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This article characterizes the health risk perceptions toward excreta and wastewater management practices among waste management stakeholders in Vietnam and explores the implications of such perceptions on hygiene behaviors and preventative actions. Key informant interviews (n = 19 ; 12 women and 7 men) were conducted with farmers, community leaders, researchers, and government representatives in Hanoi and Ha Nam Province. Interviews were audio-recorded with permission, transcribed, and analyzed using a constant comparative method and qualitative thematic analysis. Researchers and government representatives perceived that the lack of knowledge of safe waste management practices among farmers was responsible for the use of &ldquo ; outdated&rdquo ; and often &ldquo ; unsafe&rdquo ; waste management practices. However, many farmers were aware of the health risks and safe hygienic practices but felt that safety measures were impractical and viewed susceptibility to diseases as low risk. Farmers also identified unfavorable climate and working conditions, limited financial capacity, and limited farm space as barriers to adopting safe management practices. At the broader level, inadequate communication between ministries often led to the creation of inconsistent waste management regulations. These barriers create constraints on efforts to improve sustainable waste management practices. Promoting collaboration between sectors, encouraging farmer-to-farmer knowledge sharing, and designing and implementing risk communication strategies that account for risk perceptions of stakeholders are recommended.

Climate change impacts on water systems have consequences for Indigenous communities. We documented climatic changes on water systems observed by Indigenous Shawi and resultant impacts on health and livelihoods, and explored adaptation options and challenges in partnership with two Indigenous Shawi communities in the Peruvian Amazon. Qualitative data were collected via PhotoVoice, interviews, focus group discussions, and transect walks, and analyzed using a constant comparative method and thematic analysis. Quantitative data were collected via a household survey and analyzed descriptively. Households observed seasonal weather changes over time (n = 50 ; 78%), which had already impacted their family and community (n = 43 ; 86%), such as more intense rainfall resulting in flooding (n = 29 ; 58%). Interviewees also described deforestation impacts on the nearby river, which were exacerbated by climate-related changes, including increased water temperatures (warmer weather, exacerbated by fewer trees for shading) and increased erosion and turbidity (increased rainfall, exacerbated by riverbank instability due to deforestation). No households reported community-level response plans for extreme weather events, and most did not expect government assistance when such events occurred. This study documents how Indigenous peoples are experiencing climatic impacts on water systems, and highlights how non-climatic drivers, such as deforestation, exacerbate climate change impacts on water systems and community livelihoods in the Peruvian Amazon.

This article provides a synthesis of the forthcoming first order draft of the Canadian Government's National Assessment on Climate Change 'Rural and Remote' chapter, highlighting key health concerns from the literature associated with climate change in rural and remote regions, as well as existing and future adaptation strategies. To support the health and wellbeing of those experiencing the negative effects of climate change, and utilizing systematic search processes, this synthesis article highlights the importance of considering the specific socio-cultural, economic, and geographic elements and existing expertise of individuals and communities in rural and remote regions.

Current challenges relating to water governance in Canada are motivating calls for approaches that implement Indigenous and Western knowledge systems together, as well as calls to form equitable partnerships with Indigenous Peoples grounded in respectful Nation-to-Nation relationships. By foregrounding the perspectives of First Nations, Inuit, and Métis peoples, this study explores the nature and dimensions of Indigenous ways of knowing around water and examines what the inclusion of Indigenous voices, lived experience, and knowledge mean for water policy and research. Data were collected during a National Water Gathering that brought together 32 Indigenous and non-Indigenous water experts, researchers, and knowledge holders from across Canada. Data were analyzed thematically through a collaborative podcasting methodology, which also contributed to an audio-documentary podcast (www.WaterDialogues.ca).

This article outlines the methodological process of a transdisciplinary team of indigenous and nonindigenous individuals, who came together in early 2009 to develop a digital narrative method to engage a remote community in northern Labrador in a research project examining the linkages between climate change and physical, mental, emotional, and spiritual health and well-being. Desiring to find a method that was locally appropriate and resonant with the narrative wisdom of the community, yet cognizant of the limitations of interview-based narrative research, our team sought to discover an indigenous method that united the digital media with storytelling. Using a case study that illustrates the usage of digital storytelling within an indigenous community, this article will share how digital storytelling can stand as a community-driven methodological strategy that addresses, and moves beyond, the limitations of narrative research and the issues of colonization of research and the Western analytic project. In so doing, this emerging method can preserve and promote indigenous oral wisdom, while engaging community members, developing capacities, and celebrating myriad stories, lived experiences, and lifeworlds.

While evaluations play a critical role in accounting for and learning from context, it is unclear how evaluations can take account of climate change. Our objective was to explore how climate change and its interaction with other contextual factors influenced One Health food safety programs. To do so, we integrated questions about climate change into a qualitative evaluation study of an ongoing, multi-sectoral program aiming to improve pork safety in Vietnam called SafePORK. We conducted remote interviews with program researchers ( n = 7) and program participants ( n = 23). Based on our analysis, researchers believed climate change had potential impacts on the program but noted evidence was lacking, while program participants (slaughterhouse workers and retailers) shared how they were experiencing and adapting to the impacts of climate change. Climate change also interacted with other contextual factors to introduce additional complexities. Our study underscored the importance of assessing climate factors in evaluation and building adaptive capacity in programming.

AbstractClimate change, attributable to human activity, is increasingly contributing to a global health crisis. The scale, nature and timing of adverse effects on physical and mental health, via direct and indirect pathways, vary within and between regions but there are common challenges that can be tackled by better integrated mitigation and adaptation actions. The actions described in this paper would have benefits for health if appropriately implemented, both by reducing the health risks of climate change and from the ancillary (co‐)benefits of mitigation such as from reduced air pollution as a result of phasing out fossil fuels. There are unprecedented health threats from climate change but also unprecedented opportunities to use scientific knowledge to inform policy and practice. Much can be done now to use the evidence already available to effect rapid and decisive action as well as generating new evidence to support effective policy development and implementation. This paper draws on an inter‐regional, inclusive, project by the InterAcademy Partnership, the global network of more than 140 academies of science, engineering and medicine, to summarise evidence available worldwide in order to help inform options for policy making. A particular focus is on clarifying climate change mitigation and adaptation solutions and their implementation for the benefit of the most vulnerable groups. The present authors actively participated in managing this project which encouraged academies to capture diverse impacts and policy options by evaluating and synthesising evidence from their own countries to inform policy for collective and customised action at national, regional and global levels. Using a systems‐based approach, recommendations from the project in this publication are transdisciplinary and multisectoral. Despite the accumulating evidence, protecting and improving human health have not yet become major focal points in global climate change policy discussions. Drawing on the IAP project outputs, we strongly recommend that health and health equity must now come to the foreground, accompanied by much greater allocation of climate finance to health‐related programmes.