Ali, ZakariAbubakar, IbrahimAmegah, Adeladza K.Caussy, DeorajCisse, GueladioDenton, FatimaEsievo, Edith M.Ihekweazu, VivianneKaseya, JeanKimani-Murage, Elizabeth W.Kone, BramaMabhaudhi, TafadzwanasheMakoni, MunyaradziMuchangi, Josphat MartinMurray, Kris A.Romanello, MarinaSy, IbrahimaThiam, SokhnaWalawender, MariaWright, Caradee YaelYaffa, SidatZougmore, Robert B.2026-02-112026-01Ali, Z., Abubakar, I., Amegah, A.K. et al. 2026, 'Lancet Countdown on health and climate change in Africa: an international collaboration for locally led research and action', The Lancet, vol. 407, art. 10524, pp. 185-194, doi : 10.1016/S0140-6736(25)02174-9.0140-6736 (print)1474-547X (online)10.1016/S0140-6736(25)02174-9http://hdl.handle.net/2263/108082Climate change inflicts substantial economic damage on developing African nations, threatening progress towards the UN Sustainable Development Goals. There are synergies between actions needed to tackle climate change and other ongoing development priorities for Africa, including infectious disease control, facilitating clean energy access, reducing air pollution, tackling malnutrition and food insecurity, and providing universal health coverage. Action to protect human health against climate change needs to be integrated into all systems that are responsible for delivering essential services and implementing policies across all sectors that underpin the attainment of key development priorities for Africa. These systems include the Sustainable Development Goals and the African Union's 2063 Agenda for building The Africa We Want, and the ongoing negotiations and work programmes in the UN Framework Convention on Climate Change. Adequate stocktaking of and access to robust data and scientific evidence is needed to support this effort and guide priorities for policies that protect and promote health and for monitoring progress over time. In response to this need, the Lancet Countdown is launching a new initiative to bring together a transdisciplinary research collaboration to help build regional capacity, strengthen existing networks, generate evidence, and mobilise data across numerous domains at the climate change and health nexus in Africa.en© 2025 All rights are reserved, including those for text and data mining, AI training, and similar technologies. Notice : this is the author’s version of a work that was accepted for publication in Lancet . Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in The Lancet, vol. 407, art. 10524, pp. 185-194, doi : 10.1016/S0140-6736(25)02174-9.Sustainable development goals (SDGs)Climate changeHealthLancet countdown on health and climate change in Africac: an international collaboration for locally led research and actionPostprint Article