scholarly journals Patient-Planetary Health Co-benefit Prescribing: Emerging Considerations for Health Policy and Health Professional Practice

2021 ◽  
Vol 9 ◽  
Author(s):  
Nicole Redvers
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Clinical Practice ◽  
Health System ◽  
Public Health Practice ◽  
Global Environmental Change ◽  
Planetary Health ◽  
Global Environmental ◽  
Public Health Advocacy ◽  
Improve Patient

In addition to the importance of fostering and developing measures for better health-system resilience globally from the effects of climate change, there have been increasing calls for health professionals, as well as public health and medical education systems, to become partners in climate change mitigation efforts. Direct clinical practice considerations, however, have not been adequately fostered equitably across all regions with an often-confusing array of practice areas within planetary health and sustainable healthcare. This article calls for a more coordinated effort within clinical practice spaces given the urgency of global environmental change, while also taking lessons from Indigenous traditional knowledge systems—a viewpoint that is rarely heard from or prioritized in public health or medicine. Simpler and more coordinated messaging in efforts to improve patient and planetary health are needed. The creation of unifying terminology within planetary health-rooted clinical and public health practice has been proposed with the potential to bring forth dialogue between and within disciplinary offshoots and public health advocacy efforts, and within clinical and health-system policy spaces.

scholarly journals Predicting current and future background ion concentrations in German surface water under climate change

2018 ◽  
Vol 374 (1764) ◽  
pp. 20180004 ◽  
Author(s):  
Trong Dieu Hien Le ◽  
Mira Kattwinkel ◽  
Klaus Schützenmeister ◽  
John R. Olson ◽  
Charles P. Hawkins ◽  
...  
Keyword(s):  
Climate Change ◽  
Surface Waters ◽  
Anthropogenic Activities ◽  
Global Environmental Change ◽  
Running Water ◽  
Ion Concentrations ◽  
Freshwater Organisms ◽  
Global Environmental Issue ◽  
Global Environmental ◽  
Major Factors

Salinization of surface waters is a global environmental issue that can pose a regional risk to freshwater organisms, potentially leading to high environmental and economic costs. Global environmental change including climate and land use change can increase the transport of ions into surface waters. We fit both multiple linear regression (LR) and random forest (RF) models on a large spatial dataset to predict Ca 2+ (266 sites), Mg 2+ (266 sites), and (357 sites) ion concentrations as well as electrical conductivity (EC—a proxy for total dissolved solids with 410 sites) in German running water bodies. Predictions in both types of models were driven by the major factors controlling salinity including geologic and soil properties, climate, vegetation and topography. The predictive power of the two types of models was very similar, with RF explaining 71–76% of the spatial variation in ion concentrations and LR explaining 70–75% of the variance. Mean squared errors for predictions were all smaller than 0.06. The factors most strongly associated with stream ion concentrations varied among models but rock chemistry and climate were the most dominant. The RF model was subsequently used to forecast the changes in EC that were likely to occur for the period of 2070 to 2100 in response to just climate change—i.e. no additional effects of other anthropogenic activities. The future forecasting shows approximately 10% and 15% increases in mean EC for representative concentration pathways 2.6 and 8.5 (RCP2.6 and RCP8.5) scenarios, respectively. This article is part of the theme issue ‘Salt in freshwaters: causes, ecological consequences and future prospects’.

Global Environmental Change and Emerging Infectious Diseases

2019 ◽  
pp. 38-71 ◽  
Author(s):  
Catherine Machalaba ◽  
Cristina Romanelli ◽  
Peter Stoett
Keyword(s):  
Climate Change ◽  
Infectious Diseases ◽  
Environmental Change ◽  
Global Environmental Change ◽  
Emerging Infectious Diseases ◽  
Biodiversity Loss ◽  
Economic Costs ◽  
Knowledge Gaps ◽  
Policy And Practice ◽  
Global Environmental

The prediction of emerging infectious diseases (EIDs) and the avoidance of their tremendous social and economic costs is contingent on the identification of their most likely drivers. It is argued that the drivers of global environmental change (and climate change as both a driver and an impact) are often the drivers of EIDs; and that the two overlap to such a strong degree that targeting these drivers is sound epidemiological policy. Several drivers overlap with the leading causes of biodiversity loss, providing opportunities for health and biodiversity sectors to generate synergies at local and global levels. This chapter provides a primer on EID ecology, reviews underlying drivers and mechanisms that facilitate pathogen spillover and spread, provides suggested policy and practice-based actions toward the prevention of EIDs in the context of environmental change, and identifies knowledge gaps for the purpose of further research.

The right to health supports global public health

2021 ◽  
pp. 273-290
Author(s):  
Carmel Williams ◽  
Alison Blaiklock ◽  
Paul Hunt
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Human Rights ◽  
Public Health Practice ◽  
Right To Health ◽  
Global Public Health ◽  
Health Issues ◽  
Supportive Relationship ◽  
The Right ◽  
Overseas Development

In this chapter, we explain how human rights, including the right to health, are important for global public health. We introduce key human rights concepts and principles, and illustrate three approaches to the right to health: judicial, policy, and empowerment. We propose that human rights and public health are natural allies with a complementary and supportive relationship. We describe the meaning of the right to the highest attainable standard of health and its place in international, regional, and national laws. We outline ten key elements of the right to health and how the right can be operationalized in public health practice. We demonstrate this with two case studies of critically important global public health issues—climate change and children’s health, and overseas development assistance—as well as one of an emerging challenge in health, the digitization of health through Big Data.

Global Environmental Change and Emerging Infectious Diseases

2017 ◽  
pp. 24-67 ◽  
Author(s):  
Catherine Machalaba ◽  
Cristina Romanelli ◽  
Peter Stoett
Keyword(s):  
Climate Change ◽  
Infectious Diseases ◽  
Environmental Change ◽  
Global Environmental Change ◽  
Emerging Infectious Diseases ◽  
Biodiversity Loss ◽  
Economic Costs ◽  
Knowledge Gaps ◽  
Policy And Practice ◽  
Global Environmental

The prediction of emerging infectious diseases (EIDs) and the avoidance of their tremendous social and economic costs is contingent on the identification of their most likely drivers. It is argued that the drivers of global environmental change (and climate change as both a driver and an impact) are often the drivers of EIDs; and that the two overlap to such a strong degree that targeting these drivers is sound epidemiological policy. Several drivers overlap with the leading causes of biodiversity loss, providing opportunities for health and biodiversity sectors to generate synergies at local and global levels. This chapter provides a primer on EID ecology, reviews underlying drivers and mechanisms that facilitate pathogen spillover and spread, provides suggested policy and practice-based actions toward the prevention of EIDs in the context of environmental change, and identifies knowledge gaps for the purpose of further research.

Health, sustainability, and climate change

2013 ◽  
pp. 548-555
Author(s):  
David Pencheon ◽  
Sonia Roschnik ◽  
Paul Cosford
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Health Care ◽  
Public Health Practice ◽  
Climate Science ◽  
Diverse Group ◽  
Policy And Practice ◽  
Carbon Reduction ◽  
Wide Range ◽  
Good For

This chapter will help you understand the relationships between health, health care, sustainability, climate change, and carbon reduction, locally and globally. The specific objectives of the chapter are to help you make the case for action by showing how health, health care, sustainable development, and climate change are linked positively such that what is good for mitigating climate change is also good for health and health care today, translate science into policy and practice and help move research and action about climate science into policy and practice, and engage a wide range of stakeholders and appreciate that, as in much public health practice, appropriate action comes from involving a diverse group of people through genuine engagement.

scholarly journals Health system plan for implementation of Paris agreement on climate change (COP 21): a qualitative study in Iran

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arefeh Mousavi ◽  
Ali Ardalan ◽  
Amirhossein Takian ◽  
Abbas Ostadtaghizadeh ◽  
Kazem Naddafi ◽  
...  
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Qualitative Study ◽  
Health System ◽  
Health Effects ◽  
Policy Making ◽  
Early Warning Systems ◽  
Paris Agreement ◽  
Evidence Based ◽  
Mitigation And Adaptation

Abstract Background Ensuring public health is crucial in any policy debate on climate change. Paris Agreement on climate change is a global contract, through which countries have committed themselves to a public health treaty. The agreement has laid the foundation for mitigation and adaptation. This study was conducted to provide an evidence-based framework for policy-making in the health system of Iran in order to reduce the adverse effects of climate change on public health and to increase the adaptation of the health system as a result. Methods This is a qualitative study. We first used Delphi method to extract the components of Paris Agreement on climate change that were related to the functions and policymaking of health system in Iran. Twenty-three experts in health and climate change were identified purposefully and through snowball sampling as participants in Delphi. Data collection instrument was a structured questionnaire. We used SPSS software version 25 for data analysis based on the descriptive indices including the mean, the percentage of consensus above 75%, and the Kendall coordination coefficient. Results Seventy-nine components classified within nine categories were extracted. The most important examples of the implementation of Paris Agreement on climate change in the health system of Iran were: participation in the formulation of strategies for mitigation and adaptation, identifying vulnerable groups, assessing vulnerability, increasing the capacity of health services delivery during extreme events, using early warning systems, using new technologies to increase the adaptation, evaluation of interventions, financial support, increasing the number of researches, increasing the knowledge and skills of staff, and finally public awareness. Conclusions Evidence-based policy-making is pivotal to develop effective programs to control the health effects of climate change. This research provided policy translation and customization of micro and macro provisions of Paris Agreement on climate change, in line with the political context of health system in Iran. Our finding will pave the ground, we envisage, for further steps towards capacity building and enhancement of resiliency of the health system, adaptation interventions, and evaluation, identification of barriers and facilitators for adaptation and decreasing the adverse health effects caused by the climate change, in Iran and perhaps beyond.

scholarly journals Planetary Health Ethics: Beyond First Principles

Challenges ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 14 ◽  
Author(s):  
Alexander Foster ◽  
Jennifer Cole ◽  
Andrew Farlow ◽  
Ivica Petrikova
Keyword(s):  
Code Of Ethics ◽  
Global Environmental Change ◽  
Ethical Framework ◽  
Future Health ◽  
Transdisciplinary Approach ◽  
Planetary Health ◽  
Global Environmental ◽  
Health Community ◽  
Starting Point ◽  
Operating Space

Planetary health is a transdisciplinary approach that aims to advance the understanding of the links between human-driven changes to the planet and their consequences, and to develop appropriate solutions to the challenges identified. This emerging movement has not yet agreed upon a code of ethics to underpin the rapidly expanding body of research being carried out in its name. However, a code of ethics might support the principles for planetary health set out in the Canmore Declaration of 2018. Phrases such as “Public Health 2.0”, “Human Health in an Era of Global Environmental Change”, or “A safe and just operating space for humanity” are often used in planetary health discussions, but are not always clearly defined and so far, the field lacks a strong guiding ethical framework. In this paper, we propose a starting point towards a code of ethics for planetary health that builds on the Canmore Declaration. We chose to propose 12 ethical principles in recognition of the need for a 12-Step Programme for the planet. The human race must identify and reject damaging behaviours. Evidence of the harm we are causing the planet is no longer enough and refraining from certain current practices is essential for Earth’s future health. We must motivate advocacy and calls for action. We believe a shared ethical code can act as a tool to enable and encourage that process. This paper is presented to the planetary health community as a starting point, not as a finished agenda. We welcome comments, critiques, additions and the opportunity to rework our approach accordingly.

Addressing the knowledge gap of Indigenous public health: reflections from an Indigenous public health graduate

2020 ◽  
Vol 49 (2) ◽  
pp. 110-118
Author(s):  
Natasha Lee
Keyword(s):  
Public Health ◽  
Transformative Learning ◽  
Health System ◽  
Health Professionals ◽  
Indigenous Health ◽  
Core Competencies ◽  
Public Health Practice ◽  
Practical Training ◽  
Public Health Training ◽  
Problem Solvers

AbstractThe current agenda in public health training in higher education works to produce well-trained public health professionals. Operating within a western pedagogical framework it aims to build a cohort of critical and analytical thinkers, skilful problem solvers and extraordinary communicators across key disciplines in health. Many graduates possess interdisciplinary specialities, skills and knowledge transferable within health and other sectors. Core competencies in the curricula, which notably does not currently include Indigenous health, are considered the foundational platform of theory and practical understandings of public health and the health system. Despite a framework that aims to produce health professionals capable of improving the health of the population as a whole; the lack of engagement with an Indigenous health criticality maintains a longstanding Australian public health tradition of failure when it comes to addressing the health disparities experienced by Indigenous people. As a recent Indigenous public health graduate with practical training and experience working in the public health system, I consider possibilities for decolonising the curricula through an Indigenist approach to health, including theories of transformative learning which could strengthen public health practice and in turn facilitate the changes necessary to improving Indigenous health outcomes.

scholarly journals Global Environmental Change and Noncommunicable Disease Risks

2019 ◽  
Vol 40 (1) ◽  
pp. 261-282 ◽  
Author(s):  
Howard Frumkin ◽  
Andy Haines
Keyword(s):  
Climate Change ◽  
Environmental Changes ◽  
Driving Forces ◽  
Global Environmental Change ◽  
Biodiversity Loss ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Global Environmental ◽  
Disease Risks ◽  
Global Environmental Changes

Multiple global environmental changes (GECs) now under way, including climate change, biodiversity loss, freshwater depletion, tropical deforestation, overexploitation of fisheries, ocean acidification, and soil degradation, have substantial, but still imperfectly understood, implications for human health. Noncommunicable diseases (NCDs) make a major contribution to the global burden of disease. Many of the driving forces responsible for GEC also influence NCD risk through a range of mechanisms. This article provides an overview of pathways linking GEC and NCDs, focusing on five pathways: ( a) energy, air pollution, and climate change; ( b) urbanization; ( c) food, nutrition, and agriculture; ( d) the deposition of persistent chemicals in the environment; and ( e) biodiversity loss.

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