Exploring these issues necessitates a wider range of research questions that speak more directly to the contextual specificity of the EBPH process in particular settings (Rychetnik et al.
In summary, it is clear that EBPH is now an important part of public health and that there is a generally accepted approach to the process.
By its nature, EBPH tends to be applied to established health concerns with a significant evidence base, bounded impacts that are apparent historically and in present time, and for which administrative responses have been at least partially established.
Several issues arise in particular when considering how to apply EBPH to public health adaptation efforts.
An example is used to clarify how the modified EBPH framework might be applied.
Parties interested in using an EBPH approach for preventing and managing climate-sensitive diseases currently have few ready-made resources at their disposal on which to build.
2013) represent recent applications of EBPH to climate-sensitive conditions, the framework has not been widely applied to specific climate and health topics.
Most of the concepts advanced here for adapting the existing EBPH framework to CCA are touched upon in the Ebi framework, and the two frameworks are generally complementary: Vulnerability assessments highlight current capacity and ways in which future changes in climate may stress systems already in place (whereas this is a component of EBPH, it is less emphasized than in the vulnerability assessment framework), and EBPH is useful for prioritizing interventions based on efficacy.
Despite these differences, the vulnerability assessment and the EBPH frameworks ultimately have much in common.
The problem assessment step of the modified EBPH framework relies heavily on modeled projections of climate change health impacts based on scenario-based global circulation model outputs linked with concentration-response (exposure-outcome) functions.
Funders interested in endorsing an EBPH approach may want to increase their capacity to identify well-designed studies that address urgent population health needs and employ experimental and quasi-experimental methods to assess intervention impact.
EBPH has emerged as a powerful framework for assessing public health concerns and identifying the most effective health protection strategies.