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Climate change is increasingly impacting health through diverse pathways including the effects of heat, floods, and droughts, increased infectious disease risks, declining crop yields, and increasing poverty.1 The 28th meeting of the Conference of the Parties to the United Nations Framework Convention on Climate Change (abbreviated to COP 28) was the largest so far with almost 100 000 registered in person attendees. It brings together delegates from nearly 200 countries in an attempt to craft an agreement that would keep alive the rapidly receding prospect of limiting global average temperature increases to 1.5°C above pre-industrial levels. COP 28 has been controversial for several reasons, notably because the COP President Sultan Al-Jaber is head of the Abu Dhabi National Oil Company, and the conference has been attended by about 2400 delegates from fossil fuel companies.2 A major obstacle is that some fossil fuel producing countries are emphasising the potential to continue

France generalAbu dhabiAbuz abyUnited arab emiratesUnited kingdomAndy hainesTedros adhanom ghebreyesusSultan al jaberPathfinder initiativeAbu dhabi national oil companyUnited nations framework convention on climateHealth evidence bankLiam smeethUnited nations framework conventionClimate changeNationally determined contributions