Marie-Claire Meadows , Noelle Serino , Dahianira M. Camacho-Monclova , Kaumudi Joshipura , Sarah R. Lowe
{"title":"Beyond the storms: Exploring predictors of posttraumatic stress and posttraumatic growth among survivors of hurricanes Irma and Maria in Puerto Rico","authors":"Marie-Claire Meadows , Noelle Serino , Dahianira M. Camacho-Monclova , Kaumudi Joshipura , Sarah R. Lowe","doi":"10.1016/j.joclim.2024.100365","DOIUrl":"10.1016/j.joclim.2024.100365","url":null,"abstract":"<div><h3>Background</h3><div>Within disaster-affected communities, residents’ exposures and post-disaster mental health outcomes can vary widely. Yet, few studies have explored the relationship between such diverse disaster-related exposures and posttraumatic growth (PTG) in a Puerto Rican context.</div></div><div><h3>Methods</h3><div>To address this gap, we used data from the Preparedness to Reduce Exposures and Diseases Post-hurricanes and Augment Resilience (PREPARE) study, a cohort of mainly Hispanic Puerto Ricans who experienced Hurricanes Maria and Irma in 2017. This analysis focused on 484 individuals who completed structured interviews 20 to 34 months after the hurricanes. We evaluated the associations between five different disaster exposures (e.g., financial, home damage, personal health, and familial health), posttraumatic stress (PTS), and PTG and its five domains (personal strength, new possibilities, improved relationships, spiritual growth, and appreciation of life), controlling for demographic, geographic, and social factors.</div></div><div><h3>Results</h3><div>In multivariable models, higher total disaster score was associated with higher levels of both PTS and PTG (2.91 and 3.87, respectively). Personal health impacts were consistently associated with higher levels on all PTG subscales, ranging from 0.89 to 1.94, which was not the case for other exposures. Specifically, home damage was associated with higher levels on all PTG subscales except spiritual growth, and financial and familial health impacts were associated with greater identification with new possibilities and appreciation of life only.</div></div><div><h3>Conclusion</h3><div>These findings provide novel evidence that different disaster-related exposures have distinct associations with the different PTG domains in Puerto Rico. These findings can inform future efforts to address post-disaster mental health ailments by bolstering different aspects of PTG.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eddie Robinson , Dinesh Bhandari , Ross Donohue , Zerina Lokmic-Tomkins
{"title":"Addressing healthcare professionals’ fatigue for effective climate action engagement","authors":"Eddie Robinson , Dinesh Bhandari , Ross Donohue , Zerina Lokmic-Tomkins","doi":"10.1016/j.joclim.2024.100366","DOIUrl":"10.1016/j.joclim.2024.100366","url":null,"abstract":"<div><div>Climate change is a significant threat to public health, exacerbating existing challenges in healthcare systems. The anticipated impacts encompassing increased global surface temperatures, rising sea levels, water and food insecurity, geopolitical instability and the heightened frequency, duration, and intensity of natural disasters coupled with the healthcare sector's contribution to carbon emissions, necessitate urgent action from healthcare professionals. However, while healthcare professionals are called to engage in climate action, defined as an action to combat climate change and its impacts, the healthcare workforce also faces unprecedented challenges exacerbated by the public health emergencies (e.g.: COVID-19 pandemic) such as fatigue, burnout, and workforce shortages. Dealing with these challenges leaves little opportunity or time for healthcare professionals to engage in climate change mitigation and adaptation. In this perspective paper, we outline the fundamental aspects of change fatigue and suggest solutions to engage healthcare professionals in climate action.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aparna Keshaviah, Dheeya Rizmie, Huihua Lu, Mike Rudacille, Eric Morris, Colleen Psomas, Farid Qamar, Xindi C. Hu
{"title":"ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments","authors":"Aparna Keshaviah, Dheeya Rizmie, Huihua Lu, Mike Rudacille, Eric Morris, Colleen Psomas, Farid Qamar, Xindi C. Hu","doi":"10.1016/j.joclim.2024.100359","DOIUrl":"10.1016/j.joclim.2024.100359","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens.</div></div><div><h3>Case presentation</h3><div>Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California.</div></div><div><h3>Discussion</h3><div>The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region.</div></div><div><h3>Conclusion</h3><div>Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessy Prabhakar , Aswin MG , Asmi Fathima Nazar , Adarsh MS , Jibin Job PJ , Nisam AP , Krishna Priya MJ , Mini GK
{"title":"Exploring menstrual hygiene management practices among displaced coastal women in Kerala, India","authors":"Jessy Prabhakar , Aswin MG , Asmi Fathima Nazar , Adarsh MS , Jibin Job PJ , Nisam AP , Krishna Priya MJ , Mini GK","doi":"10.1016/j.joclim.2024.100375","DOIUrl":"10.1016/j.joclim.2024.100375","url":null,"abstract":"<div><h3>Introduction</h3><div>During climate related displacement, women face additional challenges in safely managing menstrual hygiene. The aim of this study is to evaluate menstrual hygiene management practices among displaced women of reproductive age in the coastal areas of Kerala, India.</div></div><div><h3>Materials and Methods</h3><div>A cross-sectional study was conducted among displaced costal women in Kerala. We collected data on their socio-demographic factors, WaSH facilities, and menstrual hygiene practices following displacement, using a pre-tested semi-structured interview questionnaire. The participants also completed the Menstrual Hygiene Practice Needs Scale. We performed both univariate and bivariate analyses.</div></div><div><h3>Results</h3><div>The average age of the participants was 32 years (SD±8.5). Around 59 % had completed some school education, 41 % had completed college education, 30 % were employed, and 59 % belonged to lower socioeconomic status. Over half of the participants had poor menstrual hygiene practices (55 %). Older women (OR:1.72, 95 % CI:1.08–2.72) and those with lower education (OR:2.22, 95 % CI:1.38–3.56) were more likely to have poor menstrual hygiene practices. Disposal of menstrual materials is problematic. Self-reported physician-diagnosed urinary tract infection (UTI) was 46 %, and reproductive tract infection was 8.4 %.</div></div><div><h3>Conclusion</h3><div>The research highlights the need to improve menstrual hygiene practices and address UTI prevalence through better facilities during sea invasions. Collaboration with local authorities to address related concerns is recommended.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovative use of space-based technologies to address climate change and related global health crises","authors":"Farhan M. Asrar , Helena J. Chapman","doi":"10.1016/j.joclim.2024.100406","DOIUrl":"10.1016/j.joclim.2024.100406","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrick Cloos , Maeva Belloiseau , Nickez McPherson , Fiona Harris-Glenville , Debra D. Joseph , Kate Zinszer
{"title":"Erratum to discussing linkages between climate change, human mobility and health in the Caribbean: The case of Dominica. A qualitative study","authors":"Patrick Cloos , Maeva Belloiseau , Nickez McPherson , Fiona Harris-Glenville , Debra D. Joseph , Kate Zinszer","doi":"10.1016/j.joclim.2024.100358","DOIUrl":"10.1016/j.joclim.2024.100358","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A review of studies assessing the benefits of clean air and climate mitigation policies for child and adult health","authors":"Frederica Perera, Kathleen Lau","doi":"10.1016/j.joclim.2024.100369","DOIUrl":"10.1016/j.joclim.2024.100369","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to review the body of evidence on the health benefits of climate mitigation and clean air policies aimed at curbing emissions from fossil fuel sources.</div></div><div><h3>Methods</h3><div>We have built on and updated a prior review by Picetti et al. [<span><span>1</span></span>] of 16 peer-reviewed studies that focused primarily on child and adolescent health outcomes related to climate mitigation policies. We include the findings of 26 studies of the health benefits of clean air or climate policies, presenting estimates of the numbers of avoided cases of mortality or morbidity in infants, children, and/or adolescents, as well as adult illness or mortality when included in the same study. Where available, details on the economic savings associated with the avoidance of cases (13 studies) and distribution of benefits across racial/ethnic and socioeconomic groups (4 studies) are presented.</div></div><div><h3>Results</h3><div>All 26 studies found positive and substantial impacts of climate and clean air policies on the health of children and adults, along with substantial associated cost savings (reported in half of the studies). The benefits are likely to be serious undercounts as most studies included a limited suite of outcomes: economic savings generally considered only short-term costs; and the health benefits of climate policies were estimated as “co-benefits” of reduced air pollution, omitting those from fewer climate “shocks”.</div></div><div><h3>Conclusions</h3><div>The results of this review show positive and substantial benefits of climate and clean air policies and should incentivize and inform future policies to mitigate fossil-fuel related climate change and air pollution.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Planetary health ethics: A Confucian alternative","authors":"Eric C. Ip","doi":"10.1016/j.joclim.2024.100404","DOIUrl":"10.1016/j.joclim.2024.100404","url":null,"abstract":"<div><div>Planetary health acknowledges that the disruptions and deterioration of natural systems pose a significant and pressing threat to human beings and the interconnected network of life. The perceived dichotomy between anthropocentrism and ecocentrism is a human construct that reflects the binary thinking that has dominated Western philosophy. The anthropocosmic perspective of Confucian ethics highlights the interdependence between humans, their communities, the environment, and the cosmos, emphasizing that environmental well-being is vital to personal health and wellness. Confucianism also asserts that humans are a product of nature and should embody the principles of life and growth to become compassionate individuals in harmony with the universe. Consequently, human existence is inherently tied to nature, and the deterioration of the environment eventually harms humanity. A Confucian planetary health ethic prioritizes the concept of humanity's oneness with all things. Given that the Earth system now experiences less stable patterns than before, humans must assume accountability for anthropogenic climate change, pollution, and biodiversity loss. We must begin to appreciate that the rest of the biosphere is closely linked to our physical body.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Govind Srihari , Shah Ishaan , Stinchcombe Beth , Benslimane Yasmina , El Amouri Imen , Venté Coha Florencio , Kulesza Victoria , Sanghrajka Aryan , Luchs Aidan , Ho Celine
{"title":"Climate change, modern slavery, and its impact on health – A youth perspective and global call to action","authors":"Govind Srihari , Shah Ishaan , Stinchcombe Beth , Benslimane Yasmina , El Amouri Imen , Venté Coha Florencio , Kulesza Victoria , Sanghrajka Aryan , Luchs Aidan , Ho Celine","doi":"10.1016/j.joclim.2024.100327","DOIUrl":"10.1016/j.joclim.2024.100327","url":null,"abstract":"<div><div>Short Communications - <em>Emerging Issues</em> include timely discussions of topics that may be too preliminary to have a relevant body of literature. They require an unstructured abstract with sections including Introduction, topic sections and Conclusion.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100327"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Millets: Small grains, big impact in climate action","authors":"Ratika Samtani, Sidharth Sekhar Mishra, Sutapa Bandyopadhyay Neogi","doi":"10.1016/j.joclim.2024.100345","DOIUrl":"10.1016/j.joclim.2024.100345","url":null,"abstract":"<div><h3>Introduction</h3><div>There has been a global rise in land-surface air temperature by 1.53 °C which can pose a threat to agricultural yields, undermine food security, and exacerbate malnutrition. In India, modern agricultural systems heavily rely on cereal crops which are susceptible to climate-induced stressors, leading to potential yield losses; whereas millets, resilient to stress and nutritionally rich, offer a sustainable alternative.</div></div><div><h3>Case presentation</h3><div>Odisha's vulnerability to natural calamities like droughts, floods, and cyclones has significantly impacted crop production, particularly rice, prompting the reintroduction of millets. The Odisha Millets Mission (OMM), was launched to promote millets in tribal areas, revitalize traditional farming practices, increasing millet cultivation, yield rates, and gross value per household. Millets offer health benefits, environmental advantages, and potential solutions to combat malnutrition and climate change.</div></div><div><h3>Discussion</h3><div>Integrating millets into public diets and food security programs can enhance nutritional resilience and foster sustainable food systems nationwide. The success of OMM underscores the potential for replicating similar initiatives across India, thereby elevating livelihoods, nutritional well-being, and climate resilience among vulnerable populations.</div></div><div><h3>Conclusion</h3><div>The success of OMM highlights the potential for similar initiatives worldwide, benefiting livelihoods, nutrition, and climate resilience among vulnerable populations. Future research can prioritize enhancing millet productivity and profitability through improved varieties, enhanced agronomic practices, and modern technology adoption.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100345"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}