Climate change is the greatest health threat of the 21st century, posing an urgent and escalating challenge worldwide. It directly impacts health, exacerbates population movements and displacement, disrupts healthcare access, and affects social determinants of health. The climate change-migration-health nexus highlights the interconnectedness of these issues. Climate change drives mobility but rarely acts alone; it intensifies displacement factors like resource scarcity, food insecurity, extreme weather, and habitat destruction. Currently, 3.6 billion people live in highly vulnerable areas, with projections indicating up to 1.2 billion could be displaced by 2050.
Displaced populations face unique health challenges, including legal uncertainties, cultural losses, and increased vulnerabilities. Viewing migration as climate adaptation highlights its potential for resilience but can provoke political contention and restrictive policies. The health impacts of the climate change-migration nexus are both direct and indirect. Direct impacts include injuries and deaths from extreme weather events, while indirect impacts, such as malnutrition, the spread of vector-borne diseases, and respiratory issues, affect larger populations over time.
Migrants face health risks from overcrowded housing, poor sanitation, and limited healthcare, leading to disease outbreaks. Mental health challenges also arise from displacement, cultural loss, and adaptation struggles. Addressing these health implications requires a holistic approach, incorporating immediate health needs and long-term strategies for social integration and health equity. Policies must protect the health rights of migrants and displaced populations, ensuring their specific needs are met, whether they are trapped, displaced, or migrating. Tackling climate change must advance health equity, particularly for the most vulnerable.