Centers for Disease Control and Prevention (CDC) Building Resilience Against Climate Effects (BRACE) Framework

CDC’s Building Resilience Against Climate Effects (BRACE) framework provides specific guidance to states and cities on developing strategies and programs aimed at reducing the health consequences of climate change. CDC provides funding for state, territorial and tribal health departments to conduct analytic and programmatic activities by developing public health adaptation strategies using the BRACE framework. CDC’s Climate-Ready States and Cities Initiative is already helping 16 states and 2 cities develop ways to anticipate the public health effects of climate change by applying climate science, predicting specific impacts, and preparing flexible localized programs.

The BRACE framework supports health departments to incorporate emerging integrated climate models into otherwise routine planning and response activities. The framework is a five step process that enables a health department to integrate the best available atmospheric science into a process designed to improve the quality of inputs and assumptions made during the traditional planning process, and supports the development and implementation of a unified climate and health adaptation strategy for a jurisdiction.

The five sequential steps in the BRACE Framework are:

Step 1: Forecasting Climate Impacts and Assessing Vulnerabilities where a health department identifies the scope of the most likely climate impacts, the potential health outcomes associated with those climatic changes, & the populations and locations vulnerable to these health impacts within a jurisdiction.

Step 2: Projecting the Disease Burden where a health department, as best as possible estimates or quantifies the additional burden of health outcomes due to Climate Change – to support prioritization and decision making.

Step 3: Assessing Public Health Interventions where a health department seeks to identify the most suitable health interventions for the health impacts of greatest concern. The health impacts will have been quantified or better defined in the previous health risk assessment step.

Step 4: Developing and Implementing a Climate and Health Adaptation Plan where a health department develops and implements a health adaptation plan for climate change that addresses health impacts, gaps in critical public health functions/services, and a plan for enhancing adaptive capacity in the jurisdiction.

Step 5: Evaluating Impact and Improving Quality of Activities step for the Framework - whereby a health department can evaluate the processes it has used, determine the value of utilizing the framework and the value of climate and health activities undertaken. This step is also important for quality improvement and to incorporate refined inputs such as updated data or new information.


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Publication Date: 2012

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  • Centers for Disease Control (CDC)

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