17 September 2021

Earth is running a fever: it’s time to act

Climate Change Comment Global Health

Public health has necessarily been at the heart of Australia’s response to the covid pandemic, which has killed over four million people worldwide and profoundly affected all our lives.

Australia’s doctors have been at the head of this response.  They have also emerged as leaders in calling for necessary action to contain another major public health threat- climate change, which the World Health Organization declared the greatest threat to human health this century. 

Doctors are deeply concerned about the ways in which climate change is affecting public health. 

Last week, a major editorial calling for increased action on climate change was published in over 200 medical journals worldwide.  A recent survey  of 875 Australian healthcare professionals found that 86% of respondents “agree that climate change is a serious problem requiring immediate action” Over 50% of doctors and medical students are “alarmed” about climate change and want to do more.

At this week’s Doctors for the Environment Australia (DEA) and the Australian Medical Association combined webinar, 13 medical colleges discussed the need to address climate change and the actions the medical profession can take to reduce the sector’s substantial emissions. 

Following the webinar, doctors penned an open letter  to PM Scott Morrison demanding urgent big-picture policies to decrease Australia’s greenhouse gas emissions this decade, and address the significant health impacts of a warming world  ahead of the crucial UN climate change conference (COP26), which is just weeks away.

The  signatories of  the open letter were the AMA, DEA, The Australian and New Zealand College of Anaesthetists (ANZCA), The Royal Australian College of General Practitioners (RACGP), The Australian College of Rural and Remote Medicine (ACRRM), The College of Intensive Care Medicine of Australia and New Zealand (CICM), The Royal Australasian College of Medical Administrators (RACMA), The Royal Australian and New Zealand College of Psychiatrists (RANZCP), The Royal Australasian College of Physicians (RACP), The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), The Royal Australian and New Zealand College of Ophthalmologists (RANZCOG) and the Australasian College for Emergency Medicine (ACEM). 

As doctors who are on the frontline of care, we are seeing the health impacts of climate change on a regular basis: deaths from bushfires, floods and heatwaves but also from air pollution caused by burning fossil fuels which drive climate change; increased asthma and allergy from pollens and dusts; increased mosquito- borne diseases, heat stress, skin cancers and mental health impacts from previous disasters as well as concern about future events. Extreme weather also affects healthcare services. Medical care becomes more complicated as we try to manage chronic diseases in variable climatic conditions, and access to medical care can be disrupted.

While climate change affects everyone, some groups such as our children are more vulnerable than others. Comments by some MPs that climate advocacy is leading to anxiety about climate change among our youth are not only false, but they also do nothing to help young people cope with the dire consequences of climate instability we are experiencing and the stark future reality that they face.  The best way to help our young people is to acknowledge that climate change brought on by the burning of fossil fuels is occurring, and that Australia is going to do everything possible to reduce the impacts. 

For Australia to do its part in the global effort to curb greenhouse gases that are driving climate change, we have to decrease our carbon emissions by 7% every year and this would need to occur every year till we reach neutrality. 

We have a massive job ahead of us – but rather than bury our heads in the sand and pretend climate change is not happening, we need a government that is going to be proactive, accept the science and get on with doing the job. 

Australia’s medical profession is urging deep cuts to our nation’s total emissions this decade. The 2030 target of a 26-28% reduction in emissions is simply inadequate. Concentrations of methane, a potent greenhouse gas, are also rising quickly. 

Australia has an opportunity to become a renewable energy powerhouse but is held back by government policy which appears to be focused on expanding fossil fuel developments, such as in the Beetaloo Basin, rather than trying to encourage clean energy development which is key to a safe future.

We do not have time to wait to act on climate change.  This is why Australia’s doctors have called on the PM to:

  • Commit to an ambitious national plan to protect health by cutting Australia’s greenhouse gas emissions, aligned to science-based targets in line with limiting global warming to 1.5C;
  • Develop a national climate change and health strategy to facilitate planning for future climate health impacts; and
  • Establish a national Sustainable Healthcare Unit to support environmentally sustainable practice in healthcare and reduce the sector’s own significant emissions.

Business as usual will see global temperatures over 3°C . This scenario would have profound affects on our patients, and make much of Australia uninhabitable. We have the ability to keep temperature rises to the internationally agreed target of 1.5°C – but we have to act now. 

Prime Minister: covid-19 has brought home to everyone just how vital it is to listen to the science and act with urgency when confronted by a global health threat.  Will you heed doctors’ advice and apply the same level of urgency to limit global temperature increases to a safe level to protect the lives and health of Australians now and into the future?

John Van Der Kallen is a rheumatologist and the chair of Doctors for the Environment Australia

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Ross (Post Grad Occ & Environ Health)
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Ross (Post Grad Occ & Environ Health)
1 month 3 days ago

Wow, My reply yesterday with evidence that Australia only is #16 and emits 0.47GT of carbon (much from agriculture – growing food) annually compared to 10+GT from China and the fact China, USA and India emits 50% .
We could be zero emitter and would not affect Global Change
We were #12 so we are making progress.

My comments posted yesterday seems to be censored /deleted/ not published . So much for Free Speech . Ed didnt like the facts Eh? How sad!

Graeme McLeay
Guest
Graeme McLeay
1 month 2 days ago

Ross, if every country which emits “only” 1.4% of emissions went on with business as usual we would be headed for 3 degrees plus of warming. The impacts we are seeing now would be dwarfed in that scenario–that’s not “religion” but physics. Why don’t people read the IPCC report? The US is already experiencing severe impacts which is why Biden will take strong targets to Glasgow. Per capita our emissions are still the highest of all countries. Australia can do so much more and at little cost.

Paul Triggs
Guest
Paul Triggs
1 month 4 days ago

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01860-2/fulltext. ” The authors estimate that 1·7 million deaths worldwide in 2019 were linked to extreme heat and cold (356 000 were related to heat)”.

Graeme McLeay
Guest
Graeme McLeay
1 month 2 days ago
Paul, the Lancet article you quote (which Lomborg has cited twice recently in the Australian) does indeed state more deaths are cold related. The Lancet has also stated that “Climate Change is the Greatest Global Health Threat of the Century”. The heat vs cold article only looked at temperature related deaths. It made no attempt to look at the sum total of all the myriad other impacts of climate change on mortality. It is also clear that heat related deaths will rise substantially as the globe warms, more than offsetting any improvement in cold related deaths. Another issue is that… Read more »
Brian Sullivan
Guest
1 month 4 days ago

I you really want to make a difference, then maybe you should start with China who are responsible for 30% of the worlds pollution, whilst Australia is 1.1%.
Currently Australian is well ahead of the Paris Agreement with new technology without even nuclear energy, so if we get that going, we’ll be more ahead than know. It disappoints me when well intentioned articles like this are disproportionate to the overall reality of who is actually responsible. Climate change is becoming a religion

Clare Smith
Member
Clare Smith
1 month 1 day ago
Australia’s contribution is calculated in various ways and the number can be as low as 1.3% (using some questionable accounting) and 4.8% counting exported emissions. Even at the lower number, we would be in the 40% of countries producing less than 2% – and clearly leaving that 40% untouched would leave far too much inaction. The main point is that we really do have to stop new fossil fuel investments, reduce our reliance on exporting fossil fuels for income and actively seek to replace it with safer options. This is entirely possible and we have wasted many years in culpable… Read more »
Ross (Post Grad Occ & Environ Health)
Guest
Ross (Post Grad Occ & Environ Health)
1 month 3 days ago
Brian you are right. Such a low % of global emissions , and we are still making any effort Australia’s overall emissions fell 1.4% or 7.7 million tonnes of carbon dioxide equivalent (Mt CO2-e) to 528.7 Mt CO2-e. They are now 14.3% below 2005 levels (the baseline year for the Paris Agreement) in the year to March 2020. Agricultural emissions were also down, by 5.8% (4.2 Mt CO2-e), in part due to the ongoing impact of the drought. Emissions from electricity continued to decline, down 4.2% (7.6 Mt CO2-e) in the year to March 2020. So we should stop badgering… Read more »
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