NATIONAL PROGRAM

FOR CLIMATE CHANGE

AND HUMAN HEALTH
DR.MARIE J NAINA
JUNIOR RESIDENT
HEALTH IMPACT

Direct health impact due to increased frequency and intensity of

extreme weather events; examples- floods, heavy rainfall, cyclones,
heat waves, droughts, cold waves

Indirect health Impact: Water borne, vector borne, nutrition

related illnesses etc
17 Climate Sensitive
Diseases (CSDs)
1. Air Pollution related illnesses
2. Heat-related illnesses
3. Vector borne Diseases
4. Water borne Diseases
5. Zoonotic Diseases and One Health
6. Cardiopulmonary Diseases
7. Allergic health issues
8. Nutrition-related diseases
17 Climate Sensitive Diseases (CSDs)
9.Disaster related diseases/Illnesses
10. Mental Health Issues
11. Food security
12. Coastal Climate Sensitive Diseases
13. Hilly region and Mountainous Climate Sensitive Diseases
14. Mental health
15. Occupational health
16. Vulnerability assessment
17. Health information system
INTRODUCTION

The National Programme for Climate Change and Human

Health (NPCCHH) is a national-level initiative in India
that aims to address the health impacts of climate
change

The program was launched in 2019 by the Ministry of

Health and Family Welfare (MoHFW).
GOAL

• To reduce morbidity,
mortality, injuries, and
health vulnerability to
climate variability and
extreme weather.
OBJECTIVES
Awareness Generation

Capacity building

Health sector preparedness and response

To develop partnerships

To steer research
 DISTRIC LEVEL ACTIVITIES
To fulfil its vision, establishment of district level organizational
structure i.e. District Nodal Officer-Climate Change (DNO-CC)
and District Multisectoral Task Force (DTF) in all the districts
is a priority.

DTF is vital to identify locally relevant climate change and

health issues and focus NPCCHH activities through DNO-CC
with support from various concerned departments to increase
awareness among population and strengthening health care.
District • DAPCCHH is an action-oriented guidance
document on district health department’s
Action Plan response to Climate Sensitive Diseases (CSDs)
prevalent in the district.
for Climate • And the document facilitates and provides the
methods of inter-departmental coordination and
Change and resource allocation to reduce impact of climate
sensitive issues (CSI) and extreme weather on
Human district’s population.
• Its purpose is to allow long-term planning for
Health delivery of NPCCHH objectives
• Should include inputs, processes, logistics,
(DAPCCHH) indicators and evaluation of each prevalent CSDs.
District Environmental Health Cell

The District to designate

Establish District DNO-CC who is the key
Environmental Cell under person responsible to
the Health Department carry out programme
of the District. activities at the District
level.
Roles and Responsibilities
1. Preparation and implementation of District Action Plan for Climate
Change and Human Health (DAPCCHH)
2. Conduct IEC campaigns and sensitization workshops
3. Conduct Sub-District/CHC/ Block/PHC/SC level training for health
care professionals and Panchayati Raj Institutions (PRI)
4. Implement health care strengthening measures and ensure health
facility preparedness for prevalent CSI in the District
Roles and Responsibilities
5. Maintain and update District database of illnesses identified in the
district.
6. Maintain District level data on physical, financial, epidemiological
profile for these illnesses.
7. Conduct vulnerability assessment and risk mapping for commonly
occurring climate sensitive illnesses in the District.
8. Coordination Supervising and Monitoring and Reporting of
programme related activities at every level
ACTIVITIES

IEC Campaign

Public Health Advisories

Observance of important days on environment and health

Monitoring and Supervision of IEC

 Cold wave/ frost, heat wave
and elevated air pollution.

PUBLIC
HEALTH Issued at central level and
forwarded to Districts through
ADVISORI State/UT

ES
Timely dissemination of health
advisories in locally acceptable
language/s.
IMPORTANT DAYS
• International Day for
World Forestry Day (21 • World Water Day (22 • World Environment
• Earth Day (22 April) Biological Diversity (22
March) March) Day (June 5)
May)

• World Day to Combat • World Nature • International Day of • World Environmental

• World Car Free Day (22
Desertification & Conservation Day (28 Clean Air for blue skies Health Day (September
Sep)
Drought (17 June) July) (September 7) 26)

• International Day of
• International Day for
• Green Consumer Day • World Food Day (16 Climate Action (October National Pollution
Disaster Risk Reduction
(28 Sep) Oct) 24) 2573667/2022/O/O Prevention Day (02 Dec)
(October 13)
NCDC 42 5 •

• National Energy
• World Soil Day (05 Dec) Conservation Day (14
Dec)
CAPACITY BUILDING
• To strengthen capacity of healthcare
system to adapt/address illnesses/ diseases
due to variability in climate and extreme
weather events
• Training on climate change and health
• Sensitization/knowledge building
workshops
SCHEDULE
STRENGTHENING HEALTH
PREPAREDNESS AND RESPONSE
• To strengthen health preparedness and response by performing
situational analysis at national/ state/ district/ below district levels.
1. Surveillance
2. Green (Environmentally friendly and sustainable measures) and
Climate Resilient infrastructure
Surveillance

a. Surveillance of Heat-
Related Illnesses
(HRI)
b. Surveillance on air
pollution related
illnesses in all States
Surveillance of Heat-Related Illnesses (HRI)
• HRI surveillance is conducted to establish a baseline of HRI morbidity
and mortality
• To monitor HRI incidence in relation to environmental parameters
• Improve health system preparedness to extreme heat.
• There are 23 heat vulnerable States/UT
• Required to conduct the surveillance from March 1 to July 31
Surveillance of Heat-Related Illnesses (HRI)

All health facilities (PHC and above) should collect and report HRI data daily to
the district and NPCCHH in the formats given

DNO-CC to analyse HRI health surveillance data with environmental parameters

like maximum, minimum temperature and send a weekly surveillance analysis
report to the State and to NPCCHH during summer

All suspected heatstroke deaths in the district should be investigated by a three-

member committee using death investigation format provided in National Action
Plan on Heat Related Illnesses
HEALTH FACILITY EARLY WARNING AND
PREPAREDNESS ALERT
Surveillance on air pollution related illnesses
• City having higher level of AQI are to be selected first
• The identified sentinel hospitals should collect daily data and shared
to the District Nodal Officer
• DNO-CC to analyse ARI surveillance data with Air Quality Levels (AQI)
from air quality monitoring centre from respected city of the hospital
and send a monthly surveillance analysis report to the state and to
NCDC throughout the year.
• All health facilities in a district (PHC and above) in 122 NCAP cities and
cities with high air pollution levels should ensure implementation of
the plan to prepare health facility to prevent and manage ARI cases.
Early warning and alert

• Districts to collect
information on Air Quality
Data from State Pollution
Control Board and issue
warning to the health care
facilities for preparedness in
context of air pollution
health Impacts.
Green (Environmentally friendly and sustainable
measures) and Climate Resilient infrastructure

Green Healthcare facility Infrastructure (Mitigation)

Climate Resilient Healthcare facility infrastructure (Adaptation)

ACTIVITIES

1. Energy Auditing of the Healthcare

Facilities for Energy Efficiency level in
the HCFs
2. Replacement of existing (non-LED)
lighting with LED in Healthcare
Facilities
3. Installation of Solar Panels in
Healthcare Facilities
4. Install Rainwater Harvesting System in
Healthcare Facilities
Strengthening research
The NPCCHH is also working to strengthen research on the health
impacts of climate change. This is being done by:
* Funding research projects on the health impacts of climate
change.
* Providing training to researchers on how to conduct research on
the health impacts of climate change.
* Disseminating research findings to policymakers and the public.
CASE STUDY

There were structural

Pozhuthana PHC lost
damages to the building
most of its equipment,
itself, the floor of the
patient records, and
mini hall had broken, and
medicines due to
the boundary wall
flooding in its premises.
collapsed.
 • The compound wall was reconstructed to
withstand the pressure of the water in the future.
RECONSTRUCTIO A small metal grill was placed in between layers
N of the compound wall to ensure it withstood the
force of the water.
 • Some of the walls of the PHC were tiled, and partitions
were made using aluminum fabrication and painted so
RECONSTRUC that walls could withstand the pressure of the water in
the event of flooding.
TION • Ramps were created in the building for the easy shifting
of equipment and medicines in case of water inundation.
Kerala State
Action Plan on
Climate Change

• The second edition of Kerala

State Action Plan on Climate
Change aims to achieve the
goal of using 100 per cent
renewable energy by 2040
and emerging as a carbon-
neutral state by 2050.
 INTERVENTIONS
Targeted healthcare for inherently sensitive populations/ vulnerable communities

Increasing access to functional health care

Safe drinking water along with safe and scientific sanitation:

Waste Management (solid and liquid)

Maximizing Insurance Coverage:

THANK YOU