Ana Raquel Nunes
Objectives: This short communication examines structural and systemic vulnerabilities in healthcare infrastructure in the context of climate-related hazards and considers strategies for strengthening health infrastructure resilience, contributing to the long-term sustainability of public health systems. Study Design: A descriptive analytical approach. Methods: Insights are drawn from (1) literature on climate resilience in healthcare infrastructure and (2) international frameworks addressing climate change adaptation in health systems until February 2025. Results: Healthcare infrastructure is increasingly vulnerable to extreme weather events, energy disruptions and cascading failures. Current infrastructure planning is often fragmented and reactive, prioritises short-term concerns, lacking alignment with long-term resilience goals. Areas that can support resilience include climate-adaptive healthcare designs, sustainable energy integration, cross-sectoral collaborations and enhanced policy frameworks. Several actions that can contribute to strengthening resilience, including potential strategies for implementation, are outlined. Coordinated efforts across health, urban planning and environmental sectors will be essential. Conclusions: As climate-related hazards intensify, strengthening healthcare system resilience will require proactive planning, integrated policies and sustainable infrastructure investments. Without further action, the capacity of healthcare facilities to provide essential services during disasters could be significantly compromised.