Few forecasting models have been translated into digital prediction tools for prevention and control of climate-sensitive infectious diseases. We propose a 3-U (useful, usable, and used) research framework for advancing the adoptability and sustainability of these tools. We make recommendations for 1) developing a tool with a high level of accuracy and sufficient lead time to permit effective proactive interventions (useful); 2) conducting a needs assessment to ensure that a tool meets the needs of end-users (usable); and 3) demonstrating the efficacy and cost-effectiveness of a tool to secure its adoption into routine surveillance and response systems (used).

Although many literature reviews synthesize literature regarding workplace health promotion (WHP) interventions, systematic reviews on the effectiveness of and factors influencing the operation of WHP activities in low- and middle-income countries (LMIC) are scarce. Therefore, we systematically reviewed evaluation studies to examine the effectiveness and factors related to the implementation of WHP programmes in LMIC. Twenty-six peer-reviewed and grey evaluation studies, published before November 2017, were included from electronic databases (PubMed, The Cochrane Library, PsycINFO, EMBASE and Web of Science) and manual searching. The results revealed that WHP intervention in LMIC was effective in reducing health risks in a wide range of industries and settings, including in resource-poor contexts such as small enterprises and the manufacturing industry. The main factors positively influencing the effectiveness of the intervention are long intervention time period, and needs-based and active intervention strategies. In addition, commitment from workplace leaders, the involvement of workers and support from authorities and professionals are factors contributing to a successful WHP programme. However, the evidence regarding the effectiveness of WHP in LMIC regarding the health outcomes and business productivity is inconclusive due to the several remaining methodological limitations. Future developments of more rigorous methods of evaluating the effectiveness of WHP activities should be addressed to produce higher-quality evidence that would inform future practice.

Background: Vector‐borne diseases, exacerbated by climate change, present an escalating global health threat, necessitating robust surveillance and climate‐informed early warning systems to predict outbreaks and enable timely interventions. This systematic review aims to synthesise the challenges and strategies involved in developing and operationalising early warning systems for vector‐borne diseases. Methods: Following PRISMA guidelines, we conducted a systematic search across multiple databases (PubMed, Web of Science, Scopus and Embase) and performed a manual search using predefined keywords up to 05 November 2024. Eleven papers were selected for the reviewing process. Results: While early warning systems show significant promise in enhancing outbreak prediction and guiding timely public health interventions, several key challenges persist. Inadequate data quality and integration—characterised by fragmented epidemiological, entomological and meteorological datasets—compromise predictive accuracy. The review also highlights gaps in stakeholder engagement and capacity building. Without comprehensive training and active collaboration among public health officials, climate scientists and data analysts, the practical application and sustainability of these systems are undermined. Enhancing data harmonisation through standardised collection processes and integration protocols is crucial for improving model reliability. The adoption of scalable, cloud‐based platforms can mitigate technical and infrastructural limitations by enabling real‐time data processing and robust computational capabilities. Strengthening interdisciplinary collaborations—bringing together experts from diverse fields—can refine predictive models and ensure that system outputs are both accurate and actionable. Furthermore, tailored capacity‐building initiatives are vital for empowering local authorities to effectively interpret and implement early warning systems' warning signals. Finally, optimising communication strategies by simplifying technical outputs and developing user‐friendly interfaces can bridge the gap between complex predictive analytics and practical decision‐making processes. Conclusion: Addressing these challenges through integrated solutions will enhance the effectiveness and sustainability of early warning systems, ultimately improving outbreak preparedness and response for vector‐borne diseases in a changing climate.

This study aims to investigate climate change's impact on health and adaptation in Vietnam through a systematic review and additional analyses of heat exposure, heat vulnerability, awareness and engagement, and projected health costs. Out of 127 reviewed studies, findings indicated the wider spread of infectious diseases, and increased mortality and hospitalisation risks associated with extreme heat, droughts, and floods. However, there are few studies addressing health cost, awareness, engagement, adaptation, and policy. Additional analyses showed rising heatwave exposure across Vietnam and global above-average vulnerability to heat. By 2050, climate change is projected to cost up to USD1-3B in healthcare costs, USD3-20B in premature deaths, and USD6-23B in work loss. Despite increased media focus on climate and health, a gap between public and government publications highlighted the need for more governmental engagement. Vietnam's climate policies have faced implementation challenges, including top-down approaches, lack of cooperation, low adaptive capacity, and limited resources.

Workplaces in the rapidly industrializing Asia-Pacific region face growing pressures from high-speed development driven by global competition, migration and the aging of the workforce. Apart from addressing work-related injuries, workplaces in the region also have to deal with increasing occupational stress, chronic diseases and their associated socio-economic burden. Meanwhile, interventions in workplace health are still dominated by a narrow behavioral change model. To this end, the integrative workplace health promotion model, initiated by the World Health Organization from successful post-1990 pilot projects, emerges as a timely, comprehensive and appropriate means to manage contemporary workplace health and safety issues in the region. In this paper, we highlight the key workplace health challenges in the Asia-Pacific region and the utility of the integrative workplace health promotion model in addressing them. We provide a brief overview of the pressing challenges confronting workplaces in the region, then explain the why, what and how of integrative workplace health promotion. We illustrate this model by reviewing successful examples of good practice and evidence of their achievements from workplace health promotion programs in Asia-Pacific from 2002 to date, with specific attention to government-led workplace health promotion programs in Shanghai, Singapore and Taiwan. Drawing from these successful examples, we recommend government policies and facilitating strategies needed to guide, support and sustain industries in implementing integrative workplace health promotion. We conclude that consistent supportive government policies, coupled with facilitation by international bodies towards capacity and professional network building, are crucial to developing and sustaining healthy workplaces in the region.