Challenges for health in the Anthropocene epoch

Haines, Andy; Scheelbeek, Pauline; Abbasi, Kamran

doi:10.1136/bmj.l460

Cited by 13 publications

(7 citation statements)

References 21 publications

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“…The climate crisis is a health crisis; it demands the urgent attention and action of healthcare professionals and organisations. We at the BJPsych Bulletin share this view with the authors of the Lancet Countdown on Health and Climate Change, 4 editors of the BMJ 5,6 and members of the UK Health Alliance on Climate Change (including the Royal Colleges of Nursing, Physicians, General Practitioners, Emergency Medicine and Surgeons; Faculty of Public Health; Royal Society of Medicine and Royal College of Psychiatrists (RCPsych)). 7 While the RCPsych first appointed an Associate Registrar for Sustainability in 2015, supported by an active committee, it has recently prioritised its focus in this area.…”

Section: The Climate Crisis Is a Health Crisismentioning

confidence: 99%

Crisis care: tackling the climate and ecological emergency

2021

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The climate crisis is a health crisis; it demands the urgent attention and action of healthcare professionals and organisations. In this issue of the BJPsych Bulletin, we consider what the destructive effects of the climate and ecological crisis entail for the mental health of populations, and what the response of psychiatrists, both individual and collective, must be. We also highlight the opportunities and benefits a more sustainable and preventative approach could offer individuals, communities and the planet.

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Section: The Climate Crisis Is a Health Crisismentioning

confidence: 99%

Crisis care: tackling the climate and ecological emergency

2021

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“…83 The practitioner requesting such a review should be aware of the environmental impact of the healthrelated activity. 84…”

Section: Default Of Perfusion and Hypercoagulation Looks Central To L...mentioning

confidence: 99%

Descriptive and Narrative Study of Long Covid Cases in General Practice and Diagnostic Value of Single Photon Emission Computed Tomography (SPECT scan)

Jamoulle

Kazeneza-Mugisha

zayane

2022

Preprint

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The issue of Long Covid, its diagnosis and therapeutic approach are discussed here in detail. The Long Covid is described on the basis of a review of the literature and also on the basis of clinical experience in general practice. The main characteristics of thirty four cases (twenty five women) of Long Covid encountered in 2021 and early 2022 are outlined. The experience of six of them is reported on the basis of notes from their medical records. These six patients were interviewed and each was asked to reread and correct the texts concerning them. This is therefore a descriptive study based on clinical and narrative experience, verified by the patients. Long Covid, the first disease in the history of medicine to be described first by patients themselves on social networks, is not yet precisely defined and the multi-systemic symptoms may be non-specific or vary according to the organs affected. Diagnosis is based on careful listening to the patients history. Previously unknown irrepressible fatigue, brain fog, working memory disorders with possible anomia, anosmia, dysgeusia or other muli-systemic symptoms occurring after an acute Covid are varying characteristics of Long Covid. Biological evidence of Covid is missing in fourteen patients as PCRs may have been not done or came back negative in the acute phase of the disease. Anti-SARS-CoV-2 antibodies are not always present or are indistinguishable from post-vaccine antibodies. In fourteen severe cases presented, Single Photon Emission Computed Tomography (SPECT) after intravenous administration of Technetium-99m (Tc-99m HM-PAO) were able to demonstrate a disorder of cerebral perfusion. Two follow-up brain SPECT at three months showed significant improvement. Further genetic and immunologic study is ongoing for all patient with the help of the international consortium COVID Human Genetic Effort. A patient who presents after a Covid with medically unexplained symptoms may well be a Long Covid. Despite some interesting hypothesis, there is no known specific treatment. Neurocognitive revalidation and physiotherapy may help those patients who need long-term empathic support to cope with their condition.

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“…In early 2019, The BMJ issued a call for papers that dealt with the challenges of the Anthropocene for human health and identified opportunities for action 10. For example, phasing out fossil fuels could yield major near term health benefits from reduced air pollution, potentially averting millions of premature deaths annually,11 as well as reducing greenhouse gas emissions and thus the risks of dangerous climate change.…”

Section: Safeguarding Human Health and Livelihoodsmentioning

confidence: 99%