In the face of climate change, events like COVID-19 crisis with high impact in specific sectors demonstrated the importance of resilient societies. As such, it is vital to act with a level of urgency for climate change related impacts to health sector that are proportionate to the scale of the threat, be prepared and informed on the basis of the best-available science, and practise clear and consistent communications to all those involved. Therefore, in MOUNTADAPT, various regional and local authorities and community members will take the leadership to co-design, co-develop and test eleven state of the art climate adaptation solutions across the mountains biogeographical region, in Austria, Slovenia, France and Romania. A diversity of actors of the health system will also collaborate throughout the project to demonstrate the replicability of the solutions in a diversity of settings: within the Alpine mountains in Romania, outside Europe in the Pyrenees in Andora and beyond, in the continental area in Germany. MOUNTADAPT will develop robust models to better understand the impact of climate change on health (PR1). The project will cover the whole chain of response to a climate induced health emergency with monitoring tools (PR2) that will be directly linked to short term forecasts to communicate warnings (PR3) to the relevant stakeholders. An emergency management tool (PR4) will finally support health systems to optimally organise staff in crisis time. This will be supported by guidance for transforming the health system (PR5) and empowered actors with the training courses for healthcare professionals and awareness raising campaigns for citizens (PR6). Detailed monitoring protocols and impact assessment frameworks (PR7) will allow for a continuous evaluation of a range of adaptation solutions during and after the project, providing incentive for their implementation. Finally, MOUNTADAPT will provide a full guide (PR8) for the implementation of its adaptation solutions, boosting their replication in new territories and will provide feedback to the Health Emergency Preparedness and Response Authority.

STAMINA develops an intelligent decision support toolset for pandemic prediction and management and demonstrates its use by practitioners at national and regional levels within and across EU borders. The STAMINA toolset enables national planners and first responders to anticipate and respond to the the “known-unknowns” in their daily effort to enhance health security. Main functionality of the toolset includes: • Real-time web and social media analytics aiming at public trust monitoring and flagging possible disease outbreaks • POCT and smart wearable diagnostic devices for first line screening • Predictive modeling of pandemic outbreak and its impact, along with decision-making support in implementing mitigation strategies, • Early Warning System • Crisis management tool defining the roles and actions of key actors during crisis management • Scenario Generation tool for creation of training scenarios • Common Operational Picture as the main interface of the solution enabling timely and coordinated response The toolset is accompanied by a set of Guidelines on effective implementation of risk communication principles and best practices in cross-organisational preparedness and response plans. The use of the STAMINA toolset will be demonstrated through 12 national and regional small-scale demonstrators and one large-scale cross-border simulation exercise involving all consortium partners.