A pediatrician's guide to climate change-informed primary care.

Autor: Philipsborn RP; Division of General Pediatrics and Gangarosa Department of Environmental Health, Emory University, and Children's Healthcare of Atlanta, Atlanta, GA, United States., Cowenhoven J; Department of Medicine, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, and Department of Pediatrics, Boston University, 401 Park Drive, 4th Floor West, Boston, MA 02215, United States., Bole A; Division of General Academic Pediatrics, UH Rainbow Babies & Children's Hospital, Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, United States., Balk SJ; Division of Academic General Pediatrics, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY, United States., Bernstein A; Division of General Pediatrics, Boston Children's Hospital, Center for Climate, Health and the Global Environment, Harvard T.H. Chan School of Public Health, Boston, MA and Harvard Global Health Institute, Cambridge, MA, United States. Electronic address: aaron_bernstein@hms.harvard.edu.
Jazyk: angličtina
Zdroj: Current problems in pediatric and adolescent health care [Curr Probl Pediatr Adolesc Health Care] 2021 Jun; Vol. 51 (6), pp. 101027. Date of Electronic Publication: 2021 Jul 07.
DOI: 10.1016/j.cppeds.2021.101027
Abstrakt: Despite the urgency of the climate crisis and mounting evidence linking climate change to child health harms, pediatricians do not routinely engage with climate change in the office. Each primary care visit offers opportunities to screen for and support children burdened with risks to health that are increasingly intense due to climate change. Routine promotion of healthy behaviors also aligns with some needed-and powerful-solutions to the climate crisis. For some patients, including those engaged in athletics, those with asthma and allergies, or those with complex healthcare needs, preparedness for environmental risks and disasters worsened by climate change is a critical component of disease prevention and management. For all patients, anticipatory guidance topics that are already mainstays of pediatric best practices are related closely to needed guidance to keep children safe and promote health in the setting of compounding risks due to climate change. By considering climate change in routine care, pediatricians will be updating practice to align with evidence-based literature and better serving patients. This article provides a framework for pediatricians to provide climate-informed primary care during the structure of pediatric well child and other visits.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest relevant to this article to disclose.
(Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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