NUE1EH001455

San Francisco Department of Public Health Climate and Health Program actions to reduce the disproportionate impacts of climate change - Since 2013, the San Francisco Department of Public Health's Climate and Health Program has worked to address the local health impacts of climate change through research and assessments, maps and data tools, outreach and engagement, and working interdepartmentally to bring a health perspective to citywide climate adaptation activities.

In San Francisco, climate change means extreme temperatures, sea level rise and extreme storms, wildfires and air pollution - and these events have significant, cascading, and compounding impacts on public health. These health impacts are not evenly distributed and the communities who carry the heaviest health burden are the ones most exposed, most sensitivity, and with the least access to the economic, social, and political resources to adapt.

Local health departments are uniquely positioned to work across sectors to identify, implement, and improve equitable climate actions through:
- Acting as a first-point-of-contact to many of the most impacted communities regular health care services and outreach activities.
- Using hospitalization, emergency department, and social determinants of health data to measure health burden and evaluate interventions based on these measures.
- Identifying and supporting interventions with climate health co-benefits.
- Developing outreach, engagement, and involvement strategies to support communities to build capacity to prepare for and respond to climate change-related hazards.
- Using qualitative and quantitative research to develop vulnerability assessments.

In this application, the Climate and Health Program will propose specific and measurable actions to address the health impacts of climate change, and especially climate change's disproportionate impact on San Francisco's vulnerable communities. The Climate and Health Program is applying for both the core component and component-A. These actions will use the BRACE framework to enhance climate health leadership, expand stakeholder relationships, compile evidence and best practices to develop adaptation plans, build resilience through the implementation of those adaptation plans, and evaluate and disseminate best practices.

Specifically, the Climate and Health Program will propose activities to expand the role of local health departments to facilitate large intersectoral climate adaptation processes that brings together city departments, community-based organizations, regional networks, and academic partners. The Heat and Air Quality Resilience Project (HAQR) represents an innovative approach to coordinate the identification, implementation, and evaluation of medium-to-long-range resilience actions. HAQR is a climate and health adaptation identified in the core component and component A. The expanded component-A HAQR includes expanded research, CBO-support, outreach and engagement, and evaluation initiatives.

As one of the two local health departments to receive direct funding through the CDC Climate Resilient States and Cities Initiative Building Resilience Against Climate Effects Grant RFA-EH16-1606, the San Francisco Climate and Health Program has the responsibility to use this capacity to train other local health departments. This application will propose actions to work directly with LHDS to disseminate best practices and offer opportunities to support the implementation of those best practices.

City & County Of San Francisco

NOT APPLICABLE

93.283 - Centers for Disease Control and Prevention Investigations and Technical Assistance

CDC Office of Financial Resources (OFR) [HHS - CDC]

Center for State, Tribal, Local, and Territorial Support (CSTLTS) [HHS - CDC]

California United States

State-Wide

Building Resilience Against Climate Effects: Implementing and Evaluating Adaptation Strategies that Protect and Promote Human Health (CDC-RFA-EH21-2101)

Amendment Since initial award the total obligations have increased 300% from $300,000 to $1,200,000.