Research Themes, Trends and Future Priorities in the Field of Climate Change and Health: A Review

Climate change is one of the biggest threats to human living and health in the 21st century. Whilst a large number of papers have been published addressing the health impact of climate change, there is a lack of comprehensive bibliometric analysis in the crosscutting field. This study evaluated the global scientific output of research in the field of climate change and health between 1990 and 2020, based on the Web of Science Core Collection database. Research themes were identified using a social network analysis technique based on author keywords. Research trends were assessed by the change in overall publication number and the percentage of publications in each research theme. Articles were further categorized by the availability of funding and author affiliation to compare the difference between developed and developing countries. Results showed that the research output in the field of climate change and health has increased dramatically in the past 30 years, mainly dominated by researchers in developed countries. The percentage of research receiving funding was found to be the lowest in those published by developing countries only and the highest in those published by the collaboration of developed and developing countries. A total of nine major research themes was identified. Research related to 'risk assessment and adaptation', 'sustainable development' and 'infectious diseases' were relatively underfunded. A significant research trend was observed between 2006 and 2020, with increased attention on research themes related to 'risk assessment and adaptation', 'sustainable development', 'extreme events' and 'air pollution', and reduced attention on research themes related to 'ocean', 'infectious disease' and 'phenology'. The shift of the research trend was mainly driven by research in developed countries. Suggestions, recommendations and future priorities identified by experts in the field of atmospheric sciences, epidemiology, public health, climate change, environmental sciences, and policy development are also provided to guide future research. It is important to shift our focus from single health aspects to an integrated system (such as One Health framework, which considers environmental health, animal health and human health as a whole), with future research focusing more on the systemic impact of climate change in order to achieve better, more effective and efficient risk governance. More funding should be mobilized to support the research capacity building in developing countries and to support climate change adaptation strategies for sustainable development.