1. Extreme weather and related risks: promoting healthy, resilient communities Dr Angie Bone, Head of Extreme Events and Health Protection ExtremeEvents@phe.gov.uk LGA ADPH annual public health conference 11 th Feb 2015: Public health is the public's health

2. Aim of the session stimulate discussion on the actions that local authorities can take to increase community resilience to extreme weather events both now and in the future through sharing of case studies, tools and experience Incident Response for Chemical and Natural Hazards Including Risk Management in Operation

3. Weather and Health – now….

4. Health effects increase with extremes, but not restricted to them…. Hajat et al, Heat-related and cold-related deaths in England and Wales: who is at risk? Occup Environ Med 2007;64:93–100

5. Our future… IPCC Climate Change 2013 The Physical Science BasisIPCC Climate Change 2013 The Physical Science Basis.

6. Direct and indirect health effects, including Impact on health services – demand, business continuity, supply chains Impact on infrastructure (utilities) Economic impacts Community resilience/cohesion

7. Responses that are both proactive and reactive Sustainability and Climate Change

8. ……and have multiple benefits e.g.

9. Climate Change Act 2008 Climate Change Risk Assessment January 2012 National Adaptation Programme 2013 Committee on Climate Change Adaptation Economic Assessment Committee on Climate Change Health Effects of Climate Change 2012 UKCP09 UKCIP02 Health Effects of Climate Change 2002 Health Effects of Climate Change 2008 Adaptation and health - policy

10. Implementing and measuring progress.... National Adaptation Subcommittee Reports (2014/15) Adaptation Reporting Power (2015) Climate Change Risk Assessment (2017) Local Public Health Outcomes Framework (2013-2016) SDU metrics module (2015)

11. To conclude… Weather events are already having direct and indirect health impacts; these risks will increase as our climate warms For heat/cold risks increase as temperatures become more extreme, but greatest burden at moderate temperatures because of relative frequency Emergency response alone is insufficient to respond to these risks now and in the future National adaptation policy framework in place Challenges of implementation and monitoring progress