{"id":50073,"date":"2021-04-15T18:22:57","date_gmt":"2021-04-15T17:22:57","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50073"},"modified":"2021-04-20T08:09:28","modified_gmt":"2021-04-20T07:09:28","slug":"its-time-for-the-health-community-to-back-a-green-new-deal","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/04\/15\/its-time-for-the-health-community-to-back-a-green-new-deal\/","title":{"rendered":"It\u2019s time for the health community to back a Green New Deal\u00a0"},"content":{"rendered":"<p><span style=\"font-weight: 400\">In 2009, the Lancet Commission on Climate Change and Health concluded that <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(09)60922-3\/fulltext\"><span style=\"font-weight: 400\">climate change is the biggest public health threat of the twenty-first century<\/span><\/a><span style=\"font-weight: 400\">. Over a decade later, calls for the transformative changes needed to address this threat are getting louder and more urgent than ever, as covid-19 has only exacerbated the inequalities, driven by our economic system. As health workers and co-authors of a new Medact report\u2014<\/span><a href=\"https:\/\/stat.medact.org\/uploads\/2021\/04\/The-public-health-case-for-a-Green-New-Deal-MEDACT-April-2021.pdf\"><i><span style=\"font-weight: 400\">The Public Health Case for a Green New Deal\u2014<\/span><\/i><\/a><span style=\"font-weight: 400\">we are adding our voice to this growing movement.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The root causes of the climate crisis lie in our economic system, which harms public health in a plethora of direct and indirect ways. Our report outlines why a Green New Deal represents a radical, but realistic programme of socio-economic reforms that would benefit public health in the process of transitioning to a zero-carbon society by 2030.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Public Health Case for a Green New Deal covers <\/span>five key policy demands to the UK government<span style=\"font-weight: 400\">, each underpinned by principles of global and social justice. A commitment to global justice means that a Green New Deal in the UK must not be achieved through continued exploitation of the global south. Instead, the UK must pay \u201c<\/span><a href=\"https:\/\/www.common-wealth.co.uk\/reports\/towards-reparative-climate-justice-from-crises-to-liberations\"><span style=\"font-weight: 400\">climate reparations<\/span><\/a>,<span style=\"font-weight: 400\">\u201d which recognise that the UK bears a disproportionately high responsibility for the climate crisis, particularly through its history<\/span> <span style=\"font-weight: 400\">of colonialism. A commitment to social justice means simultaneously confronting socio-economic inequality; approaches like <\/span><a href=\"https:\/\/www.health.org.uk\/news-and-comment\/news\/nhs-should-contribute-more-to-the-prosperity-of-local-communities\"><span style=\"font-weight: 400\">community wealth building<\/span><\/a><span style=\"font-weight: 400\"> are essential to include in a Green New Deal.<\/span><\/p>\n<p><b>Decarbonising our energy system<\/b><\/p>\n<p><span style=\"font-weight: 400\">Energy consumption is the primary source of carbon emissions, and the UK remains overwhelmingly dependent on fossil fuels, and the fossil fuel industry receives <\/span><a href=\"https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/PDF\/?uri=COM:2019:1:FIN&amp;from=EN\"><span style=\"font-weight: 400\">\u00a310.5 billion in subsidies<\/span><\/a><span style=\"font-weight: 400\"> from the UK government every year. A Green New Deal would transform our energy system through massive investment in renewables, <\/span><a href=\"https:\/\/ideas.repec.org\/a\/trn\/csnjrn\/v4i1p104-120.html\"><span style=\"font-weight: 400\">democratising energy production<\/span><\/a><span style=\"font-weight: 400\"> in the process. The health, climate and social benefits this would far outweigh the financial burden.<\/span><\/p>\n<p><b>Green jobs for all<\/b><\/p>\n<p><span style=\"font-weight: 400\">Carbon-intensive economic growth is predicated on <\/span><a href=\"https:\/\/www.medact.org\/2021\/resources\/briefings\/health-versus-wealth-uk-economic-policy-and-public-health-during-covid-19\/\"><span style=\"font-weight: 400\">poor quality, precarious and low-paid jobs<\/span><\/a><span style=\"font-weight: 400\">, creating working conditions that seriously damage the health of workers. <\/span><a href=\"http:\/\/www.instituteofhealthequity.org\/resources-reports\/build-back-fairer-the-covid-19-marmot-review\"><span style=\"font-weight: 400\">Women, ethnic minorities, working class, disabled, and young people are more likely to undertake such work<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A Green New Deal calls for a <\/span><a href=\"https:\/\/www.tuc.org.uk\/sites\/default\/files\/2020-06\/RebuildingAfterRecession.pdf\"><span style=\"font-weight: 400\">government-led green jobs scheme<\/span><\/a><span style=\"font-weight: 400\"> to ensure a just transition to a zero-carbon economy by creating well-paid, secure work and retraining people working in high-carbon industries. Research shows that as many as <\/span><a href=\"https:\/\/www.tuc.org.uk\/research-analysis\/reports\/rebuilding-after-recession-plan-jobs\"><span style=\"font-weight: 400\">1.2 million green jobs<\/span><\/a><span style=\"font-weight: 400\"> could be created within a two-year period.<\/span><\/p>\n<p><b>Healthy air\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400\">With 7 million deaths <\/span><a href=\"https:\/\/www.who.int\/health-topics\/air-pollution#tab=tab_1\"><span style=\"font-weight: 400\">attributed to air pollution<\/span><\/a><span style=\"font-weight: 400\"> annually, the link to ill-health is <\/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\">stark<\/span><\/a><span style=\"font-weight: 400\">. Furthermore, at both the local and global level, exposure to toxic air and its health impacts demonstrate <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32629198\/\"><span style=\"font-weight: 400\">a<\/span><\/a><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1068\/a35240\"><span style=\"font-weight: 400\"> strong social gradient<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As health professionals, we support a Green New Deal that would reshape the transport sector, which contributes <\/span><a href=\"http:\/\/www.ukhealthalliance.org\/wp-content\/uploads\/2018\/10\/Moving-beyond-the-Air-Quality-Crisis-4WEB-29_10-2018-final-1.pdf\"><span style=\"font-weight: 400\">28% of the UK economy\u2019s greenhouse gas emissions<\/span><\/a><span style=\"font-weight: 400\">. Reducing traffic in urban areas, and reducing reliance on private vehicles by improving access to public transport, as well as supporting <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32353667\/\"><span style=\"font-weight: 400\">active transport<\/span><\/a><span style=\"font-weight: 400\">, would have clear climate and health benefits. At the same time, social inequality should be addressed by encouraging <\/span><a href=\"https:\/\/weownit.org.uk\/when-we-own-it\"><span style=\"font-weight: 400\">public ownership<\/span><\/a><span style=\"font-weight: 400\"> of the transport system.\u00a0<\/span><\/p>\n<p><b>Quality homes for al<\/b><span style=\"font-weight: 400\">l<\/span><\/p>\n<p><span style=\"font-weight: 400\">UK homes are some of the worst insulated homes in Western Europe. Two thirds do not meet energy efficiency targets and home energy use contributes 14% of domestic emissions, compounding <\/span><a href=\"https:\/\/www.bigissue.com\/latest\/fuel-poverty-in-the-uk-the-causes-figures-and-solutions\/\"><span style=\"font-weight: 400\">rising fuel poverty <\/span><\/a><span style=\"font-weight: 400\">for many low income households.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A Green New Deal would prioritise a nationwide retrofitting scheme, which would reduce CO<\/span><span style=\"font-weight: 400\">2<\/span><span style=\"font-weight: 400\"> emissions, improve health by <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/5\/4\/e007298\"><span style=\"font-weight: 400\">reducing exposure to cold <\/span><\/a><span style=\"font-weight: 400\">and save each home \u00a3419 on annual average energy bills. Putting health and sustainability at the heart of housing policy also requires measures to address the crisis of unaffordable housing.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><b>Food and land justice\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400\">Billions of people worldwide are <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/malnutrition\"><span style=\"font-weight: 400\">malnourished\u2014<\/span><\/a><span style=\"font-weight: 400\">millions die as a result of nutrient-poor diets whilst <\/span><a href=\"https:\/\/science.sciencemag.org\/content\/353\/6298\/446.summary\"><span style=\"font-weight: 400\">a third of our food is thrown away<\/span><\/a><span style=\"font-weight: 400\">. Agriculture is the <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2815%2960901-1\/fulltext\"><span style=\"font-weight: 400\">biggest driver<\/span><\/a><span style=\"font-weight: 400\"> of land-use change and deforestation, and is responsible for a quarter of global greenhouse emissions, whilst destruction of nature <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7247996\/\"><span style=\"font-weight: 400\">increases the risk of pandemics<\/span><\/a><span style=\"font-weight: 400\"> through zoonotic spillover. Even though 70% of the UK is farmland, we import <\/span><a href=\"https:\/\/www.theguardian.com\/environment\/2016\/jan\/06\/more-than-half-of-uks-food-sourced-from-abroad-study-finds\"><span style=\"font-weight: 400\">more than half<\/span><\/a><span style=\"font-weight: 400\"> of our food\u2014and yet we still have abhorrent levels of food poverty, with 1.9 million people accessing food banks between 2019 and 2020.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As a medical community, we recognise the importance of both nutritious food to prevent disease and sustainable production to preserve ecosystems. A Green New Deal would mean tranforming our relationship with both land and food, globally and <\/span><a href=\"https:\/\/ffcc.co.uk\/what-we-do\/agroecology-development-bank\"><span style=\"font-weight: 400\">locally<\/span><\/a><span style=\"font-weight: 400\">. For example, subsidies should be redirected towards sustainable \u201cagro-ecological\u201d farming methods that safeguard biodiversity, cut carbon emissions and meet human needs.\u00a0<\/span><\/p>\n<p><b>Health workers and students must play their part<\/b><\/p>\n<p><span style=\"font-weight: 400\">With the <\/span><a href=\"http:\/\/link.medact.org\/HGNDGathering\"><span style=\"font-weight: 400\">launch of the Health for a Green New Deal campaign on 1<\/span><span style=\"font-weight: 400\">7-<\/span><span style=\"font-weight: 400\">1<\/span><span style=\"font-weight: 400\">8<\/span><span style=\"font-weight: 400\"> April<\/span><\/a><span style=\"font-weight: 400\">, the health community is mobilising and can play a critical role in the wider movement for change that spans the country and the globe. We need a transformative Green New Deal, and winning one will require unstoppable social pressure\u2014so everyone\u2019s invited.<\/span><\/p>\n<p><em><b>Andrew Harmer, <\/b><span style=\"font-weight: 400\">senior lecturer in Global Health at Queen Mary University<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><\/em><\/p>\n<p><em><b>Rosemary Barker, <\/b><span style=\"font-weight: 400\">foundation doctor, South Thames<\/span><\/em><\/p>\n<p><em><b><\/b><b>Monica Sharman, <\/b><span style=\"font-weight: 400\">foundation doctor, Yorkshire &amp; Humber <a href=\"https:\/\/twitter.com\/monica_sharman?lang=en\">@monica_sharman<\/a><\/span><\/em><\/p>\n<p><em><b>Fredrika Collins, <\/b><span style=\"font-weight: 400\">internal medical trainee, Brighton &amp; Sussex. <\/span><a href=\"https:\/\/twitter.com\/fredrikacollins?lang=en\"><span style=\"font-weight: 400\">@fredrikacollins<\/span><\/a><\/em><\/p>\n<p><em><b>Ben Eder, <\/b><span style=\"font-weight: 400\">climate &amp; health campaign &amp; programme lead at Medact <a href=\"https:\/\/twitter.com\/beneder?lang=en\">@beneder<\/a><\/span><\/em><\/p>\n<p><em><b>Hil Aked, <\/b><span style=\"font-weight: 400\">research and policy mnager, Medact <a href=\"https:\/\/twitter.com\/hilary_aked?lang=en\">@hilary_aked<\/a><\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2009, the Lancet Commission on Climate Change and Health concluded that climate change is the biggest public health threat of the twenty-first century. Over a decade later, calls for [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/04\/15\/its-time-for-the-health-community-to-back-a-green-new-deal\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":45012,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-50073","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 v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>It\u2019s time for the health community to back a Green New Deal\u00a0 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/04\/15\/its-time-for-the-health-community-to-back-a-green-new-deal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"It\u2019s time for the health community to back a Green New Deal\u00a0 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In 2009, the Lancet Commission on Climate Change and Health concluded that climate change is the biggest public health threat of the twenty-first century. 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