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Brexit, Covid-19 and climate change

Mapping the impact of the ‘triple challenge’ on health and well-being in wales

Bibliographic Data

ID21153482
AuthorsLiz Green (0000-0001-9218-3526, Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Wellbeing’, Public Health Wales; Department of International Health, Care and Public Health Research Institute – CAPHRI, Maastricht University, The Netherlands, corresponding author), Kathryn Ashton (0000-0001-9072-6304, Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Wellbeing’, Public Health Wales; Department of International Health, Care and Public Health Research Institute – CAPHRI, Maastricht University, The Netherlands), Sumina Azam (Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Wellbeing’ Public Health Wales, United Kingdom), Timo Clemens (0000-0002-6820-2202, Maastricht University), Mark A Bellis (0000-0001-6980-1963, Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Wellbeing’, Public Health Wales; Department of Public Health and Life Sciences, Bangor University, College Road, Bangor, UK), MARK BELLIS (Policy and International Health, WHO Collaborating Centre on ‘Investment in Health and Wellbeing’, Public Health Wales; Department of Public Health and Life Sciences, Bangor University, College Road, Bangor, UK)
Year2023
Volume41
Issue2
Pages126-138
Publication date2023-03-04
Open AccessYes
TypeARTICLE
VenueImpact Assessment and Project Appraisal (JOURNAL)
Journal identifiersISSN: 1461-5517 • E-ISSN: 1471-5465
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14615517.2022.2154434
OpenAlexW4313418390
LanguageEN
Citations received1
References cited45

Brexit, COVID-19 and climate change pose challenges of national and global importance. They continue to have impacts across the economy, society, health, and the environment, all of which are determinants of health and well-being. Between 2018 and 2021, Public Health Wales undertook three Health Impact Assessments (HIA) in relation to the impact of the challenges in Wales. Based on these, work has been carried out to map the synergies across the ‘Triple Challenge’. This paper highlights the commonalities in the impact of the three challenges for Wales, discusses the process carried out, learns from it and proposes actions that can be taken to mitigate harm. Results indicate the three components of the Triple Challenge must not be viewed as separate silos as they have cumulative multi-faceted impacts. This affects some population groups more negatively than others and present a ‘Triple Challenge’ to nation states in the UK and Europe. A HIA approach can enable a range of stakeholders to critically view similar challenges not just as single issues but as a holistic whole to mobilise action

Brexit · Business · Climate change · Economic growth · Economics · Environmental health · Environmental planning · Environmental resource management · European union · Geography · Harm · Health impact assessment · International trade · Political science · Population · Public health · Climate Change and Health Impacts · Engineering · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Law · Medicine

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    Open Access•Fiona Haigh, Liz Green et al.•BMC Public Health•2025

  • Making Policy in a Complex World

    Open Access•Paul Cairney, Tanya Heikkila et al.•Making Policy in a Complex World•2019

  • Why does Covid-19 disproportionately affect older people?

    Open Access•Amber L Mueller, Maeve S McNamara et al.•Aging•2020

  • Workers' health and productivity under occupational heat strain

    Open Access•Andreas D Flouris, Petros C Dinas et al.•The Lancet Planetary Health•2018

  • The Impact of Climate Change on Mental Health

    Open Access•Paolo Cianconi, Sophia Betrò et al.•Frontiers in Psychiatry•2020

  • The 2021 report of the Lancet Countdown on health and climate change

    Open Access•Marina Romanello, Alice McGushin et al.•The Lancet•2021

  • Mitigating the wider health effects of covid-19 pandemic response

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  • The 2020 report of The Lancet Countdown on health and climate change

    Open Access•Nick Watts, Markus Amann et al.•The Lancet•2021

  • Offline

    Open Access•Robin Horton, Richard Horton•The Lancet•2020

  • All change. Has Covid-19 transformed the way we need to plan for a healthier and more equitable food environment

    Open Access•Michael Chang, Liz Green et al.•URBAN DESIGN International•2021

  • Implications of Brexit for environmental assessment in the United Kingdom – results from a 1-day workshop at the University of Liverpool

    Thomas B Fischer, John Glasson et al.•Impact Assessment and Project…•2018

  • Environmental impact assessment

    Richard Morgan, Richard K Morgan•Impact Assessment and Project…•2012

  • Strategic environmental assessment and transport planning

    Thomas B Fischer•Impact Assessment and Project…•2006

  • Usmca 2.0

    Open Access•Ronald Labonté, Deborah Gleeson et al.•Globalization and Health•2020

  • Brexit and trade policy

    Open Access•May Ci Van Schalkwyk, Philip Barlow et al.•Globalization and Health•2021

  • Current Global Health Impact Assessment Practice

    Open Access•Mirko S Winkler, Peter Furu et al.•International Journal of…•2020

  • Process, Practice and Progress

    Open Access•Liz Green, Kathryn Ashton et al.•International Journal of…•2020

  • Using health impact assessment (HIA) to understand the wider health and well-being implications of policy decisions

    Open Access•Liz Green, Kathryn Ashton et al.•BMC Public Health•2021

  • What makes health impact assessments successful? Factors contributing to effectiveness in Australia and New Zealand

    Open Access•Fiona Haigh, Elizabeth Harris et al.•BMC Public Health•2015

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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