Forecasting Healthy Futures: A Discussion with the 2025 FHF Resilient Futures Award Winners

During the Forecasting Healthy Futures Global Summit 2025, FHF presented its 2025 FHF Resilient Futures Award to Matea Cañizares, a 17-year-old high school student, and Dr. Daniel Romero-Alvarez, an infectious disease eco-epidemiologist working as an associate professor at Universidad Internacional SEK, for their project, “Heat Stress Factors in Ecuadorian Schools: A Multi-case Study of Environmental Conditions in Three Ecoregions." While FHF received a strong pool of submissions in response to this year’s open call for abstracts and posters, their project stood out for its scientific rigor, originality, and its high potential to impact climate-resilient public health. The selection committee also recognized their project for its clear commitment to equity and community relevance, especially in applying satellite data to highlight an often-overlooked issue: the health risks posed by extreme heat in educational environments.

Congratulations on being named this year's FHF Resilient Futures Award winners! Can you tell us about your project and how it came about?

CAÑIZARES: So, I play football (soccer) almost every day here in Ecuador, but since Ecuador is close the equator, we’re constantly dealing with excessive temperatures. And since I’m often playing on fields, I’ve realized these environmental factors are affecting my well-being and can inhibit my physical activity. So, I decided to learn more about this.

In Ecuador, school infrastructure lacks standards on temperature control, solar protection, or vegetation cover. So, this study looked at various environmental conditions in schools across Ecuador's ecoregions using satellite data – and how heat stress and radiation levels are impacting our health.  

Dr. Daniel Romero-Alvarez, my mentor, taught me how to use Google Earth Engine to extract data, and together we studied the impacts of heat on Ecuadorian schools by extracting data on environmental factors in different schools of Quito.

Through the project, we analyzed vegetation, temperature and radiation by looking at vegetation density, temperature levels, and solar radiation in Ecuadorian schools across three ecoregions using space-based technologies with a focus on nature-based solutions to protect human health. We used Google Maps and Google Earth Pro to assess conditions in 3 schools per ecoregion (Coast, Andes, Amazon). We looked at satellite data products and measured land surface temperature, enhanced vegetation index, and downward shortwave radiation.

We found that coastal schools had the highest temperatures and lowest vegetation, Andean schools experienced the highest solar radiation due to elevation, and Amazonian schools had the highest vegetation levels. Only one school had an average temperature below the heat stress threshold (26 Celsius degrees). So, we found an apparent relationship between vegetation and lower temperatures, although the effects varied by region.

We delineated school perimeters as polygons, and the corresponding environmental data were obtained from the Moderate Resolution Imaging Spectroradiometer (MODIS) aboard the Terra and Aqua satellites. We were looking at key indicators such as land surface temperature (LST) as a proxy for heat exposure, enhanced vegetation index (EVI) for greenness, and downward shortwave radiation (DSR) for solar exposure.

Our findings show most schools exceed the heat stress threshold on average; however, there is environmental heterogeneity across and within ecoregions. Schools in the Coast region had the highest temperatures, which correlates to strong heat stress whereas schools in the Andes region had the highest solar radiation levels. Lower vegetation index values correlated with increased heat stress across all regions. Only one school had an average temperature below the heat stress threshold. These environmental conditions have critical implications for student health since excessive heat exposure has negative health impacts, while vegetation cover may decrease temperature levels.

Ecuador lacks standards for temperature control, solar radiation protection, and green spaces in schools so our findings also underscore the need for context-specific and climate-responsive educational standards that integrate nature-based solutions for extreme heat mitigation and protection from solar radiation.

I then met with the Ministry of Education to present recommendations since there are no specific policies about how schools should adapt their infrastructures with vegetation and other climate health requirements that impact student well-being. Our research made an impact and that’s made me really happy because this now not just about identifying a problem but also showing a solution.

ROMERO-ALVAREZ: The most amazing thing about this project was being able to use open access data to derive conclusions that can have an actual impact. Basically, we were able to use satellite imagery to obtain data which now benefits not only those in Ecuador but a lot of other countries. Typically, just sharing data is often a challenge, so this project has been not only fascinating but exciting!

CAÑIZARES: Another thing that is very important about our method in using Google Earth Engine is that it's easy to replicate. So other young people who have a basic computer set up with an internet connection can replicate this method, because it doesn't require a lot of skills. Using the code provided in our study, they can study their own environmental factors using the same satellite technology and better understand data from their own local context and their own schools to realize the impact that radiation has on vegetation, temperature, and their well-being. I’m excited because this has the potential to work on a global scale. So, I hope other young people can learn from this and then use data satellite to help influence public policy and create even more of an impact. This study can be replicated using a representative sample to produce national standards for Ecuador or in other countries to identify the environmental conditions of schools with the aim of assessing their needs.

ROMERO-ALVAREZ: For me, one of the most interesting consequences of this project is precisely how we can use open data streams to convey messages. We hope that this study can help inspire others. For example, if someone in Peru wanted to assess whether environmental variables affect the health on their school students, they can easily take our data or go with what we discovered. Because this study is replicable, it’s something that can be implemented everywhere so that something that makes us very happy. 

Your project was recognized for its inclusion of equity and community relevance. Why was this important to include?

CAÑIZARES: Yes, that was another thing. While our study didn’t focus on distinguishing between public schools and private schools, our study did find that private schools had higher levels of vegetation, due to increased resources to implement landscaping, whereas public schools, in the same region and similar locations, didn’t have the resources to focus on vegetation, resulting in higher temperatures. Our hope with our studies is to further assess how these differences impact student well-being and perhaps use satellite data to impact public policies, such as perhaps giving more money to public schools to increase vegetation or help reduce temperatures to improve the well-being of students.

ROMERO-ALVAREZ: Equity is fundamental because the essence of problem-solving is to be open to different perspectives and different views. Sometimes we forget to hear local voices, because we are super concentrated, for example, in academia or science-based theories, when in fact, a lot of times, the local population, the people that are actually experiencing the problem or the situation have a lot of wisdom that we should definitely consider in order to propose a solution or something. These sorts of open data streams are proving resources so we can actively help communities to be more aware of what is happening in their surroundings and to take local action.

You also addressed nature-based solutions for health and climate resilience. Can you tell us what you learned?

CAÑIZARES: Nature-based solutions, or NbS, are considered a valuable educational tool, particularly for promoting outdoor learning in schools. However, the relevance of vegetation in schools for planetary health and climate resilience remains less apparent to policy- and decision-makers. Studies suggest that the presence of vegetation has an influence on mental health and learning outcomes and that green cover can moderate temperatures. In addition, natural shade can further protect students against solar radiation. Therefore, school greening should be considered an important priority in nature-based actions targeting health risks through improved climate resilience. Investment is needed to first identify cost-effective ways to evaluate and monitor conditions at schools, for example, using digital tools. Second, assess the levels of exposure to moderate and high heat stress and solar radiation levels at schools in relation to vegetation density and characteristics. Third, create or reform school infrastructure standards and provide resources to use NbS to increase or modify vegetation at schools. Fourth, they need to assess the learning outcomes of students before and after interventions. Promoting planetary health must recognize the importance of the school as a critical setting for health and a space for urban greening, especially since children and adolescents spend much of their daytime there. My study on health-related environmental conditions in different ecoregions of Ecuador has garnered the interest of the Ministry of Education and other stakeholders, and may serve as a model for using satellite data to inform and develop strategies for implementing NbS in schools in countries facing similar environmental challenges.

Given the name of the award, ‘Resilient Futures’, what does that mean to you and what’s your hope for the future?

ROMERO-ALVAREZ: Today, all around us, we are seeing the damage that we as humans are doing to the planet. In a way, the planet is throwing these back to us: emerging zoonotic diseases, climate change, landscape alteration, and antibiotic resistance, are examples. A resilient future would be to think about how to survive. Our hope is that science will advise decision makers and policymakers to improve societies as we face all these threats, and a resilient future is precisely trying to use that collective knowledge to confront all these problematic scenarios.

CAÑIZARES: What ‘resilient futures’ means to me is working with children and young people who will become future policy makers. My hope is to help them develop their civic skills and help them analyze and propose solutions using information for decision making and thinking about their life experience. So, this connects with me playing football, which is my lived experience, which motivated me to use information for decision making. I hope that other young people playing football or doing other activities will use their lived experience to propose solutions or to be motivated to identify what digital platforms are available and how they can, in turn, impact policymaking.

Matea Cañizares is a student at Colegio Johannes Kepler, Quito, Ecuador. Dr. Daniel Romero-Alvarez is Associate Professor at the Emerging and Neglected Diseases, Ecoepidemiology and Biodiversity Research Group, Undergraduate Program in Biomedical Sciences, Faculty of Health Sciences, Universidad Internacional SEK, Quito,Ecuador.

New Report Highlights Private Sector’s Critical Role in Advancing Climate-Resilient Health and Nutrition

Comprehensive analysis spans 10 industry sectors responding to climate-driven health and nutrition challenges

May 15, 2025 (Washington, DC) – A new report released by Forecasting Healthy Futures calls for stronger private sector leadership to address the growing health and nutrition risks posed by climate change. Titled “Private sector engagement on the impacts of climate change on health and nutrition,” the report presents a cross-sectoral analysis of private sector responses to climate-driven health and nutrition challenges. It explores how multinational corporations (MNCs) are getting impacted by and are responding across their operations, workforces, consumers, and the communities in which they operate.   

While the analysis reveals many sector-specific impacts, the underlying risks are shared across industries. Rising temperatures, extreme weather events, the spread of infectious diseases, environmental degradation, and growing mental health challenges are increasingly contributing to worker illness, absenteeism, and declining productivity. Consumers are facing disrupted supply chains, leading to increased food and water insecurity and changing consumption patterns. Meanwhile, communities are grappling with weakened infrastructure, displacement, and economic instability – compounding health and social vulnerabilities and impacted business continuity. 

In response, corporate response is gaining momentum. MNCs are increasingly adopting adaptation strategies that address both occupational risks and broader public health threats. The report outlines emerging strategies across ten sectors—from climate-resilient product innovations and workplace health programs to community investments and public policy engagement. For example, agriculture firms are promoting sustainable farming and farmer well-being, consumer goods companies are building resilient value chains, and energy and infrastructure firms are reinforcing assets and safeguarding communities. Meanwhile, healthcare and life sciences companies are enhancing preparedness for climate-sensitive diseases, and technology and financial services firms are leveraging data and financial tools to address evolving climate risks.

At the same time, the report emphasizes the importance of addressing both immediate threats—like heat stress and extreme weather—and broader, often less visible health impacts, particularly among vulnerable populations in low- and middle-income countries. Expanding this focus can help ensure long-term community well-being and business resilience.

Businesses are uniquely positioned to integrate adaptation measures that address both environmental and health vulnerabilities. The report identifies four critical enablers for scaling private sector impact: strategic integration, measurable accountability, cross-sector collaboration, and innovative financing. Internally, companies are encouraged to gradually integrate climate and health resilience into core planning and operations, supported by practical measurement frameworks and transparent reporting. Externally, partnerships across governments, industries, investors, and civil society are needed to align standards, pool resources, and unlock new financing mechanisms. 

Ultimately, the report highlights the opportunity for private sector leadership to accelerate climate adaptation efforts that protect health and nutrition around the world.

“Climate change is fundamentally altering the global health and nutrition landscape,” said Kelly Willis, who leads Forecasting Healthy Futures. “To lead in this space, we must champion bold leadership, foster partnerships, and invest in solutions that address escalating climate-driven health threats. “This report encourages private sector leaders to consider more holistic and integrated strategies in addressing the interconnected challenges of climate and health.” 

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About Forecasting Healthy Futures 

Forecasting Healthy Futures is a global coalition of leading organizations committed to mobilizing the political will, financial resources, and innovative solutions needed to protect global health gains from the threats posed by climate change. Visit us at www.forecastinghealthyfutures.org

ClimateSmart Indonesia Launches Novel AI Public Health Platform to Tackle Climate-Driven Diseases 

JAKARTA (May 12, 2025) – As part of a broader effort to build more climate-resilient health systems, ClimateSmart Indonesia recently launched (5/5/2025) the world’s first AI-enabled, dual-capability technology platform for forecasting and responding to climate-sensitive diseases.   

Developed by the Institute for Health Modeling and Climate Solutions (IMACS),  the Indonesian Collaborative Research and Industrial Innovation in AI (KORIKA), and the Mohamed bin Zayed University of Artificial Intelligence (MBZUAI), the technology platform debuted in Jakarta during the “ClimateSmart Indonesia Innovation Forum” under the auspices of Indonesia’s Ministries of Health, Environment, and Communications and Digital Affairs, and in partnership with the country’s meteorology, climatology, and geophysical agency BMKG. The ClimateSmart Indonesia initiative has been working in partnership with these agencies and other stakeholders over the last two years, to advance climate and health data systems and their application in Indonesia, through a collaborative process with funding from Reaching the Last Mile (RLM) and the Patrick J. McGovern Foundation.  

Climate & Health Technological Breakthrough 

The technology platform developed under the ClimateSmart Indonesia initiative has two main features representing major advances in public health data systems and technology: 

  • Digital Twin Indonesia that visually models future climate and weather scenarios, and maps emerging disease hotspots to allow early intervention for prevention and response. 
  • AI Dashboard that delivers hyperlocal forecasts, real-time alerts, and scenario-based planning tools for public health officials to improve the cost-efficiencies of disease control programs.  

With predictive accuracy exceeding 90%, this system can anticipate outbreaks of malaria, dengue fever, leptospirosis, and 4 other climate-sensitive diseases. 

An Ecosystem for the Future 

The technology platform’s technological innovations include: 

  • AI-based malaria detection from microscope images research 
  • Development of a GPT-RAG (Retrieval-Augmented Generation) language model for climate-health policy, combining the capabilities of large language models (LLMs) with retrieval mechanisms to provide contextually relevant and accurate responses. 
  • A powerful database architecture that integrates climate, health, and demographic data 

ClimateSmart Indonesia aims to help the Indonesia Government design and implement a “best in class” early warning and response system (EWARS) to address the growing threat of climate-sensitive diseases and other challenges to public health.  

“Indonesia is the ideal location for establishing a regional center of excellence for AI, climate, and health. By harnessing the power of artificial intelligence and advanced data analytics, Indonesia is pioneering innovative approaches to anticipate, adapt to, and mitigate the complex health challenges posed by our changing climate,” said Prof. Dr. Hammam Riza, President of KORIKA. “In the coming weeks, we hope to launch a task force to plan for this center of excellence, which will build on Indonesia’s national ecosystem of innovation, science, and governance, serving as a resource for other countries working toward more climate-resilient health systems.”

The launch of the novel digital technologies by the ClimateSmart Indonesia partners represents a pivotal step in the nation’s use of AI to tackle the dual challenges of climate change and public health. “This is not just a technological milestone; it reflects a strong national commitment to protecting lives today while building a more resilient and sustainable future through innovation and global collaboration,” stated Vice Minister of Komdigi Nezar Patria, M.Sc., MBA.

Speaking at the opening ceremony, the Meteorological, Climatology and Geophysics Agency (BMKG) Chairman Dwikorita Karnawati said the urgency of integrating climate and health data to address escalating disease threats. “Studies show that climate is a significant driver of increased human exposure to various diseases,” she said. “Changes in temperature and rainfall patterns affect exposure to water- and food-borne illnesses, such as salmonella, and vector-borne diseases like Lyme disease.”

“ClimateSmart Indonesia represents a paradigm shift in how we approach climate-sensitive diseases,” said Michael Andreas Purwoadi, Infrastructure Deputy at BMKG. “By integrating climate and health information and harnessing AI for prediction and planning, it enables Indonesia to analyze and address disease risks with unprecedented speed and precision.” 

“By integrating climate and health intelligence, Indonesia is setting a global precedent,” said Dr. Setiaji, Chief of the Digital Transformation Office at the Ministry of Health. “Through Satu Sehat and ClimateSmart, we’re defining the future of digital public health.”

“To strengthen the resilience of the health system, we need strong health data and significant investments in early warning systems and surveillance. Accurate data is essential for climate-related disease strategy development,” said Then Suyanti, Director of Environmental Health at the Ministry of Health, representing the Minister of Health Ir. Budi Gunadi Sadikin.

During the event, Kelly Willis, Global Lead of the Forecasting Healthy Futures Consortium, highlighted the role of climate data and AI in predicting and preventing the health impacts of climate change. “Forecasting Healthy Futures has a broader mandate to protect global health gains against climate change’s effects. We work by convening experts and mobilizing funding worldwide to invest in health systems that are vulnerable to climate change, making them more resilient,” she explained.

Dr. Kashik Sarkar, Director of IMACS, emphasized that climate change impacts health in three significant ways: it determines who is affected, where individuals can access services, and how diseases cluster geographically, particularly affecting the most vulnerable populations. He stated, “These dynamics make climate and health information crucial. Unfortunately, climate and health data are still siloed across the globe. As a result, most health systems lack an integrated solution. This is where AI comes in; it can help merge this information.”

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About Forecasting Healthy Futures 

Forecasting Healthy Futures is a global coalition of leading health and technology organizations committed to mobilizing the political will, financial resources, and innovative solutions needed to protect global health gains from the threats posed by climate change. Malaria No More convenes and leads the consortium. Forecasting Health Futures’ partners include Reaching the Last Mile, Mohamed Bin Zayed University of Artificial Intelligence, the Global Institute for Disease Elimination (GLIDE), PATH, the Tableau Foundation, IBM’s Weather Company, and the Institute for Health Metrics and Evaluation (IHME). For more information, visit: www.ForecastingHealthyFutures.org

About Reaching the Last Mile 

Reaching the Last Mile (RLM) is a portfolio of global health programs working towards disease elimination that is driven by the personal commitment of His Highness Sheikh Mohamed bin Zayed, President of the United Arab Emirates. The Initiative provides treatment and preventative care in communities that lack access to quality health services, with a specific focus on reaching the last mile of disease elimination. RLM’s mission represents His Highness’s dedication to ending preventable diseases that affect the world’s poorest and most vulnerable communities and helping millions of children and adults live healthy, dignified lives. For more information, visit: https://www.ReachingTheLastMile.com 

For media inquiries, please contact: Sharan Sunner | Seven Media, on behalf of Reaching the Last Mile, sharansunner@sevenmedia.ae | +971 (0)55 698 4327 

About Mohamed bin Zayed University of Artificial Intelligence (MBZUAI) 

MBZUAI is a graduate, research university focused on artificial intelligence, computer science, and digital technologies across industrial sectors. The university aims to empower students, businesses, and governments to advance artificial intelligence as a global force for positive progress. MBZUAI offers various graduate programs designed to pursue advanced, specialized knowledge and skills in artificial intelligence, including computer vision, machine learning, and natural language processing. For more information, please visit www.mbzuai.ac.ae 

About KORIKA 

KORIKA, Collaborative Research and Industrial Innovation in AI, stands as a pioneering force in advancing the landscape of AI research, development, and innovation within Indonesia. Established in 2021, KORIKA has consistently been at the forefront of catalyzing progress in the field of artificial intelligence. Their dedication to fostering trustworthy AI systems, while respecting the rich cultural and societal values of Indonesia, aligns seamlessly with the nation's ambitious vision of becoming a global innovation powerhouse. KORIKA has become a pivotal hub, bringing together experts, researchers, and industry leaders to collectively drive the growth and application of AI technologies. For more information, please visit: https://korika.id/.  

New Global Campaign, The Face of Change, Launches Ahead of Historic COP28 Health Day to Tackle the Climate-Driven Health Crisis

Ahead of a historic, first-ever Health Day during the 28th United Nations Conference on Climate Change (COP28) in Dubai, Forecasting Healthy Futures—in partnership with TIME CO2—announces the launch of a bold and ambitious global campaign - The Face of Change - that centers health as the human face of climate change. With a focus on real and relatable stories, proven, ready-to-scale solutions and open-source creative content to amplify and activate, the campaign aims to inspire a global movement to save millions of lives today from the direct health impacts of climate change while protecting the health of billions of others by accelerating action to arrest global warming.

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