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Climate change and health | Collections | MSF Science Portal
Climate change and health

Climate change and health

The climate crisis is also a health and humanitarian crisis, disproportionately impacting people in the world’s most climate-sensitive regions—mainly low- and low-middle income countries with the least capacity to respond.

MSF and other humanitarian organizations witness the consequences daily. More frequent, intense weather events and a warming planet contribute to food and water scarcity, more severe and widespread disease outbreaks, and more injuries and preventable deaths. They also drive massive population displacement, with over 32 million people fleeing their homes in 2022 alone due to floods, drought, storms and fire—nearly triple the number displaced by violence and conflict.

As global leaders convene in Dubai for the UN climate conference (COP28, 30 Nov-12 Dec 2023) we present this cross-section of work by MSF and collaborators, drawing from first-hand experience at our medical projects. Emphasizing the urgency of adapting humanitarian operations to the climate crisis, the collection also explores loss and damage through a health lens, proposes policies and practices for creating climate-resilient health organizations, and advocates for embedding fair, just ethics perspectives into humanitarian action and research on climate.

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Diabetes care in humanitarian settings

Diabetes care in humanitarian settings
Diabetes affect hundreds of millions of people worldwide, a large majority of them living in low- and middle-income countries. Yet finding effective strategies, tools and policies for effectively managing this chronic illness—especially amid war, displacement or exclusion from care—is a neglected area of humanitarian medicine. Here we present a cross-section of work on this front by MSF and collaborators. Several studies assess the shift towards community-based, nurse-led models of care in rural settings. Others explore obstacles to diabetes care for war refugees living in camps in Jordan or Lebanon, highlighting how health programs can adapt to their needs. The demonstration that insulin retains potency for 30 days if cooled without refrigeration is opening doors to more patient self-management, as a case study in remote South Sudan shows. At the same time, MSF and others call for regulatory and financing policies that make diabetes medications and supplies cheaper, better adapted to humanitarian settings, and far more available to patients whose lives depend on them.
World NTD Day

World NTD Day
TB Research Dissemination Workshop 2022

TB Research Dissemination Workshop 2022
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Neglected tropical diseases (NTDs) impact nearly 1.7 billion people each year, causing serious illness or lifelong disability among many—often leading to stigma and exclusion—and killing an estimated 200,000. The vast majority of sufferers live in the world’s poorest countries.


The World Health Organization’s NTD roadmap 2021-2030 aims to address 20 tropical diseases through prevention, control, elimination, and/or eradication. But despite some progress, reaching all its targets will take better, far more accessible diagnostics and treatments along with more robust strategies, political commitment and resources.


To mark World NTD Day, this collection spotlights work by MSF and collaborators on improving approaches to snakebite envenoming, kala azar and noma. One study presents an innovative artificial intelligence-based snakebite diagnostic tool, while others evaluate shorter, less toxic drug regimens or different models of care. Several commentaries advocate for national/regional strategies adapted to contexts ranging from remote villages to active conflict zones. Another crucial factor is the climate crisis, which is intensifying the transmission and geographic spread of many NTDs.

On June 30th-July 1, 2022 the research team at Epicentre in Mbarara, Uganda held a two-day workshop about their recent work to address gaps in tuberculosis diagnostics and therapeutics in low-income countries. Sessions included:


• Landscape of TB disease in Uganda: research gaps

• New diagnostic tools and algorithms in adults

• New diagnostic tools and algorithms in children

• Approaches to increasing pediatric TB detection and reducing disease burden

• TB chemotherapeutics

• Perspectives and challenges in TB


To catch up on the presentations, you can view the abstracts through the link below.

Technical Report
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Policy Brief

Lancet Countdown on Climate Change and Health: Policy brief from Médecins Sans Frontières 2023

Blume C, Dallatomasinas S, Devine C, Goikolea I, Guevara M,  et al.
2023-11-15
2023-11-15
Most of the over 70 countries Médecins Sans Frontières /Doctors Without Borders (MSF) works in are in lower-income regions. They are facing not only humanitarian crises but also the most...
Journal Article
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Commentary

What cannot be mitigated or adapted to, will be suffered. Loss and damage in health and humanitarian terms

Schwerdtle PN, Devine C, Guevara M, Cornish S, Christou C,  et al.
2023-09-09 • The Journal of Climate Change and Health
2023-09-09 • The Journal of Climate Change and Health
Journal Article
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Review

Ethics, climate change and health – a landscape review

Sheather J, Littler K, Singh JA, Wright K
2023-08-14 • Wellcome Open Research
2023-08-14 • Wellcome Open Research
Anthropogenic climate change is unequivocal, and many of its physical health impacts have been identified, although further research is required into the mental health and wellbeing effe...
Conference Material
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Video

Planetary health and neglected tropical diseases

McIver L
2022-12-01 • MSF Paediatric Days 2022
2022-12-01 • MSF Paediatric Days 2022
Conference Material
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Video

Time for action: Climate change in the humanitarian sector

Issa R
2022-11-30 • MSF Paediatric Days 2022
2022-11-30 • MSF Paediatric Days 2022
Journal Article
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Commentary

The relationship between climate change, health, and the humanitarian response

Baxter LM, McGowan CR, Smiley S, Palacios L, Devine C,  et al.
2022-11-05 • Lancet
2022-11-05 • Lancet
The climate emergency is a humanitarian and health crisis. Extreme weather events, heat stress, declining air quality, changes in water quality and quantity, declining food security and ...
Journal Article
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Review

Climate-sensitive disease outbreaks in the aftermath of extreme climatic events: A scoping review

Alcayna T, Fletcher I, Gibb R, Tremblay LL, Funk S,  et al.
2022-04-15 • One Earth
2022-04-15 • One Earth
Outbreaks of climate-sensitive infectious diseases (CSID) in the aftermath of extreme climatic events, such as floods, droughts, tropical cyclones, and heatwaves, are of high public heal...
Journal Article
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Commentary

A failure of ambition on climate action will amplify humanitarian needs

Voûte C, Guevara M, Schwerdtle PN
2021-12-03 • British Medical Journal (BMJ)
2021-12-03 • British Medical Journal (BMJ)
Humanitarian actors are struggling to keep up with the demands of increasingly frequent, erratic, and overlapping crises at current levels of warming.
Journal Article
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Commentary

Calibrating to scale: a framework for humanitarian health organizations to anticipate, prevent, prepare for and manage climate-related health risks

Schwerdtle PN, Irvine E, Brockington S, Devine C, Guevara M,  et al.
2020-07-09 • Globalization and Health
2020-07-09 • Globalization and Health
Climate change is adversely affecting health by increasing human vulnerability and exposure to climate-related stresses. Climate change impacts human health both directly and indirectly,...