broadening horizons Flashcards
what is realistic medicine?
moving away from doctor knows best and more to shared decision making between patient & doctor
what is planetary health?
the health of human civilization and the natural systems on which it depends
= all about the sustainable development goals (which you know from scout stuff)
what is sustainable helathcare?
= system that protects health of current and future generations whilst minimising environmental and social costs
= still provides high quality care
why do we need to learn about environment stuff?
- environmental degradation very bad for health
- healthcare systems contribute to environmental degradation
- GMC outcomes for graduates
- NHS climate change commitments
what are the impacts of severe weather due to climate change on human health?
injuries, fatalities, mental health impacts
what are the impacts of air pollution due to climate change on human health?
asthma, cardiovascular disease
what are the impacts of changes in vector ecology due to climate change on human health?
malaria, dengue, encephalitis, hantavirus, rift valley fever, lyme disease, chikungunya, west nile virus
what are the impacts of increasing allergens due to climate change on human health?
respiratory allergies & asthma
what are the impacts of water quality impacts due to climate change on human health?
cholera, crytosporidiosis, campylobacter, leptospirosis, harmful algal blooms
what are the impacts of water & food supply impacts due to climate change on human health?
malnutrition & diarrheal disease
what are the impacts of environmental degredation due to climate change on human health?
forced migration, civil conflict, mental health impacts
what are the impacts of extreme heat due to climate change on human health?
heat-related illness and death, cardiovascular failure
how does NHS cause carbon footprint?
- medicines & chemicals = 20%
- personal travel = 10%
- anesthetic gases
- other stuff
how can you do ecologically sustainable clinical practice?
- remote consultations when able
- can we re-use stuff?
- is there a non-pharmaceutical alternative?