Background. Scenarios for Macedonia anticipate an average increase of 3.8 °C by 2100, more frequent and more intense heatwaves, droughts and flood events.Climate change adaption has been established as a priority within existing international and national policy instruments. The findings of a national health vulnerability, impact and adaptation assessment of climate change carried out in the country as part of a WHO/BMU seven countries initiative will be present. Aims.The aims were to assess the health effects of climate change and to develop a national adaptation strategy and action plan. Methods.A variety of qualitative and quantitative methodologies were used: Literature reviews, interviews, focus group, time series and regression analysis, damage and adaptation cost estimation, scenario based assessment, and stakeholder engagement. The development of a national adaptation strategy followed a public health strategy process developed by the WHO Europe. Results. An increase in maximum daily temperatures influences the daily distribution of total mortality during the heatwaves. Climate change-attributed costs of approximately € 2.6 million were calculated. Projected direct health impacts include higher salmonellosis degree increase in weekly temperature, an increase in pollen distribution in early spring, and a change in the presence of vectors. Conclusions. The generation of a robust evidence base, a coordinated and systematic approach to climate change research and the development of robust stakeholder engagement can be used to support the formulation and implementation of sustainable, multisectoral strategies and promote adaptive capacity.
展开▼
