According to a panel of “One Health” experts convened by the National Academies of Sciences, Engineering and Medicine, people view their health care system individually.
As the Centers for Disease Control puts it, “One Health is a collaborative, multidisciplinary, and interdisciplinary approach that recognizes the human-animal relationship to achieve optimal health outcomes at the local, regional, national, and global levels. , plants and their common environment.
Even in this movement, people focus on people.
Dr. Meghana Gadgil is concerned about the health system’s impact on the climate — because the US health system produces enough pollution to cause 400,000 deaths “equal to the burden of preventable medical errors,” and she’s concerned. The impact of climate change on human health.
“Climate-induced diseases are excellent examples of the link between the environment, human health and health systems,” she said on June 13. Webinar Organize the New Voices Program at the National Academies.
“Currently, for example, malaria, dengue, and many foodborne and waterborne diseases are on the rise, and the geographic range of pathogens and vectors is expanding. We have climate change, increasing temperatures and precipitation, deforestation and air pollution, all of which contribute to infectious diseases. And new disease outbreaks may also worsen.
For patients to receive treatment for these diseases, it is clear that they need a transportation system that is vulnerable to climate effects. In order for hospitals to deliver care, they need energy, another system vulnerable to climate impacts. In one California wildfire, 250 hospitals experienced power outages, Gadgil said. Many other sectors integrated with health care are vulnerable to climate change.
“So I want to invite everyone to think differently about the nature of the health system,” said Gadgil, who serves as an assistant professor and assistant professor in the Department of Hospital Medicine at San Francisco General Hospital at the University of California, San Francisco. Professor in the Department of Health Policy and Management at the UC Berkeley School of Public Health.
“So when we think about climate vulnerability, we have to think about health systems like food systems, housing, transportation, building codes, utilities, indoor air quality standards, Internet and phone access.
Some health organizations are already thinking this way, she added. For example, the Centers for Medicare and Medicaid has an “accountable healthy communities model” that addresses health in relation to social needs such as housing, food insecurity, and access to services.
Professor Hassam Mahmoud of Colorado State University studies the resilience of communities as a system. His team models the impact of events on multiple systems simultaneously: health care, education, transportation, energy, etc.
“So these models, in my opinion, are the key to understanding how the whole system works and how to properly recover from severe events and provide the best service to the public.”
But the founder of the non-profit organization was Dr. Kinari Webb. Health in harmonyHe took his speech beyond the human world. About 30 years ago, Webb traveled to Borneo to study orangutans in the rainforest.
“It was like a year’s worth of silent retreat and when we were able to recognize the unity of it all, it was interrupted by this terrible sound of a chainsaw cutting down 22-story trees,” she said. he said.
“I was shocked, but I slowly got to know many of these logs. And I was even more shocked, because what I found is that they love the forest, and they want the forest to be there for their future, and they understand how important it is. But they often signed up to pay for health care.
Many communities do not have access to local health services. People need money to travel for essential services. For example, some women were desperate for birth control because of the high maternal mortality rate, Webb said.
With this result, they chose to cut wood even though they know that deforestation increases disease, reduces the supply of forest medicine and reduces the water supply for them and their farms.
“In one region we work in, 90% of families log on to pay for health care, even if they don’t want to,” Webb said. So listening to what the people want will help save the forest.
“The most efficient, effective and fastest way to fight climate change is to tackle deforestation, and the experts on how to do that are forest communities.”