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Addressing Capacity Constraints of Rural Local Health Departments to Support Climate Change Adaptation: Action Is Needed Now

Author

Listed:
  • Matthew V. Vo

    (Public Health–Global Health, University of Washington School of Public Health, Seattle, WA 98195, USA)

  • Kristie L. Ebi

    (Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA 98105, USA
    Department of Global Health, University of Washington School of Public Health, Seattle, WA 98195, USA
    Center for Health and the Global Environment (CHanGE), University of Washington School of Public Health, Seattle, WA 98195, USA)

  • Tania M. Busch Isaksen

    (Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA 98105, USA
    Center for Health and the Global Environment (CHanGE), University of Washington School of Public Health, Seattle, WA 98195, USA)

  • Jeremy J. Hess

    (Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA 98105, USA
    Department of Global Health, University of Washington School of Public Health, Seattle, WA 98195, USA
    Center for Health and the Global Environment (CHanGE), University of Washington School of Public Health, Seattle, WA 98195, USA
    Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA)

  • Nicole A. Errett

    (Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA 98105, USA
    Center for Health and the Global Environment (CHanGE), University of Washington School of Public Health, Seattle, WA 98195, USA)

Abstract

Looming climate change health impacts among rural communities will require a robust health system response. To reduce health inequities and promote climate justice, rural local health departments (LHDs) must be adequately resourced and supported to engage in climate change mitigation and adaptation policy and program development and implementation. In the United States, small local tax bases, overreliance on revenue from fee-based services, and limited federal funding to support climate change and health programming, have left rural LHDs with limited and inflexible human, financial, and political capital to support engagement in local climate change activities. Because of the urgent demands stemming from climate change, additional investments and supports are needed to rapidly build the capacity and capability of rural LHDs. Federal and state approaches to public health funding should consider the unique climate change and health risks of rural communities. Further, cross-jurisdictional shared service arrangements and state-level support to build rural LHDs’ technical capacity, and research on local impacts and culturally appropriate solutions, must be prioritized.

Suggested Citation

  • Matthew V. Vo & Kristie L. Ebi & Tania M. Busch Isaksen & Jeremy J. Hess & Nicole A. Errett, 2022. "Addressing Capacity Constraints of Rural Local Health Departments to Support Climate Change Adaptation: Action Is Needed Now," IJERPH, MDPI, vol. 19(20), pages 1-6, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13651-:d:949063
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    References listed on IDEAS

    as
    1. Mark Pelling & Matthias Garschagen, 2019. "Put equity first in climate adaptation," Nature, Nature, vol. 569(7756), pages 327-329, May.
    2. Kristie S. Gutierrez & Catherine E. LePrevost, 2016. "Climate Justice in Rural Southeastern United States: A Review of Climate Change Impacts and Effects on Human Health," IJERPH, MDPI, vol. 13(2), pages 1-21, February.
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