Progress of Local Health Department Planning Actions for Climate Change: Perspectives from California, USA.

Public health departments are on the frontlines of protecting vulnerable groups and working to eliminate health disparities through prevention interventions, disease surveillance and community education. Exploration of the roles national, state and local health departments (LHDs) play in advancing climate change planning and actions to protect public health is a developing arena of research. This paper presents insights from local public health departments in California, USA on how they addressed the barriers to climate adaptation planning with support from the California Department of Public Health's Office of Health Equity Climate Change and Health Equity Section (OHE), which administers the California Building Resilience Against Climate Effects Project (CalBRACE). With support from the U.S. Centers for Disease Control and Prevention (CDC) Climate-Ready States and Cities Initiative (CRSCI), CalBRACE initiated an adaptation project to seed climate planning and actions in county health departments. In this study, we compared the barriers and strategies of twenty-two urban and rural LHDs and explored potential options for climate change adaptation in the public health framework. Using key informant interviews and document reviews, the results showed how engagement with CalBRACE's Local Health Department Partnership on Climate Change influenced the county departments' ability to overcome barriers to adaptation through the diversification of funding sources, the leveraging strategic collaborations, extensive public education and communication campaigns, and the development of political capital and champions. The lessons learned and recommendations from this research may provide pathways and practices for national, state and local level health departments to collaborate in developing protocols and integrating systems to respond to health-related climate change impacts, adaptation and implementation.

COVID-19 Pandemic: Rethinking Strategies for Resilient Urban Design, Perceptions, and Planning

From the beginning of the COVID-19 crisis, the scientific community has been continuously trying to assess the virus, its socio-environmental impacts, regulatory/adaptation policies, and plans. The emergency is to develop pandemic-resilient city planning and management in order to tackle the infectious diseases during COVID-19. Such development includes the reframing of unsustainable urban patterns, hazards, and social inequalities to be prepared for the emerging cases. In this study, we focus on the assessment of disaster risk management (DRM), which will help to develop pandemic-resilient urban strategies (response, mitigation, and preparedness phase) through analyzing previously published literature. Short- and long-term recommendations for pandemic resilience urban planning and design have also been provided. In the response phase, implementation of the smart and resilient city design and policies has been highlighted to identify disease transmission. In the mitigation phase, new technological approaches can be adopted for better management of present and future pandemics. The physical (urban access, infrastructure, environmental factors, and land use patterns) and non-physical (socio-cultural, governance, and economic factors) aspects of resilient urban strategies have been focused, which may help to develop understanding of health- and disaster-related risks in pandemic. In the preparedness phase, proactive measures such as capacity building of people toward any outbreak and different simulation processes (models of transmission pattern) can be adopted for future pandemics. We also discuss about the enhancement of urban resiliency in housing, public spaces, and cities that may bring the effective outcome of DRM framework to combat pandemic. The study focuses on the major lessons that can be adopted for post-pandemic urban resilient planning related to disaster management and climate change adaptation, preventing extensive challenges of sustainability apart. In the following months and years, it will be difficult to assess various changes to develop urban planning and design in the post-COVID-19 world. However, this study expresses the possibility of creating good opportunities for policymakers and city planners to undertake significant transformative and advanced actions during the three different phases of DRM. This study presents a novel approach to delineate the scope of DRM framework in achieving more resilient cities (RC) to tackle future pandemics. This study will also crucially help the planners and decision-makers in better assessing and addressing the strategic and resilient urban design and planning approach in future.