Aims:To explore the perspectives of selected Norwegian climate and health policymakers working at national and municipality level regarding how health is accounted for in climate change adaptation plans.Methods:Semi-structured digital interviews were conducted with representatives from eight municipalities participating in a national network for climate change adaptation, one political unit and five national public administrations working in climate, health, environment, preparedness, and civil protection.Results:Municipalities coordinate the development of climate change adaptation plans with support from key national actors. Although municipalities were experienced in preparing for extreme climate events and securing infrastructure, limited consideration was given to health in the climate change adaptation work. Such integration was hindered by lack of resources and knowledge regarding what to do, and lack of collaboration between municipality sectors. To connect climate change adaptation and health better, the representatives suggested providing evidence-based information regarding health impacts of climate change, developing concrete tools including warning systems, and implementing regional, national, and international projects to map the impact of climate change and raise capacity. The representatives called for more stringent national guidelines for the integration of health in climate change adaptation, and pinpointed that lessons learnt from the COVID-19 pandemic will enable municipalities to be better prepared and more adaptable in the future.Conclusions:Governmental authorities should provide more concrete guidance regarding the integration of health in climate change adaptation plans. Public health authorities have a central role to play in supporting such endeavours.

中文翻译：

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将气候变化适应与公共卫生联系起来：挪威决策者的观点

目的：探讨在国家和市级工作的选定挪威气候和健康政策制定者对于如何在气候变化适应计划中考虑健康的观点。方法：对参与国家网络的八个市的代表进行半结构化数字访谈为适应气候变化，一个政治单位和五个国家公共行政部门负责气候、健康、环境、备灾和民防工作。结果：各城市在主要国家行为者的支持下协调气候变化适应计划的制定。尽管各城市在应对极端气候事件和确保基础设施安全方面经验丰富，但在气候变化适应工作中对健康的考虑有限。这种整合因缺乏资源和相关知识以及市政部门之间缺乏合作而受到阻碍。为了更好地将气候变化适应与健康联系起来，代表们建议提供有关气候变化对健康影响的循证信息，开发包括预警系统在内的具体工具，并实施区域、国家和国际项目，以绘制气候变化的影响图并提高能力。代表们呼吁制定更严格的国家指导方针，将健康纳入适应气候变化，并指出从 COVID-19 大流行中汲取的经验教训将使各城市在未来能够做好更好的准备并更具适应能力。 结论：政府当局应提供更多关于将健康纳入气候变化适应计划的具体指导。公共卫生当局在支持此类努力方面可以发挥核心作用。