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The climate crisis and health in humanitarian settings | Collections | MSF Science Portal
The climate crisis and health in humanitarian settings

The climate crisis and health in humanitarian settings

The climate crisis is also a health and humanitarian crisis, disproportionately impacting people in the world’s most climate-sensitive regions—mainly low- and low-middle income countries with the least capacity to respond.

MSF and other humanitarian organizations witness the consequences daily. More frequent, intense weather events and a warming planet contribute to food and water scarcity, more severe and widespread disease outbreaks, and more injuries and preventable deaths. They also drive massive population displacement, with over 32 million people fleeing their homes in 2022 alone due to floods, drought, storms and fire—nearly triple the number displaced by violence and conflict.

To mark Earth Day 2024 (22 April) we present a cross-section of work by MSF and collaborators, drawing from a range of data sources and from first-hand experience at our medical projects. Emphasizing the urgency of adapting humanitarian operations to the climate crisis, the collection also explores loss and damage through a health lens, proposes policies and practices for creating climate-resilient health organizations, and advocates for embedding fair, just ethics perspectives into humanitarian action and research on climate.

Collection Content

Technical Report
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Policy Brief

Joint brief: The Lancet Countdown on Health and Climate Change & Médecins Sans Frontières

Voûte C, Baker H, Baidjoe AY, Bartrem C, Charrier M,  et al.
2024-10-29
2024-10-29

At the time of writing, many people around the world are feeling the pain, disruption, and devastating health consequences driven by climate change. The world has been shocked by the ...

Journal Article
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Research

Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs

McIver L, Beavon E, Malm A, Awad A, Uyen A,  et al.
2024-03-06 • PLOS Climate
2024-03-06 • PLOS Climate
This mixed-methods study focuses on the evidence of the health impacts of climate change on populations affected by humanitarian crises, presented from the perspective of Médecins Sans F...
Technical Report
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Policy Brief

Lancet Countdown on Climate Change and Health: Policy brief from Médecins Sans Frontières 2023

Blume C, Dallatomasinas S, Devine C, Goikolea I, Guevara M,  et al.
2023-11-15
2023-11-15
Most of the over 70 countries Médecins Sans Frontières /Doctors Without Borders (MSF) works in are in lower-income regions. They are facing not only humanitarian crises but also the most...
Journal Article
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Commentary

What cannot be mitigated or adapted to, will be suffered. Loss and damage in health and humanitarian terms

Schwerdtle PN, Devine C, Guevara M, Cornish S, Christou C,  et al.
2023-09-09 • The Journal of Climate Change and Health
2023-09-09 • The Journal of Climate Change and Health
Journal Article
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Review

Ethics, climate change and health – a landscape review

Sheather J, Littler K, Singh JA, Wright K
2023-08-14 • Wellcome Open Research
2023-08-14 • Wellcome Open Research
Anthropogenic climate change is unequivocal, and many of its physical health impacts have been identified, although further research is required into the mental health and wellbeing effe...
Conference Material
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Video

Planetary health and neglected tropical diseases

McIver L
2022-12-01 • MSF Paediatric Days 2022
2022-12-01 • MSF Paediatric Days 2022
Conference Material
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Video

Time for action: Climate change in the humanitarian sector

Issa R
2022-11-30 • MSF Paediatric Days 2022
2022-11-30 • MSF Paediatric Days 2022
Journal Article
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Commentary

The relationship between climate change, health, and the humanitarian response

Baxter LM, McGowan CR, Smiley S, Palacios L, Devine C,  et al.
2022-11-05 • Lancet
2022-11-05 • Lancet
The climate emergency is a humanitarian and health crisis. Extreme weather events, heat stress, declining air quality, changes in water quality and quantity, declining food security and ...
Journal Article
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Review

Climate-sensitive disease outbreaks in the aftermath of extreme climatic events: A scoping review

Alcayna T, Fletcher I, Gibb R, Tremblay LL, Funk S,  et al.
2022-04-15 • One Earth
2022-04-15 • One Earth
Outbreaks of climate-sensitive infectious diseases (CSID) in the aftermath of extreme climatic events, such as floods, droughts, tropical cyclones, and heatwaves, are of high public heal...
Journal Article
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Commentary

A failure of ambition on climate action will amplify humanitarian needs

Voûte C, Guevara M, Schwerdtle PN
2021-12-03 • British Medical Journal (BMJ)
2021-12-03 • British Medical Journal (BMJ)
Humanitarian actors are struggling to keep up with the demands of increasingly frequent, erratic, and overlapping crises at current levels of warming.
Journal Article
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Commentary

Calibrating to scale: a framework for humanitarian health organizations to anticipate, prevent, prepare for and manage climate-related health risks

Schwerdtle PN, Irvine E, Brockington S, Devine C, Guevara M,  et al.
2020-07-09 • Globalization and Health
2020-07-09 • Globalization and Health
Climate change is adversely affecting health by increasing human vulnerability and exposure to climate-related stresses. Climate change impacts human health both directly and indirectly,...

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MSF Scientific Days Latin America 2024
MSF Scientific Days Latin America 2024

MSF Scientific Days in Latin America 2024 focused on two thematic areas:

Climate Emergency in the Americas: What Are We Seeing as a Medical Humanitarian Organization and How Are We Responding?

  • MSF has long responded to health crises aggravated by the climate emergency —such as disease outbreaks, food insecurity, and displacement—and these events are intensifying in severity and frequency. This session presented examples of how MSF is adapting to address climate-related emergencies in the region, and explored strategies for future humanitarian action.

Mental Health and Psychosocial Support Interventions in Violence, Migration, and Indigenous Health Projects

  • This session explored the complexities of providing mental health and psychosocial support (MHPSS) in some of the region’s most challenging settings. It focused on interventions in areas affected by violence, the mental health impact on migrants, and the unique needs of indigenous populations. The discussion highlighted innovative strategies, culturally sensitive approaches, and the importance of integrating MHPSS into healthcare projects in these complex settings.
Diabetes care in humanitarian settings
Diabetes care in humanitarian settings
Diabetes affect hundreds of millions of people worldwide, a large majority of them living in low- and middle-income countries. Yet finding effective strategies, tools and policies for effectively managing this chronic illness—especially amid war, displacement or exclusion from care—is a neglected area of humanitarian medicine. Here we present a cross-section of work on this front by MSF and collaborators. Several studies assess the shift towards community-based, nurse-led models of care in rural settings. Others explore obstacles to diabetes care for war refugees living in camps in Jordan or Lebanon, highlighting how health programs can adapt to their needs. The demonstration that insulin retains potency for 30 days if cooled without refrigeration is opening doors to more patient self-management, as a case study in remote South Sudan shows. At the same time, MSF and others call for regulatory and financing policies that make diabetes medications and supplies cheaper, better adapted to humanitarian settings, and far more available to patients whose lives depend on them.
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Healthcare needs of older people in humanitarian settings

Globally, the number of older people is rapidly increasing, with those aged 60+ expected to more than double by 2050—yet in humanitarian crises, they remain one of the most neglected groups. Older adults often face higher risks due to chronic illnesses, mobility issues, and limited access to appropriate care, especially in low-resource or emergency settings. Despite these needs, humanitarian responses rarely prioritize them, and data on their health and mortality are often lacking.


This collection reflects MSF’s ongoing examination of its own data and practices to identify pathways toward more age-inclusive services in humanitarian crises. It includes analysis of data from MSF-supported mental health services, inpatient departments, and sexual violence services, and further offers several calls to action and reflections on why older people remain overlooked in humanitarian crises. However, MSF also acknowledges major challenges remain, including inadequate age-inclusive services, data gaps, and the need for more geriatric expertise.


Watch this space for more publications from a Lancet Healthy Longevity series on healthcare rights and needs of older people.


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