1. www.sduhealth.org.uk Global Health and Justice in a Changing Environment David Pencheon Director, Sustainable Development Unit NHS England and Public Health England Healthy Planet Saturday 1 st March 2014

2. www.sduhealth.org.uk Objectives The response of the healthy system and health professionals to all the threats we heard about this am. Why is health system/professionals important? What should we be doing more of?

3. www.sduhealth.org.uk Why are health professionals and health/care systems important? 1.Respected, influential 2.Large numbers, geographically spread 3.This is a HEALTH and a JUSTICE issue 4.POSITIVE: Multiple benefits of action 5.The power of example

4. www.sduhealth.org.uk The world map reflecting production related to climate change. “Climate Change presents the biggest threat to health in the 21 st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009). Who produces the greenhouse gases?

5. www.sduhealth.org.uk Who bears the burden? The world map reflecting mortality related to climate change. “Climate Change presents the biggest threat to health in the 21 st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009).

6. www.sduhealth.org.uk T H E F O O T P R I N T A N D H U M A N D E V E L O P M E N T WWF Living Planet Report 2006 http://awsassets.panda.org/downloads/living_planet_report.pdf H U M A N D E V E L O P M E N T T H E F O O T P R I N T

7. www.sduhealth.org.uk What can you do? 1.Use your voice to engage / listen 2.Use your behaviour to demonstrate 3.Use your money to influence suppliers 4.Do them all, and do them together

8. www.sduhealth.org.uk Keep messages simple, relevant, possible and fun Listen. What do you want people to know? What do want people to feel? What do want people to do?

9. www.sduhealth.org.uk Principles of (behaviour) change 1.Most of what we do, we do automatically, and is emotionally driven: 2.Changes in behaviour requires simultaneous and comprehensive action across all environments. 3.Behaviours can be hard to change but two things can help: –Important life / societal events –Issues we hold deeply and dearly

10. www.sduhealth.org.uk Examples of co-benefits Energy Food Travel

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14. Within 6 hours, the world’s deserts receive more energy than the world uses in a year. http://www.desertec.org/

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19. “It is not the strongest species that survive… nor the most intelligent… but the ones most responsive to change”

20. www.sduhealth.org.uk Actions to improve public health 1. Cholera: 1854 Broad Street Pump 2. Smoking: 1962 3. Sustainable development and climate change 2013

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22. Other contacts Charlotte Bonner, NUS. Charlotte.Bonner@nus.org.uk Charlotte.Bonner@nus.org.uk –Royal Bournemouth & Christchurch –Central Manchester –University Hospitals Bristol