{"id":41982,"date":"2018-04-30T16:42:27","date_gmt":"2018-04-30T15:42:27","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=41982"},"modified":"2018-05-08T10:04:46","modified_gmt":"2018-05-08T09:04:46","slug":"laurie-laybourn-langton-leadership-on-climate-change-is-leadership-on-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/04\/30\/laurie-laybourn-langton-leadership-on-climate-change-is-leadership-on-health\/","title":{"rendered":"Laurie Laybourn-Langton: Leadership on climate change is leadership on health"},"content":{"rendered":"<p class=\"standfirst\">The UK must commit to full decarbonisation to realise the health benefits of acting on climate change<\/p>\n<p><!--more--><br \/>\n<a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/04\/laurie_L-L.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-41984\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/04\/laurie_L-L.jpg\" alt=\"\" width=\"160\" height=\"160\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/04\/laurie_L-L.jpg 160w, https:\/\/blogs.bmj.com\/bmj\/files\/2018\/04\/laurie_L-L-150x150.jpg 150w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\" \/><\/a><span style=\"font-weight: 400\">The Millennial generation will be the first to grapple with the full force of climate change. Until now, the outcomes of human damage to the environment have largely been associated with the distant future\u2014the burden of generations yet unborn\u2014and the far away, impacting low lying island states, if anyone at all. By October, these views shall become increasingly inappropriate with the publication of a UN report <\/span><a href=\"http:\/\/www.dw.com\/en\/15c-degree-goal-extremely-unlikely-ipcc\/a-42154601\"><span style=\"font-weight: 400\">likely confirming<\/span><\/a><span style=\"font-weight: 400\"> that the world will, by the 2040s, have warmed by 1.5C above pre-industrial levels.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Any absence of urgency must now end. Decades (or even <\/span><a href=\"https:\/\/www.nature.com\/articles\/nature14258\"><span style=\"font-weight: 400\">hundreds of years<\/span><\/a><span style=\"font-weight: 400\">) of warnings from the scientific community are being grimly vindicated as the impacts of climate change\u2014the litany of floods, hurricanes, and droughts that batter television screens and agitate the conscience\u2014multiply at home and abroad. Crucially, these <\/span><a href=\"http:\/\/www.sciencemag.org\/news\/2014\/05\/lets-call-it-climate-disruption-white-house-science-adviser-suggests-again\"><span style=\"font-weight: 400\">climate &#8220;disruptions&#8221;<\/span><\/a><span style=\"font-weight: 400\"> pose an unacceptable risk to the health of populations in the UK and around the world, <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(16)32124-9\/fulltext\"><span style=\"font-weight: 400\">undermining<\/span><\/a><span style=\"font-weight: 400\"> the environmental and social determinants of good health. This can occur directly, through physical and mental harm arising from extreme weather events, or indirectly, as the foundations for good health are eroded, including reductions in our capacity to grow nutritious food and supply safe water. As such, climate change is the greatest threat to global health in the 21st century, as the World Health Organisation and others <\/span><a href=\"http:\/\/www.who.int\/globalchange\/global-campaign\/cop21\/en\/\"><span style=\"font-weight: 400\">have concluded<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This means that actions to limit climate change offer some of the most powerful tools to improve social and economic outcomes. The UK provides a good example. Nearly ten years ago, in 2008, the UK led the world by passing the Climate Change Act, a piece of legislation that requires the government to reduce greenhouse gas emissions by at least 80% on 1990 levels by 2050. Since then, the UK has made much progress in reducing its emissions and, in the process, has shown that the economy can grow as <\/span><a href=\"https:\/\/www.theccc.org.uk\/publication\/2017-report-to-parliament-meeting-carbon-budgets-closing-the-policy-gap\/\"><span style=\"font-weight: 400\">greenhouse gases fall<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Nowhere are the &#8220;co-benefits&#8221; of climate action more apparent than in the case of health. <a href=\"https:\/\/www.thelancet.com\/journals\/lanplh\/article\/PIIS2542-5196(18)30067-6\/fulltext\">A recent study published in the <\/a><\/span><i><span style=\"font-weight: 400\">Lancet Planetary Health<\/span><\/i><span style=\"font-weight: 400\"> journal shows that meeting the Climate Change Act commitments could significantly improve public health. This would primarily result from a reduction in dirty vehicles and other sources of air pollution, which is attributable to around 40,000 premature deaths in the UK <\/span><a href=\"https:\/\/www.rcplondon.ac.uk\/news\/reducing-air-pollution-uk-progress-report-2018\"><span style=\"font-weight: 400\">each year<\/span><\/a><span style=\"font-weight: 400\">. By 2050, decarbonisation could reduce nitrogen dioxide pollution by over 50% and nearly halve fine particulate matter in urban areas. In turn, millions of life-years could be saved up to and beyond 2050, improving the health of current and future generations. Therefore, the UK\u2019s Climate Change Act is one of the most significant pieces of health legislation available to the government because it drives health improvements. Leadership on climate change is leadership on health.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Climate action must be complemented with supporting policies to ensure potential health benefits are realised in full. Take transport. The number of vehicles and their use is expected to grow over the coming years. Even if all vehicles become electric, eradicating pollution from exhaust pipes, poor air quality will still be a problem, as breaking, tyre wear-and-tear and resuspension of dust off roads all increase particulate matter. This is a lost opportunity for health. As is the fact that socio-economically deprived groups are and will remain at greatest risk of the health impacts of air pollution exposure, as pointed out by the Chief Medical Officer\u2019s <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/chief-medical-officer-annual-report-2017-health-impacts-of-all-pollution-what-do-we-know\"><span style=\"font-weight: 400\">2017 annual report<\/span><\/a><span style=\"font-weight: 400\">. Reducing overall vehicle use and switching to cycling and walking not only reduces air pollution and its health burden, but improves health in general through increases in physical activity. These benefits have repercussions through a health system that must help people live better as well as longer. Climate change mitigation confers upon us the opportunity to realise a better world.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In all, the UK\u2019s Climate Change Act is one of the most ambitious legislative instruments driving climate change mitigation anywhere in the world. Reaching its targets will likely improve air quality and, with it, health. For a younger generation, of which I am one, our future health and that of the planet are more intimately intertwined than ever. This is a certainty that no generation can ignore. In Britain, in these times of febrile uncertainty, we should celebrate our leadership on climate change. Ten years after the Climate Change Act was passed, there would be no better way of doing so than amending the Act to require full decarbonisation by 2050. Only then can we guarantee successive generations freedom from fear and the joy of a healthy, happy life.<\/span><\/p>\n<p><b><i>Laurie Laybourn-Langton <\/i><\/b><i><span style=\"font-weight: 400\">is director of the <a href=\"https:\/\/twitter.com\/UKHealthClimate\">UK Health Alliance on Climate Change<\/a>, which advocates for better responses to air pollution and climate change, representing over 600,000 health professionals in the UK. He writes in a personal capacity and tweets <\/span><\/i><a href=\"https:\/\/twitter.com\/Laurie_L_L\"><i><span style=\"font-weight: 400\">@Laurie_L_L<\/span><\/i><\/a><\/p>\n<p><b>Competing interests<\/b><span style=\"font-weight: 400\">: the author is 29 years old.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The UK must commit to full decarbonisation to realise the health benefits of acting on climate change [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/04\/30\/laurie-laybourn-langton-leadership-on-climate-change-is-leadership-on-health\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":41985,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-41982","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-climate-change"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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