IDF Report on Climate Change and Diabetes

7/29/2019 IDF Report on Climate Change and Diabetes

1/20

Diab ad ClimaChag RprIraial Diab Fdrai

Jue 2012


2/20

Contents

Executive Summary 1

The Issues: Two Global Health ad Developmet Disasters 3

The Itercoectios: Diabetes ad Climate Chage 5

Direct coectios 6

- Advr halh ucm ad icrad diab rik 6

- Fd icuriy ad malurii 7

- Diab, biy ad icrad grhu ga mii 7

Idirect coectios 8

- Rapid Urbaiai 8

- Chagig Ppulai Dmgraphic 9

- Glbal Fd sym 9

The Opportuity:

Co-Beeft Approach to Combatig Diabetes ad Climate Chage 12

- Urba Plaig Plici 12

- Fd Plici 14

Coclusio 15

Reereces 16

Aex: Examples o Policy Itervetios 17

Acowledgemets Bac Cover

thi rpr ha b

prducd wih h

uppr Bupa.


3/20IDF Plicy Rpr 2012 1

eXeCUtIVe sUMMARY

Rcgii h imm huma,

cmic, ad virmal c

h w challg, paricularly r lw

ad middl-icm curi (LMIC),

i icraig ad a larg umbr

pliical cmmim r aci hav

b mad. I spmbr 2011, Mmbr

sa cvd a h Un High-Lvl

summi n-Cmmuicabl Dia

(nCD) i nw Yrk ad adpd h

ladmark Pliical Dclarai nCD

Prvi ad Crl, which rmly

lva diab ad h rlad nCD h glbal ag ad uuivcally

rram diab a a dvlpm

iu. tw mh lar h Un Clima

Chag Crc k plac i

Durba ad advacd h iraial

cmmuiy rp clima chag

miigai wih h adpi h

Durba Plarm r ehacd Aci.

th dvaaig impac diab ad

clima chag i h dvlpig wrld

wa vid i h giai;

rurc-pr curi calld r

urg aiac i adapig halh

ym ad aial irarucur halh ad virmal challg.

Hwvr, whil hr i a icraig

urgcy r aci, rcgii

h cci bw h w

iu ad apprach capabl jily

miigaig hir rik ad rprcui

ha b miig i plicy dialgu.

Plici cmba bh rik da

hav largly b dvlpd i ilai,

wih lil cidrai r h impac

halh ha h virm ad vic

vra. sil ar vid i h rc

pliical cmmim, wih halhbarly mid i h Un Framwrk

Cvi Clima Chag ad

clima chag mrly a i

h Pliical Dclarai nCD.2

Diab ad clima chag prvid

a l r udradig h bradr

irac bw ppl, halh ad

h virm. A h Uid nai

Crc suaiabl Dvlpm

(Ri+20) ha rwd pliical ai

h ccp uaiabl dvlpm,

halh mu b a h har h agda.

Halh i ly a criical ucm

uaiabl dvlpm, bu a vial

prcdii achivig prgr

acr h hr pillar uaiabl

dvlpm cial, cmic advirmal. Prvi ad ram

dia lik diab i a ppruiy

allvia huma urig ad cial

iuiy, uppr cmic dvlpm

ad l h virmal burd

halh ym.

The Diabetes and Climate Change Report

aim uli h ircci

bw clima chag ad diab;

ablih h c-b cmbaig

w glbal rik i a igrad plicy

agda; ad irm h glbal dicui

halh ad uaiabl dvlpm.By ablihig ha igrad aci

diab ad clima chag will ail

ubaial halh ad virmal

b, hi rpr rgh h

plac diab, nCD ad halh

wihi uaiabl dvlpm. th

imprac uaiabl dvlpm i

dig h uur dvlpm agda

ar h curr Millium Dvlpm

Gal d i 2015 cia hi

iclui. The Diabetes and Climate Change

Reportaim irm a hliic apprach

uur dvlpm which aribu

ual pririy halh, cmic,virmal, pvry rduci

ad cial ccr.

Glbal rd i dmgraphy, migrai, urbaiai, cumpi ad prduci

ar craig w challg ha hra damag huma halh ad livlihd,ad drail huma dvlpm ad cmic grwh. tw urg challg i h

21 cury ar h glbal diab pidmic ad clima chag. Bh ar rapidly

acclraig, ar ulld by chag i h way w liv ad wrk, ad will hav

irgraial c halh, wllbig ad curiy. th huma ad acial

c diab ad clima chag ar aggrig. thr ar 366 milli ppl wih

diab day, a umbr xpcd xcd hal a billi by 2030. Diab cau

4.6 milli dah ad c vr 465 billi Us Dllar i glbal halhcar xpdiur

vry yar. Clima chag i a imilar rajcry; glbal grhu ga mii

(GHG) ar icra by 52% by 2050, craig prud virmal,

cmic ad huma impac.


4/202 IDF Plicy Rpr 2012

Global Diabetes Epidemic

tday hr ar 366 milli ppl wih diab,

ad by 2030 ha umbr will rach hal a billi.

Glbally diab kill 4.6 milli ppl a yar, i i

amg h p cau diabiliy, ad c h wrld

UsD 465 billi i halhcar xpdiur vry yar.

Fur u v ppl wih diab w liv i lw-

ad middl-icm curi. Diab impvrih

amili, hampr labur prduciviy ad

vrwhlm halh ym.

Climate Chage

Grhu ga mii ar xpcd grw by

52% by 2050, raiig h arh mpraur xcd

h a hrhld. thr i w uuivcal vidc

r huma iducd clima chag. Whil high-icm

curi cribu alm all mii, i i h

pr curi ha ur h gra cuc.

I hig i d, clima chag will c 520% h

wrld GDP vry yar, ad will impac malurii,

icrad iciu ad -cmmuicabl dia

(nCD), pvry ad iuiy.

DIRECT IMPACT

Carb-iiv

halh ym

Wakd

halh ym

Fd icuriy

PATHWAYS

Agig ppulai

Dplig aural rurc

Mchaid raprai

Pr urba dig ad lum grwh

sdary liyl

Aimal urc d prduci

Idurial d prcig

Glbal d ad agriculur rad

Uhalhy di ad cumpi

par

GLOBAL VECTORS

Rapid Urbaisatio

ovr hal h wrld

ppulai liv i cii day.

By 2030, a imad 5 billi

h wrld 8.1 billi ppl will liv

i cii, ad 2 billi hm will

liv i lum. th pd ad cal urbaiai glbally i impacig up

clima chag, ad i dvlpig

curi ad r cially diadvaagd

ppulai i i cmprmiig

huma ad plaary halh.

Globalised Food System

th 21 cury d ym i

ramd by glbaliai, libraliai

ad idurialiai. Whil h b

a glbalid d ym ar

appar, idurial d prduci,

prcig, rad, markig ad railigar a majr rr h pla

ad cribu h urii ad

pidmilgical raii akig plac

i dvlpig curi.

Fast-Chagig Populatio

Demographics

By 2050 h wrld ppulai will

hav grw rm 7 billi 9 billi,

ad h bigg icra will b i Aia

ad Arica. ovrall glbal ppulai

i agig, bu may dvlpigcuri will wi icraigly

yug ppulai. th chagig

dmgraphic rd plac a rai

alrady iuci rurc, aggrava

virmal prblm, ad cribu

hiig dia par.

MAPPInG tHe InteRConneCtIons :t y p e 2 d i a b e t e s a n d c l i m at e c h a n g e



tHe IssUes :t W O g l O b a l h e a l t h a n d d e V e l O p m e n t d i s a s t e R s

Diabetes: a growig,

deadly ad costly diseaseDiab i a glbal pidmic a crii

lvl. tday hr ar 366 milli ppl

wih diab wrldwid, a gur which

will ri 552 milli by 2030. ovr ur

milli ppl di rm diab vry

yar, ad i i amg h p 10 cau

diabiliy wrldwid.

I addii h vr halh

cuc, hi igl dia

irc wih all dyamic huma

ad cmic dvlpm, ad impac

m crully lw- ad middl-icm

curi (LMIC). Fur u v ppl

wih diab w liv i LMIC ad

vr h x wy yar h gra

icra i diab prvalc will

b i Arica, h Middl ea ad

suh-ea Aia.

th Wrld ecmic Frum (WeF) ha

cily rcgid diab ad

rlad nCD a h p hra

h glbal cmy. Diab rul

i high halhcar xpdiur, l

labur prduciviy ad dcrad ra

cmic grwh. th Iraial

Diab Fdrai (IDF) ima ha

diab cau UsD 465 billi i glbal

halhcar pdig i 2011 uival

11% al glbal halhcar xpdiur

ad h high c diab ram

ad car ca plug vulrabl huhld

i cycl caarphic xpdiur,

impvrihm ad ill.3

th Un summi n Cmmuicabl

Dia (nCD) hld i spmbr 2011,

cupld wih h Pliical Dclarai

nCD Prvi ad Crl, ciud

wrldwid pliical armai ha

diab ad nCD ar dvlpmiu. th Pliical Dclarai a

ha h global burden and threat of NCDs

constitutes one of the major challenges

for development in the 21st Century.

Fur 1: t cr coo of d

IDF ha xplrd h criical cci bw diab ad may

apc glbal dvlpm. thy rag rm hr halh iu,

icludig hr nCD ad iciu dia, ad huma dvlpm,

cmic uaiabiliy ad virmal uaiabiliy. th

udamal lik ma ha prvig ad crllig diab brig

igica ad maurabl b r glbal dvlpm ad hbjciv pririid i h Millium Dvlpm Gal (MDG).



Climate Chage:

a evirometal,ecoomic ad huma threat

Clima chag ad i rapid prgri

i rc dcad hra h halh

ad urvival ur pla ad i

cym, ad hu huma. thr

i w uuivcal vidc r huma-

iducd clima chag. th prc

idurialiai ha ld widprad

icra i h u il ul ad

h rla grhu ga (mly

carb dixid) i h amphr.4 I

crvaiv ima, glbal grhu

ga mii (GHG) ar xpcd grw by 52% by 2050, raiig h arh

mpraur abv h a hrhld.

GHG icrad by 5.8% i 2010 al.5

Clima chag ha virmal,

huma ad cmic implicai.

Wll-ablihd virmal impac

iclud icraig ca mpraur

ad riig a lvl; chag i raiall

par craig vr drugh ad

fd; h xici may habia

ad pci; ad h icraig rucy

ad iiy xrm v uch a

hurrica, fd ad drugh.6

Clima chag i pially h larg

hra huma halh i h 21 Cury.

Clima chag i xacrbaig xiig

halh rik icludig icrad mrbidiy

ad mraliy rm nCD; h prad

may iciu dia; ad h

ubrak xrm v which lad

dah, ijuri ad h ubrak

dia, diarrha ad malurii.7

Clima chag wa imad cau

5.5 milli diabiliy adjud li yar

(DALY) i 2000.8 I will wid cial

ad halh iuiy hrugh mavirmal diplacm, uplad

migrai ad cfic. such ppulai

icuriy will hav prud cuc

r h cial drmia halh

h cdii i which ppl ar br,

grw, liv, wrk ad ag.9

Clima chag dabili cmi

ad udrmi dvlpm, imad

c bw 5% ad 20% glbal

Gr Dmic Prduc (GDP) vry

yar.10 thi i wihu cidrai

rapidly acclraig GHG ra. Ad

clima chag ha h gra c

h wh hav h la rurc

ad wh hav cribud la i

cau. th wrld pr billi

ppl accu r ju 3% GHG bu

xpric h m dvaaig impac

clima chag.9 sm 70% aural

diar ccurrd i h Pacic rgi,

Aia, h Middl ea ad Arica bw

2004 ad 2006.8

Clima chag adxrm lad majr rurc carciy

ad h dgradai agriculural

lad ad war, hraig h m

vulrabl ppulai. Clima chag

hra h achivm h MDG.11

Global issues i a diverse world

Diab ad clima chag ar glbal

hra acig all curi. Hwvr,

hir impac ad h aci dd

cmba hm dir widly dpd

rurc ig. th burd diab,

nCD, pr halh ad clima chagi l m vrly i vulrabl ad

pr ppulai. Dvlpm aid ad

chical aiac i urgly dd

i pr curi r clima chag

miigai ad adapai, ad diab

prvi, arly diagi ad ram.

Ivm i h halh ym, urba

plaig ad d ym lw-icm

curi i a ppruiy prm

uaiabl dvlpm, prvidig

a alraiv vrcumpi

ad virmal dgradai. Glbal

aci i dd prc vulrabl

ppulai i clima chag giai

ad dvlpm dicui ur

a uiabl rp halh ad

virmal hra.

CL IMAte CHAn Ge

Is tHe DeF In InG

CHALLenGe

o F o UR

GeneRAtIon

U n i ted n a ti On s

s e c R e t aR y g e n e R a l

b a n K i - m O O n

t h e i s s U e sc O n t i n U e d



Diabetes ad climate chage

wor separately ad togetherto udermie huma ad

ecoomic developmet

th vidc h magiud

bh diab ad clima chag i

w widly accpd, a i rcgii

ha ailur iv i h w glbal

phm ha ld h curr

crii. tghr, hi i rig a w

lvl pliical ladrhip m h

urg challg. I rdr lvrag

hi mmum, h likag bw

h w iu mu b ully rcgid.

thi will guid a glbal rp ha

i crdiad, rahr ha ild; will

cr maurabl b; ad rur

ivm r bh iu imulauly.

Diab ad clima chag ar dircly

ad idircly irccd.1 Dirc

cci rr hw diab ad

clima chag advrly impac up

ach hr. th idirc cci

rr h cmm glbal vcr ad

pahway ha ar ullig bh h

halh ad dvlpm diar.

Cmbid, hy rm a raial r

a aligd plicy agda cmba

h prblm.

tHe InteRConneCtIons :d i a b e t e s a n d c l i m at e c h a n g e

1thr ar hr majr rm diab yp 1, yp 2 ad gaial diab (GDM.) thi rpr primarily cu yp 2 diab,

a cmbiai iuli riac ad iuli dcicy, which accu r 95% all diab glbally


8/20

Climate Change and Diabetes Direct Connections Constellation

Health system burden Sustainability crisis Environmental degradation

Global diabetes

epidemicClimate change

Extreme events and weakened

health systems

Obesity and

greenhouse gas

emissions

Carbon intensive

health systems

Higher temperatures

heatwaves and pollution

Food insecurity and malnutrition

Fur 2: d c c dr coo coo

6 IDF Plicy Rpr 2012

SMALL ISLAnD STATES

DIABETES AnD CLIMATE CHAnGE

small ilad dvlpig a

a high rik clima xrm

ar diprprialy acd by

diab, wih prvalc ra i

adul rachig vr 20% i Pacic

Ilad uch a Kiribai, sama ad

tuvalu. Halh ym i LMIC ar

ill-uippd adap h riig

diab burd ad clima xrm.

Dia, ijuri ad h d r

mrgcy rvic ar xrm

v plac halh ym udr

icraig prur.

A icraig bdy vidc hw

ha diab ad clima chag ar

dircly likd. th lik iclud:

h impac ha wav ad xrm

wahr v h halh ucm

ppl wih diab; h impac

clima chag d curiy ad

yp 2 diab rik; ad h impac

riig biy lvl ad diab

cmplicai GHG mii.

Adverse Health Outcomes

ad Icreased Diabetes Ris

Ppl wih udrlyig mdical cdii

uch a diab ar mr vulrabl h advr halh impac clima

chag. I hr mpraur,

dhydrai ad hark icra

mrbidiy ad mraliy i ppl wih

diab. Ppl wih diab ar

prdipd cardivacular v

durig ha wav ad highr mraliy

rm har aack day high

air pllui.12

Clima chag icra h ccurrc

xrm climaic v uch a hurrica,

fd, r, uami, arhuak ad

drugh, which diplac ppl

ad cra iadua livig cdii,

lum grwh, ad icra rurc

carciy. th ar virm whr

h diab pidmic hriv, a urba

lum ar dircly aciad wih biy

ad diab rik.13

th icra xrm climacic

v i likly damag halhcar

irarucur ad hra h dlivry

car r vulrabl ppl wih diab.14

Fr xampl, ar Hurrica Karia

wp hrugh h uhr Us i 2005,

vr 200,000 ppl wih chric mdical

cdii uch a diab had acc

car r ial mdici. th wr

primarily vulrabl ad ldrly ppulai

phyically uabl lav.15 Ad, whil a

pr wih yp 2 diab may urviv

wihu mdicai i h hr mdium

rm, ppl wih yp 1 diab ca di

i a mar day i dprivd li-

avig iuli pcially i h prc

iciu ad diarrhal dia ha

ar dmic i h immdia armah

uch v.

DIReCt ConneCtIons



Food Isecurity ad Malutritio

Clima chag i xacrbaig dicuriy. Clima chag hra

agriculural prduci ad h d

upply hrugh war carciy ad drugh,

h druci crp by climacic

xrm, ad impac diar

d lgiic. Rc clima xrm

uch a fd i thailad, wildr i

Ruia ad drugh i ehipia hav

crad pric vlailiy ad vr d

icuriy. A riig mpraur ac

crp, i i imad ha hal h wrld

will xpric d hrag by h

d h 21 Cury.8

Fd icuriy ha majr implicai

r malurii, halh ad diab.

Bh vr-urii ad udr-urii

icra a idividual rik dvlpig

yp 2 diab ad rlad nCD. Maral

udr-urii i prgacy icra h

rik h ia dvlpig biy ad

yp 2 diab i lar li.17 Udr-urii

i prgacy i alrady widprad i

LMIC ad will ly icra a clima

chag ii.

Clima chag will mak rh prduc

xpiv ad carc a radiial duppli ar dirupd.18 Vulrabl ad

lw-icm ppulai, wh rly

agriculur ad llw radiial di,

ar paricularly a rik. Rarch ha

ablihd ha idigu ppl wh

dpd radiial lad, war, pla

ad aimal r urvival ar vrly

hrad by clima chag.14 A

radiial d urc ar hrad,

idigu ppl ar rcd rly

imprd ad prcd d ha hav

lil uriial valu, xacrbaig yp

2 diab rik.19

Fd icuriy will hu ly

accu r h majriy immdia

clima chag dah,9 bu by icraig

malurii, i icra yp 2

diab ad nCD rik.

Diabetes, Obesity ad

Greehouse Gas Emissios

th riig burd yp 2 diab

ad i pricipal drivr, biy, ar likly

cribuig clima chag. Icraig

biy prvalc i a ppulai

icra GHG mii rm d

prduci ad car ravl. I ha b

imad ha a ppulai i which

40% ppl ar b ruir 19%

mr d rgy ha a ppulai i

which hr i a rmal BMI diribui.20

th riig burd nCD ca al b

caually likd icraig mii

grad by halh car ym. Failur prv ad maag diab ca lad

grar dmad halh ym ad

icra hir alrady larg carb pri.

Diab-rlad cmplicai uch a

CVD, rk ad ral ailur c liv

ad my. Hpialiai rm uch

cmplicai ar al rgy-iiv

ad icra GHG mii.21 thi

uppr h argum rri

halh ym rm h radiial

cu acu car a mr praciv

ad prvaiv ciuig car mdl.

Dvlpm aiac i ruird i

rurc-pr curi uppr

baic prvi, arly diagi ad

ram diab ad rgh

uaiabl halh ym which ca

cp wih h riig burd nCD.

tHe nAtIonAL

HeALtH seRVICe

I n e n G L A n D

GeneRAtes oVeR

18 MILL Ion

tonnes oF

CARBon D IoXIDe

eMIss Ions eVeRY

Ye A R

W HI CH A Mo Un t s

to 25% oF ALL

PUBL IC seCtoR

Co2

eMIss Ions

n h s sU sta i n a ble

deVelOpmen t U n i t ,

n h s e n g l a n d c a R b O n

e m i s s i O n s c a R b O n

FOOtpRi n t i n g RepORt ,

s e p t e m b e R 2 0 0 8


10/20

Rapid Urbanisation Diabetes Climate Change Nexus Constellation

Global Vector Pathways Manifestations

Rapid urbanisation

Climate change

Diabetes

Slum growth

Sedentary

work

Shift in delivery

patterns

Pollution

Poor urban design

Mechanised transport

Fur 3: R Uro-d-c c nxu coo


Global vectors demographic

chages, rapid ad uplaedurbaisatio ad the ood

system are creatig shared

pathways to diabetes ris ad

climate chage

Glbal vcr ar rgig cmm

pahway ward yp 2 diab ad

clima chag. thr ar hr majr

xu ha dcrib h idirc

ircci:

Rapid urbaiai diab

clima chag

Chagig ppulai dmgraphic

diab clima chag

Glbalid d ym diab

clima chag

nexus 1:

Rapid Urbaisatio Diabetes

Climate Chage

th 21 Cury will uprcdd

icra i urbaiai. ovr hal h

wrld ppulai currly liv i urba

ara, a umbr prdicd ri v

billi by 2030. thi raii will b

ccrad i h dvlpig wrld.

Uplad urbaiai ii h

vcr yp 2 diab ad GHG,

icludig lum grwh, rapid

idurialiai, mchaid

raprai, pllui ad rurc

dgradai.14 Urbaiai which

rapidly chag liyl ad icra

xpur rik acr icludig

mchaid rapr, iuci

phyical aciviy ad uhalhy di

i rgly aciad wih yp 2

diab rik.22

Fil-ul bad rapr advrly

impac halh ad h virm.

th Irgvrmal Pal Clima

Chag a ha 23% glbal GHG

ar rm rapr wih rad rac

ciuig 75% h mii.23

sdary liyl dd by high

lvl mchaid raprai,

iaciv ccupai ad iuci

phyical aciviy ar al icraig

wrldwid. Phyical iaciviy i

h ur ladig nCD rik acr ad

accu r arly a hird yp 2

diab prvalc.24 Icraig car

u, ablihd a a majr hra h

virm, al crrla wih

dary liyl. evidc hw car

wrhip ad u crrla wih

phyical iaciviy.25 th lik

cia a w urba plaig mdl

which prvid halhy ad gr

rapr lui.

DeVeLoPInG

CoUntRIes WILL

B e B U I L D I n G t He

eqUIVALent oF A

C I t Y o F A M I L L I o n

PeoPLe eVeRY

FIVe DAYs FRo M

noW to 2050

th e ROya l sOci ety ,

pOpU l a ti On a n d pla n et ,

2012

InD IReCt ConneCtIons


11/20

Changing Population Demographics Diabetes Climate Change Nexus Constellation


Changing Population

Demographics

Climate change

Diabetes

Changing production

and consumption

patterns

Depleting natural

resources

Younger populations in

developing countries

Ageing populations

worldwise

Fur 4: c pouo dor-d-c c nxu coo

IDF Plicy Rpr 2012 9

nexus 2:

Chagig Populatio Demographics

Diabetes Climate Chage

th wrld ppulai i prdicd

grw rm v billi i 2011, i

milli by 2050. such majr ppulai

grwh icra prduci ad

idurialiai, which ar bh drivig

yp 2 diab ad clima chag.26

th rd i acclraig a i h

dvlpig wrld. th ppulai

ub-sahara Arica i dubl

r rbl by 2050.

Icraig glbal ppulai lvl ad

vrall marial cumpi hav majrimplicai r h wrld rurc,

rgy cumpi ad GHG mii.27

Rapid dmgraphic chag ar hiig

prduci ad cumpi par.

spurrd by glbaliai, yug

ppulai i dvlpig curi

will icra dmad r gd ad

rurc. A h am im, h glbal

ppulai i agig h umbr

ppl vr 60 will icra rm 605

milli arly w billi by 2050.28

th prvalc yp 2 diab ad

hr nCD icra wih ag, wih

criical implicai r halhcar, cial

rvic ad rgy cumpi.2

nexus 3:

Global Food System Diabetes

Climate Chage

th 21 Cury Glbal Fd sym

(GFs) i udrpid by glbaliai,

rad libraliai ad idurialiai.

Whil h GFs ha icrad agriculural

upu, acc cmm d ad

chic acr h glb, hi ha cm

a a majr c huma ad plaary

halh.29 th GFs d curag

uaiabl agriculur r halhy di,

ad i uuaiabl i i pr rm.

th acivii h GFs h prduci,

prcig, rag, diribui ad

cumpi d ar icraig

GHG ad yp 2 diab rik.

AGRICULTURE: th agriculural ym

prduc up a hird GHG mii

wrldwid wih agriculural d

prduci rpibl r 10-12%

glbal mii. Livck prduci

cau h majriy agriculural

mii ad p a majr hra

h pla.30 GHG ar mid a alm

vry ag h livck prduci

prc ad h carb c ma

i v im ha vgabl.31

t He CUR R e n t

FooD sYsteM Is

DeePLY

DYsFUnCtIonAL .

tHe WoRLD Is

PAYInG An

eXoRBItAnt PRICe

FoR tHe FAILURe

to ConsIDeR

HeALtH IMPACts

I n D e s I G n I n G

FooD sYsteMs ,

A n D A CHA n G e o F

Co UR s e MUs t B e

tAKen A s A

MAtteR oF

UR G e n CY

O l i V i e R d e s c h U t t e R ,

U n s p e c i a l R a p p O R t e U ROn th e Ri gh t tO FOOd


12/20

Global Food System Diabetes Climate Change Nexus Constellation


The Global Food

System

Climate change

Diabetes

Decline of

traditional

diets

Technological

advances in food

production

Industrial food

processing

Animal source

food production

Global food and

agricultural trade

Fur 5: go Foo s-d-c c nxu coo


Dmad r aimal prduc ciu

grw i h 21 Cury. Riig dmad

paricularly i raii cmi i

prjcd icra by a aggrig

85% rm 2000-2030, wih majr

implicai r GHG mii, h

dgradai rurc ad d

curiy.32 Aimal prduc ar

uriially impra, bu ar ually

majr urc aurad a ad

ladig cmp uhalhy di.

Di high i aurad a rm aimal

prduc paricularly rd ma ad

prcd ma ar aciad wih

icrad biy, yp 2 diab ad

nCD rik.33

FOOD PRODUCTIOn: Advac i d

prduci i h 20h Cury hav

icrad availabiliy ad ardabiliy

prcd ad rgy-d d.34

Prcd d ly icra yp 2

diab ad biy rik i cmpari

rui, vgabl ad cral prduc

bu hav advr virmal impac.35

Carb iiv prduci, rapr,

rag ad railig mhd ar ruird

r prcd ad packagd d.

Urbaiai cribu hi prblm,

wih urba ara diccd rm

radiial rh d ad rlia

impr, icraig diac rm arm

rk ad GHG rm raprai.36

Dmad r prcd d i urba

ara ha icrad palm il ad ugar

prduci i rpical curi, ladig

harmul lad clarig ad

drai pracic.37

DIETARY PATTERnS: ecmic

dvlpm ad h glbaliai h

wrld d ym hav ld majr

chag i diary par. A ppl

icm icra, d cumpi

mv away rm radiial di

bad apl grai, lcally grw

vgabl ad rui, di high i

prcd d, aurad a ad

ugar, ad lw i br. thi urii

raii i aciad wih high lvl

biy, diab ad nCD.38 obiy

ra arly dubld i vry rgi

h wrld bw 1980 ad 2008.39

th upward rajcry h biy

pidmic hw ig abaig i

i prdicd ha vr 50% adul will

b b by 2050.40 Riig biy i

h Us ad UK i imad rul i

a urhr 6-8 .5 milli diab ca

by 2030.41 ovr-urii crrla

wih ci-cmic iualiy ad i

widprad i LMIC, whr udr ad

vr-urii ca c-xi i h amcuri, cmmuii ad v

huhld.

BRAzIL LIVESTOCk SECTOR

th xpai h livck cr

i Brazil h cury w accu

r 25% h wrld b xpr

ha cm a a majr virmal

ad public halh c. Brazil i

h urh larg mir Co2

wrldwid ad h livck cr i

rpibl r 75% GHG mii

i h cury. th icra i aimal

prduc i drivig a riig a d

culur i Brazil. 1.6 milli Brazilia

a a McDald vry day.

Brighter Gree, Policy Brie: Cattle,

Soyaiatio ad Climate Chage

Brails Agricultural Revolutio

i n d i R e c t c O n n e c t i O n sc O n t i n U e d



o B e s I t Y I s t He

sIGnAL tHAt

s o Me t HI n G I s

teRRIBLY WRonG

I n t He P o L I CY

enVIRonMent.

W I D e s P R e A D

o B e s I t Y I n A

PoPUL AtIon Is

not A MARKeR

oF FAILURe

oF InD IV IDUAL

WILLPoWeR, BUt

oF FAILURe In

PoL IC Ies At tHe

HI G He s t L e V e L

m a R g a R e t c h a n ,

RemaRKs tO the Un sUmmit

On n cds, n eW yORK,

1 9 s e p t e m b e R 2 0 1 1



tHe oPPoRtUnIt Y:cO- bene Fit appROach tO cOmbating d iabetes and climate change

Co-beeft strategies are a

opportuity to drive sustaiableliestyles, supportig healthy

choices with a low evirometal

impact ad promotig equity

ad wellbeig

Giv h cci bw diab

ad clima chag, hr i a urg

d d il bw halh ad

virmal cr. th hard

vcr yp 2 diab ad clima

chag pr ppruii cmba

h hra ghr. Grar plicy

aligm i h glbal rp culd

prvid wi-wi ppruii

miiga clima chag ad rik yp

2 diab imulauly. I hi rgard,

h halh c-b apprach i crucial.

thr ar w igica argum r

i imprac:

PUBLIC AnD POLITICAL SUPPORT:

By rramig clima chag i public

halh rm, virmal iu

will b mad mr udradabl,

igica ad prally rlva

h public. evidc ha hw ha

idividual rpd mr piivly

clima chag miigai plici wih

halh b ha h wihu.43

HEALTH, ECOnOMIC AnD

EnVIROnMEnTAL BEnEFITS:

Ivig i c-b ragi

will hav majr halh, cmic ad

virmal b ad build w

mdl r uaiabl dvlpm.

thr ca b cmprhiv awr

h challg yp 2 diab ad

clima chag p ciy. Hwvr,

h c-b ragi ulid blw

aim rarm high-carb bgiccii aciv lw-carb livig,

buildig a gr cmy which igra

bh halh ad virmal ccr.

Urba Plaig Policies

Wll plad urba virm caimprv huma ad plaary halh.

trapr plicy ad urba dig ca

acilia halhy ad uaiabl chic

i urba virm.

Trasport Policy

Aciv ravl h diac walkd

ad cycld by idividual will rduc

GHG ad icra phyical aciviy.

I i imad ha phyically aciv

idividual rduc hir rik dvlpig

yp 2 diab by up hal. 44 I Dlhi,

Idia, icrad aciv ravl ha hw

rduc diab prvalc by 6-17%.45

I hal hr rip wr mad by bicycl

i h Us, a aual UsD 3.8 billi wuld

b avd rm avidd mraliy ad

rducd halh car c.46

Aciv ravl ruir urba virm

which ur ha walkig ad cyclig

ar h m dirc, cvi ad

appalig pi r urba rapr.45

sragi achiv hi iclud:

Urba desig which pririi

h ay ad acc d pdria ad cycli;

Vehicle restrictio by rducig car

acc i cii, implmig rad

pricig chm, ad limiig

car pd;

Ivestmet ad improvemet i public

trasport irastructure acilia

urba acc d, icra walkig

ad dcra GHG;

Ivestmet i active trasport

irastructure wih ddicad bicycl

wrk; clar igag wih dirci,diac ad im; adua parkig

r bicycl; ad ardabl bicycl

hir ad har chm;47

Behavioural chage promotio

hrugh public awar campaig

ad mivaial r igag

prm awar halhy ad

uaiabl chic;48

Icetives to acilitate behavioural

chage icludig mplyr ubidiig

mply wh u public r aciv

rapr ad d cmmu by car.25

Urba Plaig ad Desig

th dig may cii i a barrir phyical aciviy. Impracical diac

bw mplym, rvic ad

ridial ara dicurag phyical

aciviy. Igraig phyical aciviy i

vryday li i ablihd a a crucial

ragy r biy prvi.49

Implmig aciv dig i ur

cmmuii, r ad buildig will

acilia phyical aciviy, cu carb

mii ad uppr halhy phyical

ad cial livig virm crucial

r rducig halh iuii.

sragi achiv aciv digiclud:

Mixed lad use which lca huig,

rail, mplym ad p gr

pac cl ghr, ur ha

walkig ad cyclig ca acilia

acc d i urba ara;

Gree Spaces wih lcal acc

park ad gr pac r liur

prvid crucial i r xrci ad

rv impra virmal

uci;50

Health ad Sustaiability Assessmeticludig h virmal

uaiabiliy buildig uch

a BReeAM ad LeeD raig which

maur a buildig virmal

prrmac which icrpra

halh ccr.51

URBAn DESIGn CASE STUDY:

C40 CITIES

C40 cii i a wrk larg cii

cmmid uaiabiliy. May

h cii hav gr pac

arg, icludig:

AddisAbaba:40%ofthecityto

b gr pac

Berlin:allresidentialneighbourhoods

hav acc public park ad

ciy uar

Shanghai:citytohave35%green

cvr ad 30% r cvr by 2020

Arup ad C40 Cities,

Climate Actio i Megacities,

Jue 2011



ACTIVE TRAVEL CASE STUDY:

BOGOTA, COLUMBIA

th capial Clmbia, Bga, i

a wrld rwd uaiabl ciy.

Ivm i public rapr ad

accibl pahway hav imprvd

h urba virm, aciv ravl

ad uaiabiliy ic 1995. th

ladmark aur h ciy

uaiabiliy i h Ciclva, whr

120km rad i iaccibl car

vry suday. Wm rgularly

paricipaig i Ciclva ar 7 im

mr likly b phyically aciv.

World Health Orgaiatio, Policy Brie:

Physical Activity, Sports ad Trasport,

April 2011



Food Policies

th Glbal Fd sym (GFs) d b rrmd uppr a icraig

ppulai wih a di lw i aimal

prduc ad prcd d, ad

high i lcally-prducd rui ad

vgabl.42 th aim h GFs mu

b ur a uaiabl di which

hav lw virmal impac, dlivr

d ad urii curiy ad uppr

halhy li r pr ad uur

grai.52 oulid blw ar

cx-pcic plici r clima

chag miigai which will cmba

bh vr- ad udr-urii.

Reducig productio ad

cosumptio o aimal products

Cuig livck prduci ad

cumpi ha b idid a a

crucial ragy rduc GHG mii,

imprv di ad rduc xpur

biy ad yp 2 diab rik.53

thi ci rla rgi i which

vrcumpi aimal prduc i

cauig vrwigh ad biy. Hwvr,

billi ppl rmai lucky a

ma c r wic a yar. Rducigcumpi r aimal prduc i high

icm curi ad hiig crp

prduci away rm aimal d

ha h pial icra huma d

prduci ad i a uiabl ragy

miiga clima chag.54 Bhaviur

chag i high icm curi i

dd rduc dmad r aimal

prduc.30 th llwig ragi

hav h pial chag

cumpi par:

nuriial irmai, hrugh

diary guidli, awar campaigad d labllig irm h public

h halh ad virmal hra

a di high i aimal prduc;

Markig prvid a ppruiy

prm ad rai awar halhy

ad uaiabl di. Curi a

divr a swd, Brazil ad suh

Arica, hav prmd ma r day

c a wk;

Mark Irvi icludig cal

maur rric uhalhy chic

ad hac acc br d

ca b ud i cjuci wih hr

plici, a hw i curi uch a

Frac, Dmark, Filad ad Pru.

Hwvr, axai al i ugh

chag cumpi habi ad may

hav a diprpria impac

lwr ci-cmic grup.

Sustaiable Agriculture

Cuig h prduci prcd d

ha b balacd wih urig d

curiy ad urii r all.suaiabl

agriculur i h primary ma

achiv hi balac. suaiabl

agriculur i dd a h capabiliy

agriculur cribu vrall

huma wlar, prvidig d curiy

i a ci, virmal ud adcially rpibl way.55 Ivig i

uaiabl agriculur i lw icm

curi will uppr h righ d

ad gra ppruii r icm.52

sragi iclud:

Localisig the ood system

uppr mall cal ad uaiabl

agriculur rahr ha idurial

d prduci.56 A lcalid

ad dcralid d ym will

rduc d raprai, il

ul cumpi, ad ur acc

aal ad uriial d.42Pririiig lcal ad mall cal d

prduci will addiially prc

halh ad righ idigu

cmmuii, uppr a gr

ad uiabl cmy ad

rgh d curiy.

Urba Agriculture i al a ky

ragy r lcaliig h d ym,

dcraig GHG rm imprd d

which ail xiv rapr ad

rag prc.57 Urba agriculur

prduc d wihi r ar ciy

cr hrugh iiiaiv uch aurba arm ad cmmuiy ad

chl gard. Farmr mark,

r llr ad grcry r

h acilia lcal acc rh,

lcal ad aal d.50 Urba

agriculur dcra rliac

highly prcd r d by

urig ha halhy ad uaiabl

d prduc, paricularly rui ad

vgabl, ar accibl ad

araciv chic i cii. succul

xampl xi i variu rurc

ig, icludig Cuba whr urbaagriculur dcrad rgy u,

ad icrad d curiy ad

h prduci halhy d.58

A t R A n s I t I o n

toWARDs sUs tAInABLe

D Ie ts W IL L s UC C e e D

o nL Y BY s UP P o R t I nG

D IV e R s e F AR M InG

s Y s te M s tHAt e ns UR e

tHAt AD e q UAte D Ie ts

ARe ACCessIBLe to ALL,

tHAt s IMULtAneoUsLY

s U P P o R t t H e

L IV e L IHo o D s o F P o o R

F AR M e R s AnD t HAtAR e e C o L o G IC A L LY

s Us tAInAB L e

O l i V i e R d e s c h U t t e R , U n

s p e c i a l R a p p O R t e U R O n

th e Ri gh t tO FOOd

BRAzIL InTEGRATED FOOD POLICY

th Zr Hugr prgram i a cial

prci chm which prvid a

igrad apprach d curiy,

pvry radicai, halh ad

uaiabiliy. I i bad arud a

cah rar pr huhld

h cdii ha childr ad

chl ad ciu halh chck-

up. th prgram al uppr mall

cal uaiabl agriculur up

30% d r aial chl mal

i prcurd rm lcal amily arm.

th prgram ha ak 49 milliBrazilia u pvry ad aim

li h rmaiig 16 milli u

pvry by 2014. Zr Hugr

i ipirig imilar iiiaiv i

hr Lai Amrica, Aia

ad Arica curi.

Un Coerece o Sustaiable

Developmet Secretariat,

Rio+20 Issue Brie: Food Security

ad Sustaiable Agriculture,

December 2011

cO- bene Fit appROach tO cOmbating

d i a b e t e s a n d c l i m a t e c h a n g e

c O n t i n U e d



ConCLUsIon

thir hard rajcri ar idicaiv

a widr uaiabiliy crii ha

ly cmprmi h halh ppl

ad h pla i h uur, bu ar

impacig h halh ad wllbig

ppulai day. Ccrd aci

ad ivm curb yp 2 diab

ad clima chag i urgly ruird,

mak cmic , ad i a mral

impraiv prc curr ad

uur grai.

A h Diabetes and Climate Change

Reportha dmrad, hr ar

craily uick lui r ihr

h iu. th ar cmplx

challg ha ruir udamal

hi i h way w liv, h way w

d ad apprach dvlpm, ad

dmad a lg-rm viw ha racd

may pliical hriz. Idd, hi ha

b h majr bacl i

harig pliical ladrhip r bh

hra. Hwvr, h udrxplrd

ircci ha hi rpr

highligh bw yp 2 diab

ad clima chag ugg impra

implicai r plicy makr, acadmia

ad civil ciy wihi halh ad

virm cr. th iclud:

Coordiated thiig ad aliged

policies ad strategies ca have

substatial beefts or both reducig

the ris o type 2 diabetes ad climate

chage: oppruii xi ui

clima chag miigai ragi

wih h prmig ppulai

halh ad diab prvi,

icludig rapr, urba dig

ad d plici.

Framig these issues as

itercoected could haress greater

political leadership ad support rom

the geeral public: Rramig clima

chag a a glbal halh hra ha

h pial mak virmal

iu mr cially araciv

plicy makr ad h gral public.

Vic vra, by mphaiig ha

diab har cmm vcr

wih clima chag add urhr

urgcy acklig halh;

There is a urget eed to ed the

silos betwee health ad evirometal

commuities ad combat these global

riss together: th l diab

ad clima chag rirc h

bradr ircci bw

halh, virmal ad cmic

iu. Grar cllabrai ad

alliac i dd bw Un

agci, gvrm, nGo ad

acadmic prc plaary ad

huma halh.

Equity must be at the core o the

iteratioal respose: scial cdii

drmi vulrabiliy ad impac

diab ad clima chag

ppulai. I i lw-icm curi

ad pr cmmuii ha ar

paricularly vulrabl pr halh

ad h c clima chag.

Plicy aligm h iu d

halh uiy a h cr ad a cial

drmia halh apprach

imprv vrall ppulai ad

virmal halh, ad rduc h

impac diadvaagd ppulai.

Sustaiable developmet must

iclude health, diabetes ad nCDs:

Halh i ly a criical ucm

uaiabl dvlpm, bu a vial

prcdii achivig prgr

i hr pillar cial, cmic

ad virmal. Prvi ad

ram dia lik diab

i a ppruiy allvia huma

urig ad cial iuiy, uppr

cmic dvlpm ad l

h virmal burd

halh ym.

The Diabetes and Climate Change Report

rai a umbr ui r halh,

h virm ad uaiabl

dvlpm cmmuii which

dmad urhr ai ad urhr

rarch. W lk rward rgig

w alliac ad parrhip

ak hi agda rward.

th cal ad impac h w challg yp 2 diab

ad clima chag ca b udrimad. th arruly glbal phma, hraig h halh ad cial abric

cii ad udrmiig virmal ad cmic

uaiabiliy all curi.

He AL tHY L IF e

Is An o UtC o M e

o F s Us tAInAB L e

D e V e L o P M e nt , As

W e L L As A P o W e R F UL

AnD UnD e R V AL Ue D

M e A n s o F A C H I e V I n G

It

d R g R O h a R l e m

b R U n d t l a n d

th e a Rch i tect OF

th e sU sta i n a ble

d e V e l O p m e n t c O n c e p t.



1 Ady Hai ad Carl Dra, Hw h lw carbcmy ca imprv halh, BMJ, 344:1018, 19hMarch 2012

2 A/66/L.1 Political declaration of the High-levelMeeting of the General Assembly on the Prevention

and Control of Non-communicable Diseases. sp2011Uid nai; Uid nai FramwrkCvi Clima Chag, 1992; Uidnai, Ky Prcl h Uid naiFramwrk Cvi Clima Chag, 1998

3 Iraial Diab Fdrai, Diabetes Atlas:5th Edition, 2011

4 Irgvrmal Pal Clima Chag.Clima chag 2007. th phyical cic bai.Cribui wrkig grup I h urham rpr h irgvrmal pal clima chag. slm s, qi D, Maig M, al, d. Cambridg Uivriy Pr, 2007.

5 olivir J G J al., Lg-rm rd i glbalCo

2mii, PBL nhrlad evirmal

Am Agcy, th Hagu, 2011

6 Uid nai Framwrk Cvi ClimaChag, Clima Chag: Impac, Vulrabiliad Adapai i Dvlpig Curi, 2007,UnFCCC

7 Wrld Halh orgaizai, Prcig Halh rmClima Chag (2008); Jaha A Paz ad R sariKva, Hp i clima chag ad humahalh, BMJ, Vl 325 (nvmbr 2002)

8Lancetad UCL Iiu r Glbal HalhCmmii, Maagig h halh c clima chag,Lancet, Vl 373 (May 2009)

9 Cmmii scial Drmia Halh.Clig h gap i a grai: halh uiyhrugh aci h cial drmia halh. Fial Rpr h Cmmii scialDrmia Halh. 2008. Gva, WrldHalh orgaizai.

10 sr n. th cmic clima chag.Cambridg: Cambridg Uivriy Pr, 2007.

11 nichla sr, Maagig clima chag advrcmig pvry: acig h ralii adbuildig a glbal agrm pvry, PlicyPapr, Cr r Clima Chag ecmic adPlicy, Graham Rarch Iiu ClimaChag ad h evirm, 2009

12 Michal A McGki ad Maria Mirablli,Pial impac clima variabiliy ad chagi mpraur-rlad mrbidiy, EnvironmentalHealth Perspectives, Vl 109 (May 2001); Harvardschl Public Halh, ec mpraurpar lg rm mraliy, accd lia hp://www.hph.harvard.du/w/pr-rla/2012-rla/ummr-mpraur-variabiliy-mraliy-rik.hml ; smz al.,exc hpial admii durig h July 1995Ha Wav i Chicag,Am J Prev Med, 16 (4) (May1999); Alla Zabi ad Jl schwarz,Cardivacular damag by airbr paricl: ardiabic mr ucpibl?, Epidemiology, Vl 13,

n 5, spmbr 200213 Mira A., High prvalc diab, biyad dylipidamia i urba lum ppulai inrhr Idia, Int J Obes Relat Meatb Disord, 25,11 (nvmbr 2001)

14 Irgvrmal Pal Clima Chag.Clima chag 2007. Impac, adapai, advulrabiliy, Cribui wrkig grup II h urh am rpr hIrgvrmal Pal Clima Chag.Parry ML, Caziai oF, Paluik JP, va drLid PJ, d. Cambridg Uivriy Pr,2007); Iraial Iiu r evirm adDvlpm, Halh: mairamig virmad clima chag (July 2011)

15 Whi Hu, th Fdral Rp HurricaKaria L Lard (2006)

16 Ahy J McMichal, Clima Chag adHalh: Pririi ad Prpciv, Centre onGlobal Health Security, Chatham House (Dcmbr2011); Brighr Gr, Plicy Bri Clima,Fd scuriy ad Grwh: ehipia CmplxRlaihip wih Livck

17 Fall CHD. Dvlpmal origi Cardivacular Dia, typ 2 Diab adobiy i Huma. I: e.M.Wiur-Cghla &J.A.ow, d., early Li origi Halh ad

Dia. 573 d. Ld: sprigrscic+Bui Mdia; 2006. 8-28

18

Irgvrmal Pal Clima Chag,Fourth Assessment Report Human Health (2007)

19 Myra Cuigham, Halh, i Un DesA, sa h Wrld Idigu Ppl, Uid nai,nw Yrk, 2009.

20 P edward ad I Rbr, Ppulai adipiyad clima chag, International Journal ofEpidemology 2009, 38 (4) 1137:1140

21 Img ti, Idicaiv carb miipr ui halhcar aciviy, nHs uaiablDvlpm Ui ad ear Rgi PublicHalh obrvary, April 2010

22 Wrld Halh orgaizai, Glbal sau Rpr ncmmuicabl Dia 2010, Gva, 2011.

23 Kah Ribir, s., s. Kbayahi, M. Buh, J.Gaca, D. Gr, D. s. L, Y. Murmachi, P. J.nw, s. Plki, D. sprlig, R. Wi, P. J. Zhu,2007: trapr ad i irarucur. I ClimaChag 2007: Miigai. Cribui Wrkig

Grup III h Furh Am Rpr hIrgvrmal Pal Clima Chag [B.Mz, o.R. David, P.R. Bch, R. Dav, L.A.Myr (d)], Cambridg Uivriy Pr,Cambridg, Uid Kigdm ad nw Yrk, nY,UsA.

24 Wrld Halh orgaizai: Fir GlbalMiirial Crc Halhy Liyl adnCD Crl Plicy Bri: Phyical Aciviy,spr ad trapr (April 2011)

25 Rgr L Mack ad Blida Brw, trapr,phyical aciviy ad halh: pr kwldgad h way ahad, Cr r trapr sudi,Ld, Dcmbr 2011

26 UK Gvrm r scic ad Frigh, thuur d ad armig: challg ad chicr glbal uaiabiliy (2011); Jh McKilay adLia Marcau, Us public halh ad h 21cury, The Lancet, 356, Augu 2000.

27 th Ryal sciy, Ppulai ad Pla,April 2012

28 Uid nai Dparm r ecmic adscial Aair, Wrld ppulai prpc: h2008 rvii, highligh, 2009

29 Chicag Cucil r Glbal Aair, BringingAction to the Table: How Agriculture and Food can

Play a Role in Preventing Chronic Disease (2011)

30 Fd ad Agriculur orgaiai hUid nai (FAo), Livck lg hadw virmal iu ad pi, FAo, 2006

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34 R Lab, Ks Mhidra ad R Lcucha,Framig iraial rad ad chric dia,Global Health, 2011; 7 (1): 21

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40

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ReFeRenCes


19/20

Global Goverace

Furhr igra glbal plici adpracic halh ad h virm

i h cx uaiabl

dvlpm:

Icra irgvrmal ad

mulilaral cprai, harig

b pracic ad capaciy buildig r

igrad halh ad virmal

aci;

eur glbal cmmim ad

arg r d curiy, agriculur

ad urba plaig igra halh

ccr ad impac;

Iva, iv ad dvlp halh

c-b plici, paricularly i

aciv ravl, mixd lad u, buildig

dig, uaiabl ad halhy di,

rducig aimal prduc cumpi

ad urba agriculur;

scal up dvlpm aid ad

chical aiac r clima chag

miigai, adapai, ad h

prvi, ram ad car r

diab ad nCD.

natioal ad Local Govermet

Implm mulicral c-b

ragi i urba plaig ad h d

ym uppr a halhy gr

cmy, pririiig lw-icm

cmmuii:

scal up dvlpm aid ad

chical aiac r clima chag

miigai, adapai, ad h

prvi, ram ad car r

diab ad nCD;

Pririi ivm i uaiabl ad

halhy urba dvlpm,

paricularly cuig aciv ravl,

public rapr, ad maur

dcra car u;

Rviw xiig agriculural plici

ad ubidi which curag

idurial livck ad prcd d

prduci;

Icivi h prduci, diribui

ad markig halhy d,

paricularly hrugh mall cal

prduci, urba agriculur ad

uaiabl public prcurm rchl ad public iiui.

Civil Society

Ui acr halh ad virmalcmmuii :

- Prm h c-b apprach a

aial ad glbal lvl, cuig

uaiabl ad halhy cii ad d

ym;

- Prvid uppr rpciv

cmmuii whr dd r clima

chag miigai ragi ad

halh impac am;

Cllabra rarch ad h

prmi likag bw halh

ad h virm i h cx uaiabl dvlpm;

Mir ad uppr gvrm i

h implmai xiig clima

chag ad halh plici.

Busiess

Implm cmprhiv halh ad

uaiabiliy iiiaiv:

Implm wrkplac wll

chm which pririi halh ad

virmal ccr, paricularly

hrugh iciviig ad ubidig

aciv ravl ad public rapr;

Prvid acc halhy ad

uaiabl chic;

eur wrkplac icrpra halh

ad virmal ccr, cuig

rgy cicy ad buildig

dig which curag phyical

aciviy ad prm halh.

A n n e X :e X a m p l e s O F p O l i c y i n t e R V e n t i O n s


20/20

th Diab ad Clima Chag Rpr wa

dvlpd by h Iraial Diab Fdrai(IDF) by h wriig am A Klig, Kai

Dai ad Lucy Hadly i h excuiv oc.

W ar idbd h llwig mmbr

h Irmal Adviry Grup r hir

ivaluabl cribui hi rpr:

Dr Fia Adhad

sir Grg Ally

Acia Prr Ruh Clagiuri

Prr sir Michal Marm

Prr Ahy J McMichalPrr Hugh Mgmry

IDF graully ackwldg h uppr

Bupa i h prduci h rpr.

Wih addiial hak :

Dr. si Wi ti, Halh ad suaiabiliy Ui,

Bd Iiu, Uivriy sydy

Dr. David Pch ad h nHs suaiablDvlpm Ui.

ACKnoWLeDGeMents

IDF Report on Climate Change and Diabetes

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