Holman Harland T, Bouthillier Michael J, Müller Frank
From the Department of Family Medicine, Michigan State University, Grand Rapids, MI, USA (HTH, MJB, FM); Spectrum Health Family Medicine Residency Center, Grand Rapids, MI, USA (HTH, MJB, FM); College of Pharmacy, Ferris State University, Big Rapids, MI, USA (MJB); Department of General Practice, University Medical Center Göttingen, Göttingen, Germany (FM).
J Am Board Fam Med. 2023 Apr 3;36(2):356-359. doi: 10.3122/jabfm.2022.220292R2. Epub 2023 Feb 17.
The impact of man-made climate change is already affecting millions of people worldwide. The health care sector in the US is a relevant contributor, accounting for about 8 to 10% of national greenhouse gas emissions. This special communication describes the harmful impact of propellant gases in metered dose inhalers (MDI) on the climate and summarizes and discusses current knowledge and recommendations from European countries. Dry powder inhalers (DPI) are a good alternative to MDIs and are available for all inhaler drug classes recommended in current asthma and COPD guidelines. Changing an MDI to PDI can significantly reduce carbon footprints. The majority of the US population is willing to do more to protect the climate. Primary care providers can engage in this by addressing the impacts of drug therapy on climate change in medical decision making.
人为气候变化的影响已经在影响全球数百万人。美国的医疗保健部门是一个重要的贡献者，约占全国温室气体排放量的8%至10%。本专题通信描述了定量吸入器（MDI）中的推进剂气体对气候的有害影响，并总结和讨论了欧洲国家的现有知识和建议。干粉吸入器（DPI）是MDI的一个很好的替代品，适用于当前哮喘和慢性阻塞性肺疾病（COPD）指南中推荐的所有吸入药物类别。将MDI更换为PDI可以显著减少碳足迹。美国大多数人口愿意为保护气候做出更多努力。初级保健提供者可以通过在医疗决策中考虑药物治疗对气候变化的影响来参与其中。
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