Jeremy Hess|Millicent Eidson|Jennifer E. Tlumak|Kristin Raab|George Luber
An Evidence-Based Public Health Approach to Climate Change Adaptation
National Center for Environmental Health|Centers for Disease Control and Prevention|Emory University|New York State Department of Health|University at Albany, State University of New York|National Center for Environmental Health|Centers for Disease Control and Prevention|Emory University|Minnesota Department of Health|National Center for Environmental Health|Centers for Disease Control and Prevention
public health committed evidencebased practice yet minimal discussion apply evidencebased practice framework climate change adaptationour goal review literature evidencebased public health ebph determine whether applied climate change adaptation consider emphasizing evidencebased practice may influence research practice decisions related public health adaptation climate changewe conducted substantive review ebph identified consensus ebph framework modified support ebph approach climate change adaptation applied framework example considered implications stakeholdersa modified ebph framework accommodate wide range exposures outcomes modes inquiry associated climate change adaptation variety settings adaptation activities pursued several factors currently limit application framework including lack higherlevel evidence intervention efficacy lack guidelines reporting climate change health impact projections enhance evidence base must increased attention designing evaluating reporting adaptation interventions standardized health impact projection reporting increased attention knowledge translation approach implications funders researchers journal editors practitioners policy makersthe current approach ebph modifications support climate change adaptation activities little evidence regarding interventions knowledge translation guidelines projecting health impacts lacking realizing goal evidencebased approach require systematic coordinated efforts among various stakeholders