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7/29/2019 IDF Report on Climate Change and Diabetes
1/20
Diab ad ClimaChag RprIraial Diab Fdrai
Jue 2012
7/29/2019 IDF Report on Climate Change and Diabetes
2/20
Contents
Executive Summary 1
The Issues: Two Global Health ad Developmet Disasters 3
The Itercoectios: Diabetes ad Climate Chage 5
Direct coectios 6
- Advr halh ucm ad icrad diab rik 6
- Fd icuriy ad malurii 7
- Diab, biy ad icrad grhu ga mii 7
Idirect coectios 8
- Rapid Urbaiai 8
- Chagig Ppulai Dmgraphic 9
- Glbal Fd sym 9
The Opportuity:
Co-Beeft Approach to Combatig Diabetes ad Climate Chage 12
- Urba Plaig Plici 12
- Fd Plici 14
Coclusio 15
Reereces 16
Aex: Examples o Policy Itervetios 17
Acowledgemets Bac Cover
thi rpr ha b
prducd wih h
uppr Bupa.
7/29/2019 IDF Report on Climate Change and Diabetes
3/20IDF Plicy Rpr 2012 1
eXeCUtIVe sUMMARY
Rcgii h imm huma,
cmic, ad virmal c
h w challg, paricularly r lw
ad middl-icm curi (LMIC),
i icraig ad a larg umbr
pliical cmmim r aci hav
b mad. I spmbr 2011, Mmbr
sa cvd a h Un High-Lvl
summi n-Cmmuicabl Dia
(nCD) i nw Yrk ad adpd h
ladmark Pliical Dclarai nCD
Prvi ad Crl, which rmly
lva diab ad h rlad nCD h glbal ag ad uuivcally
rram diab a a dvlpm
iu. tw mh lar h Un Clima
Chag Crc k plac i
Durba ad advacd h iraial
cmmuiy rp clima chag
miigai wih h adpi h
Durba Plarm r ehacd Aci.
th dvaaig impac diab ad
clima chag i h dvlpig wrld
wa vid i h giai;
rurc-pr curi calld r
urg aiac i adapig halh
ym ad aial irarucur halh ad virmal challg.
Hwvr, whil hr i a icraig
urgcy r aci, rcgii
h cci bw h w
iu ad apprach capabl jily
miigaig hir rik ad rprcui
ha b miig i plicy dialgu.
Plici cmba bh rik da
hav largly b dvlpd i ilai,
wih lil cidrai r h impac
halh ha h virm ad vic
vra. sil ar vid i h rc
pliical cmmim, wih halhbarly mid i h Un Framwrk
Cvi Clima Chag ad
clima chag mrly a i
h Pliical Dclarai nCD.2
Diab ad clima chag prvid
a l r udradig h bradr
irac bw ppl, halh ad
h virm. A h Uid nai
Crc suaiabl Dvlpm
(Ri+20) ha rwd pliical ai
h ccp uaiabl dvlpm,
halh mu b a h har h agda.
Halh i ly a criical ucm
uaiabl dvlpm, bu a vial
prcdii achivig prgr
acr h hr pillar uaiabl
dvlpm cial, cmic advirmal. Prvi ad ram
dia lik diab i a ppruiy
allvia huma urig ad cial
iuiy, uppr cmic dvlpm
ad l h virmal burd
halh ym.
The Diabetes and Climate Change Report
aim uli h ircci
bw clima chag ad diab;
ablih h c-b cmbaig
w glbal rik i a igrad plicy
agda; ad irm h glbal dicui
halh ad uaiabl dvlpm.By ablihig ha igrad aci
diab ad clima chag will ail
ubaial halh ad virmal
b, hi rpr rgh h
plac diab, nCD ad halh
wihi uaiabl dvlpm. th
imprac uaiabl dvlpm i
dig h uur dvlpm agda
ar h curr Millium Dvlpm
Gal d i 2015 cia hi
iclui. The Diabetes and Climate Change
Reportaim irm a hliic apprach
uur dvlpm which aribu
ual pririy halh, cmic,virmal, pvry rduci
ad cial ccr.
Glbal rd i dmgraphy, migrai, urbaiai, cumpi ad prduci
ar craig w challg ha hra damag huma halh ad livlihd,ad drail huma dvlpm ad cmic grwh. tw urg challg i h
21 cury ar h glbal diab pidmic ad clima chag. Bh ar rapidly
acclraig, ar ulld by chag i h way w liv ad wrk, ad will hav
irgraial c halh, wllbig ad curiy. th huma ad acial
c diab ad clima chag ar aggrig. thr ar 366 milli ppl wih
diab day, a umbr xpcd xcd hal a billi by 2030. Diab cau
4.6 milli dah ad c vr 465 billi Us Dllar i glbal halhcar xpdiur
vry yar. Clima chag i a imilar rajcry; glbal grhu ga mii
(GHG) ar icra by 52% by 2050, craig prud virmal,
cmic ad huma impac.
7/29/2019 IDF Report on Climate Change and Diabetes
4/202 IDF Plicy Rpr 2012
Global Diabetes Epidemic
tday hr ar 366 milli ppl wih diab,
ad by 2030 ha umbr will rach hal a billi.
Glbally diab kill 4.6 milli ppl a yar, i i
amg h p cau diabiliy, ad c h wrld
UsD 465 billi i halhcar xpdiur vry yar.
Fur u v ppl wih diab w liv i lw-
ad middl-icm curi. Diab impvrih
amili, hampr labur prduciviy ad
vrwhlm halh ym.
Climate Chage
Grhu ga mii ar xpcd grw by
52% by 2050, raiig h arh mpraur xcd
h a hrhld. thr i w uuivcal vidc
r huma iducd clima chag. Whil high-icm
curi cribu alm all mii, i i h
pr curi ha ur h gra cuc.
I hig i d, clima chag will c 520% h
wrld GDP vry yar, ad will impac malurii,
icrad iciu ad -cmmuicabl dia
(nCD), pvry ad iuiy.
DIRECT IMPACT
Carb-iiv
halh ym
Wakd
halh ym
Fd icuriy
PATHWAYS
Agig ppulai
Dplig aural rurc
Mchaid raprai
Pr urba dig ad lum grwh
sdary liyl
Aimal urc d prduci
Idurial d prcig
Glbal d ad agriculur rad
Uhalhy di ad cumpi
par
GLOBAL VECTORS
Rapid Urbaisatio
ovr hal h wrld
ppulai liv i cii day.
By 2030, a imad 5 billi
h wrld 8.1 billi ppl will liv
i cii, ad 2 billi hm will
liv i lum. th pd ad cal urbaiai glbally i impacig up
clima chag, ad i dvlpig
curi ad r cially diadvaagd
ppulai i i cmprmiig
huma ad plaary halh.
Globalised Food System
th 21 cury d ym i
ramd by glbaliai, libraliai
ad idurialiai. Whil h b
a glbalid d ym ar
appar, idurial d prduci,
prcig, rad, markig ad railigar a majr rr h pla
ad cribu h urii ad
pidmilgical raii akig plac
i dvlpig curi.
Fast-Chagig Populatio
Demographics
By 2050 h wrld ppulai will
hav grw rm 7 billi 9 billi,
ad h bigg icra will b i Aia
ad Arica. ovrall glbal ppulai
i agig, bu may dvlpigcuri will wi icraigly
yug ppulai. th chagig
dmgraphic rd plac a rai
alrady iuci rurc, aggrava
virmal prblm, ad cribu
hiig dia par.
MAPPInG tHe InteRConneCtIons :t y p e 2 d i a b e t e s a n d c l i m at e c h a n g e
7/29/2019 IDF Report on Climate Change and Diabetes
5/20IDF Plicy Rpr 2012 3
tHe IssUes :t W O g l O b a l h e a l t h a n d d e V e l O p m e n t d i s a s t e R s
Diabetes: a growig,
deadly ad costly diseaseDiab i a glbal pidmic a crii
lvl. tday hr ar 366 milli ppl
wih diab wrldwid, a gur which
will ri 552 milli by 2030. ovr ur
milli ppl di rm diab vry
yar, ad i i amg h p 10 cau
diabiliy wrldwid.
I addii h vr halh
cuc, hi igl dia
irc wih all dyamic huma
ad cmic dvlpm, ad impac
m crully lw- ad middl-icm
curi (LMIC). Fur u v ppl
wih diab w liv i LMIC ad
vr h x wy yar h gra
icra i diab prvalc will
b i Arica, h Middl ea ad
suh-ea Aia.
th Wrld ecmic Frum (WeF) ha
cily rcgid diab ad
rlad nCD a h p hra
h glbal cmy. Diab rul
i high halhcar xpdiur, l
labur prduciviy ad dcrad ra
cmic grwh. th Iraial
Diab Fdrai (IDF) ima ha
diab cau UsD 465 billi i glbal
halhcar pdig i 2011 uival
11% al glbal halhcar xpdiur
ad h high c diab ram
ad car ca plug vulrabl huhld
i cycl caarphic xpdiur,
impvrihm ad ill.3
th Un summi n Cmmuicabl
Dia (nCD) hld i spmbr 2011,
cupld wih h Pliical Dclarai
nCD Prvi ad Crl, ciud
wrldwid pliical armai ha
diab ad nCD ar dvlpmiu. th Pliical Dclarai a
ha h global burden and threat of NCDs
constitutes one of the major challenges
for development in the 21st Century.
Fur 1: t cr coo of d
IDF ha xplrd h criical cci bw diab ad may
apc glbal dvlpm. thy rag rm hr halh iu,
icludig hr nCD ad iciu dia, ad huma dvlpm,
cmic uaiabiliy ad virmal uaiabiliy. th
udamal lik ma ha prvig ad crllig diab brig
igica ad maurabl b r glbal dvlpm ad hbjciv pririid i h Millium Dvlpm Gal (MDG).
7/29/2019 IDF Report on Climate Change and Diabetes
6/204 IDF Plicy Rpr 2012
Climate Chage:
a evirometal,ecoomic ad huma threat
Clima chag ad i rapid prgri
i rc dcad hra h halh
ad urvival ur pla ad i
cym, ad hu huma. thr
i w uuivcal vidc r huma-
iducd clima chag. th prc
idurialiai ha ld widprad
icra i h u il ul ad
h rla grhu ga (mly
carb dixid) i h amphr.4 I
crvaiv ima, glbal grhu
ga mii (GHG) ar xpcd grw by 52% by 2050, raiig h arh
mpraur abv h a hrhld.
GHG icrad by 5.8% i 2010 al.5
Clima chag ha virmal,
huma ad cmic implicai.
Wll-ablihd virmal impac
iclud icraig ca mpraur
ad riig a lvl; chag i raiall
par craig vr drugh ad
fd; h xici may habia
ad pci; ad h icraig rucy
ad iiy xrm v uch a
hurrica, fd ad drugh.6
Clima chag i pially h larg
hra huma halh i h 21 Cury.
Clima chag i xacrbaig xiig
halh rik icludig icrad mrbidiy
ad mraliy rm nCD; h prad
may iciu dia; ad h
ubrak xrm v which lad
dah, ijuri ad h ubrak
dia, diarrha ad malurii.7
Clima chag wa imad cau
5.5 milli diabiliy adjud li yar
(DALY) i 2000.8 I will wid cial
ad halh iuiy hrugh mavirmal diplacm, uplad
migrai ad cfic. such ppulai
icuriy will hav prud cuc
r h cial drmia halh
h cdii i which ppl ar br,
grw, liv, wrk ad ag.9
Clima chag dabili cmi
ad udrmi dvlpm, imad
c bw 5% ad 20% glbal
Gr Dmic Prduc (GDP) vry
yar.10 thi i wihu cidrai
rapidly acclraig GHG ra. Ad
clima chag ha h gra c
h wh hav h la rurc
ad wh hav cribud la i
cau. th wrld pr billi
ppl accu r ju 3% GHG bu
xpric h m dvaaig impac
clima chag.9 sm 70% aural
diar ccurrd i h Pacic rgi,
Aia, h Middl ea ad Arica bw
2004 ad 2006.8
Clima chag adxrm lad majr rurc carciy
ad h dgradai agriculural
lad ad war, hraig h m
vulrabl ppulai. Clima chag
hra h achivm h MDG.11
Global issues i a diverse world
Diab ad clima chag ar glbal
hra acig all curi. Hwvr,
hir impac ad h aci dd
cmba hm dir widly dpd
rurc ig. th burd diab,
nCD, pr halh ad clima chagi l m vrly i vulrabl ad
pr ppulai. Dvlpm aid ad
chical aiac i urgly dd
i pr curi r clima chag
miigai ad adapai, ad diab
prvi, arly diagi ad ram.
Ivm i h halh ym, urba
plaig ad d ym lw-icm
curi i a ppruiy prm
uaiabl dvlpm, prvidig
a alraiv vrcumpi
ad virmal dgradai. Glbal
aci i dd prc vulrabl
ppulai i clima chag giai
ad dvlpm dicui ur
a uiabl rp halh ad
virmal hra.
CL IMAte CHAn Ge
Is tHe DeF In InG
CHALLenGe
o F o UR
GeneRAtIon
U n i ted n a ti On s
s e c R e t aR y g e n e R a l
b a n K i - m O O n
t h e i s s U e sc O n t i n U e d
7/29/2019 IDF Report on Climate Change and Diabetes
7/20IDF Plicy Rpr 2012 5
Diabetes ad climate chage
wor separately ad togetherto udermie huma ad
ecoomic developmet
th vidc h magiud
bh diab ad clima chag i
w widly accpd, a i rcgii
ha ailur iv i h w glbal
phm ha ld h curr
crii. tghr, hi i rig a w
lvl pliical ladrhip m h
urg challg. I rdr lvrag
hi mmum, h likag bw
h w iu mu b ully rcgid.
thi will guid a glbal rp ha
i crdiad, rahr ha ild; will
cr maurabl b; ad rur
ivm r bh iu imulauly.
Diab ad clima chag ar dircly
ad idircly irccd.1 Dirc
cci rr hw diab ad
clima chag advrly impac up
ach hr. th idirc cci
rr h cmm glbal vcr ad
pahway ha ar ullig bh h
halh ad dvlpm diar.
Cmbid, hy rm a raial r
a aligd plicy agda cmba
h prblm.
tHe InteRConneCtIons :d i a b e t e s a n d c l i m at e c h a n g e
1thr ar hr majr rm diab yp 1, yp 2 ad gaial diab (GDM.) thi rpr primarily cu yp 2 diab,
a cmbiai iuli riac ad iuli dcicy, which accu r 95% all diab glbally
7/29/2019 IDF Report on Climate Change and Diabetes
8/20
Climate Change and Diabetes Direct Connections Constellation
Health system burden Sustainability crisis Environmental degradation
Global diabetes
epidemicClimate change
Extreme events and weakened
health systems
Obesity and
greenhouse gas
emissions
Carbon intensive
health systems
Higher temperatures
heatwaves and pollution
Food insecurity and malnutrition
Fur 2: d c c dr coo coo
6 IDF Plicy Rpr 2012
SMALL ISLAnD STATES
DIABETES AnD CLIMATE CHAnGE
small ilad dvlpig a
a high rik clima xrm
ar diprprialy acd by
diab, wih prvalc ra i
adul rachig vr 20% i Pacic
Ilad uch a Kiribai, sama ad
tuvalu. Halh ym i LMIC ar
ill-uippd adap h riig
diab burd ad clima xrm.
Dia, ijuri ad h d r
mrgcy rvic ar xrm
v plac halh ym udr
icraig prur.
A icraig bdy vidc hw
ha diab ad clima chag ar
dircly likd. th lik iclud:
h impac ha wav ad xrm
wahr v h halh ucm
ppl wih diab; h impac
clima chag d curiy ad
yp 2 diab rik; ad h impac
riig biy lvl ad diab
cmplicai GHG mii.
Adverse Health Outcomes
ad Icreased Diabetes Ris
Ppl wih udrlyig mdical cdii
uch a diab ar mr vulrabl h advr halh impac clima
chag. I hr mpraur,
dhydrai ad hark icra
mrbidiy ad mraliy i ppl wih
diab. Ppl wih diab ar
prdipd cardivacular v
durig ha wav ad highr mraliy
rm har aack day high
air pllui.12
Clima chag icra h ccurrc
xrm climaic v uch a hurrica,
fd, r, uami, arhuak ad
drugh, which diplac ppl
ad cra iadua livig cdii,
lum grwh, ad icra rurc
carciy. th ar virm whr
h diab pidmic hriv, a urba
lum ar dircly aciad wih biy
ad diab rik.13
th icra xrm climacic
v i likly damag halhcar
irarucur ad hra h dlivry
car r vulrabl ppl wih diab.14
Fr xampl, ar Hurrica Karia
wp hrugh h uhr Us i 2005,
vr 200,000 ppl wih chric mdical
cdii uch a diab had acc
car r ial mdici. th wr
primarily vulrabl ad ldrly ppulai
phyically uabl lav.15 Ad, whil a
pr wih yp 2 diab may urviv
wihu mdicai i h hr mdium
rm, ppl wih yp 1 diab ca di
i a mar day i dprivd li-
avig iuli pcially i h prc
iciu ad diarrhal dia ha
ar dmic i h immdia armah
uch v.
DIReCt ConneCtIons
7/29/2019 IDF Report on Climate Change and Diabetes
9/20IDF Plicy Rpr 2012 7
Food Isecurity ad Malutritio
Clima chag i xacrbaig dicuriy. Clima chag hra
agriculural prduci ad h d
upply hrugh war carciy ad drugh,
h druci crp by climacic
xrm, ad impac diar
d lgiic. Rc clima xrm
uch a fd i thailad, wildr i
Ruia ad drugh i ehipia hav
crad pric vlailiy ad vr d
icuriy. A riig mpraur ac
crp, i i imad ha hal h wrld
will xpric d hrag by h
d h 21 Cury.8
Fd icuriy ha majr implicai
r malurii, halh ad diab.
Bh vr-urii ad udr-urii
icra a idividual rik dvlpig
yp 2 diab ad rlad nCD. Maral
udr-urii i prgacy icra h
rik h ia dvlpig biy ad
yp 2 diab i lar li.17 Udr-urii
i prgacy i alrady widprad i
LMIC ad will ly icra a clima
chag ii.
Clima chag will mak rh prduc
xpiv ad carc a radiial duppli ar dirupd.18 Vulrabl ad
lw-icm ppulai, wh rly
agriculur ad llw radiial di,
ar paricularly a rik. Rarch ha
ablihd ha idigu ppl wh
dpd radiial lad, war, pla
ad aimal r urvival ar vrly
hrad by clima chag.14 A
radiial d urc ar hrad,
idigu ppl ar rcd rly
imprd ad prcd d ha hav
lil uriial valu, xacrbaig yp
2 diab rik.19
Fd icuriy will hu ly
accu r h majriy immdia
clima chag dah,9 bu by icraig
malurii, i icra yp 2
diab ad nCD rik.
Diabetes, Obesity ad
Greehouse Gas Emissios
th riig burd yp 2 diab
ad i pricipal drivr, biy, ar likly
cribuig clima chag. Icraig
biy prvalc i a ppulai
icra GHG mii rm d
prduci ad car ravl. I ha b
imad ha a ppulai i which
40% ppl ar b ruir 19%
mr d rgy ha a ppulai i
which hr i a rmal BMI diribui.20
th riig burd nCD ca al b
caually likd icraig mii
grad by halh car ym. Failur prv ad maag diab ca lad
grar dmad halh ym ad
icra hir alrady larg carb pri.
Diab-rlad cmplicai uch a
CVD, rk ad ral ailur c liv
ad my. Hpialiai rm uch
cmplicai ar al rgy-iiv
ad icra GHG mii.21 thi
uppr h argum rri
halh ym rm h radiial
cu acu car a mr praciv
ad prvaiv ciuig car mdl.
Dvlpm aiac i ruird i
rurc-pr curi uppr
baic prvi, arly diagi ad
ram diab ad rgh
uaiabl halh ym which ca
cp wih h riig burd nCD.
tHe nAtIonAL
HeALtH seRVICe
I n e n G L A n D
GeneRAtes oVeR
18 MILL Ion
tonnes oF
CARBon D IoXIDe
eMIss Ions eVeRY
Ye A R
W HI CH A Mo Un t s
to 25% oF ALL
PUBL IC seCtoR
Co2
eMIss Ions
n h s sU sta i n a ble
deVelOpmen t U n i t ,
n h s e n g l a n d c a R b O n
e m i s s i O n s c a R b O n
FOOtpRi n t i n g RepORt ,
s e p t e m b e R 2 0 0 8
7/29/2019 IDF Report on Climate Change and Diabetes
10/20
Rapid Urbanisation Diabetes Climate Change Nexus Constellation
Global Vector Pathways Manifestations
Rapid urbanisation
Climate change
Diabetes
Slum growth
Sedentary
work
Shift in delivery
patterns
Pollution
Poor urban design
Mechanised transport
Fur 3: R Uro-d-c c nxu coo
8 IDF Plicy Rpr 2012
Global vectors demographic
chages, rapid ad uplaedurbaisatio ad the ood
system are creatig shared
pathways to diabetes ris ad
climate chage
Glbal vcr ar rgig cmm
pahway ward yp 2 diab ad
clima chag. thr ar hr majr
xu ha dcrib h idirc
ircci:
Rapid urbaiai diab
clima chag
Chagig ppulai dmgraphic
diab clima chag
Glbalid d ym diab
clima chag
nexus 1:
Rapid Urbaisatio Diabetes
Climate Chage
th 21 Cury will uprcdd
icra i urbaiai. ovr hal h
wrld ppulai currly liv i urba
ara, a umbr prdicd ri v
billi by 2030. thi raii will b
ccrad i h dvlpig wrld.
Uplad urbaiai ii h
vcr yp 2 diab ad GHG,
icludig lum grwh, rapid
idurialiai, mchaid
raprai, pllui ad rurc
dgradai.14 Urbaiai which
rapidly chag liyl ad icra
xpur rik acr icludig
mchaid rapr, iuci
phyical aciviy ad uhalhy di
i rgly aciad wih yp 2
diab rik.22
Fil-ul bad rapr advrly
impac halh ad h virm.
th Irgvrmal Pal Clima
Chag a ha 23% glbal GHG
ar rm rapr wih rad rac
ciuig 75% h mii.23
sdary liyl dd by high
lvl mchaid raprai,
iaciv ccupai ad iuci
phyical aciviy ar al icraig
wrldwid. Phyical iaciviy i
h ur ladig nCD rik acr ad
accu r arly a hird yp 2
diab prvalc.24 Icraig car
u, ablihd a a majr hra h
virm, al crrla wih
dary liyl. evidc hw car
wrhip ad u crrla wih
phyical iaciviy.25 th lik
cia a w urba plaig mdl
which prvid halhy ad gr
rapr lui.
DeVeLoPInG
CoUntRIes WILL
B e B U I L D I n G t He
eqUIVALent oF A
C I t Y o F A M I L L I o n
PeoPLe eVeRY
FIVe DAYs FRo M
noW to 2050
th e ROya l sOci ety ,
pOpU l a ti On a n d pla n et ,
2012
InD IReCt ConneCtIons
7/29/2019 IDF Report on Climate Change and Diabetes
11/20
Changing Population Demographics Diabetes Climate Change Nexus Constellation
Global Vector Pathways Manifestations
Changing Population
Demographics
Climate change
Diabetes
Changing production
and consumption
patterns
Depleting natural
resources
Younger populations in
developing countries
Ageing populations
worldwise
Fur 4: c pouo dor-d-c c nxu coo
IDF Plicy Rpr 2012 9
nexus 2:
Chagig Populatio Demographics
Diabetes Climate Chage
th wrld ppulai i prdicd
grw rm v billi i 2011, i
milli by 2050. such majr ppulai
grwh icra prduci ad
idurialiai, which ar bh drivig
yp 2 diab ad clima chag.26
th rd i acclraig a i h
dvlpig wrld. th ppulai
ub-sahara Arica i dubl
r rbl by 2050.
Icraig glbal ppulai lvl ad
vrall marial cumpi hav majrimplicai r h wrld rurc,
rgy cumpi ad GHG mii.27
Rapid dmgraphic chag ar hiig
prduci ad cumpi par.
spurrd by glbaliai, yug
ppulai i dvlpig curi
will icra dmad r gd ad
rurc. A h am im, h glbal
ppulai i agig h umbr
ppl vr 60 will icra rm 605
milli arly w billi by 2050.28
th prvalc yp 2 diab ad
hr nCD icra wih ag, wih
criical implicai r halhcar, cial
rvic ad rgy cumpi.2
nexus 3:
Global Food System Diabetes
Climate Chage
th 21 Cury Glbal Fd sym
(GFs) i udrpid by glbaliai,
rad libraliai ad idurialiai.
Whil h GFs ha icrad agriculural
upu, acc cmm d ad
chic acr h glb, hi ha cm
a a majr c huma ad plaary
halh.29 th GFs d curag
uaiabl agriculur r halhy di,
ad i uuaiabl i i pr rm.
th acivii h GFs h prduci,
prcig, rag, diribui ad
cumpi d ar icraig
GHG ad yp 2 diab rik.
AGRICULTURE: th agriculural ym
prduc up a hird GHG mii
wrldwid wih agriculural d
prduci rpibl r 10-12%
glbal mii. Livck prduci
cau h majriy agriculural
mii ad p a majr hra
h pla.30 GHG ar mid a alm
vry ag h livck prduci
prc ad h carb c ma
i v im ha vgabl.31
t He CUR R e n t
FooD sYsteM Is
DeePLY
DYsFUnCtIonAL .
tHe WoRLD Is
PAYInG An
eXoRBItAnt PRICe
FoR tHe FAILURe
to ConsIDeR
HeALtH IMPACts
I n D e s I G n I n G
FooD sYsteMs ,
A n D A CHA n G e o F
Co UR s e MUs t B e
tAKen A s A
MAtteR oF
UR G e n CY
O l i V i e R d e s c h U t t e R ,
U n s p e c i a l R a p p O R t e U ROn th e Ri gh t tO FOOd
7/29/2019 IDF Report on Climate Change and Diabetes
12/20
Global Food System Diabetes Climate Change Nexus Constellation
Global Vector Pathways Manifestations
The Global Food
System
Climate change
Diabetes
Decline of
traditional
diets
Technological
advances in food
production
Industrial food
processing
Animal source
food production
Global food and
agricultural trade
Fur 5: go Foo s-d-c c nxu coo
10 IDF Plicy Rpr 2012
Dmad r aimal prduc ciu
grw i h 21 Cury. Riig dmad
paricularly i raii cmi i
prjcd icra by a aggrig
85% rm 2000-2030, wih majr
implicai r GHG mii, h
dgradai rurc ad d
curiy.32 Aimal prduc ar
uriially impra, bu ar ually
majr urc aurad a ad
ladig cmp uhalhy di.
Di high i aurad a rm aimal
prduc paricularly rd ma ad
prcd ma ar aciad wih
icrad biy, yp 2 diab ad
nCD rik.33
FOOD PRODUCTIOn: Advac i d
prduci i h 20h Cury hav
icrad availabiliy ad ardabiliy
prcd ad rgy-d d.34
Prcd d ly icra yp 2
diab ad biy rik i cmpari
rui, vgabl ad cral prduc
bu hav advr virmal impac.35
Carb iiv prduci, rapr,
rag ad railig mhd ar ruird
r prcd ad packagd d.
Urbaiai cribu hi prblm,
wih urba ara diccd rm
radiial rh d ad rlia
impr, icraig diac rm arm
rk ad GHG rm raprai.36
Dmad r prcd d i urba
ara ha icrad palm il ad ugar
prduci i rpical curi, ladig
harmul lad clarig ad
drai pracic.37
DIETARY PATTERnS: ecmic
dvlpm ad h glbaliai h
wrld d ym hav ld majr
chag i diary par. A ppl
icm icra, d cumpi
mv away rm radiial di
bad apl grai, lcally grw
vgabl ad rui, di high i
prcd d, aurad a ad
ugar, ad lw i br. thi urii
raii i aciad wih high lvl
biy, diab ad nCD.38 obiy
ra arly dubld i vry rgi
h wrld bw 1980 ad 2008.39
th upward rajcry h biy
pidmic hw ig abaig i
i prdicd ha vr 50% adul will
b b by 2050.40 Riig biy i
h Us ad UK i imad rul i
a urhr 6-8 .5 milli diab ca
by 2030.41 ovr-urii crrla
wih ci-cmic iualiy ad i
widprad i LMIC, whr udr ad
vr-urii ca c-xi i h amcuri, cmmuii ad v
huhld.
BRAzIL LIVESTOCk SECTOR
th xpai h livck cr
i Brazil h cury w accu
r 25% h wrld b xpr
ha cm a a majr virmal
ad public halh c. Brazil i
h urh larg mir Co2
wrldwid ad h livck cr i
rpibl r 75% GHG mii
i h cury. th icra i aimal
prduc i drivig a riig a d
culur i Brazil. 1.6 milli Brazilia
a a McDald vry day.
Brighter Gree, Policy Brie: Cattle,
Soyaiatio ad Climate Chage
Brails Agricultural Revolutio
i n d i R e c t c O n n e c t i O n sc O n t i n U e d
7/29/2019 IDF Report on Climate Change and Diabetes
13/20IDF Plicy Rpr 2012 11
o B e s I t Y I s t He
sIGnAL tHAt
s o Me t HI n G I s
teRRIBLY WRonG
I n t He P o L I CY
enVIRonMent.
W I D e s P R e A D
o B e s I t Y I n A
PoPUL AtIon Is
not A MARKeR
oF FAILURe
oF InD IV IDUAL
WILLPoWeR, BUt
oF FAILURe In
PoL IC Ies At tHe
HI G He s t L e V e L
m a R g a R e t c h a n ,
RemaRKs tO the Un sUmmit
On n cds, n eW yORK,
1 9 s e p t e m b e R 2 0 1 1
7/29/2019 IDF Report on Climate Change and Diabetes
14/2012 IDF Plicy Rpr 2012
tHe oPPoRtUnIt Y:cO- bene Fit appROach tO cOmbating d iabetes and climate change
Co-beeft strategies are a
opportuity to drive sustaiableliestyles, supportig healthy
choices with a low evirometal
impact ad promotig equity
ad wellbeig
Giv h cci bw diab
ad clima chag, hr i a urg
d d il bw halh ad
virmal cr. th hard
vcr yp 2 diab ad clima
chag pr ppruii cmba
h hra ghr. Grar plicy
aligm i h glbal rp culd
prvid wi-wi ppruii
miiga clima chag ad rik yp
2 diab imulauly. I hi rgard,
h halh c-b apprach i crucial.
thr ar w igica argum r
i imprac:
PUBLIC AnD POLITICAL SUPPORT:
By rramig clima chag i public
halh rm, virmal iu
will b mad mr udradabl,
igica ad prally rlva
h public. evidc ha hw ha
idividual rpd mr piivly
clima chag miigai plici wih
halh b ha h wihu.43
HEALTH, ECOnOMIC AnD
EnVIROnMEnTAL BEnEFITS:
Ivig i c-b ragi
will hav majr halh, cmic ad
virmal b ad build w
mdl r uaiabl dvlpm.
thr ca b cmprhiv awr
h challg yp 2 diab ad
clima chag p ciy. Hwvr,
h c-b ragi ulid blw
aim rarm high-carb bgiccii aciv lw-carb livig,
buildig a gr cmy which igra
bh halh ad virmal ccr.
Urba Plaig Policies
Wll plad urba virm caimprv huma ad plaary halh.
trapr plicy ad urba dig ca
acilia halhy ad uaiabl chic
i urba virm.
Trasport Policy
Aciv ravl h diac walkd
ad cycld by idividual will rduc
GHG ad icra phyical aciviy.
I i imad ha phyically aciv
idividual rduc hir rik dvlpig
yp 2 diab by up hal. 44 I Dlhi,
Idia, icrad aciv ravl ha hw
rduc diab prvalc by 6-17%.45
I hal hr rip wr mad by bicycl
i h Us, a aual UsD 3.8 billi wuld
b avd rm avidd mraliy ad
rducd halh car c.46
Aciv ravl ruir urba virm
which ur ha walkig ad cyclig
ar h m dirc, cvi ad
appalig pi r urba rapr.45
sragi achiv hi iclud:
Urba desig which pririi
h ay ad acc d pdria ad cycli;
Vehicle restrictio by rducig car
acc i cii, implmig rad
pricig chm, ad limiig
car pd;
Ivestmet ad improvemet i public
trasport irastructure acilia
urba acc d, icra walkig
ad dcra GHG;
Ivestmet i active trasport
irastructure wih ddicad bicycl
wrk; clar igag wih dirci,diac ad im; adua parkig
r bicycl; ad ardabl bicycl
hir ad har chm;47
Behavioural chage promotio
hrugh public awar campaig
ad mivaial r igag
prm awar halhy ad
uaiabl chic;48
Icetives to acilitate behavioural
chage icludig mplyr ubidiig
mply wh u public r aciv
rapr ad d cmmu by car.25
Urba Plaig ad Desig
th dig may cii i a barrir phyical aciviy. Impracical diac
bw mplym, rvic ad
ridial ara dicurag phyical
aciviy. Igraig phyical aciviy i
vryday li i ablihd a a crucial
ragy r biy prvi.49
Implmig aciv dig i ur
cmmuii, r ad buildig will
acilia phyical aciviy, cu carb
mii ad uppr halhy phyical
ad cial livig virm crucial
r rducig halh iuii.
sragi achiv aciv digiclud:
Mixed lad use which lca huig,
rail, mplym ad p gr
pac cl ghr, ur ha
walkig ad cyclig ca acilia
acc d i urba ara;
Gree Spaces wih lcal acc
park ad gr pac r liur
prvid crucial i r xrci ad
rv impra virmal
uci;50
Health ad Sustaiability Assessmeticludig h virmal
uaiabiliy buildig uch
a BReeAM ad LeeD raig which
maur a buildig virmal
prrmac which icrpra
halh ccr.51
URBAn DESIGn CASE STUDY:
C40 CITIES
C40 cii i a wrk larg cii
cmmid uaiabiliy. May
h cii hav gr pac
arg, icludig:
AddisAbaba:40%ofthecityto
b gr pac
Berlin:allresidentialneighbourhoods
hav acc public park ad
ciy uar
Shanghai:citytohave35%green
cvr ad 30% r cvr by 2020
Arup ad C40 Cities,
Climate Actio i Megacities,
Jue 2011
7/29/2019 IDF Report on Climate Change and Diabetes
15/20IDF Plicy Rpr 2012 13
ACTIVE TRAVEL CASE STUDY:
BOGOTA, COLUMBIA
th capial Clmbia, Bga, i
a wrld rwd uaiabl ciy.
Ivm i public rapr ad
accibl pahway hav imprvd
h urba virm, aciv ravl
ad uaiabiliy ic 1995. th
ladmark aur h ciy
uaiabiliy i h Ciclva, whr
120km rad i iaccibl car
vry suday. Wm rgularly
paricipaig i Ciclva ar 7 im
mr likly b phyically aciv.
World Health Orgaiatio, Policy Brie:
Physical Activity, Sports ad Trasport,
April 2011
7/29/2019 IDF Report on Climate Change and Diabetes
16/2014 IDF Plicy Rpr 2012
Food Policies
th Glbal Fd sym (GFs) d b rrmd uppr a icraig
ppulai wih a di lw i aimal
prduc ad prcd d, ad
high i lcally-prducd rui ad
vgabl.42 th aim h GFs mu
b ur a uaiabl di which
hav lw virmal impac, dlivr
d ad urii curiy ad uppr
halhy li r pr ad uur
grai.52 oulid blw ar
cx-pcic plici r clima
chag miigai which will cmba
bh vr- ad udr-urii.
Reducig productio ad
cosumptio o aimal products
Cuig livck prduci ad
cumpi ha b idid a a
crucial ragy rduc GHG mii,
imprv di ad rduc xpur
biy ad yp 2 diab rik.53
thi ci rla rgi i which
vrcumpi aimal prduc i
cauig vrwigh ad biy. Hwvr,
billi ppl rmai lucky a
ma c r wic a yar. Rducigcumpi r aimal prduc i high
icm curi ad hiig crp
prduci away rm aimal d
ha h pial icra huma d
prduci ad i a uiabl ragy
miiga clima chag.54 Bhaviur
chag i high icm curi i
dd rduc dmad r aimal
prduc.30 th llwig ragi
hav h pial chag
cumpi par:
nuriial irmai, hrugh
diary guidli, awar campaigad d labllig irm h public
h halh ad virmal hra
a di high i aimal prduc;
Markig prvid a ppruiy
prm ad rai awar halhy
ad uaiabl di. Curi a
divr a swd, Brazil ad suh
Arica, hav prmd ma r day
c a wk;
Mark Irvi icludig cal
maur rric uhalhy chic
ad hac acc br d
ca b ud i cjuci wih hr
plici, a hw i curi uch a
Frac, Dmark, Filad ad Pru.
Hwvr, axai al i ugh
chag cumpi habi ad may
hav a diprpria impac
lwr ci-cmic grup.
Sustaiable Agriculture
Cuig h prduci prcd d
ha b balacd wih urig d
curiy ad urii r all.suaiabl
agriculur i h primary ma
achiv hi balac. suaiabl
agriculur i dd a h capabiliy
agriculur cribu vrall
huma wlar, prvidig d curiy
i a ci, virmal ud adcially rpibl way.55 Ivig i
uaiabl agriculur i lw icm
curi will uppr h righ d
ad gra ppruii r icm.52
sragi iclud:
Localisig the ood system
uppr mall cal ad uaiabl
agriculur rahr ha idurial
d prduci.56 A lcalid
ad dcralid d ym will
rduc d raprai, il
ul cumpi, ad ur acc
aal ad uriial d.42Pririiig lcal ad mall cal d
prduci will addiially prc
halh ad righ idigu
cmmuii, uppr a gr
ad uiabl cmy ad
rgh d curiy.
Urba Agriculture i al a ky
ragy r lcaliig h d ym,
dcraig GHG rm imprd d
which ail xiv rapr ad
rag prc.57 Urba agriculur
prduc d wihi r ar ciy
cr hrugh iiiaiv uch aurba arm ad cmmuiy ad
chl gard. Farmr mark,
r llr ad grcry r
h acilia lcal acc rh,
lcal ad aal d.50 Urba
agriculur dcra rliac
highly prcd r d by
urig ha halhy ad uaiabl
d prduc, paricularly rui ad
vgabl, ar accibl ad
araciv chic i cii. succul
xampl xi i variu rurc
ig, icludig Cuba whr urbaagriculur dcrad rgy u,
ad icrad d curiy ad
h prduci halhy d.58
A t R A n s I t I o n
toWARDs sUs tAInABLe
D Ie ts W IL L s UC C e e D
o nL Y BY s UP P o R t I nG
D IV e R s e F AR M InG
s Y s te M s tHAt e ns UR e
tHAt AD e q UAte D Ie ts
ARe ACCessIBLe to ALL,
tHAt s IMULtAneoUsLY
s U P P o R t t H e
L IV e L IHo o D s o F P o o R
F AR M e R s AnD t HAtAR e e C o L o G IC A L LY
s Us tAInAB L e
O l i V i e R d e s c h U t t e R , U n
s p e c i a l R a p p O R t e U R O n
th e Ri gh t tO FOOd
BRAzIL InTEGRATED FOOD POLICY
th Zr Hugr prgram i a cial
prci chm which prvid a
igrad apprach d curiy,
pvry radicai, halh ad
uaiabiliy. I i bad arud a
cah rar pr huhld
h cdii ha childr ad
chl ad ciu halh chck-
up. th prgram al uppr mall
cal uaiabl agriculur up
30% d r aial chl mal
i prcurd rm lcal amily arm.
th prgram ha ak 49 milliBrazilia u pvry ad aim
li h rmaiig 16 milli u
pvry by 2014. Zr Hugr
i ipirig imilar iiiaiv i
hr Lai Amrica, Aia
ad Arica curi.
Un Coerece o Sustaiable
Developmet Secretariat,
Rio+20 Issue Brie: Food Security
ad Sustaiable Agriculture,
December 2011
cO- bene Fit appROach tO cOmbating
d i a b e t e s a n d c l i m a t e c h a n g e
c O n t i n U e d
7/29/2019 IDF Report on Climate Change and Diabetes
17/20IDF Plicy Rpr 2012 15
ConCLUsIon
thir hard rajcri ar idicaiv
a widr uaiabiliy crii ha
ly cmprmi h halh ppl
ad h pla i h uur, bu ar
impacig h halh ad wllbig
ppulai day. Ccrd aci
ad ivm curb yp 2 diab
ad clima chag i urgly ruird,
mak cmic , ad i a mral
impraiv prc curr ad
uur grai.
A h Diabetes and Climate Change
Reportha dmrad, hr ar
craily uick lui r ihr
h iu. th ar cmplx
challg ha ruir udamal
hi i h way w liv, h way w
d ad apprach dvlpm, ad
dmad a lg-rm viw ha racd
may pliical hriz. Idd, hi ha
b h majr bacl i
harig pliical ladrhip r bh
hra. Hwvr, h udrxplrd
ircci ha hi rpr
highligh bw yp 2 diab
ad clima chag ugg impra
implicai r plicy makr, acadmia
ad civil ciy wihi halh ad
virm cr. th iclud:
Coordiated thiig ad aliged
policies ad strategies ca have
substatial beefts or both reducig
the ris o type 2 diabetes ad climate
chage: oppruii xi ui
clima chag miigai ragi
wih h prmig ppulai
halh ad diab prvi,
icludig rapr, urba dig
ad d plici.
Framig these issues as
itercoected could haress greater
political leadership ad support rom
the geeral public: Rramig clima
chag a a glbal halh hra ha
h pial mak virmal
iu mr cially araciv
plicy makr ad h gral public.
Vic vra, by mphaiig ha
diab har cmm vcr
wih clima chag add urhr
urgcy acklig halh;
There is a urget eed to ed the
silos betwee health ad evirometal
commuities ad combat these global
riss together: th l diab
ad clima chag rirc h
bradr ircci bw
halh, virmal ad cmic
iu. Grar cllabrai ad
alliac i dd bw Un
agci, gvrm, nGo ad
acadmic prc plaary ad
huma halh.
Equity must be at the core o the
iteratioal respose: scial cdii
drmi vulrabiliy ad impac
diab ad clima chag
ppulai. I i lw-icm curi
ad pr cmmuii ha ar
paricularly vulrabl pr halh
ad h c clima chag.
Plicy aligm h iu d
halh uiy a h cr ad a cial
drmia halh apprach
imprv vrall ppulai ad
virmal halh, ad rduc h
impac diadvaagd ppulai.
Sustaiable developmet must
iclude health, diabetes ad nCDs:
Halh i ly a criical ucm
uaiabl dvlpm, bu a vial
prcdii achivig prgr
i hr pillar cial, cmic
ad virmal. Prvi ad
ram dia lik diab
i a ppruiy allvia huma
urig ad cial iuiy, uppr
cmic dvlpm ad l
h virmal burd
halh ym.
The Diabetes and Climate Change Report
rai a umbr ui r halh,
h virm ad uaiabl
dvlpm cmmuii which
dmad urhr ai ad urhr
rarch. W lk rward rgig
w alliac ad parrhip
ak hi agda rward.
th cal ad impac h w challg yp 2 diab
ad clima chag ca b udrimad. th arruly glbal phma, hraig h halh ad cial abric
cii ad udrmiig virmal ad cmic
uaiabiliy all curi.
He AL tHY L IF e
Is An o UtC o M e
o F s Us tAInAB L e
D e V e L o P M e nt , As
W e L L As A P o W e R F UL
AnD UnD e R V AL Ue D
M e A n s o F A C H I e V I n G
It
d R g R O h a R l e m
b R U n d t l a n d
th e a Rch i tect OF
th e sU sta i n a ble
d e V e l O p m e n t c O n c e p t.
7/29/2019 IDF Report on Climate Change and Diabetes
18/2016 IDF Plicy Rpr 2012
1 Ady Hai ad Carl Dra, Hw h lw carbcmy ca imprv halh, BMJ, 344:1018, 19hMarch 2012
2 A/66/L.1 Political declaration of the High-levelMeeting of the General Assembly on the Prevention
and Control of Non-communicable Diseases. sp2011Uid nai; Uid nai FramwrkCvi Clima Chag, 1992; Uidnai, Ky Prcl h Uid naiFramwrk Cvi Clima Chag, 1998
3 Iraial Diab Fdrai, Diabetes Atlas:5th Edition, 2011
4 Irgvrmal Pal Clima Chag.Clima chag 2007. th phyical cic bai.Cribui wrkig grup I h urham rpr h irgvrmal pal clima chag. slm s, qi D, Maig M, al, d. Cambridg Uivriy Pr, 2007.
5 olivir J G J al., Lg-rm rd i glbalCo
2mii, PBL nhrlad evirmal
Am Agcy, th Hagu, 2011
6 Uid nai Framwrk Cvi ClimaChag, Clima Chag: Impac, Vulrabiliad Adapai i Dvlpig Curi, 2007,UnFCCC
7 Wrld Halh orgaizai, Prcig Halh rmClima Chag (2008); Jaha A Paz ad R sariKva, Hp i clima chag ad humahalh, BMJ, Vl 325 (nvmbr 2002)
8Lancetad UCL Iiu r Glbal HalhCmmii, Maagig h halh c clima chag,Lancet, Vl 373 (May 2009)
9 Cmmii scial Drmia Halh.Clig h gap i a grai: halh uiyhrugh aci h cial drmia halh. Fial Rpr h Cmmii scialDrmia Halh. 2008. Gva, WrldHalh orgaizai.
10 sr n. th cmic clima chag.Cambridg: Cambridg Uivriy Pr, 2007.
11 nichla sr, Maagig clima chag advrcmig pvry: acig h ralii adbuildig a glbal agrm pvry, PlicyPapr, Cr r Clima Chag ecmic adPlicy, Graham Rarch Iiu ClimaChag ad h evirm, 2009
12 Michal A McGki ad Maria Mirablli,Pial impac clima variabiliy ad chagi mpraur-rlad mrbidiy, EnvironmentalHealth Perspectives, Vl 109 (May 2001); Harvardschl Public Halh, ec mpraurpar lg rm mraliy, accd lia hp://www.hph.harvard.du/w/pr-rla/2012-rla/ummr-mpraur-variabiliy-mraliy-rik.hml ; smz al.,exc hpial admii durig h July 1995Ha Wav i Chicag,Am J Prev Med, 16 (4) (May1999); Alla Zabi ad Jl schwarz,Cardivacular damag by airbr paricl: ardiabic mr ucpibl?, Epidemiology, Vl 13,
n 5, spmbr 200213 Mira A., High prvalc diab, biyad dylipidamia i urba lum ppulai inrhr Idia, Int J Obes Relat Meatb Disord, 25,11 (nvmbr 2001)
14 Irgvrmal Pal Clima Chag.Clima chag 2007. Impac, adapai, advulrabiliy, Cribui wrkig grup II h urh am rpr hIrgvrmal Pal Clima Chag.Parry ML, Caziai oF, Paluik JP, va drLid PJ, d. Cambridg Uivriy Pr,2007); Iraial Iiu r evirm adDvlpm, Halh: mairamig virmad clima chag (July 2011)
15 Whi Hu, th Fdral Rp HurricaKaria L Lard (2006)
16 Ahy J McMichal, Clima Chag adHalh: Pririi ad Prpciv, Centre onGlobal Health Security, Chatham House (Dcmbr2011); Brighr Gr, Plicy Bri Clima,Fd scuriy ad Grwh: ehipia CmplxRlaihip wih Livck
17 Fall CHD. Dvlpmal origi Cardivacular Dia, typ 2 Diab adobiy i Huma. I: e.M.Wiur-Cghla &J.A.ow, d., early Li origi Halh ad
Dia. 573 d. Ld: sprigrscic+Bui Mdia; 2006. 8-28
18
Irgvrmal Pal Clima Chag,Fourth Assessment Report Human Health (2007)
19 Myra Cuigham, Halh, i Un DesA, sa h Wrld Idigu Ppl, Uid nai,nw Yrk, 2009.
20 P edward ad I Rbr, Ppulai adipiyad clima chag, International Journal ofEpidemology 2009, 38 (4) 1137:1140
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23 Kah Ribir, s., s. Kbayahi, M. Buh, J.Gaca, D. Gr, D. s. L, Y. Murmachi, P. J.nw, s. Plki, D. sprlig, R. Wi, P. J. Zhu,2007: trapr ad i irarucur. I ClimaChag 2007: Miigai. Cribui Wrkig
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25 Rgr L Mack ad Blida Brw, trapr,phyical aciviy ad halh: pr kwldgad h way ahad, Cr r trapr sudi,Ld, Dcmbr 2011
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27 th Ryal sciy, Ppulai ad Pla,April 2012
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ReFeRenCes
7/29/2019 IDF Report on Climate Change and Diabetes
19/20
Global Goverace
Furhr igra glbal plici adpracic halh ad h virm
i h cx uaiabl
dvlpm:
Icra irgvrmal ad
mulilaral cprai, harig
b pracic ad capaciy buildig r
igrad halh ad virmal
aci;
eur glbal cmmim ad
arg r d curiy, agriculur
ad urba plaig igra halh
ccr ad impac;
Iva, iv ad dvlp halh
c-b plici, paricularly i
aciv ravl, mixd lad u, buildig
dig, uaiabl ad halhy di,
rducig aimal prduc cumpi
ad urba agriculur;
scal up dvlpm aid ad
chical aiac r clima chag
miigai, adapai, ad h
prvi, ram ad car r
diab ad nCD.
natioal ad Local Govermet
Implm mulicral c-b
ragi i urba plaig ad h d
ym uppr a halhy gr
cmy, pririiig lw-icm
cmmuii:
scal up dvlpm aid ad
chical aiac r clima chag
miigai, adapai, ad h
prvi, ram ad car r
diab ad nCD;
Pririi ivm i uaiabl ad
halhy urba dvlpm,
paricularly cuig aciv ravl,
public rapr, ad maur
dcra car u;
Rviw xiig agriculural plici
ad ubidi which curag
idurial livck ad prcd d
prduci;
Icivi h prduci, diribui
ad markig halhy d,
paricularly hrugh mall cal
prduci, urba agriculur ad
uaiabl public prcurm rchl ad public iiui.
Civil Society
Ui acr halh ad virmalcmmuii :
- Prm h c-b apprach a
aial ad glbal lvl, cuig
uaiabl ad halhy cii ad d
ym;
- Prvid uppr rpciv
cmmuii whr dd r clima
chag miigai ragi ad
halh impac am;
Cllabra rarch ad h
prmi likag bw halh
ad h virm i h cx uaiabl dvlpm;
Mir ad uppr gvrm i
h implmai xiig clima
chag ad halh plici.
Busiess
Implm cmprhiv halh ad
uaiabiliy iiiaiv:
Implm wrkplac wll
chm which pririi halh ad
virmal ccr, paricularly
hrugh iciviig ad ubidig
aciv ravl ad public rapr;
Prvid acc halhy ad
uaiabl chic;
eur wrkplac icrpra halh
ad virmal ccr, cuig
rgy cicy ad buildig
dig which curag phyical
aciviy ad prm halh.
A n n e X :e X a m p l e s O F p O l i c y i n t e R V e n t i O n s
7/29/2019 IDF Report on Climate Change and Diabetes
20/20
th Diab ad Clima Chag Rpr wa
dvlpd by h Iraial Diab Fdrai(IDF) by h wriig am A Klig, Kai
Dai ad Lucy Hadly i h excuiv oc.
W ar idbd h llwig mmbr
h Irmal Adviry Grup r hir
ivaluabl cribui hi rpr:
Dr Fia Adhad
sir Grg Ally
Acia Prr Ruh Clagiuri
Prr sir Michal Marm
Prr Ahy J McMichalPrr Hugh Mgmry
IDF graully ackwldg h uppr
Bupa i h prduci h rpr.
Wih addiial hak :
Dr. si Wi ti, Halh ad suaiabiliy Ui,
Bd Iiu, Uivriy sydy
Dr. David Pch ad h nHs suaiablDvlpm Ui.
ACKnoWLeDGeMents
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