Table A1.
List of questions and quantitative scoring of replies.
| Question Number | Topic/Question | Points | Remark |
|---|---|---|---|
| 1 | Governance | 4 | |
| 2 | Vulnerability, impact and adaptation assessment | 2 | |
| 3 | National and subnational adaptation strategies | 4 | |
| 4 | Climate change mitigation | 6 | |
| 5 | Strengthen health systems | 7 | |
| 6 | Raise awareness—build capacity | 10 | |
| 7 | Green health services | 4 | |
| 8 | Sharing best practices | 8 | |
| total | 45 | ||
| Question Number | Sub Question | Points | Remark |
| 1.1 | Who is in charge of climate change in your country? | 1 | for answer |
| 1.2 | Who is in charge of the health aspects of climate change? | 1 | for answer |
| 1.3 | Has a multisectoral committee been established to deal with climate change? | 1 | for yes |
| 1.4 | Have you identified human and economic resources | 1 | for yes |
| subtotal | 4 | ||
| 2.1 | Have you carried out a national assessment of climate change impact, vulnerability and adaptation in your country? | 1 | for yes |
| 2.2 | Have you done a national (or regional) health impact, vulnerability and adaptation assessment of climate change in your country? | 1 | for yes |
| subtotal | 2 | ||
| 3.1 a | Have you developed a national adaptation strategy to climate change in your country? | 1 | for yes |
| 3.1 b | Has it been approved by your government | 1 | for yes |
| 3.2 a | Have you developed a national climate change health adaptation strategy or health action plan? | 1 | for yes |
| 3.2 b | Has it been approved by your government | 1 | for yes |
| subtotal | 4 | ||
| 4.1 | Do you promote energy efficient buildings? | 1 | for yes |
| 4.2 | Do you promote access to safe transport or public transport modes? | 1 | for yes |
| 4.3 | Do you promote carbon neutral agriculture practices? | 1 | for yes |
| 4.4 | Have you assessed the health benefits of the above measures? | 1 | for yes |
| 4.5 | Have mitigation measures in other sectors in your country been taken? | 1 | for yes |
| 4.6 | If mitigation measures in other sectors have been taken, have any health effects of those mitigation measures been assessed? | 1 | for yes |
| subtotal | 6 | ||
| 5.1 | Have you strengthened public health and health services to cope with climate change? semi-qual.: 10 sub categories | 1 | for yes |
| 5.2 | Have you enhanced disease surveillance and early warning of climate sensitive diseases? semi-qual.: sub categories | 1 | for yes |
| 5.3 | Have you developed early warning systems for extreme weather events and have you developed appropriate health sector response plans in the areas below? semi qual.: 12 sub categories | 1 | for yes |
| 5.4 | Have you strengthened health sector engagement in emergency planning for extreme weather events and have you developed cross-sector plans? semi qual.: 12 sub categories | 1 | for yes |
| 5.5 | Have you improved monitoring of climate sensitive environmental determinants of health | 1 | for yes |
| 5.6 | Have you developed a cross-sector approach on climate change adaptation? | 1 | for yes |
| 5.7 | Do you intend to address health benefits/damages (e.g., by conducting health impact assessment) | 1 | for yes |
| subtotal | 7 | ||
| 6.1 | Is climate change perceived as important in political developments in your country? | 1 | for yes |
| 6.2 | Are health effects of climate change of high relevance in political processes? | 1 | for yes |
| 6.3 a | Is the level of support for policies targeting climate change and related effects on health high in public and private sector of the society? Public sector | 1 | for public |
| 6.3 b | Is the level of support for policies targeting climate change and related effects on health high in public and private sector of the society? Private sector | 1 | for private |
| 6.4 | Do you have enough information at your disposal on climate change and its impact on health with regard to your country? | 1 | completed answer |
| Question Number | Special Question | Points | Remark |
| 6.5 | Have you built capacity and developed a workforce on climate change and health-related aspects | 1 | for yes |
| 6.6 | Have you raised public awareness about climate change and health and mitigation and adaptation measures? | 1 | for yes |
| 6.7 | Have you developed communication messages for extreme weather events to be released with an early warning for such an event? | 1 | for yes |
| 6.8 | Have you developed communication plans for key messages on climate change and health for other sectors and the general public? | 1 | for yes |
| 6.9 | What are the main messages on protecting health from climate change you would like to communicate? | 1 | for example |
| subtotal | 10 | ||
| 7.1 | Greening health services | 1 | for example |
| 7.2 a | Can you list a few examples of measures that have been taken | 1 | for legislation |
| 7.2 b | Have local measures in any health care facilities been taken, like training and organizing the workforce? | 1 | for measures |
| 7.2 c | Have local measures in any health care facilities been taken, like training and organizing the workforce? | 1 | for evaluation |
| subtotal | 4 | ||
| 8.1 | Can you share information on best practice with regard to: 6 choices | 1 | for yes |
| 8.2 | Have you developed projects or aspects related to innovation and research? | 1 | for yes |
| 8.3 | Evaluation of health damage and adaption costs: Have you estimated the costs of climate change and/or the health damage costs | 1 | for yes |
| 8.4 | Do you measure and evaluate trends in climate change, environment and health indicators | 1 | for yes |
| 8.5 | What do you measure? And to whom do you report? | 1 | for any measurements |
| 8.6 | Are you aware of pilot projects in your country on climate change and health? semi qual.: examples of pilot projects | 1 | for example |
| 8.7 | Which of the results would you promote to share with other European Member States? | 1 | for any results |
| 8.8 | Do you make your information available on the EU adaptation clearinghouse? | 1 | |
| subtotal | 8 | ||
| total | 45 |