Family doctors to connect global concerns due to climate change with local actions: State‐of‐the art and some proposals

Abstract

Climate change (CC) is the most challenging environmental health (EH) concern. Air pollution is closely linked to CC. However, many CC‐health‐related conditions (i.e., allergic diseases, asthma, hypertension, fluid and electrolyte disorders, child and adult obesity, type 2 diabetes, vector‐borne diseases) are not usually counted, either because they do not cause death or require hospital admission/emergency triage. They are the vast majority of health care seeking generally treated by family doctors (FDs) and family pediatricians (FPs). FDs/FPs are often not aware of CC‐health‐impacts. Their potential role in tackling such a global challenge through their local influence on individual and collective attitudes and policies is not considered. Proper FD training could fill these gaps, raise awareness of their role, and implement EH FDs/FPs‐based surveillance networks to collect, analyze, interpret, and report EH data to inform EH‐related Policy. FDs and FPs, organized in sentinel physicians' networks, could play a key role in advising policymakers at the local and regional level in designing interventions adapted to climate‐related issues. Such experiences are rare worldwide and not well known. We will describe and discuss them in detail to share successful local examples.

Only One Earth: Global health and climate justice on world environment day and beyond

“…Overall, many plant and animal species face harms as well as extinction as a result of climate change, related effects, and new conditions to which they are unable to quickly adapt (IPCC, 2022) Krieger (2020, p. 8) urges public health and medical institutions, agencies, and organizations "to foster links between work supporting democratic governance, tackling the climate crisis, and health equity." Maibach et al (2021) and Lauriola et al (2021) underscore the individual and collective roles of health professionals and organizations in advancing equitable climate and health policies locally and globally. Rublee et al (2021) systematically review efforts to build resilience against climate-related events in emergency units in lowand middle-income countries (LMICs) and provide policy recommendations for strengthening these emergency care systems to protect lives and advance health equity.…”