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:

A pathway to net zero emissions for healthcare

Dr. Renee Salas charts a path to net zero emissions for healthcare.

Read Now

The first residency curriculum to better prepare doctors for climate change

New framework can teach medical residents how climate changes affects health, clinical care, and health care delivery.

Read Now

The climate crisis and COVID-19—A major threat to the pandemic response

Strategies for local communities and states to reduce the risk of COVID-19 transmission during climate-related extreme events like heat waves, hurricanes, and wildfires.

Read Now

Climate Change and Cancer

Climate actions can make cancer treatment facilities more resilient and improve cancer outcomes.

Read Now

The climate crisis and clinical practice

Read Now

A new toolkit makes health tips for heat waves more accessible

Our new toolkit for patients, providers and clinics provides guidance to prepare for or respond to weeks of prolonged heat.

Read Now

Patient-Centered Climate Action and Health Equity

The health care industry can make equitable patient-centered climate action a reality across the nation. Here's how.

Read Now

Fossil-Fuel Pollution and Climate Change - A New NEJM Group Series

A monthly series in NEJM will call attention to rising global greenhouse gas emissions that harm our health.

Read Now

Extreme heat health interventions top of mind for pediatric physician

Precision medicine can be advanced by patient-centered climate resiliency strategies, says our Director Dr. Aaron Bernstein.

Read Now

Climate action is critical for health equity. Community health clinics are key - and need more support.

We are working with Americares and Johnson & Johnson to develop climate health equity programs at community health clinics across the nation.

Read Now

Hurricanes and Health

Policymakers face three interlinked challenges in protecting human health from hurricanes: increasing risks, increasing exposure, and unequal impacts.

Read Now

Pandemic lessons can help in fight against climate change

Climate change causes new health problems, worsens existing health problems, and affects healthcare delivery. But it is not an equal opportunity harmer.

Read Now

New climate report sparks demand for change in healthcare

Healthcare organizations, medical societies, and individual healthcare practitioners call for decarbonization and disaster preparedness to protect our health from climate change.

Read Now

In these hazy skies, a public health warning from a warming planet

Smoke from wildfires in western states decreased the air quality in Boston to levels where the public could become sick and those in sensitive groups could suffer serious health effects.

Read Now

What can doctors do about climate change?

Clinicians can screen for climate change–related health risks during appointments to ensure their patients understand the role climate change plays in their 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