Medical Society Consortium for Climate and Health was at COP26 in Glasgow, Scotland. The Global Climate and Health Alliance (GCHA) organized an unofficial health delegation to engage with national delegations at COP26—the United Nations climate negotiations that took place during the first two weeks of November. Although greatly outnumber by fossil fuel lobbyists (500 strong, the single largest “delegation” present), the Medical Society Consortium was well-represented by Marcalee Alexander (MSSCH Steering Committee), Ankush Bansal (Florida Clinicians for Climate Action), Caitlin Rublee (Wisconsin Health Professionals for Climate Action), Jay Lemery (MSSCH Advisory Board), Ed Maibach (Mason Center for Climate Change Communication), and more than a dozen medical and health science students.
During the run-up to COP26, GCHA, the World Health Organization, the Consortium and other health groups developed the Healthy Climate Prescription—an urgent call to heads of state and their COP26 delegations for climate action from the world’s health community—which was endorsed by more than 600 health organizations that represent over 46 million health professionals worldwide. The call to action stated “We call on the leaders of every country and their representatives at COP26 to avert the impending health catastrophe by limiting global warming to 1.5°C, and to make human health and equity central to all climate change mitigation and adaptation actions,” and made a half dozen specific recommendations necessary to help achieve this goal. This call to action received a lot of attention at COP26, and as reported by the New York Times, helped reframe climate change as a health crisis.
In a post-COP26 briefing to the Consortium’s Steering Committee, Ed Maibach summarized by saying the meeting produced “important gains, but not enough.” The gains include pledges to:
- Reduce methane emissions 30% by 2030 (signed by 105 countries including the US)
- Phase out coal use between 2030 and 2040 (signed by 40 countries including the US) and stop public financing of “unabated” coal by 2022 (signed by 20 countries including the US)
- End deforestation by 2030 (signed by 100 countries including the US)
- Build climate resilient and sustainable low-carbon health systems (signed by 52 countries including the US)
Other important gains included:
- An announcement of the “Carbon Negative Earthshot” program by the US Department of Energy—a major R&D initiative to reduce the cost of capturing and storing atmospheric carbon dioxide to less than $100/ton.
- Finalization of the Paris Agreement Rule Book which includes standardized rules for reporting reductions in carbon emissions and for how global “carbon markets” will work.
- An agreement by all nations on need to reduce carbon emissions 45% by 2030
- An agreement by all nations to at least double adaptation financing for low- and middle-income nations, and to make up for the financial shortfall of $100B in promised climate financing by 2025.
- An agreement by all nations to come to COP27 with new Nationally Determined Contributions (NDCs) rather than waiting for COP30, as originally scheduled.
If all of these new and existing pledges and targets are implemented on schedule—which is not a sure thing—the planet will likely warm 2.1°C by the year 2100, a far cry from the 1.5°C that the Intergovernmental Panel on Climate Change has suggested as necessary to protect human health and wellbeing.
The Medical Society Consortium plans to be back at COP27 in Egypt to continue advocating for the recommendations made in the Healthy Climate Prescription—because the job is not done until global warming has been limited to 1.5°C. The voices of physicians and other health professionals have a unique and necessary role to play in ensuring this outcome.