{"id":5018,"date":"2015-11-11T00:00:00","date_gmt":"2015-11-11T07:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2015\/11\/11\/new-book-climate-change-is-a-health-issue-mds-can-make-a-difference\/"},"modified":"2024-12-23T14:59:03","modified_gmt":"2024-12-23T21:59:03","slug":"new-book-climate-change-is-a-health-issue-mds-can-make-a-difference","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/new-book-climate-change-is-a-health-issue-mds-can-make-a-difference\/","title":{"rendered":"New book: Climate change is a health issue; MDs can make a difference"},"content":{"rendered":"
<\/div>

When pollsters reached out<\/a> to 1,058 U.S. adults about climate change in mid-October, they asked them whether they viewed global warming as an environmental issue, a moral issue, a religious issue, a social justice issue, a scientific issue, or a poverty issue.<\/p>\n

\"\"Jay Lemery, MD<\/a>, and George Luber, PhD, would have said \u201cyes\u201d to all of the above. And they would have suggested another category \u2013 one that\u2019s the focus of a new 672-page book they co-edited. Global warming, Luber, Lemery and a host of co-authors argue, boils down to a health issue.<\/p>\n

The book, \u201cGlobal Climate Change and Human Health,\u201d was published on Nov. 2. It\u2019s a textbook intended for MD\/DO and Master in Public Health students, says Lemery, a University of Colorado School of Medicine associate professor of Emergency Medicine and the department\u2019s chief for wilderness and environmental medicine. Luber, a medical anthropologist, is chief of the Climate and Health Program at the Centers for Disease Control and Prevention’s National Center for Environmental Health. The book is a collaboration with roots harking back to the 1980s, when its co-editors were teenagers (see sidebar<\/em>).<\/p>\n

Lemery says his driving motivation for the project was to give the next generation of physicians and health leaders the tools they need to prepare for the health impacts of global warming and to become powerful advocates for climate mitigation and adaptation.<\/p>\n

\u201cThis is a body of knowledge that can really add a tremendous amount to what many people have framed as the greatest public health problem facing us in the coming century \u2013 and centuries,\u201d said Lemery.<\/p>\n

Lessons from the doctor<\/strong><\/p>\n

Lemery has been thinking about health and global warming for years. In 2012, his essay Lessons from Dr. Strangelove called on the members of the Wilderness Medical Society to embrace educating patients and the public on the connections between climate change impacts and human health. The reference to the famous film alludes to the role doctors played in pressing for nuclear disarmament. During the height of the Cold War, the U.S. and Soviet doctors who founded International Physicians for the Prevention of Nuclear War (IPPNW<\/a>) sounded a stark warning to humanity \u2013 that \u201cnuclear war would be the final epidemic; that there would be no cure and no meaningful medical response.\u201d The IPPNW won the 1985 Nobel Peace Prize.<\/p>\n

In the book\u2019s foreword, Luber and Lemery say climate change has similarly grave health implications.\u00a0 \u201cFrom the direct effects of weather extremes on morbidity and mortality to the potential for profound changes in disease ecology and geography brought about by state shifts in the Earth’s system,\u201d they write, \u201cclimate change will be the defining issue for public health in this century.\u201d<\/p>\n

\"\"Climate change is, as Lemery puts it, a \u201crisk multiplier\u201d for vulnerability, particularly among those who are already the most at risk \u2013 the very young and very old, the poor, the sick; those living in floodplains and urban heat islands and in huts on low-lying coasts; those where the public infrastructure and government are already hard pressed to deliver clean food or water or adequate health care. It\u2019s a topic of deep interest to Lemery, who co-edited a June 2014 Health and Human Rights Journal<\/em> special issue on climate justice.<\/p>\n

\u201cWhile you and I, in a resource-rich setting, will be relatively shielded, it\u2019s the vulnerable populations of the world that are going to bear the brunt of this. Frankly, they\u2019re going to get pummeled,\u201d Lemery said. \u201cAnd from a justice point of view, they\u2019re the ones who are least responsible.\u201d<\/p>\n

Climate-health connections are vivid<\/strong><\/p>\n

The book spends ample time describing the agents of future pummeling: waterborne and vector-borne (think malaria and dengue) disease, respiratory impacts from poor air quality, spiking allergens, toxic algae blooms, nutritional deficiencies and even mental health effects. Add to these the blows of heatstroke and dehydration from raw heat in places that scientist predict will become too hot to inhabit<\/a>, and we run the risk of health crises associated with mass migration from rising seas and desert cauldrons on scales dwarfing the current exodus from Syria, Iraq and Afghanistan into Europe, Lemery argues.<\/p>\n

There\u2019s a concreteness and urgency to all this that restatements of carbon-dioxide concentrations in parts per million lack, said Lemery.<\/p>\n

\u201cWe need to stop talking about \u2018save the whales,\u2019 and altruism and abstraction,\u201d he said. \u201cWhat does that mean to the average person on the street?\u201d<\/p>\n

Luber tapped Lemery for the project because he realized that speaking to the public health community wasn\u2019t enough.<\/p>\n

\u201cJay comes in not only with skill in pedagogy and teaching, but also in connecting with clinicians,\u201d Luber said. That was his contribution: to have this text really align with how med schools ought to be teaching, and getting clinicians familiar with this topic and showing its relevance to their work.\u201d<\/p>\n

Moving the needle<\/strong><\/h2>\n

Those clinicians can then help educate the masses about a problem that, fully 40 percent of respondents to that climate poll were either \u201cnot too worried\u201d or \u201cnot worried at all\u201d about.<\/p>\n

Lemery wants to change that by tapping into \u201cthe power of the white coat,\u201d as he put it. Physicians and other health care professionals enjoy exceptional public trust (a recent Gallup poll<\/a> placed nurses, doctors and pharmacists atop the rankings in terms of honesty and ethical standards, miles above advertising salespeople, car salespeople and the cellar-dwellers, members of Congress).<\/p>\n

This all may seem far afield from Emergency Medicine, but Richard Zane, MD<\/a>, chair of the CU Department of Emergency Medicine and executive director of emergency services at UCHealth, begs to differ.<\/p>\n

\u201cGlobal Climate Change and Human Health\u201d is \u201can incredible achievement,\u201d Zane said.<\/p>\n

\u201cIt\u2019s right in the middle of exactly what we\u2019re supposed to do as academicians and physicians,\u201d he said. \u201cOur role is to care for our patients and understand the circumstances under which we care for [them] \u2013 not just today, but tomorrow and a decade from now. And that\u2019s exactly what this book does.\u201d<\/p>\n

\n

Climate book co-authors go way back<\/strong><\/p>\n

It was 1996, and George Luber was a medical anthropology graduate student at the University of Northern Arizona. He was under the weather, running a fever, and in a Kinko\u2019s copy center. This triumvirate of woe deepened with the realization that his Kinko\u2019s card wasn\u2019t working. Luber went up to the counter good and angry.<\/p>\n

\u201cMy card\u2019s not working, man,\u201d he said to a tall, scruffy employee.<\/p>\n

The guy in the blue shirt looked at him for a long moment. \u201cGeorge Luber,\u201d he said.<\/p>\n

\u201cGeorge Luber, yeah,\u201d Luber said. He didn\u2019t recognize this Kinko\u2019s associate who somehow knew his name. \u201cWhose card\u2019s not working.\u201d<\/p>\n

The associate reached his nametag toward Luber\u2019s face. It read \u201cJAY.\u201d<\/p>\n

\u201cThanks, Jay<\/em>.\u201d Luber said. \u201cMy card\u2019s not working.\u201d<\/p>\n

As these words came out, the churning facial recognition process deep in Luber\u2019s brain spit out a match.<\/p>\n

\u201cJay Lemery! Holy s***!\u201d<\/p>\n

Lemery was taking time off before medical school, working as a golf caddy, a ski instructor, a Red Lobster waiter, and Kinko\u2019s copy boy.<\/p>\n

He and Luber had been high school buddies in Glens Falls in upstate New York, where Lemery had grown up and Luber had spent a couple of years during a childhood of constant transition on the wings of his father\u2019s job as a pharmaceutical executive. They had spent summers in Vermont, Luber teaching tennis at Stratton Mountain Resort, Lemery working a tennis tournament. They had been close friends. Then Luber\u2019s family moved again, to Florida, and in the pre-Internet age, they had lost touch.<\/p>\n

It wouldn\u2019t happen again.<\/p>\n","protected":false},"excerpt":{"rendered":"

When pollsters reached out to 1,058 U.S. adults about climate change in mid-October, they asked them whether they viewed global warming as an environmental issue, a moral issue, a religious issue, a social justice issue, a scientific issue, or a poverty issue. Jay Lemery, MD, and George Luber, PhD, would have said \u201cyes\u201d to all […]<\/p>\n","protected":false},"author":23,"featured_media":1854,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[274],"class_list":["post-5018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-emergency-medicine"],"acf":[],"yoast_head":"\nNew book: Climate change is a health issue; MDs can make a difference - UCHealth Today<\/title>\n<meta name=\"description\" content=\"When pollsters reached out to 1,058 U.S. adults about climate change in mid-October, they asked them whether they viewed global warming as an environmental issue, a moral issue, a religious issue, a social justice issue, a scientific issue, or a poverty issue. 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