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Healthy Environment, Healthy People: The Intersection Between Climate and Health

How is climate change influencing our health? Why does climate change have a greater impact on vulnerable populations and low-income people? How does the U.S. health care system affect the climate? How can health care systems improve their impact on the climate and the environment? ChristianaCare’s inaugural Climate and Health Conference addressed these topics and raised possible solutions at the John H. Ammon Medical Education Center on the Newark, Delaware, campus on April 12. At the conference, the common denominator was this: An unhealthy environment can lead to illnesses and deaths from air pollution, high heat, contaminated water and extreme weather events. Health systems, government entities, community organizations and individuals all have a role to play in decreasing these effects. “Climate, the environment and health care systems are intertwined,” said Greg O’Neill, MSN, APRN, AGCNS-BC. “We need to pay close attention to this relationship so we can improve health for everyone.” O’Neill is director of Patient & Family Health Education and co-chair of the Environmental Sustainability Caregiver Committee at ChristianaCare. Climate change and intensifying health conditions Negative health effects are so closely tied to the environments where people live, work and play that The Lancet called climate change “the greatest global health threat facing the world in the 21st century [and] the greatest opportunity to redefine the social and environmental determinants of health.” At the conference, speakers addressed specific areas of concern. Asthma. Air pollutants, while largely invisible, are associated with asthma. What’s more, people who live in urban areas with little green space are more likely to have uncontrolled asthma, said speaker Robert Ries, M.D., an emergency medicine resident at ChristianaCare. And there’s the rub, he said: When people with asthma spend time in green spaces, it may improve their health. “In Canada,” he said, “some doctors prescribe nature – two hours a week for better overall health outcomes. Could we do that here?” Heat-related illness. Temperatures worldwide have been rising, increasing the likelihood of heat-related health incidents. Heat waves may be harmful to children and older adults, particularly those who don’t have access to air conditioning, swimming pools or transportation to the beach, said speaker Alan Greenglass, M.D., a retired primary care physician. Children visit the emergency room 20% more frequently during heat waves. Weather-related illness. Climate change is causing more floods, which may result in respiratory problems due to mold growth; and droughts, which may threaten water safety and contribute to global food insecurity, said speaker Anat Feingold, M.D., MPH, an infectious disease specialist at Cooper Health. Stress and anxiety. Climate change can affect mental health, even leading to “solastalgia,” which is distress about environmental change and its effect on one’s home, said speaker Zachary Radcliff, Ph.D., an adolescent psychologist at Nemours. He encouraged clinicians in the audience to keep this mental health concern in mind when seeing patients as it may become more prevalent. Cardiovascular disease risk. Frequent consumption of red meat increases the risk of cardiovascular disease, the top cause of death in the U.S. It’s also unhealthy for the environment, said speaker Shirley Kalwaney, M.D., an internal medicine specialist at Inova. Livestock uses 80% of available farmland to produce only 17% of calories consumed, creating a high level of greenhouse gas emissions. By comparison, plant-based whole foods decrease the risk of cardiovascular disease and diabetes. They use only 16% of available farmland, producing 82% of calories consumed. This makes reducing red meat in our diets one of the most powerful ways to lower the impact on our environment. Health equity and the environment People in low-income communities are more likely to live in urban areas that experience the greatest impacts of climate change, including exposure to air pollutants and little access to green space, said speaker Abby Nerlinger, M.D., a pediatrician for Nemours. A Harvard study in 2020 demonstrated that air pollution was linked with higher death rates from COVID-19 — likely one of the many reasons the pandemic has disproportionally harmed Black and Latino communities. Similarly, access to safe, affordable housing is essential to a healthy environment, said Sarah Stowens, Ed.D., manager of State Policy and Advocacy for ChristianaCare, who advocated for legislation including the Climate Solutions Act, another bill that increased oversight regarding testing and reporting of lead poisoning and a policy to reduce waste from topical medications. Opportunities for change in health care Reduce emissions from pharmaceuticals and chemicals. These emissions are responsible for 18% of a health system’s greenhouse gas emissions. One way to reduce this number is for clinicians to prescribe a dry-powder inhaler (DPI) instead of a metered-dose inhaler (MDI) when applicable and safe for the patient and to give patients any inhalers that were used in the hospital at discharge if they are going home on the same prescription. Hospitals have opportunities to reduce greenhouse gases while caring for patients, said Deanna Benner, MSN, APRN, WHNP, women’s health nurse practitioner and co-chair of ChristianaCare’s Environmental Sustainability Caregiver Committee. The health care sector is responsible for 8.5% of U.S. greenhouse gas emissions, the highest per person in the world. U.S. greenhouse gas emissions account for 27% of the global health care footprint. One way to significantly reduce the carbon footprint is to use fewer anesthetic gases associated with greater greenhouse gas emissions, Benner said. Limit single-use medical devices. Did you know that one surgical procedure may produce more waste than a family of four produces in a week? Elizabeth Cerceo, M.D., director of climate health at Cooper Health, posed this question during her talk. Sterilizing and reusing medical devices, instead of using single-use medical devices, she said, may meaningfully reduce hospital waste. ChristianaCare’s commitment to healthy environments and healthy people As one of the nation’s leading health systems, ChristianaCare is taking a bold, comprehensive approach to environmental stewardship. ChristianaCare reduced its carbon footprint by 37% in 2023 by purchasing emission-free electricity. ChristianaCare joined the White House Climate Pledge to use 100% renewable energy by 2025, reduce greenhouse gas emissions by 50% by 2030 and achieve zero net emissions by 2050. ChristianaCare has created an Environmental, Social and Governance structure to help advance a five-year strategic plan that delivers health equity and environmental stewardship. Nearly 150 staff members have become Eco-Champions, an opportunity to be environmental change-leaders in the workplace. In 2023, ChristianaCare’s successful environmental stewardship included: Reducing our carbon footprint by 37% by purchasing emission-free electricity. Recycling 96,663 pounds of paper, which preserved 11,485 trees. Reducing air pollution by releasing an estimated 33,000 fewer pounds of nitrogen oxides and sulfur oxides through the use of a cogeneration energy plant on the Newark campus. Donating 34,095 pounds of unused food to the Sunday Breakfast Mission in Wilmington, Delaware. Donating 1,575 pounds of unused medical equipment to Project C.U.R.E., ChristianaCare’s Virtual Education and Simulation Training Center and Delaware Technical Community College. “In quality improvement, they say you improve the things that you measure,” O’Neill said in expressing goals for continued success. In looking ahead, said Benner, “I really hope that this conference is the catalyst for positive change with more people understanding how climate is connected to health, so that we can protect health from environmental harms and promote a healthy environment for all people to thrive.”

Aston University predicted as one of the UK’s leading centres for lab-made meat

• Aston University named as one of the UK’s leaders in the potential future of food • Highlighted for research, teaching, public outreach, industry links and location • Process uses cells taken from animals via biopsy, so doesn’t involve slaughter. Aston University has been named as one of the UK’s leading lights in what is predicted to be the future of food - lab-made meat. The University is one of 17 higher education institutions that are expected to play a major role in the development of cultivated meat. Cultivated or lab-grown meat is made from cells taken from animals via biopsy. The cells are used to create meat which doesn’t involve the slaughter of animals. The process promises fewer greenhouse gases and a decrease in land required for its production compared to traditional livestock. The list of universities has been compiled by Cellular Agriculture UK, a non-profit organisation which promotes the UK’s so-called ‘cell-ag’ sector. Aston University is one of five institutions they chose to highlight in their report Mapping the potential for UK universities to become research and teaching hubs for cellular agriculture. Aston University is described in the report as having potential to be an anchor institution for cellular agriculture, and was highlighted for its research and teaching, public outreach work, links with emerging industry and its central location. Dr Eirini Theodosiou, senior lecturer in the School of lnfrastructure and Sustainable Engineering, focuses on ways to produce enough cell mass to create the meat. She said: “This is still a relatively new food technology. Unlike many others we work on biomaterials for microcarriers/scaffolds for cultivated meat, which puts us in a very strong position, in the UK at least.” Meanwhile Dr Jason Thomas’ work explores the psychology behind supporting people to accept lab-made food. Although many people are willing to try it, there are still many who are reluctant to do so. A recent study of the US and UK found that 35% of meat eaters and 55% of vegetarians claimed they were too disgusted by the idea of cultured meat to even try it. A key goal of his research is how to support people to not just try it but to integrate it into their diet. Dr Thomas said: “We are interested in finding out what factors can influence consumer purchase of and consumption of lab-made meat.” “The engineering/psychology link is one of our USPs and is something Aston University can capitalise on; learning what the consumer wants from cultivated meat, and what would encourage them to consume it, using psychological science, and then incorporating this directly into the production process via engineering. “It is a relatively new food technology, and much work still needs to be done to make it affordable, acceptable and on a massive scale, but it could easily end up being one of the most transformative new foods of the 21st century.”

Society matters LIVE: Lab made meat on the menu?

• Research at Aston University focuses on both creating lab-based meat and its psychological acceptance • Dr Eirini Theodosiou and Dr Jason Thomas will be speaking at April’s Society matters LIVE event • Lab made meat on the menu? will take place at Cafe Artum in Hockley Social Club on Thursday 27 April. Lab made meat will be the topic of the latest Society matters LIVE event from Aston University at Café Artum at Birmingham’s Hockley Social Club on Thursday 27 April. Dr Eirini Theodosiou and Dr Jason Thomas at Aston University are conducting research into lab-made or cultivated meat, both exploring the creation of the meat and the psychological impact of the product. Dr Eirini Theodosiou, senior lecturer in the School of lnfrastructure and Sustainable Engineering, focuses on ways to produce enough cell mass to create the meat. Meanwhile Dr Jason Thomas’ work explores the psychology behind supporting people to accept lab-made food. The research comes as current trends indicate that demand for animal-based foods will increase by 70% in 2050 to feed the predicted 9.8 billion people. Dr Theodosiou said: “Cultivated or lab grown meat offers a safer, more sustainable and animal cruelty-free alternative for consumers. It is a very young industry trying to replace traditional meat production methods however, with 800 million people worldwide suffering from hunger and malnutrition, it is a viable option.” “In addition, the livestock industry is responsible for 12-18% of the total greenhouse gas emissions and is a cause of deforestation. Increased meat production and factory farming are the topmost likely causes of the next pandemic due to the extensive use of antibiotics and increasing emergence of zoonotic diseases.” Dr Thomas said: “It is a relatively new food technology, and much work still needs to be done to make it affordable and on a massive scale. We are interested in finding out what factors can influence consumer purchase of and consumption of lab-made meat.” The event is organised by Aston University and Café Artum at Hockley Social Club as part of the Society matters LIVE series. Free tickets are available at https://www.eventbrite.co.uk/e/lab-made-meat-on-the-menu-tickets-464161147487?aff=ebdsoporgprofile

Ask the Expert: How to make agriculture more sustainable

MSU’s Bruno Basso outlines key steps the grain industry can take — with public support — to reduce its greenhouse gas emissions by more than 70% over the next decade Michigan State University Foundation Professor Bruno Basso has long been a believer in the power of digital agriculture. For years, he’s worked to show how emerging digital tools and technologies — things like drones, robotics, satellite imagery and computer models of soil and plant growth — can help farmers promote sustainability without sacrificing profits. Now, in addition to belief, he also has concrete numbers. Basso, an ecosystems scientist in the College of Natural Science and the W.K. Kellogg Biological Station, has helped outline how America’s grain industry can shrink its carbon footprint by 71% by 2030. The team — which included researchers at Duke University, the U.S. Department of Energy’s Argonne National Laboratory and Benson Hill, a sustainable food technology company — published its findings online on June 21 in the journal the Proceedings of the National Academy of Sciences. Basso, who recently won a $250,000 award for sustainability innovations, sat down with MSUToday to talk about how farmers can achieve those reductions and how the public can help. The full article is attached and well worth the read.  Basso tackles tough questions such as: How big is this problem? How much of our greenhouse gas emissions come from agriculture? Your new paper focuses on grains in particular. How big of an emitter is grain production, especially compared to other ag sectors such as livestock, which tends to get more attention? You talked about getting a 23% reduction by better management of fertilizer. How do we get to a 70% reduction by 2030? What are the obstacles that we need to overcome by 2030? Are you a journalist looking to cover this topic - then let us help. Bruno Basso is available to speak with media, simply click on his icon now to arrange an interview today.