Population and Health Climate Change : Health Effects Dr David - - PowerPoint PPT Presentation

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Population and Health Climate Change : Health Effects

Dr David Pencheon NHS Sustainable Development Unit 7th May 2012

RIBA International Conference on Climate Change: The science of saving the earth. 7th May 2012

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The time is now

At least 15,000 people died prematurely as a result of Europe’s heat wave in 2003 in France1

• 1. Unprecedented heat-related deaths during the 2003 heat

wave in Paris: consequences on emergency departments Jean-François Dhainaut, Yann - Erick Claessens, Christine Ginsburg, and Bruno Riou. Crit Care. 2004; 8(1): 1–2. Published online 2003 December 4. doi: 10.1186/cc2404. and Bhattacharya, S. (October 2003), ‘European heat wave caused 35,000 deaths’, The New Scientist. http://www. newscientist.com/article/dn4259

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Although climate change can cause illness and death directly...

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…there are even greater health risks through:

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The time is now

Between 30,000 and 60,000 people died prematurely as a result of Europe’s heat wave in 2003 in France1

• 1. Unprecedented heat-related deaths during the 2003 heat

wave in Paris: consequences on emergency departments Jean-François Dhainaut, Yann - Erick Claessens, Christine Ginsburg, and Bruno Riou. Crit Care. 2004; 8(1): 1–2. Published online 2003 December 4. doi: 10.1186/cc2404. and Bhattacharya, S. (October 2003), ‘European heat wave caused 35,000 deaths’, The New Scientist. http://www. newscientist.com/article/dn4259

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Population perspective of health and climate change

1.Absolute effect

• Number of people x individual impact

2.Variations in effect globally

• Social justice / ethical

www.sdu.nhs.uk The world map reflecting production related to climate change. “Climate Change presents

the biggest threat to health in the 21st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009).

Who produces the greenhouse gases?

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Who bears the burden?

The world map reflecting mortality related to climate change. “Climate Change presents the

biggest threat to health in the 21st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009).

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“What is good for adaptation to, and mitigation of, climate change......is ALSO good for health and healthcare”

1.For the public’s health

• More physical activity, better diet, improved mental

health, less road trauma, less air pollution, less obesity/ heart disease/cancer, more social inclusion/cohesion...

2.For the healthcare system

• More prevention, care closer to home, more empowered /

self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, better models of care…

3.For global health inequalities / social justice

• Contraction and convergence, technology leapfrogging

Health co-benefits:

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Better healthcare; improved health and social

• utcomes

Financial sustainability Environmental sustainability

Traditional health economics “Health co-benefits”

• f a virtuous cycle

e.g. Saving money through environmental action

Environmental sustainability

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Triple bottom line health care

• Triple bottom line health care
• Economic: best use of financial resources
• More health and social outcomes
• Within environmental limits

“the credit crunch is borrowing from the future; the climate crunch is stealing from the future...”

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• Barbier, E.,1987. The Concept of Sustainable Economic Development.

Environmental Conservation, 14(2):101-110.

• Adams, W.M. (2006). "The Future of Sustainability: Re-thinking Environment

and Development in the Twenty-first Century."Report of the IUCN Renowned Thinkers Meeting, 29–31 January 2006.

www.sdu.nhs.uk Scott Cato, M. (2009). Green Economics. London: Earthscan, pp. 36–

• 37. ISBN 9781844075713.

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Why do healthcare organisations take sustainable development and climate change seriously?

1.Save money 2.Comply with regulation 3.Improve resilience 4.Enhance reputation 5.Improve health

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What do clinicians / health professionals see as key areas?

1.Helping people eat better and move better 2.Enabling women to have control over their fertility 3.Targeting prescribing on those most likely to benefit 4.Promoting a greater sense of belonging 5.Helping people manage care before / without / after specialist hospital care 6.Helping people manage a better death

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See notes of this slides for some of the most important specific actions

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Results of Public Opinion Survey:

Source: Ipsos MORI http://www.sdu.nhs.uk/healthcheck2012 http://tiny.cc/w7fg5

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1.We are very busy - focussed on the day job 2.We are focussed on reacting to demand, problems and crises, not being proactive to need, planning, policy, preparation or prevention 3.We are doing a lot for health already (“moral

• ffset”)

4.We work in systems that are rewarded for activity, and treatment, not prevention or outcome

Why doesn’t the health system do more?

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Health professionals taking action?

• 1. Cholera:

1854 Broad Street Pump Pump 2. Smoking: 1962

• 3. Climate

change: 2012

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“I’m afraid you have humans”