CLIMATE AND YOUR HEALTH- Rural Version
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Presentation about health effects of climate change and burning fossil fuel in the US from a rural perspective. Introduces health professional Prescription for Action
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CLIMATE AND YOUR HEALTH- Rural Version
- 4. Carbon is the building block of life CHOCOLATE CHOLESTEROL ALCOHOLSTARCH
- 5. EVERYTHING THAT WAS EVER ALIVE HAS CARBON IN IT
- 6. Burning releases carbon into the air as carbon dioxide (CO2).
- 7. Earth can only absorb half. The rest is building up in our atmosphere
- 8. where it blankets our planet, trapping heat from the sun.
- 9. WARMERAverage Temperature Increase per Decade Since 1970
- 10. MORE EXTREME
- 11. THE BASIC ESSENTIALS AIR WATER FOOD SAFE PLACE
- 12. CASE 1. A 70 year old man with pain in his chest.
- 13. WILDFIRE Yarnell Hill, AZ July 2013
- 14. Wildfire smoke causes heart attacks & strokes
- 15. triggers asthma attacks, and worsens emphysema
- 17. Smoke spreads Fire in New Mexico Smoke in Denver, CO Memorial Day 2012
- 19. A
- 20. Ozone Irritates the Lungs Causes and Triggers Asthma Worsens Emphysema Kills
- 22. Poison Oak/Ivy bigger plants stronger reactions
- 23. MOLD causes asthma and triggers attacks
- 24. Rates of allergies and asthma have tripled since the 1960s von Hertzen L, Hanski I, Haahtela T. Natural Immunity. EMBO Reports 12:1089–1093, 2011
- 25. Quest Lab 2011 4 years, 14 million allergy tests
- 26. VALLEY FEVER UP 800% SINCE LATE 1990s
- 27. Erionite: a mineral carcinogen Phoenix, AZ 2012
- 28. CASE 2. A month old baby with trouble breathing.
- 29. NITRATE IN GROUND WATER Blue Baby
- 30. Public Drinking Water Systems in Violation of ARSENIC Standard
- 32. Arsenic Level and Cancer Risk
- 35. BLUE GREEN ALGAE BLOOMS Microcystin Decontamination Byproducts Lake Erie near Toledo, OH 2011 11 million people drink this.
- 36. Amoebic Meningitis 2010 2012 Lilly Lake, Stillwater MN
- 37. Cedar Rapids, IA 2008 San Antonio, TX 2013
- 38. DUMPING OF UNTREATED SEWAGE Combined Sewer Overflow Pittsburgh, PA Allegheny River
- 39. Duluth, MN 2012 Sewage in the streets
- 40. LEPTOSPIROSIS spreads from animals to humans and pets in flood waters
- 41. CASE 3. A 60 year old man with loss of appetite and weight.
- 44. AFLATOXIN US EPA LIMIT FOR HUMAN CONSUMPTION Milk 0.5 ppb Food 20 ppb
- 45. Aflatoxin and Liver Inflammation
- 46. US Fatty Liver Disease Epidemic
- 47. Asians, Native Americans, Latinos, and Blacks have higher rates of liver cancer
- 48. FOOD
- 49. Areas of WA, OR, ID that will be too warm for cutthroat trout
- 50. SHELLFISH POISONING Vibrio Marine Toxins
- 51. CASE 4a. A 10 year old girl with bruising and bleeding.
- 52. CASE 4b. A 54 year old woman with trouble walking and speaking
- 53. WEST NILE VIRUS
- 55. DENGUE Central Florida 2012 Patient, Cambodia
- 56. Dengue 1960 2005
- 57. EXTREME HEAT
- 58. FLASH FLOODS
- 59. HOMELESSNESS New York Colorado 2013
- 60. CHAGAS DISEASE
- 61. Sources of GHG Top 10 causes of death
- 62. Air Pollution
- 63. HEART DISEASE,OBESITY, DIABETES; COLON CANCER ONE THIRD PROSTATE CANCER, AND RECURRENT BREAST CANCER DUE TO PHYSICAL INACTIVITY
- 64. MEAT EATING CONTEST FIRST PRIZE: Diabetes, Heart Disease, Cancer
- 67. If we don't cut our emissions in half by 2030, global temperature will rise 7-12 degrees by 2100 and stay that way for 1,000 years.
- 68. A Healthy Prescription For Climate Action
- 76. ACTIVE TRANSPORTATION SMART DEVELOPMENT SAFE BIKING AND WALKING RAPID EFFICIENT PUBLIC TRANSIT
- 77. 10,000 colon cancers 215,000 heart attacks PREVENTED 570,000 new diabetes cases each year
- 78. ENERGY EFFICIENT CARS AND HOMES HOME RETROFITS, COMPETITIVE FUEL ECONOMY ZERO EMISSIONS VEHICLES 118 mpg eqivalent Zero Energy Home
- 79. INVEST AND INCENTIVIZE CLEAN ENERGY NO EXPORTS NO NEW COAL PLANTS COST OF DIRTY ENERGY UP FRONT
- 80. 20,000 Heart Attacks PREVENTED 23,000 Deaths each year
- 81. SUBSIDIZE FARMERS WHO GROW WHAT WE SHOULD EAT
- 82. 300,000 Heart Attacks/Strokes PREVENTED 260,000 New Diabetes Cases each year 144,000 Cancer Deaths
- 83. Take Back Our Government Active and Public Transportation Energy Efficient Homes and Cars Electricity from Clean Alternatives Healthy Diet
- 84. CASE 5
Hinweis der Redaktion
- So before I give you the magic prescription, lets GO BACK TO THE ostrich and talk about a common denial mechanism called tokenism. Thats when we do a small thing that makes us feel good but doesn't make much of a dent in the problem because we'd rather not do the big thing which might make a real difference. Like saying “one of my best friends is black” or hiring a woman and then paying her less than you'd pay a man for the same job. That doesn't stop racism or sexism but it makes you feel like you did what you could do. And the thing we're in denial about, the big thing we don't want to address, is the hijacking of our government by big money interests. But remember the climate scoreboard with its number stuck on 8 degrees in spite of all the the wonderful things we do in our communities. Because to solve a problem this big, you need big solutions. And to solve a problem thats global, you need countries working together. And if one of the most powerful countries , the second largest GHG emitter with the biggest per person CO2 emissions, doesn't take serious action as a country, you can put solar panels on your roof and ride your bike and grow your garden till the cows come home but don't fool yourself that you're stopping climate change because you won't.
- Earth can absorb some CO2. ¼ in oceans, ¼ in forests but we are burning twice as much as planet can handle so the other half goes into atmosphere where it forms a blanket around the earth trapping the heat of the sun, and that's why temperatures are increasing.
- Over the last 100 years the temp has gone up 0.1 F per decade, but since 1970 its been going up 3-4 times as fast.
- Along with the increase in average temperature, we have more extremes, drought, floods, severe storms Climate change makes us sick by affecting the things that are necessary for our survival. Which are?
- Audience participation. In the summer of 2003 Bob Smith a 70 year old retired fire chief was carrying a box of belongings to his car when he developed sudden severe pain in his chest. His wife called 911 but by the time the ambulance arrived, his heart had stopped and he could not be rescuscitated. Another man was later convicted on 5 counts of murder, one for Bob and the rest for 4 other men who died the same way. WHAT HAPPENED? CLIMATE LINK? The man responsible for starting the fire was convicted of murder for this case and 4 other people who had heart attacks while evacuating from the fire zone.
- Climate change has increased the frequency and size of wildfires. And where there's fire, there's ____.Wildfire smoke contains many chemicals, including carcinogens and irritants. Predicted quadrupling of area burned in western US for every 1 degree rise in temp, severe fire seasons that were every ten years will occur every 2-5 years by 2050.
- The most damaging part of wildfire smoke are very fine particulates easily inhaled into lungs and pass into bloodstream causing inflammation in brain and blood vessels resulting in heart attacks and strokes. Particles may pass placenta into the womb or just result in decreased oxygen from mother to baby because exposure to wildfire smoke in pregnancy causes lower birthweights
- Studies examining hospital records during and after fires show rise in emergency room visits and hospital admissions for asthma, bronchitis, pneumonia
- An active wildfire puts out over a ton of fine particles a minute, and they travel hundreds of miles from the site.
- Right now we're talking about AIR. This is smog in Bakersfield California which has the worst air quality in terms of particulate pollution in the country, just to show you that its not only cities who have air pollution problems. The particulates here are coming from vehicle exhaust. Bakersfield also has the 3 rd worst for ozone pollution coming from exhaust and climate change.
- Isn't ozone good? It is when its way up in the stratosphere screening out ultraviolet rays, but down at ground level its a health hazard. Forms when pollution products of combustion combine in presence of heat and sunlight. Warmer days create higher levels of ozone.
- Short term exposure to ozone irritates the lungs. Long term exposure causes asthma. When ozone levels are high, ER visits increase for patients with asthma, chronic bronchitis, and emphysema. Increases in ozone even at levels below what the EPA terms safe, result in increased asthma attacks, hospitalizations and deaths.
- Carbon dioxide acts as a fertilizer, more for weeds than crops and stimulates pollen production in ragweed and other allergy causing plants. Pollen levels have doubled since the start of the industrial age and are predicted to double again by 2040. The pollen season is starting earlier and lasting up to 2 weeks longer.
- Sea level in US is predicted to rise about 6 inches by 2030, a foot by 2050 . and 3 feet by the end of the century. By 2030 the risk of 100 year coastal floods will double to triple potentially affecting 5 million americans.
- QUEST DID ANALYSIS OF 14 MILLION IgE TESTS DONE OVER 4 YEARS AND FOUND 15% INCREASE IN POSITIVES FOR RAGWEED AND 12% for MOLD, Positive allergy tests for DUST MITES actually decreased.
- Incidence of VF increased 8 fold since late 90s. Now 150,000/year. Most vulnerable to dissemination >55, black, filipino, dm, immunosuppresion. Fed receiver state of emergency, evacuating 3000 prisoners from 2 prisons in SJV. Studies show that years with increased cases follow a grow and blow pattern. spring rain followed 6-24 mo later by drought and wind yields higher concentration of dust particles and increased cases of lung fungus.
- Dust storms could also be carrying erionite, an asbestos like mineral that causes mesothelioma, a cancer of the lining of the lungs. We have deposits of erionite in some of the same areas that have Valley Fever. EARLY EXPOSURE, 30 YEAR LATENCY. NORTH DAKOTA GRAVEL ROAD DUST LEVELS AS HIGH AS TURKISH CANCER TOWNS INSIDE SCHOOLBUSES
- ARSENIC MONTANABob and Sue Jones rushed their month-old baby girl Olivia from their farmhouse to the emergency room of their rural hospital after she developed trouble breathing and started turning blue. Olivia was the product of a normal pregnancy and delivery except for a low birth weight and had not gained much weight since coming home from the hospital. Emergency room staff noted a baby scrawny baby with a fever, dusky skin, and rapid breathing. A chest x ray showed pneumonia. Olivia was started on oxygen and antibiotics, and flown to a regional medical center. She eventually recovered but continued to be underweight and prone to respiratory infections. Water samples collected from the family's well were later found to have high levels of arsenic. NITRATE E. WA NEBRASKA, IOWA NITRATE Bob and Sue Jones were both excited and scared when Sue got pregnant for the second time after delivering a stillborn baby with anencephaly. This time Sue had a normal pregnancy and delivered a healthy daughter they named Olivia. When Olivia was about 4 weeks old, she became irritable, had some diarrhea and wouldn't take her bottle. 2 days later when she started breathing fast and turning blue, her parents rushed her from their farmhouse to the local rural emergency room. There staff noted a floppy baby with dusky purplish skin and rapid breathing. Her pulse oximeter (blood oxygen) level was a little low, but a chest x ray showed normal lungs. Olivia was started on oxygen and IV fluids but failed to improve and was flown to a regional medical center. On questioning her parents, the pediatrician there discovered that Olivia became ill after the couple ran out of bottled water and used boiled tapwater from their well to mix her formula. He did a simple test and then gave her one medication and her skin turned pink again. Water samples collected from the family's well were later found to have high levels of nitrate.
- Drought decreases crop uptake of nitrogen fertilizer. When drought is followed by heavy rain, the unused nitrogen percolates into groundwater. Studies in Iowa and Nebraska show increasing levels of nitrate in public water systems and private wells. Nitrate, the most common contaminant is especially dangerous to infants and pregnant women. It causes miscarriages, birth defectslike being born without a brain, and a potentially fatal condition in babies called methemoglobinemia, or blue baby syndrome, where the blood is unable to carry oxygen. One study of over 20,000 women in Iowa showed that long term intake of drinking water at half the EPA MCL doubled the risk of thyroid cancer.
- Arsenic has been shown to cross the placenta to the fetus affecting lung development and causing failure to thrive and tripling the rate of pneumonia in infancy. It can also pass into breast milk. Chronic exposure to arsenic has been shown to affect mental development, lowering IQ
- arsenic can cause lung, bladder, liver, kidney, prostate and skin cancer.
- Warm water- naegleria fowleri-
- Before we were talking about not having enough water. Now lets talk about when there's too much water. Climate change has increased total rainfall by about 5% but its increased heavy rainfall as much as 40% in some areas of the country.Sea level rise and stronger stormsfueled by warmer ocean temperatures result in bigger and more damaging coastal surges. Flood waters contaminate water treatment facilities making the water unsafe to drink and cause overflow at sewage treatment plants. People who come into contact with the floodwater are exposed to hazardous chemicals, viruses and bacteria. Swollen rivers and flooding erode soils and sediments, mobilizing persistent pollutants like mercury and PCBs back into the food chain, into our diets, and then passed by pregnant mothers to their children causing birth defects and brain damage. If we continue on our currrent path, risk of 100 year floods in the midwest would double by 2030 and quadruple by 2090by 2050 NE coastal cities will have 100 year floods every 2-4 years .
- PA has highest number of CSOs in US. As little as 1/10 in of rain in Pittsburgh results in dumping untreated wastewater, 22 billion gallons year. Contains raw sewage, industrial chemicals, runoff. Pittsburgh area rivers are closed to rec use ½ of boating season due to CSO events. U Pitt Cancer Institute collected catfish from Allegheny River and compared the effect of extract from their meat on human breast cancer cells that grow faster with estrogen. They found that cells treated with fish extract collected from river with many overflow sites had twice as much estrogen as fish caught in areas with fewer overflow sites. Water tx doesn't completely remove estrogen from water but it removes 98%.
- Rainwater going down storm drain and coming back up mixed with raw sewage Urban watershed GE outbreaks occur after heavy rainfall direct correlation between Pediatric ER visits and amount of rainfall. Peds admissions for ge triple after heavy rain.
- Leptospirosis is the most widespread animal disease that is passed from animals to humans in the world. In the US it is common in Hawaii and PR, rates in humans on the US mainland have DOUBLED SINCE 1990's and veterinary clinics have noted a rise in infections in dogs since 2000. Leptospirosis is carried by wild animals, rats, livestock and pets. It often occurs after heavy rainfall when the urine of infected animals is washed into lakes rivers and streams. The leptospira can stay alive in water for 2 weeks and enter humans via contact with broken skin or eyes, nose, and mouth.
- Miguel Garcia just didn't feel like eating. He used to have a hearty appetite and even struggled with his weight because his doctor warned him he was at risk for diabetes. When he started having pain in his abdomen, he went to his doctor who noted that he had lost 15 pounds, had yellowish eyes, and an enlarged liver. Miguel was born in San Antonio, TX and lived there for all of his 55 years. He did not drink alcohol and had no risk factors for hepatitis. A CT scan of his liver showed a mass the size of a grapefruit. He was diagnosed with advanced liver cancer and died 6 months later.
- Asians, Native Americans and Latinos have rates of liver cancer that are nearly double those of non hispanic whites. ?85% Mexican americans eat corn tortillas daily, San Antonio 17% detectable aflaxtoxin in urine
- Aflatoxin potent natural carcinogen. Inserts self into DNA mutates P53 249 codon, tumor suppresser gene. Causes Hepatocellular Carcinoma. Results from fungus infection of drought stressed crops. Aflatoxin alone triples a person's risk of liver cancer but aflatoxin plus chronic liver inflammation increases risk 23 times with low levels and over 100 times with high levels.
- In IA, OH, IN, MO, OK, SC 100-300 ppb, in Texas over 1000 ppb Limit on food for humans is 20ppb, milk 5 ppb. Animal feeds 200 ppb.
- NAFLDis a kind of liver inflammation increasingly common risk factor for HCC in US. Childhood obesity increases risk of adult liver cancer 12-20%. currently affects 30% of US population, predicted to double by 2050 in Texas community with high prev HCC 20%had aflatoxin biomrkers detectable in their blood , the amounted was related to consumption of corn tortillas and rice In a ntion
- This could reflect higher rates of heavy drinking and diabetes but corn consumption could be a factor. 84% Mexican Americans reported consuming corn tortillas 2 to 7 days a week. HCC cluster San Antonio 17% of Latinos detectable aflatoxin in urine
- CROP FAILURE SEVERE DROUGHT,midwest disaster area, $50-80 billion losses. HEAVY RAIN AND RESULTING EXCESS SOIL MOISTURE INCREASE CROP LOSSES FROM DISEASE AND PESTS. OZONE IS ALREADY DECREASING PRODUCTIVITY OF SENSITIVE CROPS LIKE SOYBEANS 5-15%. PROJECTED IMPACT BY 2030 (25% LOSS) WOULD ELIMINATE ANY BENEFIT FROM CO2. OPTIMISTIC PROJECTIONS OF INCREASED YIELD LOSSES FROM EXCESS SOIL MOISTURE IN THE MIDWEST ARE PREDICTED TO DOUBLE BY 2030. DECLINING FISHERIES, HIGH FOOD PRICES 13% 2011-12 RESULT IN CHILD ANEMIA AND ADULT OBESITY AND DIABETES,
- Water temperature is driving ocean fish further north and threatening populations of fresh water fish who can't move to cooler regions. This parallels movement of persistent organic toxins like PCBs which vaporize in warmer weather and are deposited back in water again when they meet cooler air. Up to 40% of Pacific Northwest salmon populations may be lost by 2050 because of the effects of climate change along with 60% of western cutthroat trout and 90% of bull trout in certain regions, In the east over 50% the wild trout populations will likely disappear from the southern Appalachians . Urban runoff from heavy rains carries mercury and PCBs into surface waters, limits types and quantity of fish safe consumption by women and children.These losses particularly impact Native peoples for whom fishing is at the heart of their culture as well as their diet. s
- Warm water increases levels of Vibrio bacteria in shellfish, and has resulted in numerous outbreaks and public health moratoria on recreational collecting and commercial sale of shellfish. Harmful algae blooms create toxins which are concentrated by shellfish and cause syndromes from diarrhea to paralysis to permanent memory loss. At least one of these toxins crosses the placenta and causes brain damage even when levels are too low to make the mother sick.
- 10 year Jasmine was adopted from started running a high fever about a week after returning from a family vacation in Key West FL. She tearfully complained of severe pains in her joints. Her doctor diagnosed her with the flu. The next day her temperature was back to normal but she felt was so dizzy she could barely stand and her parents brought her to the hospital. The emergency room doctor noted bruising on her skin and a tender enlarged liver. She was admitted for observation but that night she got dizzy and started vomiting blood and was moved to intensive care. Jasmine was treated with supportive care because there is no specific treatment for her condition, and recovered after a long convalescence. The Florida Department of Health subsequently took blood samples from randomly selected Key West households and found that 5% of the population had recently been infected with -----? Dengue fever, hemorrhagic fever. 5% who tested + would get hemorrhagic kind next time.
- A 54 year old woman in ER with 4d history of rash, fever, nausea, vomiting, muscle aches and headaches. She is disoriented, has trouble speaking and has weakness in her arms and legs. CLUE A week before she got sick, she found a dead bird in her yard
- WEST NILE VIRUS West Nile Virus is a virus transmitted by mosquitos. In severe cases it causes encephalitis (inflammation of the brain) and poliomyelitis (inflammation of the spinal cord). Only 1 in 5 people who are infected . This serious form of WNV is more common in older people. There is no treatment and survivors frequently have lasting neurologic damage. WNV first appeared in NY in 1999. That year there were <100 cases, in 4 years this grew to >10,000 cases all across the country.. Climate has been implicated in the rapid spread of WNV. Researchers matched 16,000 confirmed cases from 17 states with weather data showing increased rates of infection with increased temperature and heavy rainfall.
- Warmer temperatures affect mosquitos- longer breeding season, shorter time to maturity, faster multiplication of virus. Humidity stimulates mosquitos to bite and to breed. So with warmer more humid weather, you get more mosquitos who are more likely to bite, and a bite is more likely to result in an infection. 2012 had the highest number of deaths from WNV since the disease was first detected in 1999 n
- Dengue is a severe flu like illness, sometimes called “breakbone fever” due to intense joint pain. If you are unlucky enough to catch it again, you get hemorrhagic fever which is 50% fatal without intensive treatment. Dengue was eradicated, now back. Since 1980 7 outbreaks TX, 1 HI, 3 FL. 2000-2007 hospital admissions for dengue tripled. In addition to effects on breeding and biting of mosquitos mentioned for WNV, climate change is increasing the mosquitos' geographic range. The most effective transmitter can't survive freezes, range expanding northward with warmer winters.
- THIS SLIDE SHOWS THE SPREAD OF DENGUE FEVER IN RECENT YEARS FROM THE HOTTEST AREAS AROUND THE EQUATOR TO THE NORTH AND SOUTH
- MOST AFFECTED Old, young, poor, people of color, BP and psych meds, outdoor workers, city dwellers Urban heat island effect 9 deg hotter in cities. MORBIDITY CA 2006 2 weeks, 600 deaths, 1600 hospitalizations, 16000 ER visits for heart, lung, kidney disease AGRESSIONincreased rates of assault, murder, domestic violence, suicides and psychiatric holds for danger to others IN UTERO EFFECTS low birth weight 2011 206 DEATHS ENTIRE US, what vulnerable people can't do is adapt quickly to changing conditions. Medicare study on variability- 10,000 deaths/ year in patients with diabetes, heart failure, chronic lung disease due to variation in summer temperatures.
- Climate change is causing people to move around more than ever before. In the US since 2005 more than 7 million people have been evacuated due to extreme weather events. Lesson from Katrina was that the biggest health impact was not from floods but the 200,000 people with chronic diseases disconnected from their usual source of medical care. Diabetics without insulin, asthmatics without inhalers, people on dialysis, mentally ill people with no meds, etc. Evacuation shelters have large numbers of people in close quarters causing outbreaks of gastrointestinal and respiratory diseases. Aside from physical consequences, these experiences leave psychological scars : after major fires and hurricanes 30% of affected populations have symptoms of Post Traumatic Stress Disorder Globally, environmental events now cause more refugees than war or genocide. Storms, rising sea level, drought, crop failures, and conflict over diminishing resources will result in mass migration of 200 million by 2050. Poorer countries will be the most affected and some of their displaced will come to US and bring diseases with them. TB in US 12x more common in immigrants, cities with high numbers of newly arrived immigrants have higher rates of TB persisting for years after. >80% of MDR (multiple drug resistant) tuberculosis in US occurs in foreign born.
- Earth can absorb some CO2. ¼ in oceans, ¼ in forests but we are burning twice as much as planet can handle so the other half goes into atmosphere where it forms a blanket around the earth trapping the heat of the sun, and that's why temperatures are increasing.
- We are following worst case scenario and facing a public health emergency. Public health- affects whole populations Emergency- not because everyone will drop dead right away but because if we don't lower our CO2 emissions NOW the GHGs we put into atmosphere will stay for hundreds of years and it will be too late to do anything to prevent the resulting disease and death.
- Que mas sale en el aire cuando quemamos carbon? Quimicas toxicas y particulos finos que causan ataques to corazon, presion alta, muertes de asma y enfermadades de pulmon y cancer.
- 1/3 OF COLON CANCERS, 1/3 OF POSTMENOPAUSAL AND RECURRENT BREAST CANCERS, 1/3 OF HEART DISEASE AND DIABETES CASES PREVENTABLE BY PHYSICAL ACTIVITY HALF ENDOMETRIAL CANCERS, 1/3 ESOPHAGEAL AND PANCREATIC CANCERS ATTRIBUTED TO OBESITY WHICH IS RELATED TO INACTIVITY
- US men average 2x the RDA for red meat, women only 26% eat 3+ servings of vegetables, Heatlh Professional Followup Study and Nurses Health Study- unprocessed red meat- 18% CV mortality, 10% cancer mortality . Womens Health Study RR diabetes 1.24 highest vs lowest red meat quintile. Processed meat incurs higher risk.
- So everything we've done up to now now is like a drop in the bucket, a very leaky bucket as population continues to increase and industrializing countries like China and India burn increasing amounts of fossil fuels. We have to do much more and we don't have a lot of time. 1) In order for GLOBAL CO2 levels to fall while developing countries' emissions are still rising, countries like the US must make steep cuts, much steeper than anything we've promised so far (and we haven't even kept our promises). Over the next 18 years, we have to cut our CO2 pollution in half. 2) We have to start NOW. The longer we wait, the more CO2 will build up in the atmosphere and the higher the temperature will rise. There may be a tipping point when climate induced changes like thawing permafrost and warmer oceans release large amount of GHGs and create rapid unstoppable heating. We don't know and we don't want to find out. 3) As the second biggest CO2 polluter on the planet, we can't expect other countries to lower emissions if we aren't pulling our own weight. We've been slackers when we need to be leaders. But if we want to lead, first we have to catch up. HOW ARE WE GOING TO DO THAT?
- LUCKILY, ITS NOT THAT DIFFICULT. THE SOLUTIONS ARE COMMONSENSE, PAY FOR THEMSELVES IN FUEL AND HEALTHCARE SAVINGS, AND IMPROVE THE QUALITY OF LIFE. BUT OF COURSE THERES A CATCH,
- So before I give you the magic prescription, lets GO BACK TO THE ostrich and talk about a common denial mechanism called tokenism. Thats when we do a small thing that makes us feel good but doesn't make much of a dent in the problem because we'd rather not do the big thing which might make a real difference. Like saying “one of my best friends is black” or hiring a woman and then paying her less than you'd pay a man for the same job. That doesn't stop racism or sexism but it makes you feel like you did what you could do. And the thing we're in denial about, the big thing we don't want to address, is the hijacking of our government by big money interests. But remember the climate scoreboard with its number stuck on 8 degrees in spite of all the the wonderful things we do in our communities. Because to solve a problem this big, you need big solutions. And to solve a problem thats global, you need countries working together. And if one of the most powerful countries , the second largest GHG emitter with the biggest per person CO2 emissions, doesn't take serious action as a country, you can put solar panels on your roof and ride your bike and grow your garden till the cows come home but don't fool yourself that you're stopping climate change because you won't.
- THIS IS NOT A PRESCRIPTION FOR YOU. ITS A PRESCRIPTION FOR OUR COUNTRY. AND THE VERY FIRST THING ON THE LIST IS : TAKE BACK OUR DEMOCRACY. BECAUSE OUR PROBLEM IS NOT A LACK OF SOLUTIONS, ITS A LACK OF POLITICIANS WILLING TO VOTE IN OUR INTEREST WHEN THEIR FRIENDS IN THE FOSSIL FUEL AND AUTOMOBILE INDUSTRY BRIBE THEM TO DO SOMETHING ELSE. THE NEED TO GET BIG MONEY OUT OF POLITICS IS SOMETHING MOST DEMOCRATIC AND REPUBLICAN CITIZENS AGREE ON, INCIDENTALLY.
- WHY CAN'T WE JUST KEEP LECTURING OUR PATIENTS AND LET THE ENVIRONMENTALISTS LECTURE EVERYONE ABOUT THEIR GAS GUZZLING LIFESTYLE?
- WHY CAN'T WE JUST KEEP LECTURING OUR PATIENTS? “LIFESTYLE” FACTORS ARE STRUCTURAL, NOT INDIVIDUAL, IN THE REALM OF PUBLIC HEALTH. Low income families eat more vegetables when they cost less and when grocery stores are closer to home. For every additional grocery store in urban neighborhoods, low income family veg consumption increases 30%
- People are more likely to walk if there is a store nearby or cycle if their street has a bike lane
- Atherosclerosis rate is double if living close to freeway, kids more likey to have asthma
- And we need to talk about the difference between individual health care and public health, or protecting the health of communities.
- WE NEED TO GET PEOPLE OUT OF THEIR CARS. EVEN WITH IMPROVED FUEL ECONOMY, THE REDUCTION IN EMISSIONS WILL BE OUTWEIGHED BY AN INCREASE IN THE NUMBER OF CARS. IF YOU DOUBLE YOUR MILEAGE AND THEN DRIVE TWICE AS FAR, YOU HAVEN'T FIXED THE PROBLEM. WE GET WHAT WE PAY FOR: HIGHWAYS. ONLY 1% FOR ACTIVE TRANSPORT AND WE HAVE TO FIGHT TO KEEP IT.We know what to do: off road bike/ped ex: Minneapolis Public transit: equalize the federal match, invest till people are using it. NY and transit 40% of daily trips are under 2 miles. Put the things we need within walking distance, separate the people from the cars, Mass transit mixed mode. Public transport – 30% get recommended exercise vs 80% of total pop that doesn't. Why should each person take 1-2 tons of steel if they're all going to the same place. Highly functional system, investment, subsidy.
- Honda Fit was only available in CA because we require a percentage of sales to be Zero emissions.IT ZERO ENERGY HOME SEATTLE, MAKES UP USE WITH SOLAR. 75% CONSERVATION AND 25% GENERATION.
- Prevents 23,000 deaths, more than 20,000 heart attacks and hospitalizations and The total monetized value more than $100 billion per year Decrease in asthma, CVD, cancer. EPA 2013 Health cost of coal and oil is more than the energy cost.
- Heatlh Professional Followup Study and Nurses Health Study- unprocessed red meat- 18% CV mortality, 10% cancer mortality . Womens Health Study RR diabetes 1.24 highest vs lowest red meat quintile. Processed meat incurs higher risk.
- Heavy meat eaters eat an avg 700 cal more/d Decrease cancers by 10%, heart disease by 20%, 25% less diabetes
- Michael Goldsmith Gutierrez was born and raised in . Even though his grandparents had asthma, diabetes, and heart disease, he and his sister are healthy aside from the usual childhood illnesses and injuries and his parents are also well. They live in a house which is warm in winter, cool in summer and powered by the solar panels on their roof. They ride their bicycles on paths that connect their home to school, work, stores, and the neighborhood center. They buy fresh food produced by their neighbors. There are still heavy storms, forest fires, and floods. Water is rationed and there are times het isn't allowed outdoors because of extreme heat or mosquitos, but before Michael was born his community decided to move people along the river to higher ground, start their own solar and wind farms, and make sure all their public works would withstand weather extremes. Sometimes when they sit around together in the evenings, Michael likes to hear his grandmother tell about the olden days. He likes to imagine living in a great big house, driving a gasoline car, having bubble baths, and eating foods from around the world; and what it was like in the early days for the clean energy pioneers, but his favorite part of the story is when people got together all over the Earth and made their governments sign and abide by the Great Global Treaty and then how everyone worked together to build communities where people live well without warming the world. Michael asked his grandma why they didn't think of it sooner. She gave him a big long hug and said, “Just thank God they managed it at all.”
- I'd like to leave you with that story in your head. Fill in with your imagination the parts yet to be told then lets go make it happen. Please pick up some of our cards with our website and give them to any doctors, nurses and other health professionals with a request to go on our website and endorse our prescription for action. We will deliver them personally in Washington and thats our ticket in the door. I'd like to introduce________ to talk to you about people are doing here in___________ Thanks for your kind attention and spirited participation. If you'd like to make a donation to help us down the road, you can drop it in the bike helmet/piggy bank on your way out.