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Some links between climate change and human health are complex. custom name american flag dachshund pattern full printing ugly sweater For example, the predicted drying in sub-Saharan Africa could increase the incidence of HIV infection,

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perhaps irreversible, damage to many natural systems and ecological processes that a global average temperature increase of 2-3oC would cause. custom name american flag dachshund pattern full printing ugly sweater This requires early radical action as today’s concentrations are approaching 390 ppm . Health professionals, acting through citizens’ or professional organisations, have both the opportunity and responsibility to contribute to resolving this momentous issue. Improving awareness of the problem is the first step. Since 1993, doctors from 14 countries have had a central role in the Intergovernmental Panel on Climate Change’s assessment of the health effects of climate change. We should also add this topic, including its relevance to health professional activity, to the medical curriculum. Although adaptive strategies will minimise the effects of climate change, the greater public health preventive challenge lies in stopping the process of climate change.

This requires bold and far sighted policy decisions at national and international levels, entailing much greater emissions cuts than were being proposed a decade ago. Many local actions can be taken to reduce the vulnerability of communities and populations. These will vary considerably between different regions of the world, and in relation to prevailing socioeconomic conditions and available resources. During Australia’s recent prolonged drought (2001-7), some rural health doctors reported that fostering and supporting communal activities increased local resilience against depression associated with loss of livelihood. Various websites list and discuss actions for doctors to take, both individually and collectively . For example, the US Centers for Disease Control and Prevention lists 11 functions for the public health system and practitioners for responding to climate change.25 And Doctors for the Environment Australia has run a successful, continuing, national campaign of patient education by distributing posters and pamphlets for use in doctors’ waiting rooms.