Africa’s follow-up to the COP 28 declaration on climate and health is a crucial issue for the continent, which is particularly vulnerable to the impacts of climate change. African countries must commit to integrating the recommendations of COP 28 into their national policies. This involves strengthening institutional capacities and mobilizing resources to implement concrete actions with a better cost-effectiveness ratio. These countries can also benefit from regional cooperation to share good practices and experiences. Initiatives such as the African Union and regional economic communities can play an important role in monitoring and evaluating commitments made. The COP 28 declaration also emphasizes the importance of the interconnection between climate and health. African countries must therefore work to strengthen their health systems to better face the challenges posed by climate change, such as diseases linked to soil, air and water pollution as well as heat or pollution