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The peer-reviewed journal of the Sax Institute
RESEARCH ARTICLE (Open Access)

Global health and climate action: achievements and imperatives from COP28

Zerina Lokmic-Tomkins A and Angie Bone B *
+ Author Affiliations
- Author Affiliations

A Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery and Health and Climate Initiative, Monash University, Melbourne, Victoria, Australia

B Monash Sustainable Development Institute, Monash University, Clayton, Melbourne, Victoria, Australia

* Correspondence to: angie.bone@monash.edu

Public Health Research and Practice 34, e3422412 https://doi.org/10.17061/phrp3422412
Published: 19 June 2024

2024 © Lokmic-Tomkins and Bone. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence, which allows others to redistribute, adapt and share this work non-commercially provided they attribute the work and any adapted version of it is distributed under the same Creative Commons licence terms.

Abstract

The 28th Conference of the Parties (COP28) to the United Nations Framework Convention on Climate Change marked a step-change forward in integrating health into the global climate change agenda. For the first time, there was a dedicated ‘health’ day, US$1 billion (A$1.5 billion) in climate-health financing was announced, and a Declaration on Climate and Health was signed by 148 countries. Australia also launched its National Health and Climate Strategy. A ‘global stocktake’ assessed progress against the Paris Agreement, emphasising the need to ”transition away” from fossil fuels in the final COP28 decision. The Loss and Damage Fund to help vulnerable countries cope with climate change was also operationalised. Less promising are a number of loopholes in the COP28 outcomes regarding the continued use of fossil fuels. Loss and Damage Fund pledges represented only 0.2% of the estimated financial assistance needed to support vulnerable countries. Australia remains one of the largest fossil fuel exporters and has yet to elaborate on the implementation and financing for its health and climate strategy. To protect global health, urgent action is needed to phase out fossil fuels and transition to renewable energy, ensuring no communities are left behind. Investment is needed to increase the resilience of communities and health services to address innumerable challenges, including those associated with climate change. COP28 saw an increased presence of public health practitioners, who can play a critical role in understanding the implications of climate change for the communities they serve and embedding responses in their practice. They are well placed to strengthen the evidence base for interventions, monitor progress, and advocate for health-promoting climate policy. COPs form an important part of how we collectively address climate change. The health sector finally has a place at the COP table. The sector now needs to become an enabler of action across sectors, as well as managing the health consequences of climate change on communities and health services. Australia hopes to host COP31 in 2026 with Pacific states, potentially providing a catalyst for strengthened resolve.

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