{"id":19175,"date":"2021-07-22T16:22:10","date_gmt":"2021-07-22T21:22:10","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19175"},"modified":"2026-02-05T04:17:32","modified_gmt":"2026-02-05T09:17:32","slug":"what-can-doctors-do-about-climate-change","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/advice\/what-can-doctors-do-about-climate-change\/","title":{"rendered":"What Can Doctors Do About Climate Change?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When Hurricane Harvey hit Texas in 2017, emergency rooms <\/span><a href=\"https:\/\/www.texastribune.org\/2017\/10\/13\/harveys-death-toll-reaches-93-people\/\"><span style=\"font-weight: 400;\">were overwhelmed by patients<\/span><\/a> <span style=\"font-weight: 400;\">with burns, cuts, bruises and broken bones. Other types of health problems showed up later on, says Dr. Adlia M. Ebeid, director of pharmacy services at San Jose Clinic in Houston, a &#8220;safety-net clinic&#8221; that helps underserved patients in the community access care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After the storm, the clinic&#8217;s staff checked on families in the small town of Rosenberg, Texas. <\/span><span style=\"font-weight: 400;\">With up to two feet of water sitting in their houses, they&#8217;d started to develop mold and respiratory disorders. <\/span>In response, the clinic sent in hundreds of inhalers.\u00a0<span style=\"font-weight: 400;\">\u201cI personally was surprised they did not realize the impact this [flooding] could have on them, their children and their health,\u201d Ebied says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most obvious health effects of natural disasters are the immediate deaths, injuries and acute trauma addressed through emergency relief efforts. But<\/span> <span style=\"font-weight: 400;\">climate change is making extreme weather events more frequent and intense. One consequence<\/span> <span style=\"font-weight: 400;\">of this new normal is health complications, including respiratory, autoimmune and cardiovascular disorders that emerge after flood waters recede and wildfires fan out.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To help get ahead of and manage these lingering health issues, an expert-led <\/span><a href=\"https:\/\/www.psr.org\/wp-content\/uploads\/2019\/07\/ama-climate-change-education-policy-2019.pdf\"><span style=\"font-weight: 400;\">movement<\/span><\/a> wants to <span style=\"font-weight: 400;\">bring climate change into the exam room. The push is for <\/span><span style=\"font-weight: 400;\">doctors and other types of clinicians<\/span><span style=\"font-weight: 400;\"> to start screening for climate change\u2013related health risks during appointments, making sure that patients explicitly understand the role climate change plays in their health. \u201cThe stunning thing for me is that in 2021, we don&#8217;t have any guidelines for these clinics on how to keep their patients safe,\u201d says Dr. Aaron Bernstein, interim director of the Center for Climate, Health and the Global Environment at the Harvard T.H. Chan School of Public Health. &#8220;That was not particularly OK in the past, but it&#8217;s certainly not OK now.&#8221;<\/span><\/p>\n<h3>Sick planet, sick people?<\/h3>\n<p>Natural disasters aren&#8217;t a new threat. But extreme weather events are becoming more frequent and severe. While numerous factors might contribute to a singular event, climate change is the driving force behind the larger pattern of supercharged <a href=\"https:\/\/climate.nasa.gov\/blog\/3066\/the-climate-connections-of-a-record-fire-year-in-the-us-west\/#:~:text=According%20to%20the%20U.S%20Forest,but%20further%20research%20is%20needed.\">wildfires<\/a>, <a href=\"https:\/\/www.desmoinesregister.com\/story\/money\/agriculture\/2021\/03\/02\/ui-study-climate-change-midwest-water-hose-dumping-rain-university-iowa\/6884486002\/\">floods<\/a> and <a href=\"https:\/\/www.cbsnews.com\/news\/climate-change-heat-wave-pacific-northwest\/\">heat waves<\/a>. The &#8220;why&#8221; always comes back to rising temperatures. The earth&#8217;s surfaces (air and ocean) are getting warmer because fuel emissions are trapping more heat in the atmosphere. This phenomenon creates ideal conditions for extreme weather in numerous ways. Warmer air traps more moisture, priming hurricanes and other storms to produce heavier rain. Meanwhile, higher average temperatures fuel longer, more intense wildfire seasons in the Western U.S., including causing winter snow to melt sooner and leaving forests and soils drier, perfect for kindling.<\/p>\n<p><span style=\"font-weight: 400;\">Experts are working in real time to understand how extreme weather events cause a variety of long-term health impacts. The connection is clearer for some issues than others, says Mariel Fonteyn, associate director of emergency preparedness at Americares. Some lingering health consequences that can stem from a few types of extreme weather include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Extreme heat:<\/b><span style=\"font-weight: 400;\"> A <\/span><a href=\"https:\/\/www.vice.com\/en\/article\/v7eyn8\/five-million-people-die-every-year-now-due-to-abnormal-temperatures-study-reports?utm_medium=social+&amp;utm_source=VICE_Twitter\"><span style=\"font-weight: 400;\">new study<\/span><\/a><span style=\"font-weight: 400;\"> says around 5 million people die each year from exposure to abnormal temperatures caused by global warming. While more people still die from the cold, the study found cold-related deaths have decreased, while heat-related deaths have risen.<\/span> <a href=\"https:\/\/www.zocdoc.com\/blog\/advice\/how-one-seattle-er-is-handling-this-historic-heatwave\/\"><span style=\"font-weight: 400;\">Extreme heat<\/span><\/a><span style=\"font-weight: 400;\"> can trigger symptom flare-ups for many <\/span><a href=\"https:\/\/www.cedars-sinai.org\/blog\/summer-health-risks.html\"><span style=\"font-weight: 400;\">chronic conditions<\/span><\/a><span style=\"font-weight: 400;\">, like multiple sclerosis and asthma. It can also cause dangerous short-term illnesses like heatstroke, which can result in <\/span><a href=\"https:\/\/health.usnews.com\/wellness\/articles\/2018-06-21\/what-you-need-to-know-about-heat-stroke\"><span style=\"font-weight: 400;\">long-term complications<\/span><\/a><span style=\"font-weight: 400;\"> such as muscle damage and kidney and liver problems.<\/span><\/li>\n<li aria-level=\"1\"><b>Hurricanes: <\/b><span style=\"font-weight: 400;\">Post-storm <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7967478\/\"><span style=\"font-weight: 400;\">environmental<\/span><\/a><span style=\"font-weight: 400;\"> damage, such as water contamination and air pollution, can cause <\/span><a href=\"http:\/\/v\"><span style=\"font-weight: 400;\">long-term impacts<\/span><\/a>,<span style=\"font-weight: 400;\"> including chronic illnesses like cardiovascular and respiratory diseases.\u00a0<\/span><\/li>\n<li aria-level=\"1\"><b>Floods: <\/b><span style=\"font-weight: 400;\">As a side effect of heavy rainfall, hurricanes and tropical storms, floods are the <\/span><a href=\"https:\/\/www.who.int\/health-topics\/floods#tab=tab_1\"><span style=\"font-weight: 400;\">most common natural disaster<\/span><\/a><span style=\"font-weight: 400;\">. Flooding <a href=\"https:\/\/www.researchgate.net\/publication\/44807703_Health_Impacts_of_Floods\">can cause<\/a> respiratory disorders, gastrointestinal and other bacterial <\/span><a href=\"https:\/\/www.nrdc.org\/experts\/juanita-constible\/emerging-public-health-consequences-hurricane-harvey\"><span style=\"font-weight: 400;\">infections<\/span><\/a><span style=\"font-weight: 400;\">, and diseases transmitted from rodents. It can also exacerbate chronic conditions, like asthma. <\/span><\/li>\n<li aria-level=\"1\"><b>Wildfires: <\/b><a href=\"https:\/\/www.futurity.org\/wildfire-smoke-health-problems-2592902\/\"><span style=\"font-weight: 400;\">Smoke from wildfires<\/span><\/a><span style=\"font-weight: 400;\"> can be highly toxic, and can travel long distances. (Just this July, smoke from <a href=\"https:\/\/www.reuters.com\/world\/us\/smoke-us-west-wildfires-leaves-easterners-gasping-2021-07-20\/\">Oregon fires<\/a> made its way all the way to Manhattan.) One <\/span><a href=\"https:\/\/www.futurity.org\/wildfire-smoke-health-problems-2592902\/\"><span style=\"font-weight: 400;\">2018 fire<\/span><\/a><span style=\"font-weight: 400;\"> produced smoke equivalent to <\/span><span style=\"font-weight: 400;\">\u201ceight to 10 cigarettes.\u201d <\/span><a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2020\/10\/09\/907099868\/smokey-skies-are-the-new-normal-are-they-making-us-sick\"><span style=\"font-weight: 400;\">Particles found in the smoke<\/span><\/a><span style=\"font-weight: 400;\"> can exacerbate respiratory issues like asthma and chronic obstructive pulmonary disease. Inhaling these particles can increase your risk of a heart attack or stroke down the line. Research also suggests exposure for pregnant people could contribute to gestational diabetes and premature birth.<\/span><\/li>\n<\/ul>\n<p>The psychological toll of extreme weather is well-documented. Just over half of adults and 45 percent of children experience depression after being in a natural disaster, according to the <a href=\"https:\/\/www.apha.org\/~\/media\/files\/pdf\/topics\/climate\/climate_changes_mental_health.ashx\">American Public Health Association;<\/a> studies on <a href=\"https:\/\/www.nrdc.org\/experts\/juanita-constible\/emerging-public-health-consequences-hurricane-harvey\">specific storms<\/a> support and flesh out these statistics. Merely <a href=\"https:\/\/www.zocdoc.com\/blog\/advice\/1-question-5-answers-whats-the-biggest-climate-related-health-concern\/\">thinking<\/a> about the possibility of a climate emergency can cause distress; therapists say they&#8217;re seeing &#8220;pre-traumatic stress&#8221; more often.<\/p>\n<p>Some climate change\u2013related health issues aren\u2019t necessarily tied to extreme weather events. Even short of bonafide heat waves, <a href=\"https:\/\/weather.com\/health\/allergy\/news\/2021-04-16-study-climate-change-making-allergies-worse\">rising average temperatures<\/a> can worsen air quality and increase the levels of pollen and other allergens in the air. As a result, people with asthma and allergies are prone to more intense flare-ups, and people who&#8217;ve never had allergies in the past might develop them.<\/p>\n<p><span style=\"font-weight: 400;\">Rising temperatures also help infectious mosquitos, ticks and other disease vectors thrive in previously inhospitable environments. The Wildlife Conservation Society warned climate change could worsen the spread of <\/span><a href=\"https:\/\/www.scientificamerican.com\/article\/twelve-diseases-climate-change-may-make-worse\/\"><span style=\"font-weight: 400;\">12 diseases<\/span><\/a><span style=\"font-weight: 400;\"> including yellow fever, bird flu and cholera.\u00a0<\/span><\/p>\n<h3>Getting personal<\/h3>\n<p><span style=\"font-weight: 400;\">Historically, nonemergency clinicians haven\u2019t been overly involved in addressing health issues during and after natural disasters. Public health officials are in charge at disaster sites; they set up cooling and storm shelters, bring in mental health support and figure out how to get essential supplies like food, medical equipment and water to communities. Health-related emergency relief organizations, like Americares, which brings medical supplies to disaster zones, support these <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1854988\/\"><span style=\"font-weight: 400;\">public health disaster relief responses.<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cEmergency planning tends to focus on things like hurricanes and tornadoes, the big things that are on the news,\u201d Fonteyn says. \u201cWe aren&#8217;t necessarily thinking about things like the increase in heart attacks due to heat waves.\u201d\u00a0<\/span><\/p>\n<p>Our public health system focuses on health at the community and population levels. But climate change isn&#8217;t only a scourge on our collective well-being; it can also threaten our personal health. Bernstein thinks local clinicians are in a unique position to ensure the ongoing safety and well-being of individual patients. (FEMA, which is in charge of much of federal disaster preparedness, <a href=\"https:\/\/newrepublic.com\/article\/149899\/troubling-failure-americas-disaster-response\">has even said<\/a> that it needs help from private citizens and small communities in combating the health impacts of natural disasters.)\u00a0<span style=\"font-weight: 400;\">As we deal with more and more extreme weather events, clinicians can monitor patients\u2019 health issues throughout the year. In the case of something like a heat wave, they can call to check on patients long after pop-up cooling centers have been shut down.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, clinicians aren\u2019t necessarily trained to discuss climate change with patients. Even the suggestion that the topic falls under their purview is fairly new. In 2019, <\/span><span style=\"font-weight: 400;\">the American Medical Association<\/span><span style=\"font-weight: 400;\"> <a href=\"https:\/\/www.psr.org\/wp-content\/uploads\/2019\/07\/ama-climate-change-education-policy-2019.pdf\">called for climate change education<\/a> in all medical schools, and just this year, a team of medical school professors proposed the first-ever set of <\/span><a href=\"https:\/\/journals.lww.com\/academicmedicine\/Fulltext\/2021\/03000\/Climate_Change_and_the_Practice_of_Medicine_.23.aspx\"><span style=\"font-weight: 400;\">climate curriculum guidelines<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cClinicians spend our days working with individual patients, and we\u2019ve heard little discussion of the implications of the climate crisis for our daily practice,\u201d Dr. Renee N. Salas wrote in a 2020 op-ed in the <\/span><em><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp2000331\"><span style=\"font-weight: 400;\">New England Journal of Medicine<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/em><\/p>\n<h3>A climate conundrum<\/h3>\n<p><span style=\"font-weight: 400;\">Guidelines exist for most things that doctors do in the exam room, but if they want to incorporate climate-change education into care, they&#8217;re largely on their own. To fill this gap, <\/span><span style=\"font-weight: 400;\">Bernstein and his team at Harvard are <\/span><span style=\"font-weight: 400;\">creating resources based on the needs of the San Jose Clinic through a <a href=\"https:\/\/www.hsph.harvard.edu\/c-change\/our-work\/climate-resilient-health-clinics\/\">pilot project focused on climate resiliency<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this project, researchers are also talking to<\/span><span style=\"font-weight: 400;\"> clinics in other disaster-prone areas. All the clinics are <a href=\"https:\/\/www.hrsa.gov\/opa\/eligibility-and-registration\/health-centers\/fqhc\/index.html\">federally qualified health centers<\/a>, which receive government funding to deliver high-quality care to underserved communities. \u201cThe providers at these clinics are just really, really busy,\u201d Fonteyn says. \u201cA lot of them haven&#8217;t had the opportunity to sit down and consider that these issues that they&#8217;re seeing are related to climate change and where those connections are.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ideas for helpful resources are still \u201con the sketch pad,\u201d but researchers have already noticed a few areas for improvement, Bernstein says. The team hopes to curate screening checklists to assess patients\u2019 vulnerability to extreme weather events, as well as disease management plans for patients and healthcare providers ahead of events.\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">For clinicians in underserved, disaster-prone communities, <\/span>helping patients manage chronic illnesses like diabetes, hypertension and high cholesterol is often top of mind. Abeid says conversations about preventive care are really important for these patients, who might also need to keep certain medications on hand in case of emergency. \u201cIf these patients go untreated for a certain period of time, they will most likely end up in the hospital with a heart attack or a stroke,\u201d she says.<\/p>\n<p><span style=\"font-weight: 400;\">The pandemic has also made technology a regular part of routine care, and the Harvard team thinks it can be a useful tool for clinicians ahead of natural disasters. For example, if a doctor sees a heat wave on the horizon, they could virtually alert their patients to take certain precautions based on their health histories.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Just as the pandemic changed healthcare as we know it, Bernstein and his team are confident that climate change is already testing our limits. Once the Climate Resilience Project wraps up, they hope to apply their findings to other healthcare centers around the country.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhen no one has touched an area, there&#8217;s a great opportunity to make a difference,\u201d Bernstein says. \u201cI don&#8217;t know if we will make a difference, but we at least have to try.\u201d<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>With extreme weather on the rise, some experts want to see climate change addressed in the exam room. <\/p>\n","protected":false},"author":66,"featured_media":18373,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[228],"tags":[179,108,25,26,41,81,93],"class_list":["post-19175","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice","tag-climate-change","tag-doctors-and-patients","tag-emergency-care","tag-environmental-health","tag-mental-health","tag-preventive-care","tag-public-health","reviewer-dr-nassim-assefi","specialist_by_city-find-primary-care-physicians-near-you"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Can Doctors Do About Climate Change? 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