RAMSES Calculating the economic costs of health impacts and adaptation


RAMSES is a European research project, which delivered much-needed quantified evidence of the impacts of climate change and the costs and benefits of a wide range of adaptation measures, focusing on cities. RAMSES engaged with stakeholders to ensure its outcomes are policy relevant and ultimately enable the design and implementation of adaptation strategies in the EU and beyond.

The ‘Calculating the economic costs of health impacts and adaptation’ worksheet developed within this project is  a method for the economic evaluation of climate-related health impacts and adaptation at local level in the framework of the RAMSES project, which can be applied both prospectively and retrospectively. It can be found a an addendum of the RAMSES handbook and training package.

The method describes the steps on a rather high level, which leaves a lot open to the interpretation of the team using the method. The method describes the use of an associated tool, available here.

Use in decision framework

 Assess adaptation options


The method assumes pre-defined impacts and knowledge and detailed information available on costs associated with each measure, specified by health costs, economic values and adaptation costs, specified by year in past and future.


The tool consists of four steps:

  1. Calculating the economic cost of the health impacts considered, including the cost of premature mortality, the cost of additional healthcare and the cost of lost work days associated with illness;
  2. Calculating the cost of health adaptation, that is, of the interventions planned and necessary to avert or minimize the health impacts considered;
  3. Estimating the economic benefits of health adaptation, by monetizing the avoided cases of the health impacts considered; and
  4. Choosing and reporting against indicators needed for planning and decision-making, such as cost-effectiveness estimates and benefit-to-cost ratios


The tool outputs an overview of all costs filled in, split into annual and investment costs.


Not available