Climate change poses profound and urgent challenges to the health and wellbeing of people in Australia. With an average of 1.51°C of warming since records began,1 the health impacts of climate change are already being felt across Australia.2 Meanwhile, the health system itself is responsible, either directly or indirectly, for around 5.3% of Australia's greenhouse gas emissions.3 There is a clear need for Australia to achieve “healthy, climate‐resilient communities, and a sustainable, resilient, high‐quality, net zero health system.”3 This vision is outlined in Australia's first National Health and Climate Strategy (hereafter, the Strategy), proudly launched in December 2023 by the Honourable Ged Kearney MP, Assistant Minister for Health and Aged Care. In this perspective article, we review the Strategy's origins, development, and key features; discuss the challenges that must be tackled in the coming years; and highlight the leadership role that health professionals can play in the response to climate change.
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- 1. Bureau of Meteorology. State of the climate 2024. Canberra: BOM, 2024. http://www.bom.gov.au/state‐of‐the‐climate/ (viewed Nov 2024).
- 2. Beggs PJ, Zhang Y, McGushin A, et al. The 2022 report of the MJA–Lancet Countdown on health and climate change: Australia unprepared and paying the price. Med J Aust 2022 217: 439‐458. https://www.mja.com.au/journal/2022/217/9/2022‐report‐mja‐lancet‐countdown‐health‐and‐climate‐change‐australia‐unprepared
- 3. Department of Health and Aged Care. National Health and Climate Strategy. Canberra: Department of Health and Aged Care, 2023. https://www.health.gov.au/resources/publications/national‐health‐and‐climate‐strategy?language=en (viewed Oct 2024).
- 4. Climate and Health Alliance. Framework for a National Strategy of Climate, Health and Wellbeing for Australia. Melbourne: Climate and Health Alliance, 2017. https://d3n8a8pro7vhmx.cloudfront.net/caha/pages/40/attachments/original/1498008324/CAHA_Framework_for_a_National_Strategy_on_Climate_Health_and_Well‐being_v05_SCREEN_%28Full_Report%29.pdf?1498008324 (viewed Oct 2024).
- 5. Bragge P, Armstrong F, Bowen K, et al. Climate Change and Australia's Health Systems: A Review of Literature, Policy and Practice. Monash Sustainable Development Evidence Review Service, BehaviourWorks Australia, Monash University: Melbourne, 2021. https://www.racp.edu.au/docs/default‐source/advocacy‐library/climate‐change‐and‐australias‐healthcare‐systems‐a‐review‐of‐literature‐policy‐and‐practice.pdf (viewed Oct 2024).
- 6. NHS England. Quality and Outcomes Framework guidance for 2022/23, Version 2, 8 December 2022 (PR00027). NHS England. https://www.england.nhs.uk/wp‐content/uploads/2022/03/PRN00027‐qof‐guidance‐for‐22‐23‐v2.pdf (viewed Oct 2024).
- 7. Australian Commission on Safety and Quality in Health Care. Environmental Sustainability and Climate Resilience Healthcare Module [website]. https://www.safetyandquality.gov.au/standards/environmental‐sustainability‐and‐climate‐resilience‐healthcare‐module (viewed Oct 2024).
- 8. Hamilton I, Kennard H, McGushin A, et al. The public health implications of the Paris Agreement: a modelling study. Lancet Planet Health 2021; 5: e74‐e83.
- 9. Department of Health and Aged Care. Assistant Minister for Health and Care, speech – 3 December 2023 [website]. https://www.health.gov.au/ministers/the‐hon‐ged‐kearney‐mp/media/assistant‐minister‐for‐health‐and‐aged‐care‐speech‐3‐december‐2023 (viewed Oct 2024).
- 10. Forrester M, Needham C, Allender S, et al. The National Sustainable Asthma Care Roadmap – Roundtable Report. Melbourne, September 2024. https://iht.deakin.edu.au/wp‐content/uploads/sites/153/2024/09/Asthma‐Roundtable‐Report_DIGITAL_FINAL.pdf (viewed Oct 2024).
- 11. Australian Commission on Safety and Quality in Health Care. Joint Statement: Working together to achieve sustainable high‐quality health care in a changing climate. October 2024. https://www.safetyandquality.gov.au/publications‐and‐resources/resource‐library/joint‐statement‐working‐together‐achieve‐sustainable‐high‐quality‐health‐care‐changing‐climate (viewed Oct 2024).
- 12. Department of Health and Aged Care. Australia joins US and UK statement on decarbonising healthcare [media release]. 23 Apr 2024. https://www.health.gov.au/ministers/the‐hon‐ged‐kearney‐mp/media/australia‐joins‐us‐and‐uk‐statement‐on‐decarbonising‐healthcare (viewed Oct 2024).
- 13. United States Department of Health and Human Services. HHS shares health sector climate resilience and emissions reduction announcements at COP29 [media release]. 18 Nov 2024. https://hhs.gov/about/news/2024/11/18/hhs‐shares‐health‐sector‐climate‐resilience‐and‐emissions‐reduction.html (viewed Nov 2024).
We acknowledge the following people who contributed to the development and implementation of the National Health and Climate Strategy as staff in the National Health, Sustainability and Climate Unit: Eda Agastra, Rohanne Carroll, Sonia Chanchlani, Jessica Clarke, Gemma Cooper, Penny Cummins, Laura Dryburgh, Jessica Foley, Sophia Gidis, Cheryl Hutchins, Eli Janover, Anne O'Brien, Kenya Pearson, Atria Rezwan, Peter Schneider, Phoebe Spurrier, Arthur Wyns.
The Hon Ged Kearney MP is Assistant Minister for Health and Aged Care and Assistant Minister for Indigenous Health. Professor Kelly has recently retired as the Chief Medical Officer and Head of the Interim Australian Centre for Disease Control within the Department of Health and Aged Care. Dr Skellern is Director and Drs Behrens and McGushin are Assistant Directors of the National Health, Sustainability and Climate Unit within the Department of Health and Aged Care.