Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal

Introduction: Climate change is a pressing public health issue. Urban populations, especially in coastal areas, are highly vulnerable. As climate change progresses, local adaptation becomes increasingly important. We present a case study about the inclusion of public health concerns in local climate...

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Main Authors: José Pedro Silva, Gloria Macassa, Henrique Barros, Ana Isabel Ribeiro
Format: Article
Language:English
Published: Karger Publishers 2024-09-01
Series:Portuguese Journal of Public Health
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Online Access:https://beta.karger.com/Article/FullText/540747
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author José Pedro Silva
Gloria Macassa
Henrique Barros
Ana Isabel Ribeiro
author_facet José Pedro Silva
Gloria Macassa
Henrique Barros
Ana Isabel Ribeiro
author_sort José Pedro Silva
collection DOAJ
description Introduction: Climate change is a pressing public health issue. Urban populations, especially in coastal areas, are highly vulnerable. As climate change progresses, local adaptation becomes increasingly important. We present a case study about the inclusion of public health concerns in local climate change adaptation in Porto (Portugal). Methods: We analysed two local adaptation plans using qualitative content analysis and conducted semi-structured interviews with a purposeful sample of 6 key stakeholders with different profiles. We did a qualitative content analysis of the respective transcripts. Results: Porto is undergoing health-relevant consequences of climate change, which are expected to worsen further in the future. Porto’s geographical and demographic characteristics and urban environment make its population highly vulnerable to climate change-related health risks. Public health is recognized as a central element in local adaptation efforts. Drivers for integrating health concerns include growing climate change awareness, a sense of urgency, social capital, institutional networks, access to resources, and political commitment. Nevertheless, challenges like data limitations, resource constraints, climate knowledge gaps, communication issues, and political cycles hinder both local adaptation and the integration of health considerations. Discussion/Conclusion: In Porto, health seems both a powerful mobilizing issue and a central topic concerning local adaptation. However, the complex and long-term nature of climate change and the associated uncertainty hinder adaptation efforts. High-quality data about both the local climate and population health are thus essential. The transversal nature of risk is recognized and multi-sectorial approaches, public participation, mainstreaming, and policy integration are necessary to prevent imbalances. Local adaptation efforts, including health-related efforts, are shaped by the international (belonging to the European Union), national, and local contexts. Successful local adaptation and inclusion of health aspects require mainstreaming and policy integration across different areas and involvement of multiple stakeholders, including the population, in order to maximize resources and avoid undesired trade-offs.
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spelling doaj-art-63c467f275904deba3b3123dec3335c12025-08-20T02:16:55ZengKarger PublishersPortuguese Journal of Public Health2504-31452024-09-011110.1159/000540747540747Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, PortugalJosé Pedro Silva0Gloria Macassa1Henrique Barros2Ana Isabel Ribeiro3EPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalIntroduction: Climate change is a pressing public health issue. Urban populations, especially in coastal areas, are highly vulnerable. As climate change progresses, local adaptation becomes increasingly important. We present a case study about the inclusion of public health concerns in local climate change adaptation in Porto (Portugal). Methods: We analysed two local adaptation plans using qualitative content analysis and conducted semi-structured interviews with a purposeful sample of 6 key stakeholders with different profiles. We did a qualitative content analysis of the respective transcripts. Results: Porto is undergoing health-relevant consequences of climate change, which are expected to worsen further in the future. Porto’s geographical and demographic characteristics and urban environment make its population highly vulnerable to climate change-related health risks. Public health is recognized as a central element in local adaptation efforts. Drivers for integrating health concerns include growing climate change awareness, a sense of urgency, social capital, institutional networks, access to resources, and political commitment. Nevertheless, challenges like data limitations, resource constraints, climate knowledge gaps, communication issues, and political cycles hinder both local adaptation and the integration of health considerations. Discussion/Conclusion: In Porto, health seems both a powerful mobilizing issue and a central topic concerning local adaptation. However, the complex and long-term nature of climate change and the associated uncertainty hinder adaptation efforts. High-quality data about both the local climate and population health are thus essential. The transversal nature of risk is recognized and multi-sectorial approaches, public participation, mainstreaming, and policy integration are necessary to prevent imbalances. Local adaptation efforts, including health-related efforts, are shaped by the international (belonging to the European Union), national, and local contexts. Successful local adaptation and inclusion of health aspects require mainstreaming and policy integration across different areas and involvement of multiple stakeholders, including the population, in order to maximize resources and avoid undesired trade-offs.https://beta.karger.com/Article/FullText/540747climate changelocal adaptationurban policypublic healthalterações climáticasadaptação localpolíticas urbanassaúde pública
spellingShingle José Pedro Silva
Gloria Macassa
Henrique Barros
Ana Isabel Ribeiro
Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
Portuguese Journal of Public Health
climate change
local adaptation
urban policy
public health
alterações climáticas
adaptação local
políticas urbanas
saúde pública
title Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
title_full Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
title_fullStr Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
title_full_unstemmed Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
title_short Local Climate Change Adaptation under the Lenses of Public Health: A Case Study from Porto, Portugal
title_sort local climate change adaptation under the lenses of public health a case study from porto portugal
topic climate change
local adaptation
urban policy
public health
alterações climáticas
adaptação local
políticas urbanas
saúde pública
url https://beta.karger.com/Article/FullText/540747
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