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2.E. Workshop: Cross-sectoral action on climate change and health: Insights from national public health institutes

Authors:

Abstract

Climate change poses a significant threat to health and wellbeing worldwide and requires urgent action. The World Health Organization's COP26 report, ‘The Health Argument for Climate Action’, underscores the broad range of health impacts that countries already face, such as death and illness from increasingly frequent extreme weather events, increases in food-, water- and vector-borne diseases, and mental health issues (WHO, 2021). Addressing this complex challenge, however, offers an opportunity for progress towards better planetary health. National Public Health Institutes (NPHIs) play a valuable role in promoting the health and wellbeing of populations and are well-positioned to address the nexus of climate change and health, given their expertise in surveillance and monitoring, research and emergency response, and providing evidence-based recommendations to policymakers. The purpose of this workshop is to share concrete examples of ongoing efforts, challenges, and experiences by NPHIs related to climate change, health, and adaptation and mitigation measures. The objectives of the workshop are: to highlight the “health argument” for addressing climate change, as promoted by the World Health Organization; to showcase the cross-sectoral nature of NPHIs’ work; and to inspire other actors and stakeholders to consider how they could integrate and address climate change and health in their own disciplines, including also biodiversity loss, and related planetary health issues. We will cover examples spanning NPHIs’ engagement and support for cross-sectoral collaboration, forming effective networks to facilitate coordination, and ensuring health is at the centre of climate policies and actions. The workshop will feature presentations by NPHIs from France (Santé publique France), Germany (Robert Koch Institute), and the Netherlands (National Institute for Public Health and the Environment) as well as a presentation by the European Climate and Health Observatory. The perspective of the European Climate and Health Observatory offers Europe-wide insights as a provider of tools and knowledge that support actions from NPHIs and other health actors. The format of the workshop will be informative and interactive, with opportunity for Q&A and a discussion with the audience. By showcasing the role of NPHIs and the European Climate and Health Observatory, the workshop aims to increase awareness and understanding of the importance of applying a public health lens as a key component of climate change and health strategies. In conclusion, this workshop offers a unique opportunity to highlight how national and global actors engage in cross-sectoral efforts tackling climate change and ensuing health impacts that, in turn, may motivate other health actors, including those taking part in the workshop, to take essential action to promote planetary health. Key messages • Cross-sectoral collaboration is essential to tackle the health impacts of climate change. • NPHIs can offer examples to other health actors on how to integrate climate mitigation and adaptation efforts in their work and how to integrate health into climate measures in other sectors.
Abstract citation ID: ckad160.095
Incidence and persistence of post-COVID condition in
children a matched cohort study in Germany
Christa Scheidt-Nave
F Ehm
2
, D Wende
3
, F Loser
4
, A Vivirito
5
, S Menzer
6
, M Batram
7
,
T Buschmann
8
, G Sarganas
1
, C Scheidt-Nave
1
, J Schmitt
2
1
Department Epidemiology and Health Monitoring, Robert Koch Institute,
Berlin, Germany
2
Center for Evidence-Based Healthcare, University Hospital and Faculty of
Medicine Carl Gustav Carus, TU, Dresden, Germany
3
BARMER Institut fu¨ r Gesundheits-systemforschung (bifg), Berlin, Germany
4
Techniker Krankenkasse, Hamburg, Germany
5
InGef - Institute for Applied Health Research Berlin GmbH, Berlin, Germany
6
IKK classic, Dresden, Germany
7
Vandage GmbH, Bielefeld, Germany
8
AOK PLUS, Dresden, Germany
Introduction:
Long-term health effects of COVID-19 have been investigated
by several large cohort studies. As most of these studies have
been conducted in adults, data on the incidence and
persistence of post-COVID-19 condition (PCC) among
children and adolescents are still limited.
Methods:
Using routine healthcare data from statutory health insurance
in Germany, children and adolescents with laboratory-
confirmed COVID-19 in 2020 were matched to controls
(neither documented nor clinically suspected COVID-19) and
followed for incident health conditions until 2021-09-30. To
study PCC in children we considered selected health outcomes
including malaise/fatigue (R53), dyspnea (R06.0), and
cognitive dysfunction (F06.7, U51, R41), developmental
delay (F80-89), adjustment disorder (F43), chronic fatigue
syndrome (CFS; G93.3), and altered smell/anosmia (R43). The
incidence of PCC was determined based on the lack of related
diagnoses in the 12 months preceding the index quarter. For
each outcome incidence rate ratios (IRR) were estimated using
Poisson regression.
Results:
At 3-month-follow-up, about 40% more individuals with
COVID-19 suffered from at least one of the specified health
conditions compared to controls. IRR were highest for smell/
anosmia and CFS. IRR were generally higher among
adolescents (12 years) than among younger children. Only
a minority of PCC diagnoses persisted for 12 months within
the COVID cohort. Diagnoses were more frequently persistent
in the younger age group after one year.
Conclusions:
Despite that long-term consequences of COVID-19 are less
common and usually less severe in children, a considerable
share of those diagnosed with PCC still suffered from specific
symptoms 12 months after acute infection. Considering the
high number of infected persons our findings suggest a
relevant PCC related burden for health care even among
children and adolescents.
Key messages:
In routine healthcare data adolescents showed stronger
associations between COVID-19 and post COVID-19
related ICD-10 diagnoses than children < 12 years of age.
Serious ICD-10 diagnoses persisted for a longer time in
younger children than adolescents.
2.E. Workshop: Cross-sectoral action on climate
change and health: Insights from national public
health institutes
Abstract citation ID: ckad160.096
Organised by: International Association of Public Health Institutes
Committee on Climate Change and Health
Chair persons: Se
´bastien Denys (France), Amandine Ballart (USA)
Climate change poses a significant threat to health and
wellbeing worldwide and requires urgent action. The World
Health Organization’s COP26 report, ‘The Health Argument
for Climate Action’, underscores the broad range of health
impacts that countries already face, such as death and illness
from increasingly frequent extreme weather events, increases in
food-, water- and vector-borne diseases, and mental health
issues (WHO, 2021). Addressing this complex challenge,
however, offers an opportunity for progress towards better
planetary health. National Public Health Institutes (NPHIs)
play a valuable role in promoting the health and wellbeing of
populations and are well-positioned to address the nexus of
climate change and health, given their expertise in surveillance
and monitoring, research and emergency response, and
providing evidence-based recommendations to policymakers.
The purpose of this workshop is to share concrete examples of
ongoing efforts, challenges, and experiences by NPHIs related
to climate change, health, and adaptation and mitigation
measures. The objectives of the workshop are: to highlight the
‘‘health argument’’ for addressing climate change, as promoted
by the World Health Organization; to showcase the cross-
sectoral nature of NPHIs’ work; and to inspire other actors and
stakeholders to consider how they could integrate and address
climate change and health in their own disciplines, including
also biodiversity loss, and related planetary health issues. We
will cover examples spanning NPHIs’ engagement and support
for cross-sectoral collaboration, forming effective networks to
facilitate coordination, and ensuring health is at the centre of
climate policies and actions. The workshop will feature
presentations by NPHIs from France (Sante
´publique
France), Germany (Robert Koch Institute), and the
Netherlands (National Institute for Public Health and the
Environment) as well as a presentation by the European
Climate and Health Observatory. The perspective of the
European Climate and Health Observatory offers Europe-wide
insights as a provider of tools and knowledge that support
actions from NPHIs and other health actors. The format of the
workshop will be informative and interactive, with opportu-
nity for Q&A and a discussion with the audience. By
showcasing the role of NPHIs and the European Climate and
Health Observatory, the workshop aims to increase awareness
and understanding of the importance of applying a public
health lens as a key component of climate change and health
strategies. In conclusion, this workshop offers a unique
opportunity to highlight how national and global actors
engage in cross-sectoral efforts tackling climate change and
ensuing health impacts that, in turn, may motivate other
health actors, including those taking part in the workshop, to
take essential action to promote planetary health.
Key messages:
Cross-sectoral collaboration is essential to tackle the health
impacts of climate change.
NPHIs can offer examples to other health actors on how to
integrate climate mitigation and adaptation efforts in their
work and how to integrate health into climate measures in
other sectors.
16th European Public Health Conference 2023 ii37
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