After COP26 — Putting Health and Equity at the Center of the Climate Movement

Balbus, John M; McCannon, C. Joseph; Mataka, Arsenio; Levine, Rachel

doi:10.1056/nejmp2118259

Cited by 20 publications

(14 citation statements)

References 2 publications

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“…Pathways from climate change to cancer outcomes. 9 highlighting the need for health care facilities and professionals to investigate the environmental and health effects of current practices. [33][34][35][36] Understanding the environmental effect and measuring the GHG contribution of daily radiation delivery in the US and globally remain a priority, as this enables us to focus efforts to reduce the environmental impact of our specialty.…”

Section: Taking Action To Transition To Climate-smart Radiation Oncol...mentioning

confidence: 99%

“…We seek to further normalize inclusion of environmental factors of health and environmental justice within discussions of health equity as these concepts are closely intertwined and promotion of one will directly address the other. 9 Physicians as advocates A collective effort between physicians, scientists, advocacy groups, professional associations, local, state, and federal governments, financial institutions, and industry is needed to investigate and invent new solutions to delivering radiation therapy at a decreased cost to the environment. Modeling successful climate endeavors in other specialties, partnering with business corporations, software developers, and professional associations such as ASTRO and ARRO, and improving involvement with local, state, and federal governments are important places to start in addressing the climate crisis.…”

Section: Address Health Equitymentioning

confidence: 99%

“…1,2,3 Emerging research notes a disproportionate effect of climate change on vulnerable populations (eg, older populations, children, low-income populations, ethnic minorities, and patients with chronic conditions, including cancer) who are the least equipped to deal with these outsized effects. [4][5][6][7][8][9] Climate change has been an issue in the public discourse for decades, but collective action remains inadequate. We are just beginning to understand the effect climate change has on oncology and the cancer control continuum.…”

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confidence: 99%

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Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care

Lichter

Anderson

Sim

et al. 2022

International Journal of Radiation Oncology*Biology*Physics

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Section: Taking Action To Transition To Climate-smart Radiation Oncol...mentioning

confidence: 99%

Section: Address Health Equitymentioning

confidence: 99%

mentioning

confidence: 99%

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Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care

Lichter

Anderson

Sim

et al. 2022

International Journal of Radiation Oncology*Biology*Physics

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“…The aim of the office is to provide health care systems with clear metrics for assessing greenhouse gas emissions and other health care-related sustainability goals. 14 Second, health care systems must integrate environmental information into clinical and public health practice. Robust early-warning systems that correlate climate events with disease occurrence should be developed.…”

mentioning

confidence: 99%

The Era of Climate Change Medicine—Challenges to Health Care Systems

Conrad

2023

TOJ

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Editor's Note: With the Spring 2023 issue, we introduce a new recurring quarterly column in the Ochsner Journal. The column will focus on health care delivery and its impact on society. A particular emphasis will be placed on the role the environment, health equity, and social determinants play in health care delivery. A specific focus will be placed on the challenges of providing care to underserved populations and how health care systems are evolving to meet those needs. -R.A.An unprecedented joint editorial published simultaneously in 2021 in The Lancet, New England Journal of Medicine, and The BMJ stated that climate change will cause catastrophic harm to health that will be impossible to remediate unless action is taken. 1 The editorial reported that the science is unequivocal: a 1.5 °C expected rise in temperature above the preindustrial average will cause catastrophic harm to health. 1 A new era of climate change medicine is emerging. New diseases are being identified, existing ones are being exacerbated, and traditional health care delivery is being challenged. Climate, which has always been associated with health, is now one of the primary forces disrupting health care delivery.Climate change is impacting health in a myriad of ways, including the health impacts of increasingly frequent extreme weather events, such as heat waves, hurricanes, and floods. These events have led to the disruption of the food supply chain, increases in zoonoses, changing patterns of vectorborne diseases, and rising mental health issues. Without intervention, the crisis threatens to undo much of the progress made in global health and poverty reduction.Mesoamerican nephropathy, commonly called chronic kidney disease of unknown cause (CKDu), is a sentinel disease that has emerged and is directly related to exposure to increasing temperatures among field workers in Central America. 2,3 Hot spots for CKDu are in areas most impacted by rising temperatures. In Central America, CKD-driven in part by CKDu-has now become a significant cause of hospitalization and death. CKD is now the second leading cause of death in both Nicaragua and El Salvador. 4 The emergence of CKDu also demonstrates that marginalized populations, such as field workers, are the ones most impacted by climate change. 3,4 Infectious diseases are also evolving as a result of climate change. The 2022 Intergovernmental Panel on Climate Change reports that the prevalence of vector-borne diseases has increased in recent decades. 5 Warmer summers and milder temperatures have allowed pathogens to

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“…Although the "Paris climate agreement, " signed on April 22, 2016, by 195 countries of the total 196 members of the United Nations, was considered a milestone toward addressing the climate and environmental challenges, it is now realized as an insufficient movement. [45] Nevertheless, provided the scientific knowledge and unbelievable technological abilities that we have today, the authors are pretty sure that we shall be able to avoid this global ecological collapse and continue to evolve and adapt with time.…”

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confidence: 99%

Reproductomics: An impending driver for exposome research

Mishra¹,

Kumari²,

Shandilya³

et al. 2022

JRHM

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In our quest to recognize the role of extrinsic and intrinsic environmental factors that can profoundly affect human health, the exposome paradigm proffers an exciting avenue of research. Continuous human biomonitoring would be unfeasible because the exposome is longitudinal and dynamic. Therefore, the reproductive life course of exposome should be put together from cross-sectional snapshots at critical periods such as in utero, early childhood, adolescence, and adulthood. Of course, over the following decades, the exposome paradigm will continue to evolve in terms of its conceptual and methodologic framework. Still, our overarching goal should be to delineate underlying molecular mechanisms that promote health while preventing disease at the population level.

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After COP26 — Putting Health and Equity at the Center of the Climate Movement

Cited by 20 publications

References 2 publications

Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care

Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care

The Era of Climate Change Medicine—Challenges to Health Care Systems

Reproductomics: An impending driver for exposome research

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