Enviromedics: How Climate Change is Killing Us Now

By Patricia Salber, MD, MBA | Published 2/9/2018 0

Rain and drought with tree 1287 x 858

Photo source: Adobe Stock

Big headlines this week:

EPA Administrator Scott Pruitt suggests climate change could benefit humans

That could be, but of course, it is primarily going to be the humans who are making wads of money off of “clean” coal and other environmental pollutants that have indisputably been shown to be the major contributors to the bizarre and dangerous climate changes we have been experiencing over the last number of years.

As I wrote, right after I attended the Al Gore-hosted Climate Change and Health conference held at the Carter Center in Atlanta about a year ago,

“it is clear that the environmental consequences of climate change are killing humans right now.”


So, I was delighted when an old friend and emergency medicine colleague, Paul Auerbach, MD, a Professor at Stanford, sent me his new book, Enviromedics: The Impact of Climate Change on Human Health. Co-authored by Jay Lemery, MD, an associate professor of Emergency Medicine at the University of Colorado, the book provides a comprehensive overview of the health consequences of the various aspects of climate change, including,

  • heat waves and heat stress
  • extreme weather
  • vector-borne diseases
  • air degradation
  • water security
  • food security
  • allergens
  • harmful algal blooms
  • the decline in biodiversity

After starting with an easy to read a primer on the climate change cascade, the good doctors then dive into the ways in which each of the outward expressions of climate change cause injuries and illness. Each has its own chapter that includes at least one and often more real-life examples of people who got sick, and sometimes died, because of that particular manifestation of climate change.

Heat-related illness

Did you catch the stories this summer about Ahvaz, a city in Iran, that hit 129.2 degrees Fahrenheit (54 degrees centigrade), one of the hottest temperatures ever recorded? Want something closer to home? Death Valley in California set a record for the hottest month in U.S. history with an average temperature of 107.4°F. Mind you, when I say average, that is because the 107.4°F represented the average of the highs and lows each day. The average daily high temperature was 119.6°F!

Lemery and Auerbach point out that “humans evolved to tolerate a certain climate and, in general, fare poorly in hot environmental temperatures.” When extreme humidity accompanies extreme heat, the combination can be deadly. According to the National Weather Service Heat Index, people may experience heat cramps and exhaustion at Heat Indices between 90-105 and may experience heat exhaustion between 105 to 130.

Above 130, there is a risk for heatstroke, a condition characterized by mental confusion, weakness, dizziness, unconsciousness, low blood pressure, shock, seizures, increased bleeding, diarrhea, vomiting, shortness of breath, red skin rash, and tea-colored to dark colored urine. Translation: you are starting to cook and you may well die even with intensive care.

Extreme weather

Manifestations of extreme weather include drought, floods, and wildfires (such as the deadly 2017 Northern California fires that cause at least 42 deaths and burned 8,400 structures). These weather events are serious threats to mankind and should not be brushed off as one-time occurrences. As California Governor Jerry Brown, a staunch advocate for preventing or halting climate change, said after Southern California fires followed on the heels of the ones in the north,

“This is the new normal.”

He admonished Californians to prepare for more devastating wildfires because of the changing climate.

Don’t forget the bugs

In their chapter on vector-borne diseases, Lemery and Auerbach point out that climate change is creating more hospitable habitats for insects that previously were rare in northerly countries. Mosquitoes, a major carrier of illnesses that infect humans, such as malaria, dengue, and Zika are now thriving in areas of the U.S. where cold weather used to keep down the populations. I learned at last year’s Climate Change conference that “warmer climates also increase their reproductions rates and the frequency of them biting humans for their blood meals.” So, more bugs, more babies, more bites…not good.

Water security

Humans need water, plain and simple. We need clean water to drink, water to grow agricultural crops and water to bathe in. But in many parts of the earth, water is an increasingly scarce resource. I live in Northern California, a drought-prone area of the world. But besides the inconvenience of short showers, saving gray water for use on plants, and signs above toilets that say, “If it’s yellow, let it mellow, if it’s brown, flush it down,” we never once thought that one day we might completely run out of water. But, right now, in Cape Town, South Africa, a city that reminds me very much of San Francisco, people are counting down to “Day Zero”. That is the day when the water pipes will run dry and people will have to queue up at water dispensing stations. South Africans are fully expecting this could provoke violence—a dangerous situation indeed.

Declining biodiversity

I am glad that Enviromedics included a chapter about the decline in biodiversity because it is an often ignored consequence of climate change. Yes, animal species are declining rapidly, but I want to focus here on the impact on plant biodiversity – although the phenomena are certainly intertwined (think bees and pollination).

The book points out that nature has been an important source of medications. The authors state that “between 1998 and 2002, 116 of the 158 latest small-molecule drugs approved by the U.S. Food and Drug Administration originated directly or conceptually from nature.” (I bet you thought drugs came from pill bottles, right?) As current medications, particularly antimicrobials, lose their effectiveness due to resistance, we may need to turn to nature for inspiration for new drugs and new approaches to control diseases. This is not just a potential threat to redwood trees if fog disappears, it is about losing plants that we haven’t fully characterized for their life-saving potential.

The bottom line

The bottom line is climate change is real (are you listening, Mr. Pruitt?) and it is killing us now by fire, flood, drought, insect-borne diseases, food and water shortages, poor air quality, and harmful algae blooms. It is shameful that politicians around the world, but particularly here in the U.S., continue to perpetuate climate change denial and uncertainty just to squeeze a few more pennies out of their polluting products even as men, women, children, plants, and animals succumb to the harmful effects of climate change.

If I managed to get you all riled up about the issue, or if I at least made you curious to learn more, then I highly recommend that you go online and buy yourself a copy of Lemery and Auerbach’s great and timely book, Enviromedics: The Impact of Climate Change on Human Health.

Patricia Salber, MD, MBA

Website: https://thedoctorweighsin.com

Patricia Salber, MD, MBA is the Founder. CEO, and Editor-in-Chief of The Doctor Weighs In (TDWI). Founded in 2005 as a single-author blog, it has evolved into a multi-authored, multi-media health information site with a global audience. She has worked hard to ensure that TDWI is a trusted resource for health information on a wide variety of health topics. Moreover, Dr. Salber is widely acknowledged as an important contributor to the health information space, including having been honored by LinkedIn as one of ten Top Voices in Healthcare in both 2017 and 2018.

Dr. Salber has a long list of peer-reviewed publications as well as publications in trade and popular press. She has published two books, the latest being “Connected Health: Improving Care, Safety, and Efficiency with Wearables and IoT solutions. She has hosted podcasts and video interviews with many well-known healthcare experts and innovators. Spreading the word about health and healthcare innovation is her passion.

She attended the University of California Berkeley for her undergraduate and graduate studies and UC San Francisco for medical school, internal medicine residency, and endocrine fellowship. She also completed a Pew Fellowship in Health Policy at the affiliated Institute for Health Policy Studies. She earned an MBA with a health focus at the University of California Irvine.

She joined Kaiser Permanente (KP)where she practiced emergency medicine as a board-certified internist and emergency physician before moving into administration. She served as the first Physician Director for National Accounts at the Permanente Federation. And, also served as the lead on a dedicated Kaiser Permanente-General Motors team to help GM with its managed care strategy. GM was the largest private purchaser of healthcare in the world at that time. After leaving KP, she worked as a physician executive in a number of health plans, including serving as EVP and Chief Medical Officer at Universal American.

She consults and/or advises a wide variety of organizations including digital start-ups such as CliniOps, My Safety Nest, and Doctor Base (acquired). She currently consults with Duty First Consulting as well as Faegre, Drinker, Biddle, and Reath, LLP.

Pat serves on the Board of Trustees of MedShare, a global humanitarian organization. She chairs the organization’s Development Committee and she also chairs MedShare's Western Regional Council.

Dr. Salber is married and lives with her husband and dog in beautiful Marin County in California. She has three grown children and two granddaughters with whom she loves to travel.

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