Climate & Health for Community and Healthcare Stakeholders in The Bahamas

Climate and Health Ambassadors in the Bahamas

Community stakeholders and healthcare professionals can do something together about the climate and health crisis!

Training Days: December 13 & 14, 2022

Locations: New Providence | Grand Bahama | Abaco - Marsh Harbour

Locations:

Nassau: The Balmoral Club, #78 Sanford Dr, Nassau, Bahamas

Grand Bahama: Grand Lucayan, G966+W4 Freeport, The Bahamas

Abaco: Abaco Beach Resorts, Bay St, Marsh Harbour, Bahamas

 
Day 1 (December 13): Climate and Health Training

Module 0: Introduction to climate and health | Slide Deck | Video Recording

Presenting Faculty: Dr James Hospedales

Learning Objectives:

  • Describe links between climate and health, pertaining to the ongoing health outcomes in the Bahamas
  • Describe the roles and responsibilities of community members and health professionals in adapting and mitigating the climate and health crisis and how this links to the Alma Ata Primary Care for All Community Engagement in Health
  • Explain how joint health sector and community efforts together can protect and improve health in the face of climate change.

 

Module 1: Overview of Climate Change & Extreme Heat | Slide Deck | Video Recording

Presenting Faculty: Dr. Cecilia Sorensen

Learning Objectives:

  • Describe how climate change is affecting temperatures in the Bahamas and predictions for the next 20-30 years.
  • Define heat stress/stroke and “heat sensitive” health conditions including: Heart disease, lung disease, kidney disease, mental health and pregnancy.
  • Identify individuals and populations who are vulnerable to heat illness, and ways they can protect their health and the health system can respond.
  • Explore the role of heat early warning systems and other community-based measures in preventing negative health outcomes.

Resource:

Module 2: Hurricanes and Flooding  Slide Deck | Video Recording

Presenting Faculty: Dr. William Hamilton and Dr James Schultz

Learning Objectives:

  • Describe the ways in which climate change increases the risk of extreme events such as hurricanes, extreme precipitation, floods and droughts in the Bahamas.
  • Identify short-term and long-term health threats to individuals and communities impacted by extreme weather events (direct impacts, mental health outcomes, trauma, exacerbation of NCDs, etc) and what may lead to increased vulnerability.
  • Discuss how disasters impact mental health, specifically in regards to stress disorders, depression, domestic abuse, violence and aggression, and substance abuse.
  • Define how communities and health systems can prepare for and respond to extreme weather events, including communication, early warning, cooperation, preparedness, etc.

Resources:

Module 3: Degraded Air Quality and Non Communicable Diseases | Slide Deck | Video Recording

Presenting Faculty: Dr. Caleb Dresser

Learning Objectives:

  • Define degraded air quality and describe the pathways through which fossil fuel use and climate change worsen air pollution.
  • Discuss how air pollution worsens lung and heart disease.
  • Identify populations in The Bahamas that are vulnerable to degraded air quality.
  • Describe how individuals, communities and health professionals can protect both themselves and vulnerable patients or community members.
  • Conceptualize locally actionable steps that could be taken to either improve local air quality or protect at-risk individuals during periods of time with poor air quality.

Resource:

Module 4: Health Co-Benefits of Collaborative Climate Action | Slide Deck | Video Recording

Presenting Faculty: Dr. James Hospedales

Learning Objectives:

  • Describe how healthcare facilities and homes in communities can become more resilient, greener, and cost efficient with frequent climate-related weather extremes.
  • Identify cases of effective community action in mitigating/adapting to climate change.
  • Describe the most effective actions which individuals and communities can take to decrease their environmental impact while improving their health

Resources:

Day 2 (December 14): Climate and Health Advocacy Network

Module 1: Introduction to Collaborative Advocacy | Slide Deck

Module 2: Terms of Reference for the Climate and Health Advocacy Network (CHAN) | Slide Deck

Module 3: Developing a Work Plan for Sustainability | Slide Deck

 

Bahamas flag

Workshop Structure:

This workshop was developed in collaboration between the Ministory of Health and Wellness, the Caribbean Community Climate Change Centre, EarthMedic/EarthNurse and the Global Consortium on Climate and Health Education, Columbia University, with the aim to address a knowledge gap on the linkages between climate change and health and propose ways to strengthen the capacity of the community and the health sector to respond to health threats caused by climate change. To this end, the workshop includes a review of the basic concepts of climate change, including avoidable causes and triggers and the direct and indirect consequences of climate change on health in the Bahamas.

This two-day workshop adheres to evidence-based knowledge and skills regarding the health impacts of climate change on health in the Bahamas. Participants can elect to attend the workshop in person at one of three different locations (New Providence, Grand Bahama, Abaco - Marsh Harbour). The workshop is structured into four modules, each with a case study with the goal of giving the learner an opportunity to become exposed to new knowledge and then practice applying the knowledge in a collaborative manner with interdisciplinary colleagues.  Each module is accompanied by suggested readings and resources as well as guides for action and application of information.

Audience:

This workshop is intended for: Community members and civil society leaders, physicians, nurses, allied health professionals, public and private health workers, hospital administrators, health system leaders, health educators, policymakers, environmental health professionals, government officials, journalists, advocates, or those otherwise working in an area impacted by climate change in the Bahamas.

healthcare workers

Key Goals:

  1. Increase community member and health professionals’ knowledge, skills, and self-efficacy related to the climate crisis so they may work together prepare for and respond to climate and health impacts in their personal lives, their communities and their places of work
  2. Strengthen community member and health professionals' community engagement knowledge and communication skills so they may work together, prepare for and respond to climate and health impacts in their personal lives, their communities, and their places of work
  3. Build and strengthen an agile, informed, connected and collaborative community around climate and health through the development of a Climate and Health Advocacy Network of community members and healthcare professionals working together
  4. Improve communication between health professionals and community members on the health impacts of climate change in order to encourage collaborative individual and community-level solutions

Faculty:

  • Dr. James Hospedales, Founder, Earth Medic​ & EarthNurse
  • Dr. Calae Philippe, Sr. Medical Officer, Focal Point for Climate Resilient Health System and Project Coordinator, Ministry of Health and Wellness
  • Dr. Cecilia Sorensen, Director, Global Consortium on Climate and Health Education, Columbia University ​
  • Dr. William Hamilton, Medical Focal Point, Climate Change and Health Leadership Fellow, Ministry of Health and Wellness​
  • Dr. Caleb Dresser, Assistant Director, Fellowship in Climate and Health, Harvard University​
  • Dr. James Schultz​, Director, P3H: Protect & Promote Population Health in Complex Crises

Resources for Community Members

Introduction to Climate and Health

Video: Cedema disaster fighters

Video: The most important thing you can do about climate change is talk about it, K. Hayhoe

Website: Declaration of Alma Ata, World Health Organization

Fact Sheet: United Nations Climate Fast Facts

 

Climate Change & Extreme Heat

Video: What are Heat Waves? Pan American Health Organization

Video: What is the impact of Heat Waves on Human Health, Pan American Health Organization

Video: What steps can people take to face a Heat Wave?, Pan American Health Organization

Handout: Heatwave Posters and Handouts, Climate Psychiatry Alliance

Website: Heatwaves, World Health Organization

Video: Lets Create a Healthier Caribbean Climate, Partners

Website: How does heat affect us?, Caribbean Regional Climate Center

Handout: Heat Illness Prevention at Work, U.S. Occupational Health and Safety Administration

Handout: Hot weather safety tips for older adults, Healthy Aging Organization

 

Hurricanes and Flooding

Checklist: Build a disaster-ready kit

Toolkits: Preparing for a Hurricane or Storm, U.S. Centers for Disease Control

 

Health Co-Benefits of Collaborative Climate Action

Handout: United Nations Climate Fast Facts

Handout: Community-based Adaptation to a Changing Climate, U.S. Environmental Protection Agency

Community-based Adaptation to a Changing Climate, U.S. Environmental Protection Agency

Resources for Health Professionals

Introduction to Climate and Health

Research Article: Innovative health professional leadership for a climate-resilient Bahamas, The Journal of Climate and Health

Research Article: Public understanding of climate change and health in the Caribbean: Results and recommendations from a 10-country perceptions survey, The Journal of Climate and Health

 

Climate Change & Extreme Heat

Research Article: Treatment and Prevention of Heat Related Illness, New England Journal of Medicine

Research Article: Heat Illness in Clinical Practice, British Medical Journal

Research Article: Heat Stroke, New England Journal of Medicine
 

Hurricanes and Flooding

Research Article: Double Environmental Injustice - Climate Change, Hurricane Dorian and the Bahamas, New England Journal of Medicine

Research Article: Scrambling for Safety in the Eye of Dorian: Mental Health Consequences of Exposure to a Climate-Driven Hurricane, Health Affairs

Framework Guidance: Health Emergency and Disaster Risk Management Framework, Pan American  Health Organization

Framework Guidance: Preparedness Index for Health Emergencies and Disasters, Pan American  Health Organization

 

Degraded Air Quality and Non Communicable Diseases

Plume Labs Current and Historical Air Quality Information for Nassau, Bahamas: https://air.plumelabs.com/air-quality-in-Nassau-eZc4

IQAir Map showing current air quality conditions in the Bahamas and surrounding ocean, including ability to visualize dust plumes from the Sahara https://www.iqair.com/us/bahamas

PupleAir Map showing non-governmental sensors: https://map.purpleair.com/1/mAQI/a10/p604800/cC0#5.55/24.409/-74.657

 

Health Co-Benefits of Collaborative Climate Action

Journal Article: A Low-Carbon Future Could Improve Global Health and Achieve Economic Benefits, JAMA Network

Book Chapter: Health Risks of Climate Change and Health Benefits from Solving the Global Climate Crisis, World Scientific  Encyclopedia of Climate Change

Journal Article: Building adaptive capacity to climate change in tropical coastal communities, Nature Climate Change

The PAHO/WHO SMART Health Facility initiative: Smart Hospitals Toolkit (paho.org)

UK National Health Service Net Zero plan Greener NHS » Delivering a net zero NHS (england.nhs.uk).

Healthcare Without Harm (www.noharm.org) aims to reduce the environmental footprint of health care and create community anchors for sustainability, including free training

For primary care facilities and general practice offices, Greener Practice UK (Greener Practice – Greener Practice – UK's primary care sustainability network) and My Green Doctor USA https://mygreendoctor.org

Aga Khan Development Network: “How our health operations are slashing carbon emissions while saving thousands” healthcarbonfootprint@akdn.org