The journal of climate change and health最新文献

{"title":"Developing global recommendations for action on climate change and mental health across sectors: A Delphi-style study","authors":"Justine Alford ,&nbsp;Alessandro Massazza ,&nbsp;Neil R Jennings ,&nbsp;Emma Lawrance","doi":"10.1016/j.joclim.2023.100252","DOIUrl":"10.1016/j.joclim.2023.100252","url":null,"abstract":"<div><h3>Introduction</h3><p>Climate change is causing far-reaching yet underappreciated worsening of outcomes across the mental health and wellbeing spectrum. Despite increasing attention to the mental health impacts of climate change, an absence of a clear, cross-sectoral agenda for action has held back progress against the dual and interconnected challenges of supporting human and planetary health. This study aims to serve as an essential first step to address this gap.</p></div><div><h3>Methods</h3><p>Harnessing the expertise of a diverse panel of 61 participants, representing 24 nationalities, this study developed and prioritized recommendations for action on climate change and mental health across the relevant sectors of research, policy, healthcare and the third sector, and used a Delphi-style methodology to examine their feasibility and importance.</p></div><div><h3>Results</h3><p>Broadly, the prioritized recommendations highlighted the need to expand the evidence base, work collaboratively across sectors, and raise awareness. While broadly there was consensus on recommendation importance, there was greater variation in the reported feasibility of the recommendations, which differed across settings. Other common themes included the need for cultural and resource contextualization, raising awareness of and addressing mental health co-benefits via climate action, and working with communities with lived experience to develop and implement the findings. As there may be some interdependencies between the recommendations, further work needs to identify how best to implement them.</p></div><div><h3>Conclusion</h3><p>The recommendations serve as a robust and evidence-based framework that can be used as a foundation to devise locally appropriate, concrete implementation strategies matching levels of need and resource. These also serve as a clear call to action for investment from leaders across sectors to ensure they are realized.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100252"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42017208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the carbon footprint of a German university hospital: Perspectives from hospital stakeholders","authors":"Claudia Quitmann,&nbsp;Rainer Sauerborn,&nbsp;Ina Danquah,&nbsp;Alina Herrmann","doi":"10.1016/j.joclim.2023.100247","DOIUrl":"10.1016/j.joclim.2023.100247","url":null,"abstract":"<div><h3>Introduction</h3><p>Climate change threatens physical and mental health. Hospitals have a key role in adapting to these impacts. At the same time, hospitals contribute to climate change due to their greenhouse gas emissions. To effectively reduce these emissions, stakeholder involvement is important. This study aimed at identifying possible mitigation measures, barriers, and enablers for their implementation from stakeholders’ perspectives in a German university hospital.</p></div><div><h3>Materials and methods</h3><p>We conducted a qualitative study with semi-structured interviews at Heidelberg University Hospital. The participants’ selection was based on purposive maximum variation sampling. The interviews were transcribed verbatim and analyzed using the framework approach, supported by NVivo.</p></div><div><h3>Results</h3><p>Five patients, twelve clinical and twelve administrative employees at different hierarchical levels were interviewed. Stakeholders suggested various possible mitigation measures. Only a few of them were specific to hospitals. Enablers and barriers were attributed to the structural, organizational, mitigation measure, and stakeholder levels. Common barriers on these levels were non-demanding policies, the complexity of organizational structures, the perceived risk of reduced healthcare performance, and lack of awareness and prioritization. Participants formulated enablers, e.g., knowing best-practice examples or hiring a sustainability manager. However, enablers were mostly hypothetical and based on perceived barriers.</p></div><div><h3>Conclusion</h3><p>Profound changes in regulatory frameworks and organizational management would support stakeholders at the investigated hospital in implementing mitigation measures. Furthermore, intensified research about climate-friendly health care and communication of these findings to hospital stakeholders as well as integration of these findings into curricula of the health workforce seems necessary for the climate-friendly transformation of hospitals.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100247"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44975692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participatory modeling for local and regional collaboration on climate change adaptation and health","authors":"Sarah Harrison ,&nbsp;Alexandra Macmillan ,&nbsp;Sophie Bond ,&nbsp;Janet Stephenson","doi":"10.1016/j.joclim.2023.100235","DOIUrl":"10.1016/j.joclim.2023.100235","url":null,"abstract":"<div><h3>Introduction</h3><p>Climate change-related flooding and sea-level rise have important direct and indirect health effects. In order to support health and equity, adaptation responses require collaborative, transdisciplinary learning and consensus-building, across a wide range of local-level stakeholders. We aimed to co-develop a shared understanding of the complex interplay between health, health determinants, flooding, and sea-level rise in a low-income urban area of Aotearoa New Zealand, to inform action.</p></div><div><h3>Methods</h3><p>We used qualitative participatory system dynamics modeling, involving interviews and group workshops with transdisciplinary stakeholders. We developed a shared set of wellbeing outcomes and triangulated participants’ knowledge with published evidence to develop a set of causal loop diagrams (CLDs). These capture the system feedback behavior between flooding and sea-level rise, and local health and wellbeing.</p></div><div><h3>Results</h3><p>Thirty-three participants were involved across the project, identifying 22 wellbeing outcomes. The CLDs covered six intersecting themes: community-led development and participation in decision-making; quality of housing; the housing market; the insurance market; economic effects of flooding and sea-level rise; and access issues arising from flooding. Intervention points were identified, with the potential to inform health equity-focused adaptation policy. The process supported shifts in participants’ mental models towards consensus and effective intervention points, and transdisciplinary relationship-building.</p></div><div><h3>Conclusion</h3><p>Participatory systems modeling approaches may support cross-sector collaborative learning about the complex, dynamic influences on health and wellbeing in the context of local climate change adaptation. These shared, holistic understandings are essential to inform decision-making that promotes positive health and social equity outcomes.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100235"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43222521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building resilience to the mental health impacts of climate change in rural Australia","authors":"Jo Longman ,&nbsp;Maddy Braddon ,&nbsp;Blanche Verlie ,&nbsp;David Schlosberg ,&nbsp;Lisa Hampshire ,&nbsp;Catherine Hawke ,&nbsp;Anna Noonan ,&nbsp;Emily Saurman","doi":"10.1016/j.joclim.2023.100240","DOIUrl":"10.1016/j.joclim.2023.100240","url":null,"abstract":"<div><h3>Background</h3><p>Climate anxiety, and the mental health and wellbeing impacts of extreme weather-related events, are of growing concern globally. In Australia, where the current authors are based, rural communities in particular are dealing with unprecedented drought, fires and/or floods every few weeks. The mental health and wellbeing impacts of such climate change induced events are numerous and varied and operate within complex systems. However, little is known about what promotes the resilience of rural communities to these impacts.</p></div><div><h3>Methods</h3><p>This study engaged participants from three highly impacted communities in rural New South Wales in workshops designed to explore the mental health and wellbeing impacts of climate change and ways to address it.</p></div><div><h3>Findings</h3><p>This study shows that, from the perspective of community members, community-led collective action and planning which strengthens social and relational capital engenders feelings of belonging and increases informal social connectedness, while simultaneously supporting communities to prepare for the impacts of climate change.</p></div><div><h3>Conclusions</h3><p>The design of strategies to mitigate the mental health and wellbeing risks from climate change may benefit from a move beyond an individual health focus to community-led and implemented collective actions that build community networks.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100240"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46689458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caribbean health professional views on climate change and health","authors":"Loren De Freitas ,&nbsp;Sarasvati Bahadursingh ,&nbsp;Damion Basdeo ,&nbsp;John Kotcher ,&nbsp;James Hospedales","doi":"10.1016/j.joclim.2023.100248","DOIUrl":"10.1016/j.joclim.2023.100248","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100248"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47768286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in heat related illness: Nationwide observational cohort at the US department of veteran affairs","authors":"Thomas F. Osborne ,&nbsp;Zachary P. Veigulis ,&nbsp;Ambarish Vaidyanathan ,&nbsp;David M. Arreola ,&nbsp;Paul J. Schramm","doi":"10.1016/j.joclim.2023.100256","DOIUrl":"10.1016/j.joclim.2023.100256","url":null,"abstract":"<div><h3>Introduction</h3><p>Environmental heat can have a negative impact on health, leading to increased healthcare utilization, disability, and death. Specific clinical conditions, in combination with a global rise in temperature, may amplify the risk of heat related illnesses.</p></div><div><h3>Materials and Methods</h3><p>We conducted a retrospective analysis of VA's national electronic health record database from January 1, 2002, through December 31, 2019. Heat related illness diagnoses were assessed for associations with patient demographics, comorbidities, and geographic residence at the time of a heat related illness diagnosis. Descriptive statistics, linear regression, and additive seasonal decomposition methods were utilized to assess risk factors and trends.</p></div><div><h3>Results</h3><p>There were 33,114 documented cases of heat related illness, which impacted 28,039 unique patients, during our 18 year assessment period. Veterans were diagnosed with heat related illnesses in all 50 US states and there was an increase in the rate over time. The likelihood of heat related illnesses was greater for those with increased comorbidity burden. Rates increased for homeless Veterans in the first half of the assessment period, and then declined for the second half. Black, as well as American Indian/Alaska Native Veterans accounted for a greater proportion of heat related illnesses.</p></div><div><h3>Conclusion</h3><p>There has been a statistically significant and clinically important increase in the incidence of heat related illnesses over time. There has also been an increased number of heat related diagnoses associated with existing health and demographic factors, and the increase over time did not strictly follow the expected geographic North-South climate trends.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100256"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46247740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“We can't save the planet, we're too busy saving lives”: Exploring beliefs about decarbonizing the NHS","authors":"F Fylan ,&nbsp;G Allison","doi":"10.1016/j.joclim.2023.100241","DOIUrl":"10.1016/j.joclim.2023.100241","url":null,"abstract":"<div><h3>Background</h3><p>If health and social care delivery systems are to achieve net zero targets, fundamental changes are required to how organizations deliver care, how individuals practice clinically, how people access care, and how systems reduce the demand for healthcare. This paper explores how professionals, patients and citizens respond to this need for change.</p></div><div><h3>Methods</h3><p>We conducted a mixed methods study, comprising 12 deliberative workshops (<em>n</em> = 35) and a survey (<em>n</em> = 413) with health and social care staff, patients and citizens in the North of England.</p></div><div><h3>Results</h3><p>We found that while few people were aware of the net zero target, they supported it. Some, however, questioned organizational commitment, highlighting potential conflicts between cost and sustainability. Staff described a lack of agency to make changes to their practice, despite identifying many opportunities to do so. Some believed that healthcare should be exempt from carbon reduction targets. The strongest messages we found to interest, empower, and motivate people to make changes are: that individual actions matter; that we have a responsibility to set a good example of tackling climate change; and that making changes saves lives and should be a priority. We also found that people need to be reassured that the changes will not adversely affect clinical outcomes. Finally, progress towards targets needs to be tracked and publicly available.</p></div><div><h3>Conclusion</h3><p>Our results indicate a need for clear leadership which gives sustainability a higher priority, a need for staff training to enable conversations about the environmental effects of treatment, and support for shifting the focus from treating illness to promoting health.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100241"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45900250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change in Western Australia and its impact on human health","authors":"Natalie Teasdale ,&nbsp;Peter K Panegyres","doi":"10.1016/j.joclim.2023.100243","DOIUrl":"10.1016/j.joclim.2023.100243","url":null,"abstract":"<div><p>Climate change is real and here. Climate change has a wide range of effects on the environment – increasing global temperatures and extreme weather events, which in turn are impacting human health. Changes in weather and man-made pollution affect the quality of the air we breathe, the water we drink and the food we eat, resulting in a serious threat to our planet and our health. By examining the current literature, using a systematic review process, we explore the current and potential impact that climate change has on human health with particular relevance to the Western Australian population.</p><p>There is overwhelming evidence for climate change and how it is affecting the people of planet Earth. The environmental impact will affect human health and may result in increases in cardiovascular respiratory, neurological disorders (including neurodegeneration), vector-borne illnesses (malaria, COVID-19, Ross River Virus) and lead to a detriment in the mental health of Western Australians. Natural diseases and crises complicate healthcare. The COVD-19 pandemic revealed inadequacies in healthcare systems—shortage of healthcare workers and resources—which will compromise the ability to manage climate change induced diseases. Bushfires and raised environmental temperatures, which are particular problems for Western Australia, can impact upon climate change. Mental health may be affected through illness, drought and food insecurity. Those socially disadvantaged, individuals in remote regions and First Nations peoples will be vulnerable. An urgent response to climate change is necessary. Western Australia is particularly vulnerable to the deleterious impacts of climate change.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"12 ","pages":"Article 100243"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46008512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The plastic pandemic: Quantification of waste on an inpatient medicine unit","authors":"Christian Mewaldt ,&nbsp;Wynne Armand ,&nbsp;Jonathan Slutzman ,&nbsp;Jonathan Eisen","doi":"10.1016/j.joclim.2023.100230","DOIUrl":"10.1016/j.joclim.2023.100230","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"11 ","pages":"Article 100230"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47874289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discussing linkages between climate change, human mobility and health in the Caribbean: The case of Dominica. A qualitative study","authors":"Patrick Cloos ,&nbsp;Maeva Belloiseau ,&nbsp;Nickez Mc Pherson ,&nbsp;Fiona Harris-Glenville ,&nbsp;Debra D. Joseph ,&nbsp;Kate Zinszer","doi":"10.1016/j.joclim.2023.100237","DOIUrl":"10.1016/j.joclim.2023.100237","url":null,"abstract":"<div><h3>Introduction</h3><p>The Caribbean region is repeatedly exposed to extreme climate-related events, such as hurricanes and tropical storms, which are expected to increase in severity with climate change. This study aims to better understand how extreme climate events affect human mobility, social circumstances, and health-related issues in the Eastern Caribbean, focusing more specifically on Dominica, a Small Island Developing State (SIDS).</p></div><div><h3>Methods</h3><p>Semi-structured qualitative interviews were conducted with people who were internally displaced following an extreme climate event in Dominica, and with people who migrated from Dominica to Guadeloupe.</p></div><div><h3>Results</h3><p>Mental health was a central issue discussed by participants. Some respondents raised issues regarding loss of livelihoods and poverty that affected their living conditions. For those who decided to migrate to Guadeloupe, the difficulties of getting migrant authorized status were very stressful. Other themes related to displacement trajectory, income, occupation, housing, access to food and water, health and psychosocial services, and the role of local and international assistance and social support and ties – that are well known social determinants of mental health, were raised by participants.</p></div><div><h3>Discussion and conclusion</h3><p>Mental health and related determinants should be seen as a public health priority in Caribbean SIDS. Psycho-social interventions that focus on potential sources of vulnerabilities to mental health issues should be integrated in climate preparedness and response efforts. Otherwise, pre-existing social vulnerabilities may be aggravated, limiting the adaptation capacities of Caribbean SIDS to climate change. Public health and the health care system have a role to play in climate change adaptation.</p></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"11 ","pages":"Article 100237"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}