MethodsDirect CHEERSFull text reviewed

Widening the lens of population-based health research to climate change impacts and adaptation: the climate change and health evaluation and response system (CHEERS)

Barteit et al. · 2023 · Frontiers in Public Health

DOI: 10.3389/fpubh.2023.1153559 ↗

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01 / Study designMethods

02 / ContributionEmpirical and methodological evidence

03 / Interpretation

Read the study design and limitations alongside its findings.

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Summary

Introduces the modular CHEERS framework linking population surveillance, environmental measurements and individual health data.

Full text reviewed

The summary describes the published study and the sources listed below.

Scientific notes: 2026-11-11 · Research connections: 12 November 2026

Key findings

Describes integration of environmental and health surveillance, with implementation beginning in Nouna in 2022. Its evidence examples draw on component studies; it does not evaluate an entire operational early-warning service.

Study design & setting

Study design and methods

Population, setting or evidence base

Nouna, Burkina Faso, with initial components in Siaya and SEACO. Methods and implementation framework. Nouna's 2019 census: 124,957 people in 15,014 households; nested sensor and morbidity samples.

Methods

Links vital events, verbal autopsy, sampled morbidity, wearables, indoor climate, weather stations, satellite data and graph-based management at individual, household and community levels.

Limits to interpretation

Limitations

Context adaptation, costs and benefits remain to be evaluated. Additional examinations were unimplemented; dashboards and graph/AI exploration were still pilots.

Research relevance

Provides the clearest explanation of what CHEERS adds to established population surveillance.

People, places & projects