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Introduction
Health systems, including hospitals, are on the frontlines of climate change, bearing the costs of increasing disease burdens and more frequent extreme weather events while simultaneously inadvertently contributing to negative environmental and climate-related impacts.
The goal of this course is to equip federal, regional, and local health systems planners, hospital administrators, long-term care/community care professionals, emergency planners, sustainability officers, public health officials, health practitioners, and others with the knowledge and tools needed to prepare for climate change. This includes how to apply best practices to assess health system vulnerabilities and adaptation options, measure and monitor the climate resilience and environmental sustainability of health systems, and undertake health system greening, all while integrating health equity and undertaking broad stakeholder engagement.
Health Canada, the Pan American Health Organization, the Inter-American Institute for Global Change Research (IAI) and the Global Consortium on Climate and Health Education have co-organized this course, with input from Ministries of Health and Environment and civil-society climate and health practice communities throughout the Americas.

Course Objectives
Upon completion of this course, participants will be able to:
- Articulate to key partners and the public the unique challenges health systems and health care facilities (including mental healthcare) face in a changing climate
- Apply methodology and frameworks for assessing vulnerability and adaptation for health systems in any context
- Apply approaches for measuring and monitoring the environmental sustainability of health systems and opportunities to green health systems
- Apply a health equity lens into efforts to address health system decarbonization and build climate resilience
- Develop an initial plan to prepare their health system organization moving forward for specific climate impacts of the region and to communicate and engage with key partners on this issue.
Course Structure
The course will consist of bi-weekly (Tuesday and Thursday) live-virtual 90-minute sessions, offered in English, Spanish and French through live interpretation. Each session will consist of 40 minutes of “theory/foundation” followed by 1-2 case studies, presenting health authority actions across the Americas. There will be a live question and answer which will be monitored by the program team and questions will be consolidated and addressed to expert lecturers. Resources such as frameworks and suggested readings will be provided to all course participants following each session. Video recordings will be available following each session for asychronous view.
Session Topics:
1) Healthcare systems in a changing climate
FEATURING:
- Carolyn Tateishi, Directora, Oficina de Cambio Climático e Innovación, Ministerio de Sanidad de Canadá
- Marcos Regis da Silva, PhD, Director Ejecutivo del Instituto Interamericano para la Investigación del Cambio Global (IAI)
- Daniel Buss, PhD, Jefe de Unidad, Cambio Climático y Determinantes Ambientales de la Salud. Organización Panamericana de la Salud (OPS)
- Cecilia Sorensen, MD, Directora, GCCHE
- Michael J. Dowling, Consejero Delegado de Northwell Health
- Ministerio de Sanidad de Bahamas
- Avriel Rose Diaz, PhD, Director Ejecutivo de Walking Palms Global Health
- Courtney Howard, MD, Médico de Urgencias
SESSION MATERIALS:
Session 1 & 2 Learning Objectives and Resources
2) Assessing risks to human health and health systems from climate change
FEATURING:
- Kristie L Ebi, PhD, Profesora, Centro de Salud y Medio Ambiente Mundial, Universidad de Washington
- Anahi Membribe, consultora externa OPS Proyecto Readiness Argentina para la provincia de Neuquén
- Mercy Borbor-Córdova, PhD, Escuela Superior Politécnica del Litoral, Guayaquil, Ecuador
- Matt Wolff, Director del Programa de Clima y Salud, Departamento de Salud Pública de San Francisco Programa de Clima y Salud
SESSION MATERIALS:
Session 1 & 2 Learning Objectives and Resources
3) A special focus on health facilities: Assessing risks and opportunities for adaptation and resilience building
FEATURING:
- Diarmid Campbell-Lendrum, Jefe de la Unidad de Cambio Climático y Salud, Sede de la OMS
- Vital Ribeiro, Presidente del Consejo del Proyecto Hospitales Saludables de la ong y Arquitecto de la División de Medio Ambiente de la Secretaría de Salud del Estado de São Paulo
- Judith Harvey, PhD, Consultora Técnica, OPS Proyecto de Instalaciones Sanitarias Inteligentes en el Caribe
SESSION MATERIALS:
Session 3 & 4 Learning Objectives and Resources
4) The health adaptation process: Key actors, activities, and partnerships
FEATURING:
- Daniel Buss, PhD, Jefe de Unidad, Cambio Climático y Determinantes Ambientales de la Salud. Organización Panamericana de la Salud (OPS)
- Carmen Ciganda, PhD, Ministerio de Salud Pública de Uruguay
- Craig Brown, PhD, Salud Costera de Vancouver
- Ahnivar Peralta, Especialista en Desarrollo de Proyectos del Centro Comunitario Caribeño sobre el Cambio Climático (CCCCC)
SESSION MATERIALS:
Session 3 & 4 Learning Objectives and Resources
5) Integrating health equity into efforts to address climate change
FEATURING:
- Carlos Faerron Guzmán, MD, Alianza para la Salud Planetaria de la Facultad de Salud Pública T.H. Chan de la Universidad de Harvard
- Vivian Camacho, PhD, Directora General del Ministerio de Salud, Bolivia
- John M. Balbus, MD, Director Interino, Departamento de Salud y Servicios Humanos de los Estados Unidos, Oficina de Cambio Climático y Equidad en Salud
- Báltica Cabieses, PhD, Profesora de epidemiología social, Instituto de Ciencias e Innovación en Medicina (ICIM) de la Universidad del Desarrollo y Clínica Alemana
SESSION MATERIALS:
Session 5 & 6 Learning Objectives and Resources
6) Estimating the costs of the health and health system impacts of climate change
FEATURING:
- Andrea Bassi, Instituto Internacional de Desarrollo Sostenible
- Montira Pongsiri, PhD, Asesora Principal, Cambio Climático y Salud
- Diego Moreno Heredia, Ministerio de Salud y Protección Social de Colombia – Cambio Climático y Salud
- Marcus Sarofim, PhD, Científico Medioambiental Senior, División de Cambio Climático de la EPA de EE.UU.
SESSION MATERIALS:
Session 5 & 6 Learning Objectives and Resources
7) Opportunities and guidance for lowering the carbon footprint of health systems
FEATURING:
- James Hospedales, MD, Fundador, EarthMedic/EarthNurse
- Fiona Miller, PhD, Profesora, HSR – Líder de Énfasis en Política Sanitaria
- Elizabeth Schenk, PhD, RN, Directora Ejecutiva de Administración Ambiental, Providence, Estados Unidos
- Diana Picon Manyari, Directora Internacional de Clima, Salud sin Daño
SESSION MATERIALS:
Session 7 & 8 Learning Objectives and Resources
8) Measuring, monitoring, and evaluating climate resilient health systems
FEATURING:
- Peter Berry, PhD, Analista Principal de Políticas y Asesor Científico al Director, Ministerio de Sanidad de Canadá
- Stella Hartinger, PhD, Universidad Cayetano Heredia, Unidad de Investigación en Desarrollo Integral, Ambiente y Salud
- Anwar Mendez, MPH, Organización Panamericana de la Salud
SESSION MATERIALS:
Session 7 & 8 Learning Objectives and Resources
9) Effectively communicating climate change risks to health
FEATURING:
- Andrea Peve, Ministra de Salud de Neuquén
- Edward Maibach, PhD, Director del Centro de Comunicación del Cambio Climático de la Universidad de George Mason
- Roberta Stout, Asamblea de las Primeras Naciones
- Donna Atkinson, Centro Nacional de Colaboración para la Salud Indígena
- Carolina Portaluppi-Castro, Universidad Casa Grande, consultora PNUD
SESSION MATERIALS:
Session 9 Learning Objectives and Resources




