The climate crisis and clinical practice

02/12/2020 | The New England Journal of Medicine (NEJM)

What we know about the health effects of climate change is just the tip of the iceberg, according to our research fellow and emergency medicine physician Dr. Renee Salas in her article, “The Climate Crisis and Clinical Practice,” published in The New England Journal of Medicine.

It’s critical for hospitals and medical professionals to adapt health care delivery to climate change. Implementing solutions will require stakeholders across disciplines to strategize, share best practices, and learn from health professionals and systems that have already been threatened by climate change.

Climate changes health and also the ways climate change has made it more challenging for clinicians to do their jobs. For instance:

    • New norms in extreme heat eliciting a need for better heat warning alerts, emergency room protocols, and clinician education

    • Rising pollen levels and longer allergy seasons impacting allergies and asthma

    • Natural disasters disrupting treatment for chemotherapy or dialysis

    • Increasing CO2 levels decreasing the nutritional value of food

    • Extreme heat impacting heat-sensitive medication, such as albuterol inhalers

    • Regional changes in vector-borne diseases like lyme disease and west nile virus

    • Increasing risk of infectious diseases in warming temperatures

Related:

Toward a Climate-Ready Health Care System: Institutional Motivators and Workforce Engagement

Dr. Caleb Dresser argues that health care systems must reframe incentives and engage their workforce to become climate-resilient.

Read Now

Study: Teaching community organizing principles to health professionals significantly increases their capacity to take climate action

Read Now

Federal investments in climate change and health research are inadequate says Harvard analysis

Critical knowledge gaps hinder an evidence-based response and are perpetuated by scarce federal research funds.

Read Now

Hundreds of Hospitals on Atlantic and Gulf Coasts at Risk of Flooding from Hurricanes

Our study is the first to systematically investigate flooding risk to nearly 700 U.S. hospitals on the Atlantic and Gulf Coasts from Category 1-4 storms.

Read Now

Communicating Statistics on the Health Effects of Climate Change

Health professionals need to communicate the health and equity implications of climate change effectively to protect health and motivate action.

Read Now

A Pediatrician’s Guide to Climate Change-Informed Primary Care

A practical approach for connecting climate change with health during pediatric well visits.

Read Now

The medical response to climate change

Our Director Dr. Aaron Bernstein lays out five pillars for the medical response to climate change.

Read Now

Adding A Climate Lens To Health Policy In The United States

Our Yerby Fellow Dr. Renee Salas and Interim Director Dr. Aaron Bernstein outline specific recommendations for achieving climate action through health policy and decision making.

Read Now

'We Don't Have To Live This Way': Doctors Call For Climate Action

A sprawling analysis published by The Lancet focuses on public health data from 2019, and finds that heat waves, air pollution and extreme weather increasingly damage human health.

Read Now

Challenges and opportunities to sustainably scale up surgical, obstetric, and anaesthesia care globally

Strategies for the surgical, obstetric, and anaesthesia community to sustainably scale up SOA care to reduce greenhouse gas emissions and address health equity and social justice issues.

Read Now

Understanding the mental health consequences of chronic climate change

Research is needed to understand the mechanisms through which slower-moving aspects of climate change such as temperature variability, ecosystem shifts, and changes in precipitation affect mental health.

Read Now

Young doctors are at COP28, and they've got a message for world leaders

Our climate and health fellow Tess Wiskel says the climate crisis is a health crisis, but COP28 ushered in hope: "The sheer number of talks on health is extraordinary," she said.

Read Now

From rapid cooling body bags to ‘prescriptions’ for AC, doctors prepare for a future of extreme heat

Drs. Basu and Dresser share our extreme heat toolkit and heat alert system to protect patients' health during extreme heat.

Read Now

Heat toolkit helps doctors and patients deal with temperature-related health risks

Our heat toolkit is helping doctors and patients deal with temperature-related health risks.

Read Now

How smoke blanketing Northeast from Canadian wildfires can impact our mental health

Doctors see an increase in anxiety and depression as people experience the trauma of wildfire smoke.

Read Now

How Extreme Heat Causes Cascading Crises

Our Climate Resilience for Frontline Clinics Toolkit and heat alert system can help health clinics around the country prepare for extreme heat.

Read Now

Climate Resilience for Frontline Clinics Video

In collaboration with Americares, we're working with clinics around the country to protect people most vulnerable to the impacts of extreme heat waves, flooding, hurricanes, and wildfires.

Read Now

Preparing hospitals and health systems for climate change

Speaking to The Boston Globe, several experts from Harvard Chan School offered their perspectives on how hospitals and health systems will cope with continuing climate change and extreme weather events.

Read Now

Sunny highs to shivering cold: Wild weather swings take a health toll

Check out what Drs. Aaron Bernstein and Gaurab Basu have to say about the health impacts of wild weather.

Read Now

Making basic preparations before climate emergencies can help you protect your health

Our Fellows Drs. Humphrey and Dresser Making share preparations before climate emergencies that can help you protect your health.

Read Now

Dr. Renee Salas

Renee N. Salas MD, MPH, MS

Renee's work focuses on the intersection of the climate crisis, health, and healthcare delivery.

View Profile