APUG – Aktionsprogramm Umwelt und Gesundheit

Background and Goals

Humans need an environment which enables a healthy living. To support this goal several federal ministries and federal agencies cooperate within the Framework of the "Aktionsprogramm Umwelt und Gesundheit" (APUG). It supports research projects and educational campaigns on the protection of the environment, health and consumers. The focus lies on programs for children and young adults.

The action program links the political subject’s environmental, health and consumer protection on the level of the involved federal ministries and federal agencies. The slogan of APUG is: Environment and health are intertwined – environmental protection is sustainable health care! APUG contains strategies, measures and goals for a comprehensive examination of health consequences of environmental impacts on the human body.

The "Aktionsprogramm Umwelt und Gesundheit" (APUG) focuses on

  • Education: The general public will be increasingly informed about environmentally health risks and healthy nutrition.
  • Research: Research projects, such as on pollution and sensitivity of children and young adults or on chemical and biological pollution of interiors as well as noise, radiation, environmental medicine, deal with environmental health risks to protect children, young adults and adults better from health risks caused by environmental factors.
  • Children and young adults: The health of children and young adults shall be protected against harmful environmental influences and the influence of pollutants on the child's organism shall be examined. The public will also benefit from those measures to protect children. Thus, the action program supports a policy of sustainable development.

The research projects and educational activities particularly address the following topics:

  • Protection of children, young adults and adults against health risks from pollutants;
  • Realisation of extensive surveys to determine the environmentally of children and young adults;
  • Promotion of and environmentally and health-conscious living through the identification and description of risks, e.g. at home as well as from products, food or radiation;
  • Formulation / Development of measures, recommendations for actions and educational material for the protection against environmental health risks and for the general information of the public;
  • Improvement of risk assessments and the communication/publication of their results;
  • Investigation of links between the environment and environmental medicine;
  • Realisation of pilot projects on environment and health on a local scale.

Content time

since

Research area/region

Country
  • Germany
Region of implementation (all German federal states)
  • Baden-Württemberg
  • Bavaria
  • Berlin
  • Brandenburg
  • Bremen
  • Hamburg
  • Hesse
  • Mecklenburg Western Pomerania
  • Lower Saxony
  • Northrhine-Westphalia
  • Rhineland Palatinate
  • Saarland
  • Saxony
  • Saxony-Anhalt
  • Schleswig-Holstein
  • Thuringia

Steps in the process of adaptation to climate change

Step 1: Understand and describe climate change

Approach and results 

no climate scenario developed

Parameter (climate signals)
  • River flooding
  • Heat waves
  • Altered rainfall patterns
  • Higher average temperatures
  • Sea level rise und storm surges
  • Extreme precipitation (incl. hail, snow)
  • Storm
  • Dry periods
Time horizon
  • short term = next year’s / decades
  • medium term = to 2050

Step 2a: Identify and assess risks - climate effects and impact

Approach and results 

The expected impacts of climate change on the human health in Germany can be manifold. For example, warmer weather can promote the proliferation of pathogenic germs and their vectors, like ticks, gnats and rodents. Also native allergenic animals, like oak processionary (Thaumetopoea processionea), may benefit from higher temperatures. Moreover, prolonged periods of pollen circulation in the air and an increase in extreme weather events, like heat and torrential rain periods, are to be expected. Climate change can also lead to a higher exposure to particulate matter, ozone and UV radiation. If the climate warming continues, the current scientific knowledge prognosticates an increase in extreme weather events and their associated health hazards also for Germany.

Climate changes can have direct effects on the human health. Extreme examples are physical injuries, possibly with fatal consequences, that can be caused by storms, flooding or heat waves. But also indirect impairments of health related to climate change are investigated, like newly established or increasing numbers of allergies, and infectious diseases that are caused by the introduction of new or the spread of established disease carriers. It can be expected that in the near future the consequences of climate change will have a more profound effect on the public health.

Step 2b: Identify and assess risks - Vulnerability, risks and chances

Approach and results 

The government wants to protect the public against health risks. For that reason, the government needs solid knowledge about the state of the public health and about environmental health impacts. It needs to identify risks, establish standards and inform the public about health risks.

The Aktionsprogramm Umwelt und Gesundheit (APUG) supports strategies and measures to record, evaluate and communicate health risks that are caused by environmental impacts. The goal is to improve the empirical database for assessing the pollution situation and to gain representative data about the existing pollutant load of the public and their home environment (reference values).

In most cases the currently available environmental data and public health data can not be analysed together. That complicates an appropriate evaluation of the impact of the environment on the public health – an evaluation where relationships are neither over- nor underrated. Research projects shall show ways how procedures and methods to evaluate environmental health risks can be improved.

The scientific estimation and the public perception of health risks from environmental impacts can differ. This can lead to a mood of uncertainty among the public and to a loss of confidence in federal agencies. The as part of the Aktionsprogramm Umwelt und Gesundheit (APUG) established ”risk panel“ prepared recommendations for this which are presented in the final report of this panel.

Step 3: Develop and compare measures

Measures and/or strategies 

The Federal Environment Agency and the Robert Koch Institute jointly developed the framework for recommendations for actions for adaption measures to health consequences of climate change. For this, the Federal Environment Agency started an online evaluation of activities and measures on the federal, regional and local level. After an intensive exchange between representatives from federal and regional agencies and other experts in 2011, the Federal Environment Agency and the Robert Koch Institute received the order to jointly develop the recommendations for actions.

Evaluation of activities and measures on climate change and health: A central office that bundles the diverse campaigns, information, intentions and projects in the topic is missing so far. Within the framework of the national Aktionsprogramm Umwelt und Gesundheit (APUG) the Federal Environment Agency and its nationwide evaluation contributed to the visibility of the different adaptation activities in Germany and provided the results in a report.

This is an overview of already realised, current or planned activities, works and projects on municipal, regional and federal level in Germany. The structure of the evaluation was based on the six fields of activity with their individual goals from the report “Climate change and health: General framework on recommendations for actions for federal agencies and other stakeholders in Germany“, prepared by the Federal Environment Agency and the Robert Koch Institute.

The collection of concrete adaptation measures shall be a guide and help for interested parties and in addition offers the opportunity to explore future cooperation and funding opportunities. The results of the survey can be downloaded from a website as an excel file. Each entry was controlled for quality before publishing.

Step 4: Plan and implement measures

Measures and/or strategies 

The health related recommendations for actions for adapting to climate change (2013), drafted by RKI and UBA, are a common working document and form a general framework for public authorities and other stakeholders in Germany for activities and measures.

The document identifies six areas of action, each of which contains objectives and concrete recommendations. While these areas are for actual or looming health consequences of climate change enable and facilitate a timely, coordinated action by federal, state and local authorities.

Adaptation strategies, action plans and package of measures of the states and the federal government are summarised in a document synopsis which also includes a brief summary of the content.

The analysis of the adaptation strategies of the states summarises well-arranged all statements on adaptations to the respective health impacts of climate change which can be found in the adaptation strategies / concepts / action plans of the individual states. Here, the statements are assigned to one of the three categories: ”activities / implementation“, ”action“ or ”need for research“.

Step 5: Watch and evaluate adaptation (monitoring and evaluation)

Approach, objective and results of the monitoring and/or evaluation 

The study ”Climate Change and Health: Information and monitoring systems in Germany“ by the Federal Environment Agency (UBA) was published in 2009 and the Robert Koch Institute (RKI) published in 2010 the study ”Climate Change and Health - A Progress Report“. Both reports represent important insights into the impact of climate change on human health as well as their monitoring.

Participants

Funding / Financing 

The funding of the activities is financed by the involved federal ministries and federal agencies.

Project management 

The office of APUG is located in the Federal Environment Agency.

Cooperation/Partners 

The Aktionsprogramm Umwelt und Gesundheit (APUG) was presented to the public in 1999 by the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMU) and the Federal Ministry of Health (BMG).

Contact

Umweltbundesamt
FG II 1.5 - Umweltmedizin und gesundheitliche Bewertung
Postfach 33 00 22
D-14191 Berlin

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Fields of action:
 human health and care