“…The readiness of public health systems to adapt to the impacts of climate change has been described as facing delays because of limitations on the inclusion of social-ecological concepts in the planning process (Deppisch and Hasibovic, 2013;Downes et al, 2013;Few, 2007;Folke, 2006;Gallopin, 2006). For example, large-scale environmental changes such as biochemical pollution, extreme temperature events, loss of biodiversity and ecosystem services occur simultaneously, and will have cumulative and interactive adverse impacts on population health (Houghton and English, 2014;Sheridan and Allen, 2015;Zell, 2004).…”