ORIZZONTE E PROSPETTIVE G7: DALL’ITALIA AL CANADA LE RACCOMANDAZIONI SULLA SALUTE GLOBALE Roma, 13 dicembre 2017 Denise Giacomini

ORIZZONTE E PROSPETTIVE G7 DALL’ITALIA AL CANADA LE RACCOMANDAZIONI SULLA SALUTE GLOBALE L’agenda salute del Governo italiano

Dopo il vertice di Taormina Al G7 viene riconosciuto l’impatto del clima e dei fattori ambientali sulla salute umana. Costruzione di una «strategia globale di azione» per la riduzione degli effetti del clima e dei fattori ambientali sulla salute globale del Pianeta

RAFFORZAMENTO SISTEMI SANITARI COPERTURA SANITARIA UNIVERSALE  IMPATTO FATTORI AMBIENTALI SULLA SALUTE   SALUTE DEI MIGRANTI E DEI RIFUGIATI RAFFORZAMENTO SISTEMI SANITARI SALUTE MATERNA, NEONATALE E INFANTILE  RESISTENZA AGLI ANTIMICROBICI NUTRIZIONE  LOTTA CONTRO AIDS, TBC E MALARIA  SALUTE SESSUALE E RIPRODUTTIVA

Translating global goals to local agendas

Global Strategy for action to reduce the effects of Climate Change Le delegazioni dei Paesi G7 ed un Gruppo di esperti a livello mondiale sono stati coinvolti per definire le priorità di intervento, sotto la guida della Presidenza Italiana Global Strategy for action to reduce the effects of Climate Change on Global Health

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APPROCCIO Human health and the health of planet Earth are strictly interconnected: the first is strongly influenced by the latter, and damages to the health result from any injury to the surrounding environment. Referring to this interconnection, there is a strong need for the adoption of an inclusive, comprehensive approach to protect planetary health, as a new concept, and on the basis of the “One Health” principle. METODOLOGIA The G7 Italian Presidency has set up several facilitating activities towards the DECLARATION OF THE G7 HEALTH MINISTERS’ 5 – 6 NOVEMBER 2017 IN MILAN: Analysis of the evidences provided by the literature Draft of a first “matrix” of Exposure produced by the CC -> Health outcome (threats) -> Actions of mitigations/adaptation (G7 and few international experts) Prioritization of the actions (Delphi survey on a larger group of international experts)

Delphi Planning and survey organization Matrix Definition Delphi Planning and survey organization G7 expert group Answer to the first survey round Comments & Feedback List of Experts: More than 700 approached Almost 200 responses Selection of the top 20 item G7 experts group G7 role Time-Frame List of Experts: More than 700 approached (+100 answers) 1° Round DELPHI 2° Round DELPHI

Delphi 2° round results (113 respondents) IMPORTANCE OF IMPLEMENTING ACTIONS AMONG THE G7 COUNTRIES Mean Dev. std. Action 03: Promote policies on emission reduction (actions with co-benefits), 5,28 1,031 Action 04: Promote integrated health prevention for environment as well as climate action policies 4,9 1,039 Action 18: Support the implementation of the Global Action Plan in cooperation with WHO, FAO, OIE 4,82 1,504 Action 19: Support the development, and monitor the effectiveness (…) to combat AMR 4,81 1,303 Action 20: Support research related to the Strategic Objectives of the Global Action Plan. 1,276 Action 10: Provide new approach to the challenge, in a sustainable way, to ensure to a growing population 4,73 1,252 Action 07: Promote and strengthen integrated surveillance (including entomological surveillance) 4,7 1,253 Action 15: Improve in the countries of transit and arrival health services (preferably culturally oriented) 4,57 1,32 Action 12: Support the work of policy making multidisciplinary teams at national and international level 4,54 1,364 Action 17: Increase surveillance of infectious diseases 1,488 Action 06: Implement vector control as a cross-cutting issue for public health 4,48 1,259 Action 02: Scale up public communication and awareness-raising activities 4,42 1,368 Action 13: Foster research on new generation vaccines (likely differentiated on the base of DIVA tests) 1,479 Action 14: Ensure that laboratories are: well-equipped, using harmonized diagnostic methods 4,4 1,57 Action 01: Improve the resilience of wastewater and drinking water infrastructure 4,39 1,579 Action 08: Support improvement of water, wastewater and sanitation infrastructure 4,2 Action 16: Support the strengthening of the health systems and immunization programs in the origin countries 4,15 1,622 Action 11: Develop integrated cooperation programs in rural Regions, especially in Sub Saharan Africa and in MENA 3,86 1,759 Action 09: Improve public health campaigns for waterborne diseases prevention and control 3,85 1,503 Action 05: Improvement of indoor air quality (e.g. cooking methods, alternative sources of clean energy 3,76 1,582

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