Abstract
The impact of climate change on patients and healthcare systems is mounting. Yet, healthcare is itself a major cause of climate change, contributing up to 10% of annual United States greenhouse gas emissions. Physicians must play a role in mission-level dialogues about the carbon footprint of their institutions. Physicians sit at the intersection of the science, medicine, and business of healthcare, and therefore are in a unique position to demand change from hospital administrators and lawmakers. We outline examples of how physicians have acted at the city, state, and national levels to protect patients from the harm of climate change.
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References
Anderson GB, Dominici F, Wang Y, McCormack MC, Bell ML, Peng RD. Heat-related emergency hospitalizations for respiratory diseases in the Medicare population. Am J Respir Crit Care Med. 2013;187(10):1098–103. https://doi.org/10.1164/rccm.201211-1969OC.
Bobb JF, Obermeyer Z, Wang Y, Dominici F. Cause-specific risk of hospital admission related to extreme heat in older adults. JAMA. 2014;312(24):2659. https://doi.org/10.1001/jama.2014.15715.
Sarfaty M, Bloodhart B, Ewart G, et al. American Thoracic Society member survey on climate change and health. Ann Am Thorac Soc. 2015;12(2):274–8. https://doi.org/10.1513/AnnalsATS.201410-460BC.
Sarfaty M, Kreslake JM, Casale TB, Maibach EW. Views of AAAAI members on climate change and health. J Allergy Clin Immunol Pract. 2016;4(2):333–335.e26. https://doi.org/10.1016/J.JAIP.2015.09.018.
Sarfaty M, Mitchell M, Bloodhart B, Maibach EW. A survey of African American physicians on the health effects of climate change. Int J Environ Res Public Health. 2014;11(12):12473–85. https://doi.org/10.3390/ijerph111212473.
Sarfaty M, Kreslake J, Ewart G, et al. Survey of international members of the American Thoracic Society on climate change and health. Ann Am Thorac Soc. 2016;13(10):1808–13. https://doi.org/10.1513/AnnalsATS.201604-229BC.
Reid CE, Brauer M, Johnston FH, Jerrett M, Balmes JR, Elliott CT. Critical review of health impacts of wildfire smoke exposure. Environ Health Perspect. 2016;124(9):1334–43. https://doi.org/10.1289/ehp.1409277.
Delfino RJ, Brummel S, Wu J, et al. The relationship of respiratory and cardiovascular hospital admissions to the southern California wildfires of 2003. Occup Environ Med. 2009;66(3):189–97. https://doi.org/10.1136/oem.2008.041376.
Meehl GA, Tebaldi C. More intense, more frequent, and longer lasting heat waves in the 21st century. Science (80- ). 2004;305(5686):994–7.
Bhaskaran K, Armstrong B, Hajat S, Haines A, Wilkinson P, Smeeth L. Heat and risk of myocardial infarction: hourly level case-crossover analysis of MINAP database. BMJ. 2012;345:e8050.
Dematte JE, O’Mara K, Buescher J, et al. Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med. 1998;129(3):173–81.
Huang G, Zhou W, Cadenasso ML. Is everyone hot in the city? Spatial pattern of land surface temperatures, land cover and neighborhood socioeconomic characteristics in Baltimore, MD. J Environ Manag. 2011;92(7):1753–9. https://doi.org/10.1016/j.jenvman.2011.02.006.
Shen L, Mickley LJ, Gilleland E. Impact of increasing heat waves on U.S. ozone episodes in the 2050s: results from a multimodel analysis using extreme value theory. Geophys Res Lett. 2016;43(8):4017–25. https://doi.org/10.1002/2016GL068432.
Babin S, Burkom H, Holtry R, et al. Medicaid patient asthma-related acute care visits and their associations with ozone and particulates in Washington, DC, from 1994-2005. Int J Environ Health Res. 2008;18(3):209–21. https://doi.org/10.1080/09603120701694091.
Gleason JA, Bielory L, Fagliano JA. Associations between ozone, PM2.5, and four pollen types on emergency department pediatric asthma events during the warm season in New Jersey: a case-crossover study. Environ Res. 2014;132:421–9. https://doi.org/10.1016/j.envres.2014.03.035.
Silverman RA, Ito K. Age-related association of fine particles and ozone with severe acute asthma in New York City. J Allergy Clin Immunol. 2010;125(2):367–373.e5. https://doi.org/10.1016/j.jaci.2009.10.061.
Rich DQ, Mittleman MA, Link MS, et al. Increased risk of paroxysmal atrial fibrillation episodes associated with acute increases in ambient air pollution. Environ Health Perspect. 2006;114(1):120–3.
Ruidavets J-B, Cournot M, Cassadou S, Giroux M, Meybeck M, Ferrières J. Ozone air pollution is associated with acute myocardial infarction. Circulation. 2005;111(5):563–9. https://doi.org/10.1161/01.CIR.0000154546.32135.6E.
Lee M, Nordio F, Zanobetti A, Kinney P, Vautard R, Schwartz J. Acclimatization across space and time in the effects of temperature on mortality: a time-series analysis. Environ Health. 2014;13(1):89. https://doi.org/10.1186/1476-069X-13-89.
Rice MB, Li W, Wilker EH, et al. Association of outdoor temperature with lung function in a temperate climate. Eur Respir J. 2019;53(1):1800612. https://doi.org/10.1183/13993003.00612-2018.
Mehta AJ, Kloog I, Zanobetti A, et al. Associations between changes in city and address specific temperature and QT interval--the VA Normative Aging Study. PLoS One. 2014;9(9):e106258. https://doi.org/10.1371/journal.pone.0106258.
Li S, Baker PJ, Jalaludin BB, Marks GB, Denison LS, Williams GM. Ambient temperature and lung function in children with asthma in Australia. Eur Respir J. 2014;43(4):1059–66. https://doi.org/10.1183/09031936.00079313.
Wolf J, O’Neill NR, Rogers CA, Muilenberg ML, Ziska LH. Elevated atmospheric carbon dioxide concentrations amplify Alternaria alternata sporulation and total antigen production. Environ Health Perspect. 2010;118(9):1223–8. https://doi.org/10.1289/ehp.0901867.
Wayne P, Foster S, Connolly J, Bazzaz F, Epstein P. Production of allergenic pollen by ragweed (Ambrosia artemisiifolia L.) is increased in CO2-enriched atmospheres. Ann Allergy Asthma Immunol. 2002;88(3):279–82. https://doi.org/10.1016/S1081-1206(10)62009-1.
Ziska L, Knowlton K, Rogers C, et al. Recent warming by latitude associated with increased length of ragweed pollen season in central North America. Proc Natl Acad Sci. 2011;108(10):4248–51. https://doi.org/10.1073/pnas.1014107108.
Sheffield PE, Weinberger KR, Ito K, et al. The association of tree pollen concentration peaks and allergy medication sales in New York city: 2003-2008. ISRN Allergy. 2011;2011:537194. https://doi.org/10.5402/2011/537194.
Cakmak S, Dales RE, Burnett RT, Judek S, Coates F, Brook JR. Effect of airborne allergens on emergency visits by children for conjunctivitis and rhinitis. Lancet. 2002;359(9310):947–8. https://doi.org/10.1016/S0140-6736(02)08045-5.
Villeneuve PJ, Doiron M-S, Stieb D, Dales R, Burnett RT, Dugandzic R. Is outdoor air pollution associated with physician visits for allergic rhinitis among the elderly in Toronto, Canada? Allergy. 2006;61(6):750–8. https://doi.org/10.1111/j.1398-9995.2006.01070.x.
Darrow LA, Hess J, Rogers CA, Tolbert PE, Klein M, Sarnat SE. Ambient pollen concentrations and emergency department visits for asthma and wheeze. J Allergy Clin Immunol. 2012;130(3):630–638.e4. https://doi.org/10.1016/j.jaci.2012.06.020.
Héguy L, Garneau M, Goldberg MS, Raphoz M, Guay F, Valois M-F. Associations between grass and weed pollen and emergency department visits for asthma among children in Montreal. Environ Res. 2008;106(2):203–11. https://doi.org/10.1016/j.envres.2007.10.005.
Zhong W, Levin L, Reponen T, et al. Analysis of short-term influences of ambient aeroallergens on pediatric asthma hospital visits. Sci Total Environ. 2006;370(2-3):330–6. https://doi.org/10.1016/j.scitotenv.2006.06.019.
Erbas B, Akram M, Dharmage SC, et al. The role of seasonal grass pollen on childhood asthma emergency department presentations. Clin Exp Allergy. 2012;42(5):799–805. https://doi.org/10.1111/j.1365-2222.2012.03995.x.
Evans GW. Projected behavioral impacts of global climate change. Annu Rev Psychol. 2019;70(1):449–74. https://doi.org/10.1146/annurev-psych-010418-103023.
Targonski PV, Persky VW, Ramekrishnan V. Effect of environmental molds on risk of death from asthma during the pollen season. J Allergy Clin Immunol. 1995;95(5 Pt 1):955–61.
Hernberg S, Sripaiboonkij P, Quansah R, Jaakkola JJK, Jaakkola MS. Indoor molds and lung function in healthy adults. Respir Med. 2014;108(5):677–84. https://doi.org/10.1016/j.rmed.2014.03.004.
Rando RJ, Lefante JJ, Freyder LM, Jones RN. Respiratory health effects associated with restoration work in post-Hurricane Katrina New Orleans. J Environ Public Health. 2012;2012:1–8. https://doi.org/10.1155/2012/462478.
Rando RJ, Kwon C-W, Lefante JJ. Exposures to thoracic particulate matter, endotoxin, and glucan during post-Hurricane Katrina restoration work, New Orleans 2005–2012. J Occup Environ Hyg. 2014;11(1):9–18. https://doi.org/10.1080/15459624.2013.839879.
King D, Beebe C, Suchomel J, Bardwell P, Donna V. A closer look at infrastructure | Health Facilities Management. Health Facilities Management.
Balbus J. Primary protection: enhancing health care resilience for a changing climate Acknowledgements; 2014.
Fears D. Sea-level rise could destroy Tampa Bay if a major hurricane hits - Washington Post. Washington Post.
Ebi KL, Balbus J, Luber G, et al. Chapter 14 : Human health. In: Impacts, risks, and adaptation in the United States: the Fourth National Climate Assessment, vol. II. Washington, DC; 2018. https://doi.org/10.7930/NCA4.2018.CH14.
Berggren RE, Curiel TJ. After the storm — health care infrastructure in post-Katrina New Orleans. N Engl J Med. 2006;354(15):1549–52. https://doi.org/10.1056/nejmp068039.
Rudowitz R, Rowland D, Shartzer A. Health care in New Orleans before and after Hurricane Katrina. Health Aff. 2006;25(5):w393–406. https://doi.org/10.1377/hlthaff.25.w393.
Fink S. Lost in the storm - The New York Times. New York Times Magazine.
Sacks CA, Kesselheim AS, Fralick M. The shortage of normal saline in the wake of Hurricane Maria. JAMA Intern Med. 2018;178(7):885. https://doi.org/10.1001/jamainternmed.2018.1936.
Kochi I, Champ PA, Loomis JB, Donovan GH. Valuing morbidity effects of wildfire smoke exposure from the 2007 Southern California wildfires. J For Econ. 2016;25:29–54. https://doi.org/10.1016/J.JFE.2016.07.002.
Conde X. IV bag shortages causing cost of care to increase | Wisconsin Public Radio. Wisconsin Public Radio.
Hartocollis A. NYU Langone Medical Center to Get $1.13 billion in storm aid - The New York Times. New York Times.
U.S. Energy Information Administration. commercial buildings energy consumption survey: energy usage summary. https://www.eia.gov/consumption/commercial/reports/2012/energyusage/. Published 2012. Accessed 4 May 2019.
Eckelman MJ, Sherman J. Environmental impacts of the U.S. Health Care System and effects on public health. Ahmad S, ed. PLoS One. 2016;11(6):e0157014. https://doi.org/10.1371/journal.pone.0157014.
Ryan SM, Nielsen CJ. Global warming potential of inhaled anesthetics. Anesth Analg. 2010;111(1):92–8. https://doi.org/10.1213/ANE.0b013e3181e058d7.
Alexander R, Poznikoff A, Malherbe S. Greenhouse gases: the choice of volatile anesthetic does matter. Can J Anesth Can d’anesthésie. 2018;65(2):221–2. https://doi.org/10.1007/s12630-017-1006-x.
Eckelman MJ, Sherman JD. Estimated global disease burden from US Health Care Sector greenhouse gas emissions. Am J Public Health. 2018;108(S2):S120–2. https://doi.org/10.2105/AJPH.2017.303846.
Henry J. Kaiser family. Health care employment as a percent of total employment. https://www.kff.org/other/state-indicator/health-care-employment-as-total/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D. Published 2017. Accessed 4 May 2019.
Ferenc J. Cleveland Clinic makes carbon-neutrality its newest sustainability goal. Health Facilities Management. https://www.hfmmagazine.com/articles/3210-cleveland-clinic-makes-carbon-neutrality-its-newest-sustainability-goal. Published 2017. Accessed 6 May 6 2019.
Ferenc J. Boston hospitals continue to set the pace for reducing emissions | Health Facilities Management. https://www.hfmmagazine.com/articles/2918-boston-hospitals-continue-to-set-the-pace-for-reducing-emissions. Accessed 6 May 2019.
Doherty C. Public’s 2019 priorities: economy, health care, education and security all near top of list. 2019.
Dolton P, Marcenaro O, De Vries R, She P-W. Global teacher status. Index 2018.; 2018.
American Thoracic Society - ATS Advocacy.
American Academy of Pediatrics, American Lung Association, et al. Letter to U.S. Administrator Gina McCarthy. March 17. 2015.
American Academy of Pediatrics. Climate change and children’s health. 2019. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/climate-change/Pages/Climate-Change-and-Childrens-Health.aspx. Accessed 6 May 2019.
Rice M. Greenhouse gas regulations and energy costs | C-SPAN.org. C-SPAN.
Miller A, Kim H-J, Robinson J, Casale M. Electric buses clean transportation for healthier neighborhoods and cleaner air; 2018.
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Rice, M.B., Rabin, A.S. (2021). The Physician’s Response to Climate Change. In: Pinkerton, K.E., Rom, W.N. (eds) Climate Change and Global Public Health. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-54746-2_29
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