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The 2019 Global Climate and Health Summit agenda outlines a day of plenary sessions and breakout workshops held on December 7, 2019, in Madrid. The event featured international health officials, youth leaders, and policymakers discussing climate-health challenges, financing, and urban leadership. Specific thematic sessions focused on sustainable food systems, air pollution, and health equity.

The report argues that a negative feedback loop exists in the United States where restrictive voting laws and partisan gerrymandering insulate legislators from accountability, leading to the adoption of policies that exacerbate public health disparities. Using data from America's Health Rankings and the Cost of Voting Index, the author finds that states with greater partisan bias and higher barriers to voting are associated with lower life expectancy and more severe health declines between 2010 and 2017. Specifically, the report links extreme gerrymandering to higher increases in opioid deaths among African Americans in high-poverty states and higher infant mortality for non-Hispanic black communities. To break this cycle, the document recommends reforms to reduce the costs of eligibility (such as automatic voter registration), reduce the costs of casting a vote (such as early in-person voting), and protect the equal value of votes through independent redistricting commissions and public campaign financing.

The document advocates for the integration of nature-based solutions (NbS)—categorized into green and natural infrastructure—as a resilient alternative or supplement to traditional 'gray' manmade infrastructure in the U.S. It details how NbS can mitigate coastal storm damage, inland flooding, and extreme heat while providing co-benefits like carbon sequestration and improved water quality. The text provides specific cost comparisons and case studies from various U.S. cities and states to demonstrate the economic and environmental efficacy of these approaches.

The report explores how large utility customers, including cities and corporations, can achieve high renewable energy goals through various procurement models. It details options such as green tariffs, sleeved PPAs, and community solar, while addressing the critical role of Renewable Energy Certificates (RECs) in accounting and disclosure. The document emphasizes the need for collaboration between utilities, customers, and regulators to ensure that the transition to carbon-free energy is cost-effective, avoids cross-subsidization of non-participants, and maintains grid reliability.

The document details a transition in U.S. energy policy from renewable portfolio standards to Clean Electricity Standards (CES), which allow for a diverse range of zero-carbon technologies, including nuclear and carbon capture. It provides a comprehensive list of states and utility companies that have enacted or pledged 80-100% carbon-free electricity targets, noting that these commitments collectively cover approximately 38% of U.S. electricity sales and 31% of national utility CO2 emissions.

The Sierra Club argues that the proposed Biomethane Tariff by Sempra Utilities is a 'greenwashing' exercise that fails to meet California's incrementality standards for green energy programs. The protest highlights that the tariff would allow the sale of renewable attributes from existing methane sources, potentially including those outside the United States, without ensuring the development of new renewable facilities. Furthermore, the Sierra Club contends that the program lacks a finalized certification protocol and a transparent methodology for calculating greenhouse gas reductions, while potentially incentivizing industrial dairy operations that cause localized air and water pollution. The document suggests that the limited supply of biomethane—estimated at less than four percent of California's total gas demand—should be reserved for hard-to-electrify applications rather than voluntary subscriptions that perpetuate reliance on gas infrastructure.

The document explores the integration of customer clean energy demand into utility planning, focusing on the role of Integrated Resource Plans (IRPs) in the US. It argues that early collaboration between utilities and customers can lead to more efficient clean energy procurement, faster decarbonization, and lower costs. The report details the IRP process, identifies barriers to customer engagement—such as limited resources and lack of transparency—and provides pathways for involvement through direct engagement, stakeholder forums, and regulatory proceedings.

The Menominee Indian Tribe of Wisconsin, supported by Earthjustice, has petitioned a federal court to compel the U.S. Army Corps of Engineers and the U.S. Environmental Protection Agency to oversee a wetland permit for the Back Forty Mine. The proposed 80-acre, 750-foot-deep mine by Aquila Resources, Inc. is located 50 yards from the Menominee River and is opposed by the tribe and numerous local governments due to risks to public health, water quality, and sacred cultural sites.

Organic Valley reached its goal of 100 percent renewable electricity by partnering with OneEnergy Renewables and the Upper Midwest Municipal Energy Group (UMMEG) to develop community-scale solar projects. Because Wisconsin is a regulated utility market, the cooperative avoided direct power purchase agreements in favor of a partnership that developed 12 MW of solar for Organic Valley and an additional 17 MW for nearby communities, totaling 29 MW. Organic Valley secures its renewable energy by purchasing all renewable energy certificates (RECs) for the life of the projects. The initiative also incorporates pollinator-friendly solar standards, planting native wildflowers to support bee and butterfly habitats.

The document argues that federal light-duty vehicle standards set by the EPA and NHTSA in 2012 provide significant financial and environmental advantages to Wisconsin. By 2030, the average Wisconsin household is projected to be $2,400 richer due to gas savings outweighing the upfront cost of more efficient vehicles. To date, Wisconsin has saved $670 million, and the standards have eliminated global warming emissions equivalent to half of those produced by providing electricity to Milwaukee. Nationally, these standards are projected to increase GDP by up to $30 billion and create 650,000 full-time jobs by 2030.

The report outlines various in-lake remediation strategies to combat eutrophication in Manitoba's prairie lakes, emphasizing that these treatments should complement efforts to control external nutrient sources. It details three biological methods (biomanipulation, floating treatment wetlands, and macrophyte removal), five physical/engineering methods (hypolimnetic withdrawal, dilution/flushing, hypolimnetic aeration, artificial circulation, and dredging), and three chemical methods (phosphorus inactivation, sediment oxidation, and algicides), providing their benefits, shortfalls, suitable lake conditions, and associated costs.

The briefing provides a historical analysis of nuclear waste siting in the United States, asserting that the Department of Energy (DOE) has consistently failed to secure long-term consent for high-level waste (HLW) and spent nuclear fuel (SNF) repositories. The author highlights a pattern of broken promises, litigation, and the failure of both the Nuclear Waste Policy Act (NWPA) and the 'volunteer' process managed by the Nuclear Waste Negotiator. Key examples include the legal battles over the Waste Isolation Pilot Plant (WIPP) and the non-consent of the Nevada state government regarding Yucca Mountain. The document concludes that the DOE's lack of reliability makes it unlikely that future consent agreements for consolidated storage or repositories will be trusted or successful.

A coalition of energy and environmental organizations advocates for the use of energy efficiency as the primary strategy for Wisconsin to meet Clean Power Plan goals, citing its potential to save $2.5 billion and avoid 11.8 million tons of CO2 emissions.

The text describes the evolution of the 'coywolf'—a hybrid of the eastern gray wolf and western coyote—which emerged as a survival mechanism following European settlement, deforestation, and hunting in North America. It uses this example of hybridization to warn that current legislative efforts to remove gray wolves from the Endangered Species Act in Wyoming, Michigan, Wisconsin, and Minnesota could lead to the extinction of pure-bred wolf populations due to unregulated killing.

The Union of Concerned Scientists (UCS) analysis finds that two-thirds of U.S. states may be exposing electricity consumers to financial risks due to overreliance on natural gas. These risks include price volatility, potential carbon pricing costs, and the possibility of stranded assets such as underused plants and pipelines. The report rates states across five categories, identifying Florida as the only state with a "High" risk rating in all five. To mitigate these risks, the report advocates for prioritizing renewable energy and energy efficiency over natural gas as a primary solution for carbon reduction under the federal Clean Power Plan.

A coalition of 290 organizations and individuals opposes H.R. 1734, asserting that the bill would weaken the U.S. Environmental Protection Agency's (EPA) 2014 coal ash rule. The signatories argue the legislation would delay health protections, eliminate public access to information, and remove national standards for drinking water protection, thereby increasing risks to vulnerable communities and the environment.

The document contrasts a 1995 ALEC claim that global warming predictions were theoretical and lacked scientific consensus with the 1995 IPCC Assessment Report, which identified a "discernible human influence on global climate." It details ALEC's role in distributing "model" legislation to state legislators to oppose EPA carbon standards and repeal renewable energy standards, noting that ALEC's Energy, Environment, and Agriculture Task Force has included members such as BP, Chevron, ExxonMobil, Peabody Energy, and Shell.

The document contrasts scientific consensus on anthropogenic climate change with the activities of the American Legislative Exchange Council (ALEC). It asserts that ALEC, funded by fossil fuel interests, promotes misinformation to state legislators to block EPA regulations and repeal renewable energy standards.

The document advocates for the revitalization of publicly funded classical breeding programs in the U.S., asserting that this low-cost technology is more effective than genetic engineering for developing seeds adapted to sustainable, organic, and regional farming systems. It highlights a severe decline in public breeding resources, noting that the shift toward corporate-led seed development threatens food security by reducing genetic diversity. The author recommends that the USDA's National Institute for Food and Agriculture prioritize long-term funding for cultivars suited to agroecological systems to improve crop resilience, nutrient efficiency, and productivity.

The report argues that while open records laws are essential for government transparency, they are increasingly weaponized to target scientists and academics whose work threatens vested interests. By requesting vast amounts of private correspondence, draft papers, and raw data, harassers aim to chill speech, distract researchers from their work, and undermine scientific integrity. The document provides numerous case studies across fields such as climate science, tobacco research, and environmental health, noting that public universities are often unprepared to handle these intrusive requests. It calls for clearer legal exemptions to protect the scientific deliberative process and the development of institutional guidelines to safeguard researchers while maintaining public accountability.