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≤Exercise C Refer students to the lecture slide in Lesson 9.2. Ask them what they know already about climate change and its effect on public health. What would they like to know?


Tell them to prepare a page to take notes using the Cornell system. Remind them that they may not get all the information. If they miss something, they should leave a space. They can fill it in after the lecture.


Let them read the questions through and tell them to listen out for the answers to questions 2, 3 and 4.


1 Play Part 3 straight through. Students should complete the Notes section.


Review


Who’s responsible?


Notes ●


● ●


2–4 Set for pairwork. Feed back with the whole class. Ask for suggestions for phrases to use to find out about the importance of digressions, e.g., Why did he/she start talking about …? I didn’t understand the bit about … Is it important? and so on (see Skills bank).


5/6 Set for pairwork. Students compare their notes, complete any blank spaces and then write the Review and Summary sections. Feed back with the whole class, building a set of notes on the board.


Everyone is responsible, individuals + businesses


National + local governments – enforce policies + funding (assessment health risks/introduce plans for extreme weather events)


Public health = key players – improve care for vulnerable/monitor health/better surveillance of diseases/vaccination/public education


What’s happening in UK?


1) 2004 – ‘Heat-health watch’ (1/06 – 15/09 @ 30°C/daytime) - Primary care trusts – issue advice for elderly care/ID the at risk from extreme heat - public health regional directors – work w/ utilities + maintain supplies


2) 2002 – strategy re control infectious diseases


- ↑ funding: diagnosis, treatment, prevent. + control infec. diseases - provide clear advice to public (raise awareness of risks) - provide training for health profs (to recognize + treat rare diseases as result of climate change)


3) info on early flood warnings


4) ‘UK Sun Smart’ - inform on risks of UV exposure


What about health infrastructure?


What’s happening globally?


pub. health auth. must cope with incr. freq. of extreme weather events ↑ specialists, ↑ healthcare for elderly/young/sick


Developed world to help developing world - e.g., UK – give training to heath profs + help relieve poverty Global responsibility: Rich countries + special responsibility towards developing world


Definition (see thefreedictionray.com) PH = prevent disease, prolong life, promo health thru organized efforts + informed choices


George Benjamin quote (see Principles of PH Medicine, 2006, 3rd ed.) Take step further: Disproportionate vulnerability/increased awareness in disease in world puts all at risk.


Summary All of us are responsible for tackling the effects of climate change on public health. In the UK, initiatives include the ‘Heat-health watch’, strategies to control infectious diseases and campaigns. On a global level, the developed world has a duty to help the developing world, which has the fewest resources to deal with this public health issue.


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