Climate variability and change are exacerbating many current climate-sensitive health outcomes and have the potential to affect the ability of health system institutions and organizations to maintain or improve health burdens in the context of changing climate and development patterns.

Advancing management of these risks requires systems-based and holistic approaches to adaptation. Research and practice that crosses disciplinary boundaries are vital for supporting evidence-based policies and programmes to effectively and efficiently address the health risks of climate variability and change in the context of multi stressor environments.