Paradigm shifts are hard to come by: looking ahead of COVID-19 with the social and environmental determinants of health and the UN SDGs

Marić, Filip; Nicholls, David A.

doi:10.1080/21679169.2020.1826577

Cited by 11 publications

(7 citation statements)

References 22 publications

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“…The importance of environmental stewardship and matching innovation in practice, research, and education is still a novelty in physical therapy. 8 This makes evident the need to engage in some basic learning about the fundamental relationship between human health and the environment, and how this relationship needs to inform and transform contemporary health care and physical therapy. Decades of scholarship from the humanities and social sciences, biology, and ecology form a stable foundation for our emerging work in physiotherapy.…”

Section: Learnmentioning

confidence: 99%

Advancing Environmental Stewardship in Physical Therapy: Connect, Learn, Act

Marić

Griech

Davenport

2022

Cardiopulm Phys Ther J

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Human health is predicated on 4.5 bn years of Earth history, including the gradual build of oxygen by cyanobacteria enabling the development of multicellular lifeforms, the formation of Earth's ozone layer and the subsequent emergence of plant and animal life, several extinction events, and 60 mio years of hominid evolution. These developments were necessary to create the environmental conditions characteristic of the Holocene epoch-a relatively warm and stable climate, stable geological conditions, a high degree of biodiversity, and the pervasiveness of extensive, biodiverse habitats-that have enabled and supported human life, health, and civilizations as we know them today. 1 Unchecked economic growth, production, and consumption building on colonial and extractive industries have now destabilized the environmental conditions essential for human life and health. Climate change, biodiversity loss, ocean acidification, human-driven change of 75% of earth's land surface, the loss of 85% of global wetlands, and pervasive air, water, soil, and plastic pollution are the major markers of today's environmental crisis. These environmental changes are already driving one-quarter of the worldwide burden of diseases and onequarter of all human deaths each year amid increasing the frequency and severity of noncommunicable diseases (NCDs), infectious and vector-borne diseases, mental trauma and physical injury, and adverse effects on human physical activity around the world. 2

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Section: Learnmentioning

confidence: 99%

Advancing Environmental Stewardship in Physical Therapy: Connect, Learn, Act

Marić

Griech

Davenport

2022

Cardiopulm Phys Ther J

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“…This is likely to worsen with climate change as hotter days result in increases in a variety of non-communicable diseases [10,13], more traffic accidents and more injuries [81,82]. Physiotherapists may not only play a role in addressing climate change by advancing the use and feasibility of active transport across populations, but also by taking broader social responsibility and engaging in, for example, advocacy and social, political and environmental activism, as well as decreasing healthcare system's contribution to climate change [83].…”

Section: Challengesmentioning

confidence: 99%

Prescribing active transport as a planetary health intervention – benefits, challenges and recommendations

Toner

Lewis

Stanhope

et al. 2021

Physical Therapy Reviews

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A high proportion of people are insufficiently physically active. The reasons for this are complex and in part relate to social determinants of health, lifestyle choices, and deleterious environmental conditions like climate change, loss of green and outdoor environments and a concomitant loss of biodiversity. Physiotherapists, and other health professionals, may have a positive impact on these global issues, through the encouragement of active transport, and advocacy to reduce barriers to its uptake and optimize exposure to health-giving outdoor spaces. In this paper, we demonstrate how physiotherapists can promote active transport as a planetary health intervention, and provide insight into the benefits and challenges of this planetary health intervention, with direct implications to physiotherapy practice.

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“…To our knowledge, physiotherapy's possible contribution to One Health is entirely unexplored to date and its possible contributions to achieving the SDGs in the earliest stages of exploration [35,36]. Further work in these directions seems highly pertinent for two reasons: Firstly, because UN Agenda 2030 emphasises the need for the involvement of all sectors [11]; and, secondly, because both the UN SDGs and One Health clearly highlight that we can no longer address health and health care without integrating other humans, animals, ecosystems and more into our thinking and doing.…”

Section: Physiotherapy As a Sustainable Alternative To Nsaidsmentioning

confidence: 99%

Mitigating the environmental impact of NSAIDs - physiotherapy as a contribution to One Health and the SDGs

Banerjee¹,

Marić

2021

European Journal of Physiotherapy

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Non-steroidal anti-inflammatory drugs (NSAIDs) continue to be amongst the most frequently used pharmaceutical treatments for mild to moderate musculoskeletal pain globally. In this short communication, we continue to expand the growing field of environmental physiotherapy by tracing NSAIDs journey through aquatic ecosystems, and the potential of physiotherapy to mitigate these negative environmental impacts and so contribute to achieving a range of UN Agenda 2030 Sustainable Development Goals and the aspirations of One Health. Through metabolic excretion into waterways, NSAIDs negatively impact the health and survival of various aquatic lifeforms, which, in turn, has consequences for human health. By reducing and delaying the need for pharmacotherapy for mild to moderate musculoskeletal pain, physiotherapy presents an important sustainable healthcare solution. Beyond this, however, the ecological persistence of NSAIDs also underscores the need for transformative change in healthcare and physiotherapy, towards the full recognition of the interconnected nature of human, animal, and ecosystems health and the complex questions and responsibilities this raises. For this, we need to increase our understanding of the entangled nature of health and its negotiation with human and non-human others and develop approaches to include them in our thinking, pursuit, and practice of health and care.

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Paradigm shifts are hard to come by: looking ahead of COVID-19 with the social and environmental determinants of health and the UN SDGs

Cited by 11 publications

References 22 publications

Advancing Environmental Stewardship in Physical Therapy: Connect, Learn, Act

Advancing Environmental Stewardship in Physical Therapy: Connect, Learn, Act

Prescribing active transport as a planetary health intervention – benefits, challenges and recommendations

Mitigating the environmental impact of NSAIDs - physiotherapy as a contribution to One Health and the SDGs

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