in perspective Fresh views and clear voices Rethinking climate change action It’s hard to escape the daily diatribes about how much action on climate change is supposedly costing us, and even proponents tend to focus on the economics. H Dr Marion Carey is Monash Climate, Biodiversity and Health Program program leader and senior research fellow at Monash Sustainability Institute. ow often do we hear from our leaders about the benefits of acting to mitigate climate change, or any arguments apart from economic ones? No one, it seems, dares talk about climate change as a moral issue any more. Talking about it as an environmental issue doesn’t seem to be winning the day. So are there other ways of seeing the problem? In the words of World Health Organisation directorgeneral Margaret Chan: “Sadly, policy makers have been slow to recognise that the real bottom line of climate change is its risk to human health and quality of life. Thankfully, however this situation is beginning to change”. Climate change is a complex, abstract issue to many, seeming to lack immediate impacts and affecting people distant in time and space. With an increasing cascade of scientific reports providing compelling and disturbing evidence, we are not seeing a concomitant surge in action. Health professionals have known for some time that just providing people with more facts about an issue does not always change their behaviour – or why would anyone still be smoking?. How we conceptualise an issue, whether we feel it is an important threat to us personally, or those we care about, and whether we feel we have the capacity to act on the problem, can all influence our motivation. Offering solutions Viewing climate change in a health frame can offer solutions instead of just problems. The issue becomes more tangible – here and now, about people, our families, not polar bears. Health is already an issue of importance, something we value. Talking about increased risks of asthma, infectious disease and heat stress can make it more real and personally relevant. As health impacts from increasing extreme weather and the implications of more indirect impacts become apparent from poor air quality, food and water insecurity, changing disease patterns, loss of livelihoods and mental health consequences, the costs of climate change can start to be measured in terms of lives and health. The flipside is that acting to prevent further climate change brings a range of health benefits, many of which accrue quite quickly. Policies that reduce greenhouse emissions can result in significant health improvements and contribute to tackling the epidemic of chronic diseases now facing modern societies. In the words of a Lancet medical journal article, “the news is not all bad”. Actions to improve health Reducing fossil fuel combustion from vehicle use and coal combustion reduces air pollution, a significant cause of cardiovascular and respiratory disease, and 14 SEPTEMBER 2012 : WME magazine premature death. Using the car less and walking or cycling means being more physically active, and this can have multiple physical and mental health benefits. By designing our cities and transportation systems in a smart, low carbon way, we can help to prevent a range of health problems, save lives and save money on treating illness. Growing local fresh food can reduce its carbon footprint and improve food security. Reducing saturated fat intake from animal products and processed meat in our diet, and increasing the proportion of vegetables, can reduce our disease risk while also reducing agricultural emissions. ‘‘ By designing our cities and transportation systems in a smart, low carbon way, we can help to prevent a range of health problems, save lives and save money on treating illness We are now learning that healthy urban design is important for climate change mitigation. Keeping our cities cooler and greener also may be positive for health, helping recovery from stress and improving concentration and psychological state. Looking at urban development through a health lens is not new, and there are a number of guidelines or checklists characterising healthy urban development that increasingly may be seen by developers as positive selling points. Examples of “eco-city development” can be found which focus on using local materials, air and water flows, incorporating natural ecosystems, using vegetation to control microclimates and enhancing community life with improved spaces for social interaction. Well-designed energy efficient buildings with improved natural light and ventilation can deliver reduced emissions and health benefits. Health care facilities are increasingly being pressured to take a leadership role in reducing their carbon footprint. In England, the NHS is thought to contribute a quarter of all public sector emissions. The NHS Sustainable Development Unit has shown that short-term reductions in emissions of about 40% are technically feasible without compromising patient care – and there are major cost savings into the bargain. A vision of more walkable, bikeable, public transportoriented cities with cleaner air; less pollution, noise and congestion; more pleasant open space; and energy efficient buildings fuelled by renewable energy, may be a better path to engaging people to act on climate change for the sake of the real bottom line – a healthy life. More at: http://tinyurl.com/8gxm5j3