Climate change is one of several drivers of recurrent outbreaks and geographical range expansion of infectious diseases in Europe. We propose a framework for the co-production of policy-relevant indicators and decision-support tools that track past, present, and future climate-induced disease risks across hazard, exposure, and vulnerability domains at the animal, human, and environmental interface. This entails the co-development of early warning and response systems and tools to assess the costs and benefits of climate change adaptation and mitigation measures across sectors, to increase health system resilience at regional and local levels and reveal novel policy entry points and opportunities. Our approach involves multi-level engagement, innovative methodologies, and novel data streams. We take advantage of intelligence generated locally and empirically to quantify effects in areas experiencing rapid urban transformation and heterogeneous climate-induced disease threats. Our goal is to reduce the knowledge-to-action gap by developing an integrated One Health—Climate Risk framework.

Joacim Rocklöv, Jan C. Semenza, Shouro Dasgupta, Elizabeth J.Z. Robinson, Ahmed Abd El Wahed, Tilly Alcayna, Cristina Arnés-Sanz, Meghan Bailey, Till Bärnighausen, Frederic Bartumeus, Carme Borrell, Laurens M. Bouwer, Pierre-Antoine Bretonnière, Aditi Bunker, Chloe Chavardes, Kim R. van Daalen, João Encarnação, Nube González-Reviriego, Junwen Guo, Katie Johnson, Marion P.G. Koopmans, María Máñez Costa, Antonios Michaelakis, Tomás Montalvo, Anna Omazic, John R.B. Palmer, Raman Preet, Marina Romanello, Mohammad Shafiul Alam, Reina S. Sikkema, Marta Terrado, Marina Treskova, Diana Urquiza, Joacim Rocklöv, Junwen Guo, Jan C. Semenza, Raman Preet, Henrik Sjodin, Zia Farooq, Maquines Sewe, Marina Romanello, Frances MacGuire, Antonios Michaelakis, Evangelia Zavitsanou, Panos Milonas, Dimitrios Papachristos, Marina Bisia, Georgios Balatsos, Spyros Antonatos, Jaime Martinez-Urtaza, Joaquin Triñanes, João Encarnação, Mark Williams, John R.B. Palmer, Berj Dekramanjian, Karl Broome, Otis Johnson, Laurens Bouwer, Maria Máñez Costa, Adriana Martin, Lola Kotova, Thea Wübbelmann, Aditi Bunker, Till Bärnighausen, Fiona Walsh, Marina Treskova, Pascale Stiles, Jerome Baron, Charles Hatfield, Julian Heidecke, Pratik Singh, Shouro Dasgupta, Katie Johnson, Francesco Bosello, Elizabeth J.Z. Robinson, Sara Mehryar, Tilly Alcayna, Meghan Bailey, Marion P.G. Koopmans, Reina S. Sikkema, Pauline de Best, Tijmen Hartung, Ayat Abourashed, Frederic Bartumeus, Jesus Bellver, Catuxa Cerecedo, Rachel Lowe, Martín Lotto Bautista, Bruno Moreira de Carvalho, Chloe Fletcher, Nube González-Reviriego, Marta Terrado, Diana Urquiza, Pierre-Antoine Bretonnière, Julieta Rosenbluth, Marina Corradini, Jaume Ramon, Kim R. van Daalen, Liam Patrick Brodie, Alba Llabres, Ahmed Abd El Wahed, Arianna Ceruti, Uwe Truyen, Chloe Chavardes, Sasha Rodrigues, Anna Omazic, Erik Ågren, Giulio Grandi, Stefan Widgren, Masud Parvage, Martin Bergström, Mohammad Shafiul Alam, Rashidul Haque, Wasif Ali Khan, Tomás Montalvo, Andrea Valsecchi, Laura Barahona, Elisenda Realp, Carme Borrell, Stephan de Roode, Rachel Lowe.
Decision-support tools to build climate resilience against emerging infectious diseases in Europe and beyond, The Lancet Regional Health – Europe, Volume 32, 2023, 100701, ISSN 2666-7762,
https://doi.org/10.1016/j.lanepe.2023.100701.

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