Freifeld Alison G, Todd Alexandra I, Khan Ali S
Department of Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
University of Nebraska Medical Center, College of Public Health, Omaha, Nebraska.
Antimicrob Steward Healthc Epidemiol. 2023 Aug 2;3(1):e136. doi: 10.1017/ash.2023.170. eCollection 2023.
The climate crisis calls for urgent action from every level of the US healthcare sector, starting with an acknowledgment of our own outsized contribution to greenhouse gas emissions (at least 8.5% of carbon emissions). As the climate continues to become warmer and wetter, the medical establishment must deal with increasing rates of pulmonary and cardiovascular diseases, heat-related illness, and emerging infectious diseases among many other health harms. Additionally, extreme weather events are causing healthcare delivery breakdown due to physical infrastructure damage, slowed supply chains, and workforce burden. Pathways for healthcare systems to meet these challenges are emerging. They entail significant measures to mitigate our carbon footprint, embrace shared and equity-driven governance, develop new metrics of accountability, and build more resilience into our care delivery processes. We call upon SHEA to play a unique leadership role in the fight for sustainable, equitable, and efficient health care in a rapidly changing climate that immediately threatens human well-being.
气候危机呼吁美国医疗保健行业的各个层面立即采取行动，首先要承认我们自身对温室气体排放的巨大贡献（至少占碳排放的8.5%）。随着气候持续变暖和变湿，医疗机构必须应对肺部和心血管疾病、与热相关疾病以及许多其他健康危害中不断上升的发病率，以及新兴传染病。此外，极端天气事件正导致医疗服务中断，原因包括物理基础设施受损、供应链放缓和劳动力负担加重。医疗保健系统应对这些挑战的途径正在显现。这些途径需要采取重大措施来减少我们的碳足迹，采用共享且公平驱动的治理方式，制定新的问责指标，并在我们的护理提供流程中建立更强的恢复力。我们呼吁医疗机构流行病学会（SHEA）在迅速变化的气候中为可持续、公平和高效的医疗保健而战中发挥独特的领导作用，这种气候正直接威胁着人类福祉。
