The ‘just transition’ and health in South Africa

This paper reviews the severe health impacts of South Africa's coal-fired power dependency, highlighting growing calls for a just transition to clean energy that optimizes socio-economic and ecological benefits. It examines the healthcare sector's role in reducing emissions and fostering climate resilience. Focusing on Mpumalanga's heavily polluted Highveld Priority Area , the study considers recommendations for public health within the just transition movement and their implications for healthcare. It emphasizes the urgency of addressing ongoing air pollution-related health disasters through systemic changes.

Key Recommendations

A comprehensive public health plan for Mpumalanga's Highveld Priority Area is crucial, emphasizing restorative justice for coal-affected communities through communication and active participation. Key elements include effective health surveillance, early-warning systems, and well-resourced public health facilities for respiratory emergencies. Urgent adoption of 'climate-smart' healthcare principles from initiatives like Global Green and Healthy Hospitals is vital. Policy must internalize polluters' health costs, prioritize health in economic decisions, and educate health professionals for adaptive management, ensuring a just transition that protects public health.

Publisher: The South African Health Review

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