Sunday, 14 December 2008

Kenya Climate and Health Working Group established








As one of the follow-ups to our Africa-wide Climate and Health Challenge Dialogue, the organizing team has provided all the resources developed during the Dialogue process to support a new Kenya Climate and Health Working Group.

Their first planning/stakeholder workshop was held 8-9 December 2008 at the PanAfric hotel in Nairobi.

Patti Kristjanson presented 'Linking Climate and Health Research to Reduce Africa's Infectious Disease Burden: Lessons from an African Challenge Dialogue' summarizing the Challenge Dialogue process and outputs and potential usefulness for the Kenya Working Group.

Christine Jost gave a presentation on 'Climate and Zoonoses Adaptation and Mitigation - Learning from Rift Valley Fever and Avian Influenza (HPAI)'. She discussed an example of the implementation of a one health concept in Kenya, i.e. the use of a decision support tool jointly developed by FAO, ILRI and others that has been applied recently by a technical group made up of veterinary and public health members (over 10 departments/insitutions in all) in response to a climate prediction that the conditions for Rift Valley Fever are once again very high for this year and early next year in Kenya. She also discussed some of ILRI/partner's lessons regarding risk mapping and adaptation and mitigation efforts and approaches regarding avian influenza, H5N1 HPAI.

Wednesday, 17 September 2008

Reflections on the workshop


Well, I think our workshop was a huge success! It built upon our dialogue to date (including ideas from people that weren't at the workshop) and I’d like to thank all the participants for their enthusiastic and numerous contributions.

The Challenge for the Workshop was ‘to engage a diverse set of participants in the further exploration of the challenge we have set out for ourselves (linking climate and health to reduce Africa’s infectious disease burden) and in designing collaborative actions that will improve our response to this burden’.

As reported in Progress Report #1 our Working Proposition was revised on the basis of the feedback from the Challenge Dialogue, as:

Links among climate and human health and animal health are significant. A changing and more variable climate poses increasing risks to human health and well being. For example, rising temperatures are expected to lead to an expansion of the range, incidence and impact of many infectious diseases. We expect that climate and health specialists across Africa can improve their effectiveness through better collaboration and that collaboration across these communities can improve Africa’s capacity to predict, prevent and mitigate the impacts of climate-sensitive infectious diseases, largely by dramatically improving early warning and response times.

The 50 or so workshop participants, from all over the world and from a broad range of disciplines and experiences, reinforced the validity of this working proposition through their discussions of several case studies, including malaria, bird flu and Rift Valley Fever, that exemplified the need for strong linkages and better communication between communities, climate/environmental, human and animal health researchers and practitioners if we are to improve responses to infectious diseases in Africa.

The presentations and participants’ comments are on this blog. In addition to networking and relationship building, we started out with 3 objectives for the Workshop. They are closely aligned with the revised Expected Outcomes in the Progress Report. In addition to further exploration of this complex challenge, the group was challenged to start to identify some concrete actions aimed at improving our ability to respond to climate sensitive infectious diseases across Africa and further develop:
1. Common Conceptual Frameworks for a Shared Vision and Collaboration – to develop a draft framework(s) that portrays an integrated, holistic and interdisciplinary view of climate, infectious diseases, human health, animal health and disease vectors.
2. Collaborative Project Opportunities – to identify and develop opportunities for collaborative projects and initiatives that in particular can apply and leverage multi-inter-disciplinary expertise, knowledge, tools and resources.
3. Networks and Communities of Practice – to explore and design ways in which the participants and their organizations might form informal, self-forming networks where people with shared interests and values can come together and interact for various purposes (e.g., collaborative project support teams, knowledge alliances, learning communities, shared resource opportunities, etc.)

During the workshop, several other action areas were proposed, including:
  • Data, information, tools and knowledge management - we need to be able to ‘cross-query’ the data we’re collecting!

  • Taking stock: existing initiatives, data, models, capacity and gaps

  • Bridging gaps between community needs for information and what knowledge scientists are generating; make indigenous knowledge available and used!

  • A flagship collaborative project for this group – e.g. initiative supporting African ‘one-health’ PhD’s

  • A declaration/accord – one page that articulates this group’s understanding and strategic intent to move forward

We have already made progress on many of these objectives – e.g. we have several conceptual frameworks that are being refined after receiving feedback from the workshop group; we have started a list of organizations and initiatives involved in climate and health issues across Africa; we have put together an annotated bibliography and compilation of key documents.

We had stimulating examples of the role technologies can play in improving knowledge and response to diseases – the Digital Villages being established across Kenya by Virtual City; how Google Earth and other Google applications can improve communication, networking and visual presentation of things like climate change (picture a Minister watching a 3-D map and seeing parts of his country turn from yellow to orange to red over the next 50 years as average temperatures or variability in rainfall increase; or a map showing where the poor are with where the health facilities or water sources are found); and how Health Map is already showing disease outbreaks globally in real time. We learned how outcome mapping is a powerful tool for showing how outcomes in one sector are linked to outcomes in other sectors, and can inform strategies for change towards ambitious goals such as the one we’ve set ourselves. We saw how a highly collaborative effort on surveillance, forecasting, preparedness and response to malaria is working in southern Africa, providing evidence of our hypothesis that improved collaboration and integrated approaches make a difference. And while we were cautioned by our community leaders on concerns regarding language (e.g. making the results and implications of climate models more easily understandable) and poor infrastructure, a memorable moment came when Mary Nakirya (BROSDI) described a rural woman in Uganda googling ‘cabbages + Kampala’!


The organizing committee is now synthesizing the numerous ideas that came up during the workshop in the other areas and will be posting and sending out a second Progress Report within the next few weeks.

So, our journey continues....

We'd love to hear your thoughts! Please share them by using the 'comments' facility on this blog!

Links to key documents...

Here's the list of key documents so far.....

Annotated bibliography on Climate and Disease (by author, in alphabetical order)

The Prospectus (May 2008)

The Challenge Paper (May 2008)

Progress Report #1 (August 2008)

The Workshop Workbook: Linking Climate and Health Research to Reduce Africa ’s Infectious Disease Burden: An exploratory dialogue (September 2008)

We'll keep updating the list here!

Tuesday, 16 September 2008

Here's the presentations!


This picture, taken outside a school near Axum, Tigray, Ethiopia in 2005, captures the feeling and optimism at the workshop! David Rogers, thanks for the photo from your presentation!


Economists and greens now talking ‘adaptation’

An article in this week’s Economist (UK) reports that environmentalists and economists are now coming round to the idea of adaptation rather than just talking about climate change prevention. This new focus on 'coping' is manifesting in a number of private and public sector projects. But even if poor countries do get adaptation money, there will be tough choices over how to use it. For example, if infectious diseases are rising, do you spend money trying to eradicate the worst ones, like malaria, or do you spend it on health and nutrition in general? No doubt everyone will be divided over the ‘right answer’.

Sunday, 14 September 2008

Caroline gives a community perspective



Caroline Nyamai Kisia from Action Africa Help International (AAHI) said she was encouraged to see so much climate and health expertise in one room focusing on African diseases. What she wants is for this knowledge to be translated into practical things that can help communities on the ground - something that people can add to their armoury against climate and diseases.

Caroline says she's an optimist. From a community perspective, she knows that much of the knowledge and technology is already out there.

I'm sure the next time there is an outbreak of RVF, we will control it much better. I ask you to reduce the gap between your specialized knowledge and the action that could help.

If I were a minister and had all the good data in the world, and limited resources, and wanted to do my very best, would I be able to access the best knowledge to make the best possible decision under the circumstances?

Please give that information to decision-makers so that they can make a difference.