1. Italy in the G7

2. of the effects of Climate Change on Planetary Health
PREPARATORY PROCESS
G7 Health Experts Working Group (G7-HEWG)
Towards the
G7 HEALTH MINISTERS’ CONFERENCE
5 – 6 NOVEMBER 2017, MILAN
Global Strategy for the mitigation
of the effects of Climate Change on Planetary Health

3. RATIONALE
Human health and the health of planet Earth are strictly interconnected: damaging the planet damages our own health. Referring to this interconnection, there is a strong need to adopt an inclusive, comprehensive approach to protect planetary health on the basis of the “One Health” and “Health in whole of government and whole of society” principles.

4. OBJECTIVE
The formulation and launch of a “Global Strategy for the mitigation of the effects of Climate Change on Planetary Health”. This should define both the high priorities and policies, and translate these into practical tools.
This Global Strategy focuses on policies in the health sector and aims at actively involving other relevant sectors such as environment, energy, agriculture, transportation, urban planning and economy with specific advocacy.
Climate changes have an impact on human and animal health in several direct and indirect ways, e.g. leading to alterations in homeostasis and physiopathology, spikes in mortality, worsened living and working environments, also affecting food availability, security and safety. In particular, those changes have major effects on the most vulnerable groups of population.

5. METHODOLOGY
A preparatory process based on:
a Matrix: a broad and cross-cutting framework, used as a tool to investigate all the available information, to share strategies and to highlight a set of feasible actions
a Delphi questionnaire: structured on the statements and actions identified in the Matrix for a global two step expert consultation
This process is based on the best knowledge and collective awareness, with methods used for complex systems analysis, with the aim at identifying policies and strategies to strengthen the resilience of biological, economic and social systems and safeguarding the global health homeostasis.

6. MATRIX
Considering the known climate drivers (Intergovernmental Panel on Climate Change in its assessment reports), eight main topics have been identified:
extreme events
health effects of air pollution related to climate change
vector borne diseases
water access and waterborne diseases
food system and nutrition
animal health at the animal/human interface
migrant’s flows
antimicrobial resistance
Each topic is considered from the ‘exposures’ to the ‘health outcomes’ on human and animal health in order to identify strategies (‘expert statements’) leading to possible corrective ‘actions’.

7. DELPHI QUESTIONNAIRE
The Delphi survey will be developed into two steps:
1st phase (April-May): all experts from different countries are invited to compile an online questionnaire containing statements and related actions. Respondents will be asked to indicate the level of relevance on a scale In this first phase, experts are asked to assess the relevance of the actions regardless of their time horizon. Acknowledging that most, if not all, the actions proposed could be considered important, the judgment asked is of "relative" relevance.
2nd phase (June-August): analysis of expert assessments will help identify most relevant actions, central for G7 action. The second Delphi round will be conducted in July. The main objective is to identify specific strategies. For this reason, the second round of the Delphi will focus on the few actions resulted as more relevant in the first phase, and experts will be asked to indicate how to implement them in the short, medium and long term.

17. Screening of undocumented migrants rescued 2013 – 2017
per month of arrival (updated March 2017)
MONTH
2013
2014
2015
2016
2017
Grand total
January
1.813
2.833
4.310
4.121
13.077
February
2.331
3.034
4.453
6.792
16.610
March
4.361
1.974
9.096
7.910
23.341
April
11.019
13.225
8.591
32.835
May
11.201
18.305
19.846
49.352
June
17.438
21.669
21.292
60.399
July
20.083
19.010
22.225
61.318
August
1.734
21.480
20.665
17.566
61.445
September
3.591
22.748
14.661
16.257
57.257
October
3.574
12.336
7.697
28.348
51.955
November
1.659
8.753
2.406
12.993
25.811
December
256
6.478
7.973
8.146
22.853
Total
10.814
18.823