington, 4225 Roosevelt Way NE Suite 100, Seattle, WA 98105, USA
    Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA 98105, USA
    Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA 98105, USA)

  • Peter Berry

    (Climate Change and Innovation Bureau, Health Canada, 269 Laurier Ave. West, Ottawa, ON K1A 0K9, Canada
    Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue W, Waterloo, ON N2L 3G1, Canada)

  • Katie Hayes

    (Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON M5T 3M7, Canada)

  • Christopher Boyer

    (Center for Health and the Global Environment, University of Washington, 4225 Roosevelt Way NE Suite 100, Seattle, WA 98105, USA
    Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA 98105, USA)

  • Samuel Sellers

    (Center for Health and the Global Environment, University of Washington, 4225 Roosevelt Way NE Suite 100, Seattle, WA 98105, USA
    Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA 98105, USA)

  • Paddy M. Enright

    (Climate Change and Innovation Bureau, Health Canada, 269 Laurier Ave. West, Ottawa, ON K1A 0K9, Canada
    Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue W, Waterloo, ON N2L 3G1, Canada)

  • Jeremy J. Hess

    (Center for Health and the Global Environment, University of Washington, 4225 Roosevelt Way NE Suite 100, Seattle, WA 98105, USA
    Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA 98105, USA
    Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA 98105, USA
    Department of Emergency Medicine, School of Medicine, University of Washington, Seattle, WA 98105, USA)

Abstract

Vulnerability and adaptation assessments can provide valuable input to foster climate-resilient health systems. However, these assessments often do not explore the potential health risks of climate change far outside the range of recent experience with extreme weather events and other climate-related hazards. Climate and health stress tests are designed to increase the capacity of health systems and related sectors to manage potentially disruptive climate-related shocks and stresses. Stress tests focus on hypothetical scenarios, during which it would be difficult for the health system to maintain its essential function of providing services to protect population health. The stress test explores approaches to effectively manage acute and chronic climate-related events and conditions that could directly impact health systems, and climate-related events in non-health sectors that can indirectly impact health outcomes and/or health system function. We provide detailed methods and guidance for conducting climate and health stress tests, centering on three primary activities: (1) preparing and scoping the stress test; (2) successfully conducting the stress test; and (3) communicating the results to key stakeholders to facilitate policy and programmatic reforms.

Suggested Citation

  • Kristie L. Ebi & Peter Berry & Katie Hayes & Christopher Boyer & Samuel Sellers & Paddy M. Enright & Jeremy J. Hess, 2018. "Stress Testing the Capacity of Health Systems to Manage Climate Change-Related Shocks and Stresses," IJERPH, MDPI, vol. 15(11), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2370-:d:178531
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    References listed on IDEAS

    as
    1. Katie Hayes & Blake Poland, 2018. "Addressing Mental Health in a Changing Climate: Incorporating Mental Health Indicators into Climate Change and Health Vulnerability and Adaptation Assessments," IJERPH, MDPI, vol. 15(9), pages 1-19, August.
    2. Kristie L. Ebi & Christopher Boyer & Kathryn J. Bowen & Howard Frumkin & Jeremy Hess, 2018. "Monitoring and Evaluation Indicators for Climate Change-Related Health Impacts, Risks, Adaptation, and Resilience," IJERPH, MDPI, vol. 15(9), pages 1-11, September.
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    Cited by:

    1. Duffy, Kelly & De Bruin, Kelly & Henry, Loïc & Kweku-Kyei, Clement & Nolan, Anne & Walsh, Brendan, 2024. "Health impacts of climate change and mitigation policies in Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS188.
    2. Mercy Berman DeMenno, 2023. "Environmental sustainability and financial stability: can macroprudential stress testing measure and mitigate climate-related systemic financial risk?," Journal of Banking Regulation, Palgrave Macmillan, vol. 24(4), pages 445-473, December.
    3. Mary Fox & Christopher Zuidema & Bridget Bauman & Thomas Burke & Mary Sheehan, 2019. "Integrating Public Health into Climate Change Policy and Planning: State of Practice Update," IJERPH, MDPI, vol. 16(18), pages 1-22, September.
    4. Peter Berry & Paddy M. Enright & Joy Shumake-Guillemot & Elena Villalobos Prats & Diarmid Campbell-Lendrum, 2018. "Assessing Health Vulnerabilities and Adaptation to Climate Change: A Review of International Progress," IJERPH, MDPI, vol. 15(12), pages 1-25, November.

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