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The document argues that traditional vector control for dengue is insufficient in Latin America due to climate change, urbanization, and social inequality. It advocates for a transdisciplinary approach that combines statistical climate models with community co-creation to develop sustainable, culturally relevant prevention strategies.

The project identifies that older adults in the City of Buenos Aires are disproportionately vulnerable to extreme heat, particularly in vulnerable neighborhoods where infrastructure limitations and power outages reduce coping capacity. Through 634 surveys, focus groups, and geospatial mapping of heat and population density, the project developed an early response pilot plan with differentiated measures for formal and vulnerable urban areas. Key findings highlight a gap between knowledge and practice regarding preventive measures and the critical role of community networks in coping with heat.

The document outlines twelve projects (SG-CEH-01 to SG-CEH-12) focused on the climate-environment-health nexus. Key research areas include the expansion of dengue and diarrheal diseases in Peru, Argentina, Colombia, and Cuba; the impact of extreme heat on older adults and urban populations in Mexico City, Buenos Aires, and Chile; and the effects of climate change on nutrition and agroecology in Bolivia and Uruguay. The projects emphasize the need for intersectoral coordination, community participation, and the integration of climate data into public health surveillance and urban planning to build resilience against climate-driven health risks.