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Engaging Medical Health Professionals �in the Fight for Climate Solutions�

Mona Sarfaty, MD MPH FAAFP

Founder Emeritus

Medical Society Consortium on Climate and Health

Center for Climate Change Communication

George Mason University, Virginia

www.medsocietiesforclimatehealth; @docsforclimate

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My Disclosures

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Outline

  1. History of my work on climate and of the Consortium
  2. Communication venues for us as physicians
  3. Communication principles: simple clear messages
  4. Health benefits of climate change solutions
  5. Post election thoughts on protecting our progress

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2007 UN IPCC Report

Jefferson MC – Chronic disease/Pub Hlth

Philly an EPA clean air non attainment zone !

What was health impact on U.S. population with chronic conditions ?

Joined Center for Climate Change Communication at GMU, VA

This Photo by Unknown Author is licensed under CC BY-SA-NC

My story: a Philadelphia decade (2003-2013)

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Q: Were physicians seeing evidence?

  • Center for Climate Change Communication at GMU, a world class survey center, known for CCAM
  • We surveyed U.S. + international societies + 2014-16:
    • Many doctors were seeing impact
    • They felt modestly knowledgeable and wanted more
    • Felt responsible to inform; and have societies do so
  • Reached out to these societies
  • Founded the Consortium as a GMU program

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  • Mission: inform public and policymakers on health harms of climate change, and benefits of climate solutions.
  • Now: Medical Society Consortium- coalition of 57 national medical societies + 30 state healthy climate groups

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Climate and Health is the Focus

  • Foundational for all communities
  • A relatable personal/family concern
  • Expenditures are a shared burden
  • Health is not inherently partisan
  • Can be depolarizing
  • Trust in physicians was high
    • Still is in key demographics

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Americans, especially conservative Americans, trust their primary care doctors

as a source of information about global warming

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Growth was the initial goal

  • Organization was a necessity – it takes a group
  • Due to our profession, we shared values
    • Values of health and healthcare
    • Value of science as a way to understand and act in the world
    • Value of education/communication
  • A communication strategy was foundational
    • Understood some essentials for engaging people:
      • Shared values/concerns
      • Help them see they can make a difference
      • Focusing on achievable worthwhile outcomes
      • Need a communication strategy of evidence-based messages that could express essentials, empower and facilitate action (RESEARCH !)

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Communication Strategy, Continued

  • Developed by communications professionals
    • Center for Climate Change Communication at George Mason U
    • Climate Change in the American Mind (CCAM) since 2008
    • Used CCAM understanding for message development and testing
    • The messages turned healthcare professionals into effective advocates
  • Corollary to building an organization: Collaboration
    • Marshalled aligned organizations from the beginning (nurses, msw, PH, disease foundations, sympathetic companies)
    • Coalition : health professionals + environmentalists + EJ + Unions + clean energy/energy efficiency businesses built momentum + Administration

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Other Essentials

  • Infrastructure
    • Staff/Interns
  • Technical capacity
    • Staff/Interns
  • Funding
    • Grantwriting
  • Champions
    • Identify the Passionate
    • Succession

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Physicians have Influence

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Waiting Rooms

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Reach Patients While They Wait: Posters/Brochures/Websites

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Reach Patients While They Wait #2

*https://medsocietiesforclimatehealth.org/advocacy-resources/patients/

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Patient Care

Speak to Patients Directly: Just a few words can make a difference.

Why is this important?

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% Who Discuss Global Warming at Least Occasionally (35%)

Even fewer (32%) say they hear about it in the media once per week. We have a major communications gap! Even though…….

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Most Adults Think Global Warming is a Reality

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Americans, especially conservative Americans, trust their primary care doctors

as a source of information about global warming

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What Can We Do?

Simple Clear Messages Repeated Often by a Variety of Trusted Voices

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Focus on Advocacy: sharing what we all need to know using crafted messages

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https://www.climaterx.org/

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Members represent health and hospital systems, clinicians, private payers, biopharmaceutical and medical device companies, health care services, health professional education, academia, nonprofits, and federal government.

The work focuses on health care supply chain and infrastructure; health care delivery; health professional education and communication; and policy, financing, and metrics.

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Evidence-based guidance for �effective communication campaigns:��Simple clear messages, �repeated often, �by a variety of trusted and caring voices.��

Source: Maibach et al (2023) Annual Review of Earth and Planetary Sciences

What Exactly Should We Say? Here is our Guidance.

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Simple Clear Messages: 12 Words

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Effective climate/health messages:

1. “It’s real, it’s us, experts agree, it’s bad.” Show health impacts

Top three: air pollution; food-borne diseases; extreme weather

2. “There is hope.” Identify policy solutions

Top two: clean energy; and improved community design

3. “Others care.” Affirm helpful social norms

"Most Americans agree that we want healthy communities and a healthy climate, [and many of us/but not enough of us] are taking action”

Solutions information has the most impact. This is true for conservatives and for liberals.

Source: Kotcher et al (2021) Journal of Climate Change and Health

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It’s Real, It’s Us, Experts Agree, It’s Bad�It’s harming us through Heat, Rain/Storm, Pollen, Insects

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Also through Wildfire Smoke and Ozone Smog

and Damaged Health Infrastructure

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Health Promise Report

  • Many actions that protect the climate also make people safer, healthier, more productive
  • This report offers five climate solutions that also benefit health

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Five policy pathways to improve our climate�and our health*:#1: Use clean, renewable energy + reduce energy waste�#2: Favor climate-smart foods, farms, and food systems �#3: Support clean and active transportation options�#4: Improve our buildings and homes�#5: Improve our community environments�����The climate benefits of these policies take years �to accrue in small measures worldwide.

But the health benefits accrue very quickly and primarily

locally in the communities that take the actions. ��

*https://medsocietiesforclimatehealth.org/latest-news/new-report-medical-promise-climate-solutions/

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The Health Promise of 5 Accessible �Climate Solutions*

1.Clean Electricity Sources/Less waste cleaner air & water; stop exposing people to polluted air, and damaging atmosphere

2. Climate Smart Food/Food Systems plant-forward diets + climate-smart agriculture practices, plus reducing food loss/waste reduces emissions and increases access to healthier/safer foods

3. Clean/Active Transportation: public/shared transit, low-/no-emissions vehicles, + active approaches (walk, bike)-ALL reduce air pollution or healthier

4. Healthier Homes/Buildings insulate/retrofit buildings, efficient appliances, reduce emissions improve air in/out-doors +

5. Greener Communities with trees & parks increase activity, sociability, + bring cooler temps, reduce flooding, insulate, save $

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Climate Solutions Can Help Prevent �Chronic Disease

  • Primary and Secondary Prevention can occur in ways that improve health & environment
  • Clean energy creates less soot, less pollution, and healthier air and can prevent pulmonary compromise
  • Diets with more vegetables and less meat are healthier, use less resources, and protect the environment
  • Active transportation (walking, biking, public transportation) is better for your health
  • Cities with more trees and cooling greenery help protect people from the heat and improve sociability

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Other Physician Roles: Hospitals and Med Ed�

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Members represent health and hospital systems, clinicians, private payers, biopharmaceutical and medical device companies, health care services, health professional education, academia, nonprofits, and federal government.

Health sector produces 8.5% of greenhouse gas emissions!

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  • Air pollution
  • Extreme heat
  • Extreme weather
  • Vector-borne illness
  • Water-borne illness
  • Food-borne illness
  • Hunger and malnutrition
  • Mental health harms

Reading brief statements about the eight health-harming

pathways of climate change…

…and who is most likely to be harmed…

    • Babies, children, pregnant women
    • Seniors, people with certain chronic illnesses
    • People in low-income & communities of color
    • Outdoor workers

Report source: Medical Society Consortium on Climate & Health (2017)

Message test source: Kotcher et al (2018) GeoHealth

increases people’s engagement with the issue, especially moderates and moderate conservatives.

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� IRA Under Threat ?

  • > 330,000 new clean energy jobs in communities across the country, most in Republican states/districts
    • Located in 150 Republican districts. 354 projects valued at > $286 billion revitalizing these communities
    • 75 Republican members of Congress publicly celebrated the new investments for creating 70,535 jobs
    • 18 House Republicans asked Speaker Johnson not to repeal the clean energy tax credits
  • Cleaner energy options are becoming cheaper.
    • Millions of families are saving money by taking advantage of tax credits to lower their utility bills  
    • Repealing clean energy investments would increase annual energy costs by $240 on average for every family

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IRA Features are Popular* 

  • Clean energy investments are popular:
    • Business. More than 300 clean energy business leaders wrote to congressional leaders, repeal would be an “economic and national security disaster.” The U.S. Chamber of Commerce said the legislation is instrumental for “energy security, competitiveness, and the business case for the energy transition.”
    • Union workers. IBEW, Steelworkers, UAW, etc. fought to pass the clean energy investments; unionization rates in clean energy are good
    • Big Oil. Exxon CEO Darren Woods told CNBC that some of the oil and gas giant’s important investments depend on tax credits. 

 

* EnergyInnovation.org

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Questions?

www.medsocietiesforclimatehealth.org

Facebook/LinkedIn: Medical Society Consortium on Climate and Health

Twitter: @docsforclimate

#climateandhealth

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Add on for those who are interested:�Calling out opponents to climate action �further strengthens the climate/health narrative

Which opponents?

Fossil fuel CEOs and their lobbyists

Some politicians

Fossil fuel CEOs and their lobbyists, and the politicians who are in their pockets*

What it accomplishes, and with whom?

It significantly strengthens policy support and the intention to advocate

It is most effective with Republicans and Independents, thus providing further evidence of the depolarizing effect of the climate/health narrative

Source: Kotcher et al (2023) Manuscript under development