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The climate crisis and health in humanitarian settings | Collections | MSF Science Portal
The climate crisis and health in humanitarian settings

The climate crisis and health in humanitarian settings

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.

To mark Earth Day 2024 (22 April) we present a cross-section of work by MSF and collaborators, drawing from a range of data sources and 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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MSF Paediatric Days 2024 abstracts

MSF Paediatric Days 2024 abstracts
On 3-4 May in Nairobi, Kenya, MSF gathered staff from our projects with experts from academia, clinical practice and the non-governmental sector to consider key issues in humanitarian paediatrics. These included: Vaccination and vaccine-preventable diseases: Amid post-Covid-19 global setbacks in child vaccination coverage, sessions spotlighted recent increases in vaccine-preventable disease outbreaks, potential new vaccination strategies and emergency responses, and MSF’s role in vaccine advocacy and catch-up campaigns. Nutrition: Talks covered the nexus of nutrition with other key conference topics, the latest malnutrition guidance and tools, and MSF’s priorities in nutritional care. Paediatric HIV: With half of all HIV-positive children globally not receiving antiretroviral therapy, presenters reviewed the latest paediatric testing/treatment recommendations and discussed barriers and potential solutions to implementation, nutritional challenges in children with HIV, and systems strengthening for preventing and monitoring paediatric HIV. Click below to read the abstracts. And stay tuned for more conference content, coming soon.
World NTD Day

World NTD Day
Mental health in humanitarian settings

Mental health in humanitarian settings
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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.

Complex humanitarian emergencies and other low-resource settings can be exceedingly difficult places to provide quality mental health (MH) care. Yet these environments also often have a high burden of mental health care needs. This collection presents a set of articles describing how MSF teams have adapted and evaluated ways of bringing clinically impactful MH care to neglected communities and patients—from forcibly displaced populations in northern Nigeria to Syrian refugees in Lebanon and typhoon survivors in the Philippines. It also highlights work on developing new tools for providing clinical supervision and for identifying those patients most in need of care in fragile settings, and on new approaches to delivering MH services during the Covid-19 pandemic.
Technical Report
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Policy Brief

Joint brief: The Lancet Countdown on Health and Climate Change & Médecins Sans Frontières

Voûte C, Baker H, Baidjoe AY, Bartrem C, Charrier M,  et al.
2024-10-29
2024-10-29

At the time of writing, many people around the world are feeling the pain, disruption, and devastating health consequences driven by climate change. The world has been shocked by the ...

Journal Article
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Research

Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs

McIver L, Beavon E, Malm A, Awad A, Uyen A,  et al.
2024-03-06 • PLOS Climate
2024-03-06 • PLOS Climate
This mixed-methods study focuses on the evidence of the health impacts of climate change on populations affected by humanitarian crises, presented from the perspective of Médecins Sans F...
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,...