{"id":51194,"date":"2021-10-24T13:29:34","date_gmt":"2021-10-24T12:29:34","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=51194"},"modified":"2021-10-25T09:09:04","modified_gmt":"2021-10-25T08:09:04","slug":"we-must-protect-our-planet-for-our-childrens-future","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/24\/we-must-protect-our-planet-for-our-childrens-future\/","title":{"rendered":"We must protect our planet for our children&#8217;s future"},"content":{"rendered":"<p><span style=\"font-weight: 400\">The defining characteristic of child abuse, be it physical, emotional, or through neglect, is that the child suffers significant harm. At its extreme child abuse is fatal. As a species, through neglecting the ecological determinants of health we have killed millions of children and are in the process of killing many thousands more, while condemning millions to ongoing physical and emotional suffering.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Already,<\/span><a href=\"https:\/\/www.unicef.org\/reports\/climate-crisis-child-rights-crisis\"> <span style=\"font-weight: 400\">920 million children suffer from water scarcity, with numbers rising<\/span><\/a><span style=\"font-weight: 400\">. <\/span><span style=\"font-weight: 400\">By<\/span><span style=\"font-weight: 400\"> 2030 there may be<\/span><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241507691\"> <span style=\"font-weight: 400\">more than 100,000 additional deaths in children under five due to malnutrition attributable to climate change, and an additional 7.5 million children with moderate to severe stunting of their growth<\/span><\/a><span style=\"font-weight: 400\">.<\/span><span style=\"font-weight: 400\"> Children have suffered and died due to extreme weather events\u2014floods, cyclones, heatwaves, and consequent wildfires. Climate change is now a leading cause of forced migration, disrupting children\u2019s home and family lives, education, and healthcare.<\/span><a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/275545\/WHO-CED-PHE-18.01-eng.pdf?ua=1\"> <span style=\"font-weight: 400\">Hundreds of thousands of children under the age of five die as a result of ambient air pollution each year, and hundreds of thousands more due to household air pollution<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Breathing faster, children inhale more of any pollutant per unit of body weight <\/span><span style=\"font-weight: 400\">than adults. Their developing organs are particularly vulnerable in the <\/span><span style=\"font-weight: 400\">womb and in early life.<\/span><a href=\"https:\/\/journals.plos.org\/plosmedicine\/article?id=10.1371\/journal.pmed.1003718\"> <span style=\"font-weight: 400\">Recent estimates suggest exposure to air pollution during pregnancy may be responsible for nearly <\/span><span style=\"font-weight: 400\">three million low birth weight and nearly six million premature births<\/span><\/a><span style=\"font-weight: 400\"> per year. Low birthweight and prematurity are key risk factors with potential irreversible impacts on health and wellbeing throughout life.<\/span><span style=\"font-weight: 400\"> This is significant physical harm on a global scale, with no safeguarding panels, or child death reviews.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There are emotional impacts too. While having limited agency to change the trajectory of climate change themselves, children and young people will live to see more of its impact than those of us already a fair way through our lives. Anxiety is a rational response.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We know from surveys that<\/span><a href=\"https:\/\/researchportal.bath.ac.uk\/en\/publications\/a-global-survey-of-climate-anxiety-in-children-and-young-people-a\"> <span style=\"font-weight: 400\">many thousands of young people are feeling sad, anxious, angry, powerless, helpless, and guilty about climate change<\/span><\/a><i><span style=\"font-weight: 400\">. <\/span><\/i><span style=\"font-weight: 400\">\u201cHow dare you?\u201d roared Greta Thunberg in 2019, \u201cyou have stolen my dreams and my childhood.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ella Kissi-Debrah isn\u2019t roaring. She died in 2013 from severe asthma, exacerbated by her chronic exposure to high levels of air pollution in her neighbourhood by London\u2019s South Circular road. We must roar on her behalf, and on behalf of all the other millions of children whose lives we are destroying. Call the global social services department and report ourselves for failing to change our ways, even when we knew we should. We are all perpetrators. At home, at work, weekdays, weekends, holidays, celebrations, with families, with friends\u2014consuming, consuming, consuming. Depleting the global commons of natural resources our children will need, and increasing the burden of pollutants in our air, our water, and our land. We do this directly\u2014sometimes burning fuel for the most frivolous of reasons, such as to avoid wearing another layer of clothing, or for our car to make the right vroom vroom noise. We do it indirectly too\u2014we have learned to derive gratification from acquiring products whose manufacture, packaging, distribution, and disposal depletes and pollutes beyond our field of vision. Shortage of toys for Christmas? Fantastic\u2014let\u2019s do<\/span><a href=\"https:\/\/www.nhsinform.scot\/healthy-living\/mental-wellbeing\/five-steps-to-mental-wellbeing\"> <span style=\"font-weight: 400\">what genuinely makes us happy<\/span><\/a><span style=\"font-weight: 400\"> instead.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We have to change. We have to tackle climate change bottom up, top down, any which way we can. Child protection is everyone\u2019s business, and climate protection is child protection. Climate risk assessments and mitigation protocols must be ubiquitous\u2014every business, service, school, university, sports club, choir, band, event and so on should have these and be reviewed and audited against them.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Health professionals, who fully understand the implications of destroying the ecological determinants of health, must lead from the front. People noticed when we all stopped smoking. They will notice when we take climate change seriously.\u00a0<\/span><\/p>\n<p style=\"font-weight: 400\">The UN must be our global safeguarding committee. Each Conference of the Parties should include a child protection meeting, at which data and narratives on child suffering and deaths due to climate change are reviewed. At COP26 we must all be held to account.<\/p>\n<p style=\"font-weight: 400\">There is no place of safety to which we can remove our children<span style=\"font-weight: 400\">\u2014<\/span>no alternative world where climate change has been arrested and there is safe air, water, soil, food, and shelter for all. Everyone must play their part in rescuing <em>this<\/em>\u00a0world to make it safe for children, and I for one will continue to roar until we do.<\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Lucy Reynolds<\/strong> is a community paediatrician living and working in Glasgow. Through the <\/span><\/i><a href=\"https:\/\/www.youtube.com\/channel\/UClkPU1qjQsn7ZjJ3dkgjoTQ\/videos\"><i><span style=\"font-weight: 400\">climate change and child health webinars<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> run by the International Society for Social Paediatrics and Child Health she became involved in the <\/span><\/i><a href=\"https:\/\/climateacceptancestudios.com\/ridefortheirlives\"><i><span style=\"font-weight: 400\">Ride for Their Lives initiative<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> and the RCPCH climate change working group.\u00a0<\/span><\/i><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The defining characteristic of child abuse, be it physical, emotional, or through neglect, is that the child suffers significant harm. At its extreme child abuse is fatal. As a species, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/24\/we-must-protect-our-planet-for-our-childrens-future\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":51195,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-51194","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 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>We must protect our planet for our children&#039;s future - 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\/10\/24\/we-must-protect-our-planet-for-our-childrens-future\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"We must protect our planet for our children&#039;s future - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The defining characteristic of child abuse, be it physical, emotional, or through neglect, is that the child suffers significant harm. 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