Local governments throughout North American are mitigating greenhouse gases (GHGs) and adapting to the impacts of climate change. This project utilizes a case-based approach to address the question, “How does health promotion and public health practice influence municipal climate change adaptation?” The project reviewed resource materials and interviewed staff members from ten selected Canadian and American local government ‘leaders’ in adaptation. To provide a public health perspective, staff members from Toronto Public Health and Vancouver Coastal Health were also interviewed. Results demonstrate that there is a disconnect between many local health authorities and their respective municipality. The case studies illustrate the need to employ community-based strategies, recognize leaders in local governments and utilize strategic partnerships while adapting to climate change. Further research is required to understand how local governments can be proactive in preventing and mitigating the negative health and wellbeing consequences of climate change.
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