Climate & Health for Community and Healthcare Stakeholders 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:
- Be Prepared - Checklist for Beginning of Hurricane Season - Handout
- Be Prepared - As Storm Approaches - Handout
- Be Prepared - Emergency Supplies to Have at Home - Handout
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
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.

Key Goals:
- 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
- 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
- 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
- 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