HOUSE CONCURRENT RESOLUTION

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HOUSE OF REPRESENTATIVES TWENTY-EIGHTH LEGISLATURE, 2015 STATE OF HAWAII HOUSE CONCURRENT RESOLUTION REQUESTING THE CONVENING OF A CLIMATE CHANGE AND HEALTH WORKING GROUP TO ASSESS THE SCOPE AND RISKS OF CLIMATE CHANGE ON THE HEALTH OF HAWAII S RESIDENTS AND TO DEVELOP A STRATEGIC PLAN TO ADDRESS CLIMATE CHANGE RISKS TO HEALTH STATEWIDE. 1 WHEREAS, climate change, together with other natural and 2 human-made health stressors, influences human health and disease 3 in many ways; and S WHEREAS, as a result of climate change, some existing 6 health threats will intensify, and in other cases, new health 7 threats will emerge; and 8 9 WHEREAS, public health may be affected by disruptions of 10 physical, biological, and ecological systems, including 11 disturbances originating in Hawaii or elsewhere; and 12 13 WHEREAS, the potential health effects of these disruptions 1 include: increased asthma and other respiratory and 15 cardiovascular diseases, heat-related morbidity and mortality, 16 injuries and premature deaths related to extreme weather events, 17 changes in the prevalence and geographical distribution of food- 18 and water-borne illnesses and other infectious diseases, and 19 greater levels of mental and emotional stress in response to 20 climate change and extreme weather-related emergencies; and 21 22 WHEREAS, Hawaii is not alone in its concern about the issue 23 of climate change and health; and 2 25 WHEREAS, the American Public Health Association and other 26 national health organizations, such as the Centers for Disease 27 Control and Prevention, have identified climate change and 28 health as a major public health issue; and HCR HMS 2015-2509

H.C.R. NO. /06 1 WHEREAS, the magnitude and frequency of climate change- 2 related events are projected to increase and will stress the 3 capability of existing response systems to manage them; and 5 WHEREAS, when these crucial response systems, such as 6 communications for emergency medical services or transportation 7 for evacuation, become stressed, public health will be affected; 8 and 9 10 WHEREAS, there are ways that the entire array of public 11 health strategies, from health policy advocacy, health 12 surveillance and monitoring, environmental health intervention, 13 infectious disease intervention, health education, and other 1 public health services, all can help to mitigate and reduce the 15 health effects of climate change; and 16 17 WHEREAS, public health workers in the State surveyed by the 18 Hawaii Public Health Association in 201 expressed a desire to 19 help address the effects of climate change on health; and 20 21 WHEREAS, however, most public health workers feel that they 22 lack the specific expertise, knowledge, or skills to do so; and 23 2 WHEREAS, a coordinated public health response is needed to 25 discuss emerging and perceived threats while also providing 26 public health workers with the necessary education, skills, and 27 resources; and 28 29 WHEREAS, recognizing that climate change is one of the most 30 significant public health issues of our time and that there are 31 many other ways in which climate change is already affecting 32 public health, the goal of the State should be to increase 33 effective public health engagement and action regarding climate 3 change; now, therefore, 35 36 BE IT RESOLVED by the House of Representatives of the 37 Twenty-eighth Legislature of the State of Hawaii, Regular 38 Session of 2015, the Senate concurring, that the Director of 39 Health is requested to convene the Climate Change and Health 0 working Group to assess the scope and risks of climate change on 1 the health of Hawaii s residents in order to develop a strategic 2 plan to address climate change risks to health statewide; and HCR HMS 2015-2509 2

H.C.R. NO. 103 1 BE IT FURTHER RESOLVED that the Climate Change and Health 2 working Group shall be composed of public- and private-sector 3 organizations and entities that will focus on assisting health professionals in preparing for and responding effectively and S efficiently to the health effects of climate change through the 6 following: 7 8 (1) Developing, improving, integrating, and maintaining 9 state and regional disease surveillance systems and 10 monitoring capacity to respond to health-related 11 effects of climate change, including specific threats 12 related to: 13 1 (A) water security, food safety, and vector-borne 15 infectious diseases; 16 17 (B) Respiratory and pulmonary effects, including 18 responses to air allergens; 19 20 (C) Cardiovascular effects, including impacts of 21 temperature extremes; - 22 23 (D) The health effects of air pollution, including 2 heightened sensitivity to air pollution; and 25 26 (E) Mental and behavioral health impacts of climate 27 change in the health of displaced persons and at- 28 risk populations and communities; 29 30 (2) Creating evidence-based tools for predicting and 31 monitoring the public health impacts of climate change 32 at the state and community levels; 33 3 (3) Identifying and prioritizing communities and 35 populations vulnerable to the health effects of 36 climate change, and determining actions and 37 communication strategies that should be adopted to 38 inform and protect these communities and populations; 39 0 () Developing recommendations for health communication, 1 public education, and outreach programs aimed at 2 public health and health care professionals as well as HCR 115 2015-2509 3

H.C.R. NO.109 1 the general public to promote preparedness and 2 response strategies related to climate change and 3 public health; 5 (5) Developing recommendations for expanding and training 6 the public health workforce to strengthen its capacity 7 to respond to and prepare for the health impacts of 8 climate change; and 9 10 (6) Developing recommendations for the development, 11 implementation, and support of preparedness and 12 response planning to anticipate and reduce the health 13 threats due to climate change; and 1 15 BE IT FURTHER RESOLVED that the Director of Health, or the 16 Director s designee, serve as the chairperson or co-chairperson 17 of the Climate Change and Health Working Group; and 18 19 BE IT FURTHER RESOLVED that the Climate Change and Health 20 working Group include representation from both public- and 21 private-sector representatives in public health and health care; 22 and 23 2 BE IT FURTHER RESOLVED that the Climate Change and Health 25 working Group shall submit a report, to be prepared and drafted 26 by the Department of Health, of its findings and 27 recommendations, including any proposed legislation, to the 28 Legislature no later than 20 days prior to the convening of the 29 Regular Session of 2016; and 30 31 BE IT FURTHER RESOLVED that the Climate Change and Health 32 working Group will be dissolved on June 30, 2016; and 33 3 BE IT FURTHER RESOLVED that certified copies of this 35 Concurrent Resolution be transmitted to the Director of Health, 36 President of the Hawaii Public Health Association, and other 37 identifie agencies in health care and public health. kg OFFRED BY: cta

Page 5 H.C.R. NO. r3a r MAR 12 2015 HCR HMS 2015-2509 5