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Arnot G, Pitt H, McCarthy S, Warner E, Thomas S. 'You can't really separate these risks, our environment, our animals and us': Australian children's perceptions of the risks of the climate crisis. Health Promot Int 2024; 39:daae023. [PMID: 38452241 PMCID: PMC10919885 DOI: 10.1093/heapro/daae023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Abstract
Perceptions of the risks associated with the climate crisis are shaped by a range of social and political contexts and information sources. While some have expressed concerns about the impact of the spread of climate misinformation through social media platforms on young people, others have shown that the youth climate movement has played a key role in countering misinformation. Despite this, there has been very limited research with children about how they conceptualize the risks associated with the climate crisis, how they receive climate information, and how they understand and apply this to their own and others' lives. The following qualitative study used photo-elicitation techniques and in-depth interviews with Australian children to address this gap. A total of n = 28 children (12-16 years) participated, with four themes constructed from the data using a reflexive approach to thematic analysis. Children were concerned about how the climate crisis would continue to harm their futures and the health of planet and people. They recognized that some groups and countries would experience more risks associated with the climate crisis as compared to others. While they received information from a range of different sources (school, family, social media), they mostly used social media to seek out climate information. They recognized that social media sites could be a source of climate misinformation, and argued that a range of strategies were needed to identify and counter false information about the climate crisis. Children's perspectives must be harnessed to improve information about climate risks and action.
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Affiliation(s)
- Grace Arnot
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Hannah Pitt
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Simone McCarthy
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Elyse Warner
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Samantha Thomas
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
- Curtin School of Population Health, Curtin University, Kent Street, Bentley, WA 6102, Australia
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52
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Tee NCH, Yeo JA, Choolani M, Poh KK, Ang TL. Healthcare in the era of climate change and the need for environmental sustainability. Singapore Med J 2024; 65:204-210. [PMID: 38650058 PMCID: PMC11132617 DOI: 10.4103/singaporemedj.smj-2024-035] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 02/05/2024] [Indexed: 04/25/2024]
Abstract
ABSTRACT Climate change is an existential threat to humanity. While the healthcare sector must manage the health-related consequences of climate change, it is a significant contributor to greenhouse gas emissions, responsible for up to 4.6% of global emission, aggravating global warming. Within the hospital environment, the three largest contributors to greenhouse gas emissions are the operating theatre, intensive care unit and gastrointestinal endoscopy. Knowledge of the health-related burden of climate change and the potential transformative health benefits of climate action is important to all health professionals, as they play crucial roles in effecting change. This article summarises the available literature on the impact of healthcare on climate change and efforts in mitigation, focusing on the intrinsic differences and similarities across the operating theatre complex, intensive care unit and gastrointestinal endoscopy unit. It also discusses strategies to reduce carbon footprint.
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Affiliation(s)
- Nicholas Chin Hock Tee
- Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
- Duke-NUS Medical School, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - Jo-Anne Yeo
- Duke-NUS Medical School, Singapore
- Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore
| | - Mahesh Choolani
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
- Department of Obstetrics and Gynaecology, National University Hospital, Singapore
| | - Kian Keong Poh
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
- Department of Cardiology, National University Hospital, Singapore
| | - Tiing Leong Ang
- Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
- Duke-NUS Medical School, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
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Tong S, Bambrick H, Ebi KL. Striving for a climate-resilient future. Lancet Planet Health 2024; 8:e214-e215. [PMID: 38580421 DOI: 10.1016/s2542-5196(24)00044-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 03/20/2024] [Indexed: 04/07/2024]
Affiliation(s)
- Shilu Tong
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD 4001, Australia.
| | - Hilary Bambrick
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, ACT, Australia
| | - Kristie L Ebi
- Center for Health and the Global Environment, University of Washington, Seattle, WA, USA
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Pearson H. The rise of eco-anxiety: scientists wake up to the mental-health toll of climate change. Nature 2024; 628:256-258. [PMID: 38600270 DOI: 10.1038/d41586-024-00998-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
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55
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Ang TL, Choolani M, Poh KK. Healthcare and environmental sustainability. Singapore Med J 2024; 65:203. [PMID: 38650057 PMCID: PMC11132623 DOI: 10.4103/singaporemedj.smj-2024-068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Affiliation(s)
- Tiing Leong Ang
- Editor-in-Chief Designate, Singapore Medical Journal, Singapore
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56
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Etzel RA. It's Easy Being Green. Acad Pediatr 2024; 24:387-388. [PMID: 38159597 DOI: 10.1016/j.acap.2023.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 12/19/2023] [Indexed: 01/03/2024]
Affiliation(s)
- Ruth A Etzel
- Milken Institute School of Public Health, The George Washington University, Washington, DC.
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57
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Fletcher C, Ripple WJ, Newsome T, Barnard P, Beamer K, Behl A, Bowen J, Cooney M, Crist E, Field C, Hiser K, Karl DM, King DA, Mann ME, McGregor DP, Mora C, Oreskes N, Wilson M. Earth at risk: An urgent call to end the age of destruction and forge a just and sustainable future. PNAS NEXUS 2024; 3:pgae106. [PMID: 38566756 PMCID: PMC10986754 DOI: 10.1093/pnasnexus/pgae106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Human development has ushered in an era of converging crises: climate change, ecological destruction, disease, pollution, and socioeconomic inequality. This review synthesizes the breadth of these interwoven emergencies and underscores the urgent need for comprehensive, integrated action. Propelled by imperialism, extractive capitalism, and a surging population, we are speeding past Earth's material limits, destroying critical ecosystems, and triggering irreversible changes in biophysical systems that underpin the Holocene climatic stability which fostered human civilization. The consequences of these actions are disproportionately borne by vulnerable populations, further entrenching global inequities. Marine and terrestrial biomes face critical tipping points, while escalating challenges to food and water access foreshadow a bleak outlook for global security. Against this backdrop of Earth at risk, we call for a global response centered on urgent decarbonization, fostering reciprocity with nature, and implementing regenerative practices in natural resource management. We call for the elimination of detrimental subsidies, promotion of equitable human development, and transformative financial support for lower income nations. A critical paradigm shift must occur that replaces exploitative, wealth-oriented capitalism with an economic model that prioritizes sustainability, resilience, and justice. We advocate a global cultural shift that elevates kinship with nature and communal well-being, underpinned by the recognition of Earth's finite resources and the interconnectedness of its inhabitants. The imperative is clear: to navigate away from this precipice, we must collectively harness political will, economic resources, and societal values to steer toward a future where human progress does not come at the cost of ecological integrity and social equity.
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Affiliation(s)
- Charles Fletcher
- School of Ocean and Earth Science and Technology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - William J Ripple
- Department of Forest Ecosystems and Society, Oregon State University, Corvallis, OR 97331, USA
| | - Thomas Newsome
- School of Life and Environmental Sciences, University of Sydney, Sydney, NSW 2006, Australia
| | - Phoebe Barnard
- Center for Environmental Politics and School of Interdisciplinary Arts and Sciences, University of Washington, Seattle, WA 98195, USA
- African Climate and Development Initiative and FitzPatrick Institute, University of Cape Town, Cape Town 7700, South Africa
| | - Kamanamaikalani Beamer
- Hui ‘Āina Momona Program, Richardson School of Law, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
- Hawai‘inuiākea School of Hawaiian Knowledge, Kamakakūokalani Center for Hawaiian Studies, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Aishwarya Behl
- School of Ocean and Earth Science and Technology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Jay Bowen
- Institute of American Indian Arts, Santa Fe, NM 87508, USA
- Upper Skagit Tribe, Sedro Woolley, WA 98284, USA
| | - Michael Cooney
- School of Ocean and Earth Science and Technology, Hawai‘i Natural Energy Institute, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Eileen Crist
- Department of Science Technology and Society, Virginia Tech, Blacksburg, VA 24060, USA
| | - Christopher Field
- Doerr School for Sustainability, Stanford Woods Institute for the Environment, Stanford University, Stanford, CA 94305, USA
| | - Krista Hiser
- Department of Languages, Linguistics, and Literature, Kapi‘olani Community College, Honolulu, HI 96816, USA
- Global Council for Science and the Environment, Washington, DC 20006, USA
| | - David M Karl
- Department of Oceanography, School of Ocean and Earth Science and Technology, Honolulu, HI 96822, USA
- Daniel K. Inouye Center for Microbial Oceanography, Research and Education, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - David A King
- Department of Chemistry, University of Cambridge, Cambridge CB2 1DQ, UK
| | - Michael E Mann
- Department of Earth and Environmental Science, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Davianna P McGregor
- Department of Ethnic Studies, Center for Oral History, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Camilo Mora
- Department of Geography and Environment, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA
| | - Naomi Oreskes
- Department of the History of Science, Harvard University, Cambridge, MA 02138, USA
| | - Michael Wilson
- Associate Justice, Hawaii Supreme Court (retired), Honolulu, HI 96813, USA
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58
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Salas RN, Burke LG, Phelan J, Wellenius GA, Orav EJ, Jha AK. Impact of extreme weather events on healthcare utilization and mortality in the United States. Nat Med 2024; 30:1118-1126. [PMID: 38424213 DOI: 10.1038/s41591-024-02833-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 01/25/2024] [Indexed: 03/02/2024]
Abstract
Climate change is intensifying extreme weather events. Yet a systematic analysis of post-disaster healthcare utilization and outcomes for severe weather and climate disasters, as tracked by the US government, is lacking. Following exposure to 42 US billion-dollar weather disasters (severe storm, flood, flood/severe storm, tropical cyclone and winter storm) between 2011 and 2016, we used a difference-in-differences (DID) approach to quantify changes in the rates of emergency department (ED) visits, nonelective hospitalizations and mortality between fee-for-service Medicare beneficiaries in affected compared to matched control counties in post-disaster weeks 1, 1-2 and 3-6. Overall, disasters were associated with higher rates of ED utilization in affected counties in post-disaster week 1 (DID of 1.22% (95% CI, 0.20% to 2.25%; P < 0.020)) through week 2. Nonelective hospitalizations were unchanged. Mortality was higher in affected counties in week 1 (DID of 1.40% (95% CI, 0.08% to 2.74%; P = 0.037)) and persisted for 6 weeks. Counties with the greatest loss and damage experienced greater increases in ED and mortality rates compared to all affected counties. Thus, billion-dollar weather disasters are associated with excess ED visits and mortality in Medicare beneficiaries. Tracking these outcomes is important for adaptation that protects patients and communities, health system resilience and policy.
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Affiliation(s)
- Renee N Salas
- Massachusetts General Hospital, Department of Emergency Medicine, Boston, MA, USA.
- Harvard Medical School, Boston, MA, USA.
- Harvard Global Health Institute, Cambridge, MA, USA.
- Harvard T.H. Chan School of Public Health, Boston, MA, USA.
| | - Laura G Burke
- Harvard Medical School, Boston, MA, USA
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
- Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, MA, USA
| | - Jessica Phelan
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Gregory A Wellenius
- Boston University School of Public Health, Center for Climate and Health, Boston, MA, USA
| | - E John Orav
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Ashish K Jha
- Brown University School of Public Health, Providence, RI, USA
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59
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Dutta A, Olopade CO. Transitioning to gaseous and liquid fuels: a right step towards clean cooking in low-income and middle-income countries. THE LANCET. RESPIRATORY MEDICINE 2024; 12:257-258. [PMID: 38310917 DOI: 10.1016/s2213-2600(23)00465-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 11/29/2023] [Indexed: 02/06/2024]
Affiliation(s)
- Anindita Dutta
- Department of Medicine and The Center for Global Health, University of Chicago, Chicago, IL, USA
| | - Christopher O Olopade
- Department of Medicine and The Center for Global Health, University of Chicago, Chicago, IL, USA.
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60
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Wang W, Wang F, Yang C, Wang J, Liang Z, Zhang F, Li P, Zhang L. Associations between heat waves and chronic kidney disease in China: The modifying role of land cover. ENVIRONMENT INTERNATIONAL 2024; 186:108657. [PMID: 38626496 DOI: 10.1016/j.envint.2024.108657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 04/09/2024] [Accepted: 04/11/2024] [Indexed: 04/18/2024]
Abstract
The increasing frequency of heat waves under the global urbanization and climate change background poses elevating risks of chronic kidney disease (CKD). Nevertheless, there has been no evidence on associations between long-term exposures to heat waves and CKD as well as the modifying effects of land cover patterns. Based on a national representative population-based survey on CKD covering 47,086 adults and high spatial resolution datasets on temperature and land cover data, we found that annual days of exposure to heat waves were associated with increased odds of CKD prevalence. For one day/year increases in HW_975_4d (above 97.5 % of annual maximum temperature and lasting for at least 4 consecutive days), the odds ratio (OR) of CKD was 1.14 (95 %CI: 1.12, 1.15). Meanwhile, stronger associations were observed in regions with lower urbanicity [rural: 1.14 (95 %CI: 1.12, 1.16) vs urban: 1.07 (95 %CI: 1.03, 1.11), Pinteraction < 0.001], lower water body coverage [lower: 1.14 (95 %CI: 1.12, 1.16) vs higher: 1.02 (95 %CI: 0.98, 1.05), Pinteraction < 0.001], and lower impervious area coverage [lower: 1.16 (95 %CI: 1.14, 1.18) vs higher: 1.06 (95 %CI: 1.03, 1.10), Pinteraction = 0.008]. In addition, this study found disparities in modifying effects of water bodies and impervious areas in rural and urban settings. In rural regions, the associations between heat waves and CKD prevalence showed a consistent decreasing trend with increases in both proportions of water bodies and impervious areas (Pinteraction < 0.05). Nevertheless, in urban regions, we observed significant effect modification by water bodies, but not by impervious areas. Our study indicates the need for targeted land planning as part of adapting to the kidney impacts of heat waves, with a focus on urbanization in rural regions, as well as water body construction and utilization in both rural and urban regions.
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Affiliation(s)
- Wanzhou Wang
- National Institute of Health Data Science at Peking University, Beijing 100191, China; Institute of Medical Technology, Peking University Health Science Center, Beijing 100191, China
| | - Fulin Wang
- National Institute of Health Data Science at Peking University, Beijing 100191, China; Institute of Medical Technology, Peking University Health Science Center, Beijing 100191, China
| | - Chao Yang
- Renal Division, Department of Medicine, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China; Research Units of Diagnosis and Treatment of Immune-Mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing 100034, China; Advanced Institute of Information Technology, Peking University, Hangzhou 311215, China
| | - Jinwei Wang
- Renal Division, Department of Medicine, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China; Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education of the People's Republic of China, Beijing, China
| | - Ze Liang
- Key Laboratory for Earth Surface Processes of the Ministry of Education, College of Urban and Environmental Sciences, Peking University, Beijing 100871, China
| | - Feifei Zhang
- National Institute of Health Data Science at Peking University, Beijing 100191, China; Institute of Medical Technology, Peking University Health Science Center, Beijing 100191, China
| | - Pengfei Li
- Advanced Institute of Information Technology, Peking University, Hangzhou 311215, China
| | - Luxia Zhang
- National Institute of Health Data Science at Peking University, Beijing 100191, China; Renal Division, Department of Medicine, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China; Research Units of Diagnosis and Treatment of Immune-Mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing 100034, China; Advanced Institute of Information Technology, Peking University, Hangzhou 311215, China.
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61
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Baid H. Essential steps towards an environmentally sustainable intensive care unit. Intensive Crit Care Nurs 2024; 81:103621. [PMID: 38219432 DOI: 10.1016/j.iccn.2023.103621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Affiliation(s)
- Heather Baid
- School of Sport and Health Sciences, University of Brighton, Westlain House, Village Way, Falmer, Brighton BN1 9PH, United Kingdom.
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62
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Beggs PJ, Trueck S, Linnenluecke MK, Bambrick H, Capon AG, Hanigan IC, Arriagada NB, Cross TJ, Friel S, Green D, Heenan M, Jay O, Kennard H, Malik A, McMichael C, Stevenson M, Vardoulakis S, Dang TN, Garvey G, Lovett R, Matthews V, Phung D, Woodward AJ, Romanello MB, Zhang Y. The 2023 report of the MJA-Lancet Countdown on health and climate change: sustainability needed in Australia's health care sector. Med J Aust 2024; 220:282-303. [PMID: 38522009 DOI: 10.5694/mja2.52245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 12/06/2023] [Indexed: 03/25/2024]
Abstract
The MJA-Lancet Countdown on health and climate change in Australia was established in 2017 and produced its first national assessment in 2018 and annual updates in 2019, 2020, 2021 and 2022. It examines five broad domains: health hazards, exposures and impacts; adaptation, planning and resilience for health; mitigation actions and health co-benefits; economics and finance; and public and political engagement. In this, the sixth report of the MJA-Lancet Countdown, we track progress on an extensive suite of indicators across these five domains, accessing and presenting the latest data and further refining and developing our analyses. Our results highlight the health and economic costs of inaction on health and climate change. A series of major flood events across the four eastern states of Australia in 2022 was the main contributor to insured losses from climate-related catastrophes of $7.168 billion - the highest amount on record. The floods also directly caused 23 deaths and resulted in the displacement of tens of thousands of people. High red meat and processed meat consumption and insufficient consumption of fruit and vegetables accounted for about half of the 87 166 diet-related deaths in Australia in 2021. Correction of this imbalance would both save lives and reduce the heavy carbon footprint associated with meat production. We find signs of progress on health and climate change. Importantly, the Australian Government released Australia's first National Health and Climate Strategy, and the Government of Western Australia is preparing a Health Sector Adaptation Plan. We also find increasing action on, and engagement with, health and climate change at a community level, with the number of electric vehicle sales almost doubling in 2022 compared with 2021, and with a 65% increase in coverage of health and climate change in the media in 2022 compared with 2021. Overall, the urgency of substantial enhancements in Australia's mitigation and adaptation responses to the enormous health and climate change challenge cannot be overstated. Australia's energy system, and its health care sector, currently emit an unreasonable and unjust proportion of greenhouse gases into the atmosphere. As the Lancet Countdown enters its second and most critical phase in the leadup to 2030, the depth and breadth of our assessment of health and climate change will be augmented to increasingly examine Australia in its regional context, and to better measure and track key issues in Australia such as mental health and Aboriginal and Torres Strait Islander health and wellbeing.
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Affiliation(s)
| | | | | | - Hilary Bambrick
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT
| | - Anthony G Capon
- Monash Sustainable Development Institute, Monash University, Melbourne, VIC
| | | | | | | | | | - Donna Green
- Climate Change Research Centre and ARC Centre of Excellence for Climate Extremes, UNSW, Sydney, NSW
| | - Maddie Heenan
- Australian Prevention Partnership Centre, Sax Institute, Sydney, NSW
- The George Institute for Global Health, Sydney, NSW
| | - Ollie Jay
- Thermal Ergonomics Laboratory, University of Sydney, Sydney, NSW
| | - Harry Kennard
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | | | | | - Mark Stevenson
- Transport, Health and Urban Design (THUD) Research Lab, University of Melbourne, Melbourne, VIC
| | - Sotiris Vardoulakis
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT
| | - Tran N Dang
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | | | - Raymond Lovett
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT
- Australian Institute of Aboriginal and Torres Strait Islander Studies, Canberra, ACT
| | - Veronica Matthews
- University Centre for Rural Health, University of Sydney, Sydney, NSW
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63
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Bradford DRR, Aletta F. UK Public Health Science 2024: a call for abstracts. Lancet 2024; 403:1120-1121. [PMID: 38513678 DOI: 10.1016/s0140-6736(24)00527-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 03/12/2024] [Indexed: 03/23/2024]
Affiliation(s)
- Daniel R R Bradford
- MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8TB, UK.
| | - Francesco Aletta
- Bartlett School of Environment, Energy and Resources, Faculty of the Built Environment, University College London, London, UK
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64
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Marchiori GDL, Friel S. Making COP28 rhetoric a reality. Lancet 2024; 403:1005-1007. [PMID: 38367638 DOI: 10.1016/s0140-6736(24)00199-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 02/01/2024] [Indexed: 02/19/2024]
Affiliation(s)
- Giorgia Dalla Libera Marchiori
- Planetary Health Equity Hothouse, School of Regulation and Global Governance, The Australian National University, Canberra, ACT 2601, Australia
| | - Sharon Friel
- Planetary Health Equity Hothouse, School of Regulation and Global Governance, The Australian National University, Canberra, ACT 2601, Australia.
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65
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de Souza WM, Weaver SC. Effects of climate change and human activities on vector-borne diseases. Nat Rev Microbiol 2024:10.1038/s41579-024-01026-0. [PMID: 38486116 DOI: 10.1038/s41579-024-01026-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2024] [Indexed: 03/18/2024]
Abstract
Vector-borne diseases are transmitted by haematophagous arthropods (for example, mosquitoes, ticks and sandflies) to humans and wild and domestic animals, with the largest burden on global public health disproportionately affecting people in tropical and subtropical areas. Because vectors are ectothermic, climate and weather alterations (for example, temperature, rainfall and humidity) can affect their reproduction, survival, geographic distribution and, consequently, ability to transmit pathogens. However, the effects of climate change on vector-borne diseases can be multifaceted and complex, sometimes with ambiguous consequences. In this Review, we discuss the potential effects of climate change, weather and other anthropogenic factors, including land use, human mobility and behaviour, as possible contributors to the redistribution of vectors and spread of vector-borne diseases worldwide.
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Affiliation(s)
- William M de Souza
- Department of Microbiology, Immunology and Molecular Genetics, University of Kentucky, College of Medicine, Lexington, KY, USA
- World Reference Center for Emerging Viruses and Arboviruses, University of Texas Medical Branch, Galveston, TX, USA
- Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX, USA
- Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX, USA
- Global Virus Network, Baltimore, MD, USA
| | - Scott C Weaver
- World Reference Center for Emerging Viruses and Arboviruses, University of Texas Medical Branch, Galveston, TX, USA.
- Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX, USA.
- Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX, USA.
- Global Virus Network, Baltimore, MD, USA.
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66
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Orasche J, Nadeau KC, Schuster A, Rockström J, Akdis CA, Traidl-Hoffmann C. Climate crisis paralysis: Accelerating global action for health resilience in a changing world. Allergy 2024. [PMID: 38436208 DOI: 10.1111/all.16096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 02/20/2024] [Indexed: 03/05/2024]
Affiliation(s)
- Jürgen Orasche
- Environmental Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany
| | - Kari C Nadeau
- Sean N. Parker Center for Allergy and Asthma Research, Stanford University, Mountain View, California, USA
| | | | - Johan Rockström
- Potsdam Institute for Climate Impact Research, Potsdam, Germany
| | - Cezmi A Akdis
- Swiss Institute of Allergy and Asthma Research (SIAF), University Zurich, Davos, Switzerland
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67
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Montgomery H. Final call: Climate change and us. J R Coll Physicians Edinb 2024; 54:101-104. [PMID: 38494727 DOI: 10.1177/14782715241239085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2024] Open
Affiliation(s)
- Hugh Montgomery
- Department of Medicine, University College London, London, UK
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68
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Galozzi P, Sciacovelli L, Basso D. A call-to-action for energy conservation and sustainability in the clinical laboratory: Experiences from the University of Padova. Clin Biochem 2024; 125:110727. [PMID: 38336160 DOI: 10.1016/j.clinbiochem.2024.110727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 02/01/2024] [Accepted: 02/02/2024] [Indexed: 02/12/2024]
Abstract
OBJECTIVES Healthcare has a considerable environmental impact, yet it has been largely overlooked. Clinical laboratories, in particular, consume significantly more energy and water per unit area compared to standard office buildings. It is crucial to raise awareness among laboratories about the significance of embracing eco-friendly practices. Numerous energy-saving measures do not incur additional costs but necessitate a shift in organizational culture and mindset. DESIGN & METHODS This paper conducts a cost-benefit analysis of energy consumption at the Laboratory Medicine Unit of University Hospital of Padova, beginning with laboratory refrigerators and freezers. RESULTS The need to rationalize the existing units, especially the combined refrigerators-freezers, and reorganize the contents of the Ultra-Low Temperature freezers with an energy-saving perspective has emerged. CONCLUSIONS By implementing these practices, this initiative can gradually expand to encompass more green activities in the future.
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Affiliation(s)
- Paola Galozzi
- Laboratory Medicine Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.
| | - Laura Sciacovelli
- Laboratory Medicine Unit, University Hospital of Padova, Padova, Italy.
| | - Daniela Basso
- Laboratory Medicine Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy; Laboratory Medicine Unit, University Hospital of Padova, Padova, Italy.
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69
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Papies EK, Nielsen KS, Soares VA. Health psychology and climate change: time to address humanity's most existential crisis. Health Psychol Rev 2024:1-31. [PMID: 38320578 DOI: 10.1080/17437199.2024.2309242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 01/18/2024] [Indexed: 02/08/2024]
Abstract
Climate change is an ongoing and escalating health emergency. It threatens the health and wellbeing of billions of people, through extreme weather events, displacement, food insecurity, pathogenic diseases, societal destabilisation, and armed conflict. Climate change dwarfs all other challenges studied by health psychologists. The greenhouse gas emissions driving climate change disproportionately originate from the actions of wealthy populations in the Global North and are tied to excessive energy use and overconsumption driven by the pursuit of economic growth. Addressing this crisis requires significant societal transformations and individual behaviour change. Most of these changes will benefit not only the stability of the climate but will yield significant public health co-benefits. Because of their unique expertise and skills, health psychologists are urgently needed in crafting climate change mitigation responses. We propose specific ways in which health psychologists at all career stages can contribute, within the spheres of research, teaching, and policy making, and within organisations and as private citizens. As health psychologists, we cannot sit back and leave climate change to climate scientists. Climate change is a health emergency that results from human behaviour; hence it is in our power and responsibility to address it.
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Affiliation(s)
- Esther K Papies
- MRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, United Kingdom
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70
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Okada Y, Hughes F, Ong MEH. We need better preparedness and emergency responses to heat waves. CAN J EMERG MED 2024; 26:73-74. [PMID: 38329676 DOI: 10.1007/s43678-024-00648-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Affiliation(s)
- Yohei Okada
- Health Services and Systems Research, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
- Preventive Services, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
| | - Fintan Hughes
- Department of Anesthesiology, Duke University Hospital, Durham, USA
| | - Marcus Eng Hock Ong
- Health Services and Systems Research, Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore
- Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore
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71
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Stancliffe R, Eling J, Barker J. Climate change is a clear and present danger to health, says UKHSA. BMJ 2024; 384:q66. [PMID: 38228330 DOI: 10.1136/bmj.q66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2024]
Affiliation(s)
| | | | - Jennifer Barker
- School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK
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72
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Marsland R, Staples J. Time for a Focus on Climate Change and Health. Med Anthropol 2024; 43:1-4. [PMID: 38240743 DOI: 10.1080/01459740.2023.2293125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Affiliation(s)
| | - James Staples
- Department of Social and Political Sciences, Brunel University London, UK
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73
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Pega F, Hamzaoui H, Hassan MN, Momen NC. How can Ministries of Health and Labour add the new indicator on work-related diseases to the monitoring system for the United Nations global goals? INDUSTRIAL HEALTH 2024; 62:153-160. [PMID: 38825506 PMCID: PMC11170086 DOI: 10.2486/indhealth.62_300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Affiliation(s)
- Frank Pega
- Department of Environment, Climate Change and Health, World Health Organization, Switzerland
| | - Halim Hamzaoui
- Labour Administration, Labour Inspection and Occupational Safety and Health Branch, International Labour Organization, Switzerland
| | - Mohd Nasir Hassan
- Department of Healthier Populations and Noncommunicable Diseases, World Health Organization Regional Office for South-East Asia, India
| | - Natalie C Momen
- Department of Environment, Climate Change and Health, World Health Organization, Switzerland
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74
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Rom WN. Annals of Education: Teaching Climate Change and Global Public Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 21:41. [PMID: 38248506 PMCID: PMC10815579 DOI: 10.3390/ijerph21010041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 12/22/2023] [Accepted: 12/24/2023] [Indexed: 01/23/2024]
Abstract
The climate crisis is a health emergency: breaking temperature records every successive month, increasing mortality from hurricanes/cyclones resulting in >USD150 billion/year in damages, and mounting global loss of life from floods, droughts, and food insecurity. An entire course on climate change and global public health was envisioned, designed for students in public health, and delivered to Masters level students. The course content included the physical science behind global heating, heat waves, extreme weather disasters, arthropod-related diseases, allergies, air pollution epidemiology, melting ice and sea level rise, climate denialism, renewable energy and economics, social cost of carbon, and public policy. The methods included student engagement in presenting two air pollution epidemiological or experimental papers on fossil fuel air pollution. Second, they authored a mid-term paper on a specific topic in the climate crisis facing their locale, e.g., New York City. Third, they focused on a State, evaluating their climate change laws and their plans to harness renewable wind, solar, storage, nuclear, and geothermal energy. Students elsewhere covered regional entities' approach to renewable energy. Fourth, the global impact was presented by student teams presenting a country's nationally determined contribution to the Paris Climate Agreement. Over 200 Master's students completed the course; the participation and feedback demonstrated markedly improved knowledge and evaluation of the course over time.
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Affiliation(s)
- William N Rom
- Department of Global and Environmental Health, School of Global Public Health, New York University, 708 Broadway, New York, NY 10003, USA
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75
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Friel S. Climate change mitigation: tackling the commercial determinants of planetary health inequity. Lancet 2023; 402:2269-2271. [PMID: 37977168 DOI: 10.1016/s0140-6736(23)02512-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Accepted: 11/06/2023] [Indexed: 11/19/2023]
Affiliation(s)
- Sharon Friel
- Planetary Health Equity Hothouse, School of Regulation and Global Governance, Australian National University, Canberra, ACT 2601, Australia.
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76
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Howard C, Moineau G, Poitras J, Redvers N, Mahmood J, Eissa M, Al Qodmani L, Potter T, Green S, Guzman CAF. Seeding a planetary health education revolution: institutional sign-on challenge. Lancet 2023; 402:2173-2176. [PMID: 38000382 DOI: 10.1016/s0140-6736(23)02526-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 11/10/2023] [Indexed: 11/26/2023]
Affiliation(s)
- Courtney Howard
- Global Climate and Health Alliance, Canada; Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Stanton Territorial Hospital, Yellowknife, NT X1A 0H1, Canada; Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada.
| | | | - Julien Poitras
- Université Laval, Quebec, QC, Canada; Association of Faculties of Medicine of Canada, Ottawa, ON, Canada
| | - Nicole Redvers
- Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada; Arctic Indigenous Wellness Foundation, Yellowknife, NT, Canada
| | - Jemilah Mahmood
- Sunway Center for Planetary Health, Sunway University, Selangor, Malaysia
| | | | | | - Teddie Potter
- University of Minnesota School of Nursing, Minnesota, MN, USA
| | - Samantha Green
- Unity Health, Toronto, ON, Canada; Department of Family and Community Health, University of Toronto, Toronto, ON, Canada
| | - Carlos A Faerron Guzman
- Interamerican Center for Global Health, Brunca Region, Costa Rica; University of Maryland, Baltimore, MD, USA; Planetary Health Alliance, Baltimore, MD, USA
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77
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Khosla R, Bertram K. The global health community must prevent the erosion of human rights in healthcare. BMJ 2023; 383:2880. [PMID: 38084441 DOI: 10.1136/bmj.p2880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Affiliation(s)
- Rajat Khosla
- United Nations University International Institute on Global Health
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78
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Briggs S. Building climate resilient and low carbon health systems. BMJ 2023; 383:p2856. [PMID: 38052463 DOI: 10.1136/bmj.p2856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Affiliation(s)
- Sarah Briggs
- Nuffield Department of Medicine, University of Oxford, Oxford, UK
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79
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Romanello M, Whitmee S, Mulcahy E, Costello A. Further delays in tackling greenhouse gas emissions at COP28 will be an act of negligence. Lancet 2023; 402:2055-2057. [PMID: 38006898 DOI: 10.1016/s0140-6736(23)02584-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 11/16/2023] [Indexed: 11/27/2023]
Affiliation(s)
- Marina Romanello
- UCL Institute for Global Health, University College London, London WC1E 6BT, UK.
| | - Sarah Whitmee
- Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | | | - Anthony Costello
- UCL Institute for Global Health, University College London, London WC1E 6BT, UK
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80
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Leapman MS. Confronting the Climate Emergency in Urology. Eur Urol Focus 2023; 9:855-856. [PMID: 38042650 DOI: 10.1016/j.euf.2023.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 11/27/2023] [Indexed: 12/04/2023]
Affiliation(s)
- Michael S Leapman
- Department of Urology, Yale University School of Medicine, New Haven, CT, USA.
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81
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Matsuura H. Biodemography as human-centered climate change research. BIODEMOGRAPHY AND SOCIAL BIOLOGY 2023; 68:113-114. [PMID: 37995327 DOI: 10.1080/19485565.2023.2287341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2023]
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