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Public Health Research and Practice Public Health Research and Practice Society
The peer-reviewed journal of the Sax Institute
RESEARCH ARTICLE (Open Access)

Demographic differences in Australia’s local government adaptation planning for health and climate change

Barbara P. F. Davis A * , Paul J. Beggs A and Petra L. Graham B
+ Author Affiliations
- Author Affiliations

A School of Natural Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, NSW 2109, Australia.

B School of Mathematical and Physical Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, NSW 2109, Australia.

* Correspondence to: barbara.davis1@hdr.mq.edu.au

Public Health Research and Practice 35, PU24028 https://doi.org/10.1071/PU24028
Submitted: 10 December 2024  Accepted: 2 June 2025  Published: 25 July 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Sax Institute. This is an open access article distributed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC)

Abstract

Objectives

Adaptation planning is needed at all levels of government to limit the adverse impacts of climate change on public health. This study aims to examine adaptation planning with a health focus at the local government level in Australia.

Methods

All 541 Australian local governments were contacted by email, and their websites were searched to determine which had a climate change adaptation plan. These plans were analysed for their health-word content.

Results

Almost one-quarter (23%, 124/541) of Australian local governments had a climate change adaptation plan. A larger proportion of urban local governments had plans when compared with rural local governments (41% vs 8%, P < 0.001). Local governments with plans had less socioeconomic disadvantage (P < 0.001), and a higher proportion of local governments in the states of Victoria (53%) and Tasmania (48%) had plans when compared with elsewhere (6–29%, P < 0.001). All plans mentioned health-related words, but some words, such as vector and mosquito, were mentioned in less than 50% of plans.

Conclusions

Australia’s local governments differ in adaptation planning for health and climate change, with just under a quarter having produced a plan, and the extent and nature of health content are highly variable.

Keywords: Australia, climate change, climate change adaptation plan, content analysis, engagement, health, impacts, local government.

References

Calvin K, Dasgupta D, Krinner G, Mukherji A, Thorne PW, Trisos C, et al. IPCC, 2023: Climate Change 2023: Synthesis Report. Contribution of Working Groups I, II and III to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change [Core Writing Team, H. Lee and J. Romero (eds.)]. IPCC, Geneva, Switzerland. Intergovernmental Panel on Climate Change (IPCC); 2023 July. Available at https://www.ipcc.ch/report/ar6/syr/ [cited 13 October 2023].

Araos M, Austin SE, Berrang-Ford L, Ford JD. Public health adaptation to climate change in large cities: a global baseline. Int J Health Serv 2016; 46(1): 53-78.
| Crossref | Google Scholar | PubMed |

Beggs PJ, Zhang Y, McGushin A, Trueck S, Linnenluecke MK, Bambrick H, et al. The 2022 report of the MJALancet Countdown on health and climate change: Australia unprepared and paying the price. Med J Aust 2022; 217(9): 439-58.
| Crossref | Google Scholar | PubMed |

Scott H, Moloney S. Completing the climate change adaptation planning cycle: monitoring and evaluation by local government in Australia. J Environ Plan Manag 2022; 65(4): 650-74.
| Crossref | Google Scholar |

United Nations Framework Convention on Climate Change. The Paris Agreement. 2015. Available at https://unfccc.int/sites/default/files/resource/parisagreement_publication.pdf [cited 10 January 2023]

Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, et al. Managing the health effects of climate change. Lancet (London, England) 2009; 373(9676): 1693-733.
| Crossref | Google Scholar | PubMed |

Romanello M, Walawender M, Hsu SC, Moskeland A, Palmeiro-Silva Y, Scamman D, et al. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. Lancet 2024; 404(10465): 1847-96.
| Crossref | Google Scholar | PubMed |

United Nations Framework Convention on Climate Change. COP28 UAE Declaration on climate and health. United Nations Framework Convention on Climate Change. Available at https://cdn.who.int/media/docs/default-source/climate-change/cop28/cop28-uae-climate-and-health-declaration.pdf [cited 6 April 2025].

Eskander SMSU, Fankhauser S. Reduction in greenhouse gas emissions from national climate legislation. Nat Clim Change 2020; 10(8): 750-6.
| Crossref | Google Scholar |

10  Fouillet A, Rey G, Wagner V, Laaidi K, Empereur-Bissonnet P, Le Tertre A, et al. Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave. Int J Epidemiol 2008; 37(2): 309-17.
| Crossref | Google Scholar | PubMed |

11  Sheehan MC, Freire M, Martinez GS. Piloting a city health adaptation typology with data from climate-engaged cities: Toward identification of an urban health adaptation gap. Environ Res 2021; 196: 110435.
| Crossref | Google Scholar | PubMed |

12  O’Donnell T, Molony S, Butt A, Juszczyk G. Local Government Climate Change Adaptation Roles and Responsibilities under Victorian legislation Guidance for local government decision-makers. Victoria State Government, Environment, Land, Water and Planning; 2020.

13  Austin SE, Ford JD, Berrang-Ford L, Biesbroek R, Ross NA. Enabling local public health adaptation to climate change. Soc Sci Med 2019; 220: 236-44.
| Crossref | Google Scholar | PubMed |

14  The Parliamentary Education Office. Three levels of government: governing Australia. Commonwealth of Australia. 2022 Jul 19. Available at https://peo.gov.au/understand-our-parliament/how-parliament-works/three-levels-of-government/three-levels-of-government-governing-australia [cited 2 September 2024].

15  Council of Australian Governments. Roles and Responsibilities for Climate Change Adaptation in Australia. 2012. Available at https://www.agriculture.gov.au/sites/default/files/documents/coag-roles-respsonsibilities-climate-change-adaptation.pdf [cited 6 April 2025].

16  R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria; 2021. Available at https://www.R-project.org/

17  Romanello M, Di Napoli C, Drummond P, Green C, Kennard H, Lampard P, et al. The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet 2022; 400(10363): 1619-54.
| Crossref | Google Scholar | PubMed |

18  Dasandi N, Graham H, Lampard P, Jankin Mikhaylov S. Engagement with health in national climate change commitments under the Paris Agreement: a global mixed-methods analysis of the nationally determined contributions. Lancet Planet Health 2021; 5(2): e93-101.
| Crossref | Google Scholar | PubMed |

19  Snapshot. Resources & further reading. 2019–2025. Available at https://snapshotclimate.com.au/resources/ [cited 14 March 2023].

20  Australian Government. Local Government National Report 2020–21. Australia: Australian Government. Department of Infrastructure, Transport, Regional Development, Communications and the Arts; 2023. Available at https://www.infrastructure.gov.au/sites/default/files/documents/lgn_report_2020-21.pdf [cited 10 June 2025].

21  Australian Bureau of Statistics. Socio-Economic Indexes for Areas (SEIFA), Australia. Reference period 2021. 2023 Apr. Available at https://www.abs.gov.au/statistics/people/people-and-communities/socio-economic-indexes-areas-seifa-australia/latest-release#data-downloads [cited 10 June 2025].

22  Mees H. Local governments in the driving seat? A comparative analysis of public and private responsibilities for adaptation to climate change in European and North-American cities. J Environ Policy Plan 2017; 19(4): 374-90.
| Google Scholar |

23  Paterson JA, Ford JD, Ford LB, Lesnikowski A, Berry P, Henderson J, et al. Adaptation to climate change in the Ontario public health sector. BMC Public Health 2012; 12(1): 452.
| Crossref | Google Scholar |

24  Negev M, Kovats RS. Climate change adaptation in the reorganized UK public health system: a view from local government. Public Health 2016; 134: 102-4.
| Crossref | Google Scholar | PubMed |

25  Smith JC, Whiley H, Ross KE. Climate Change and Health: Local Government Capacity for Health Protection in Australia. Int J Environ Res Public Health 2023; 20(3): 1750.
| Crossref | Google Scholar | PubMed |

26  Hime NJ, Wickens M, Doggett SL, Rahman K, Toi C, Webb C, Vyas A, Lachireddy K. Weather extremes associated with increased Ross River virus and Barmah Forest virus notifications in NSW: learnings for public health response. Aust N Z J Public Health 2022; 46(6): 842-9.
| Crossref | Google Scholar | PubMed |

27  Nogrady B. Australian floods lead to spread of mosquito-borne disease. Lancet Infect Dis 2022; 22(6): 771.
| Crossref | Google Scholar | PubMed |

28  Heenan M, Rychetnik L, Howse E, Beggs PJ, Weeramanthri TS, Armstrong F, Zhang Y. Australia’s political engagement on health and climate change: the MJA–Lancet Countdown indicator and implications for the future. Med J Aust 2023; 218(5): 196-202.
| Crossref | Google Scholar | PubMed |

29  Western Australian Local Government Association (WALGA). Regional Climate Alliance Program. 2025. Available at: https://walga.asn.au/policy-and-advocacy/our-policy-areas/environment/climate-change/climate-change-projects [cited 10 June 2025].

30  Victorian Government Department of Energy, Environment and Climate Action. Regional Climate Change Adaptation Strategies. 2025. Available at https://www.climatechange.vic.gov.au/supporting-local-action-on-climate-change#toc__id_1_regional [cited 10 June 2025].

31  Australian Government Department of Health and Aged Care. National Health and Climate Strategy. Canberra, ACT 2601: Australian Government; 2023.

32  Armstrong F, Cooke S, Rissik D, Tonmoy F. Queensland Climate Adaptation Strategy. Human Health and Wellbeing Climate Change Adaptation Plan for Queensland. State of Queensland; 2018.

33  Victorian Government. Health and Human Services Climate Change Adaptation Action Plan 2022-2026. Department of Health and the Department of Families, Fairness and Housing; 2022. Available at https://www.health.vic.gov.au/sites/default/files/2022-02/health-human-services-climate-change-adaptation-action-plan-2022-2026_0.pdf [cited 10 June 2025].

34  Victorian Legislation. Climate Change Act 2017. Act Number 5/2017, Version 008. 2022. Available at https://www.legislation.vic.gov.au/in-force/acts/climate-change-act-2017/008 [cited 10 June 2025].

35  Victorian Department of Health. Tackling climate change and its impacts on health through municipal public health and wellbeing planning: Guidance for local government. 2024. Available at https://www.health.vic.gov.au/publications/tackling-climate-change-impacts-health-municipal-public-health-wellbeing-planning [cited 10 June 2025].