Leveraging Partnership in the Cuban National Health System to Protect People from the Health Harms of Climate Change

Guillermo Mesa Ridel

National School of Public Health (ENSAP) at University of Medical Sciences of Havana

https://orcid.org/0000-0001-9780-466X

Teddie Potter

University of Minnesota School of Nursing

https://orcid.org/0000-0002-1825-0097

Barbara Astle

Trinity Western University

https://orcid.org/0000-0003-1257-2615

Nathan Meyer

University of Minnesota Climate Adaptation Partnership

https://orcid.org/0000-0002-0920-5171

Heidi Honegger Rogers

University of New Mexico

https://orcid.org/0000-0002-1133-1847

Jothsna Harris

Change Narrative LLC

Melissa Kenney

University of Minnesota

Ruben Antonio Garcia Lopez de Villavicencio

National School of Public Health, Cuba

Heidi Roop

University of Minnesota

https://orcid.org/0000-0002-6349-7873

Amanda Farris

University of Minnesota

https://orcid.org/0009-0007-5394-8427

Edward Maibach

George Mason University

https://orcid.org/0000-0003-3409-9187

DOI: https://doi.org/10.24926/ijps.v11i2.6762

Keywords: Climate Change, Partnership, Solidarity, Chronic Kidney Disease


Abstract

In Cuba and elsewhere, climate change is harming human health in myriad ways. This article reviews the climate change-related health risks faced by people in tropical small-island developing nations throughout the Caribbean. It provides an overview of Cuba’s partnership- and solidarity-oriented National Health System (Sistema Nacional de Salud de Cuba, or SNS), which, despite severe financial and material limitations, maintains a strong focus on universal coverage, primary care, and disease prevention. This highly effective and efficient system can be further leveraged to prevent harms to people’s health from climate change. As an example, we focus on chronic kidney disease and describe current efforts and future potential for leveraging the partnership-based Cuban model to address this climate change-related health threat. We conclude by examining how the Cuban model could be harnessed in other nations to effectively mitigate and adapt to the human health impacts of climate change.