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The report finds that the Trump administration has undermined science-based policymaking through workforce reductions, political interference, and censorship, particularly regarding climate change. While some agencies like the FDA and NOAA fared better, others, specifically the EPA, experienced significant declines in morale and effectiveness.

The Canadian Association of Physicians for the Environment (CAPE) advocates for the rapid closure of coal plants in Canada to reduce greenhouse gas emissions and mitigate severe health risks from air pollution and mercury. While supporting this transition, CAPE stresses that unemployment and poverty are social determinants of health, requiring a just transition framework including retraining, relocation programs, and extended severance to prevent the health benefits of decarbonization from being offset by economic instability for workers.

The document details how climate change is increasing the frequency and intensity of heat waves across the United States, leading to severe health risks and societal disruptions. It highlights the vulnerability of specific populations, such as the elderly and outdoor workers, and the role of the urban heat-island effect. The text argues that stabilizing carbon emissions and adhering to the Paris Agreement can significantly reduce the projected increase in extreme temperatures and the frequency of heat waves by mid-century.

The report details a growing movement across Europe to replace the 'war on drugs' with policies based on harm reduction, public health, and human rights. It provides country-specific accounts from Belgium, the Czech Republic, France, Germany, Hungary, the Netherlands, Poland, Spain, and the UK, highlighting a tension between restrictive national laws and progressive proposals for decriminalisation, legalisation of cannabis, and the implementation of safe consumption rooms.

Earthjustice opposes the House's Interior and Environment Appropriations bill, citing over $100 million in cuts to the EPA and Department of the Interior, as well as provisions that fast-track coastal drilling and threaten the Arctic National Wildlife Refuge.

CIEL welcomes the release of three UNEP reports detailing worldwide initiatives to identify endocrine disrupting chemicals (EDCs), scientific knowledge of their effects, and existing regulatory frameworks. The statement notes that EDCs are found in a wide range of daily products and that there is a significant lack of explicit regulatory frameworks to address them, particularly in developing countries.

The author contends that the current Common Agricultural Policy (CAP) is outdated, focusing on industrial productivity and short-term gains while ignoring public health crises and environmental degradation. The text proposes a 'Common Food Policy' that integrates various sectors (health, education, trade), coordinates local and EU-level governance, shifts from 'productivism' to sustainability, adopts long-term strategic planning, and incorporates 'food democracy' by involving citizens to counter the influence of agribusiness lobbying.

A coalition of organizations urges the European Commission to strengthen its strategic approach to pharmaceuticals in the environment, citing the grave global health and economic threats of antimicrobial resistance. The authors call for broadening Good Manufacturing Practices to include environmental impacts, using Watch List data to identify priority substances under the Water Framework Directive, and implementing robust Environmental Risk Assessments for marketing authorizations.

The document argues that the PMRA's regulatory decisions on pesticides like neonicotinoids, glyphosate, and atrazine lack transparency and scientific rigour, often relying on non-peer-reviewed or confidential data while ignoring public scientific literature.

The document examines sanitation governance in Rwanda and Uganda, arguing that top-down policies often fail because they ignore the socio-cultural drivers of household behaviour and lack adequate national funding. It highlights a significant 'implementation gap' where international targets drive policy, but households—who provide approximately 60% of sector investment—face cultural and emotional barriers to adoption. The brief advocates for 'backward mapping' to include ground-level stakeholders in design and a deeper understanding of behavioural drivers to ensure sustainability.

The Canadian Association of Physicians for the Environment (CAPE) submitted comments on May 27, 2018, regarding the Alberta Energy Regulator's (AER) Draft Directive 060 and Directive 017. CAPE argues that Alberta's proposed methane regulations are generally less stringent and less enforceable than federal regulations, potentially leading to higher emissions and associated public health risks from co-pollutants.

The meeting, held on 2-3 April 2018, brought together policy makers, scientists, and international organizations to establish a co-designed research program for megacities in the South. The initiative aims to provide scientific guidance for adaptation and mitigation actions, specifically targeting decarbonization in transport, housing, and waste management, as well as addressing climate-related health risks and extreme weather events. The participants outlined a seven-component research plan emphasizing governance, social dimensions of adaptation, and capacity building to support the implementation of the Paris Agreement and Sustainable Development Goals in Buenos Aires, Santiago, and Sao Paulo.

The report analyzes the health and economic costs of coal in Indonesia, highlighting that coal-related air pollution causes thousands of premature deaths and significant financial burdens on low-income households. It argues that the Indonesian government's continued subsidies for coal production and power plants contradict public health goals and that transitioning to cheaper renewable energy would reduce these burdens.

The Union of Concerned Scientists reports that the EPA's January 25, 2018, withdrawal of the "once in, always in" (OIAI) policy allows industrial facilities to be reclassified from "major sources" to "area sources" of hazardous air pollutants (HAPs). This reclassification removes the requirement for facilities to use Maximum Achievable Control Technology (MACT), which the authors estimate was used by 70 percent of major sources in 2014 to keep emissions at or below thresholds of 10 or 25 tons per year. The document warns that area sources are not regulated or inspected as stringently, potentially increasing emissions of toxic substances like chlorine, benzene, and styrene. The analysis identifies at least 21 states at risk of increased pollution, with specific high-risk clusters in Louisiana's "Cancer Alley," Houston, Chicago, and the New York-Newark urban area.

A submission by the Canadian Association of Physicians for the Environment (CAPE) and several other health organizations supporting the phase-out of coal-fired electricity generation in Canada by 2030. The document argues that coal plants are major sources of greenhouse gases and toxic pollutants, such as mercury and criteria air contaminants, which cause significant respiratory and cardiovascular diseases and developmental issues in children.

Saint Vincent and the Grenadines is implementing a National Adaptation Plan (NAP) to mainstream climate adaptation into development planning and financing. The process, led by the Ministry of Finance, Economic Planning, Sustainable Development and Information Technology, identifies key climate hazards such as tropical storms, rising sea levels, and rainfall variability. Priority sectors for adaptation include agriculture, water, energy, tourism, and infrastructure. Between 2010 and 2014, extreme weather events caused losses exceeding 35 percent of the country's GDP.

A coalition of NGOs issued a statement following a U.S. District Court ruling that granted a preliminary injunction against the delay of the Bureau of Land Management's (BLM) methane waste rule. The court found that the BLM failed to follow legal requirements for agency rulemaking, relying on "opinions untethered to evidence" rather than reasoned analysis. The statement highlights that the 2016 rule requires oil and gas companies to reduce methane venting and flaring and perform leak detection and repair on federal public lands. The NGOs argue that allowing methane waste results in significant financial losses for taxpayers, public health risks from toxic pollutants like benzene, and increased climate emissions due to methane's potency as a greenhouse gas.

The report examines Nestlé's infant milk products across 40 countries, finding that the company often uses nutritional science as a marketing tool rather than a formulation guide. It highlights inconsistencies where products contain ingredients like sucrose and flavourings that Nestlé's own labels advise against in other markets. Furthermore, the report notes that Nestlé uses health claims for probiotics and prebiotics in some regions despite these being prohibited in the EU due to insufficient evidence. The investigation concludes that product development is driven by consumer trends and profit maximization, leading to 'premium' products with varying compositions and prices that lack a clear scientific rationale.

The report argues that Nestlé prioritizes profit and growth over nutritional science in its infant milk business. Through an analysis of 79 products in 40 countries, the authors found that Nestlé's marketing claims often contradict its own nutritional advice and the scientific evidence provided by bodies like the European Food Safety Authority (EFSA). Key discrepancies include the use of sucrose and flavorings in markets where the company advises against them, and the use of 'probiotic' claims in regions where such claims lack scientific authorization. The report concludes that 'premium' product differentiation is driven by consumer preferences and market trends rather than health outcomes.

The Canadian Association of Physicians for the Environment (CAPE) supports the City of Edmonton's plan to update its Integrated Pest Management policy to improve clarity on pesticide use and justification. CAPE urges the city to consult health-related groups and incorporate health evidence into its decisions, citing epidemiological studies that link pesticide exposure to adverse reproductive, neurological, and developmental outcomes, especially in children and pregnant women. The organization also highlights flaws in the federal pesticide approval process managed by Health Canada's Pest Management Regulatory Agency, arguing for a precautionary approach to protect public health.