WEBVTT 9600ab8c-f364-409b-8eb5-86992712813d-0 00:00:00.240 --> 00:00:03.240 Doctor Jemilah, Dave, welcome. Doctor Jemilah, to you 795ab117-9f80-4611-bb25-604fcd70eed1-0 00:00:03.240 --> 00:00:07.431 first. How is climate change affecting health, access to 795ab117-9f80-4611-bb25-604fcd70eed1-1 00:00:07.431 --> 00:00:08.240 health care 88d415a5-a0e6-49b0-8a7f-d8db7198e95a-0 00:00:08.240 --> 00:00:09.600 now? What are we seeing? e4d4ff03-d626-49d5-8f53-ea72f9190a81-0 00:00:10.200 --> 00:00:12.120 Yeah, that's a really important question. 1816e37e-bd49-47af-b48c-ab216294d85a-0 00:00:12.120 --> 00:00:16.295 First of all, the impact of climate change on people's lives 1816e37e-bd49-47af-b48c-ab216294d85a-1 00:00:16.295 --> 00:00:18.280 are both direct and indirect. 2d5b3515-6322-411f-8e59-74740d623f4b-0 00:00:18.560 --> 00:00:22.869 So directly we've seen, for example, the recent heat waves 2d5b3515-6322-411f-8e59-74740d623f4b-1 00:00:22.869 --> 00:00:27.252 during the summer time where people have actually died as a 2d5b3515-6322-411f-8e59-74740d623f4b-2 00:00:27.252 --> 00:00:32.073 result, you know. Countries that may have not been expecting heat 2d5b3515-6322-411f-8e59-74740d623f4b-3 00:00:32.073 --> 00:00:35.360 waves have not adapted to dealing with heat. 3a049db9-475e-4a10-a521-4aa97133ded8-0 00:00:35.760 --> 00:00:39.084 On top of that, obviously, you know, flood cyclones have also 3a049db9-475e-4a10-a521-4aa97133ded8-1 00:00:39.084 --> 00:00:40.800 affected people's life directly. fdc1da73-cebe-4c5a-9714-066e2eb0861d-0 00:00:41.360 --> 00:00:44.360 Some have been drowned, some have been killed directly. 291fac36-f289-4006-b817-99e51814e4b8-0 00:00:44.360 --> 00:00:48.616 You know homes have been demolished because of disasters, 291fac36-f289-4006-b817-99e51814e4b8-1 00:00:48.616 --> 00:00:52.800 so those are, you know, some examples of direct impacts. b55775ad-6546-4c33-8bb5-52e2569c3367-0 00:00:52.800 --> 00:00:55.880 The indirect ones are also multifold. cd3d008b-734a-4c91-aa0a-a33c9508cd3e-0 00:00:56.440 --> 00:00:59.803 For example, we know that with climate change there is a cd3d008b-734a-4c91-aa0a-a33c9508cd3e-1 00:00:59.803 --> 00:01:03.108 different pattern of disease, particularly vector-borne cd3d008b-734a-4c91-aa0a-a33c9508cd3e-2 00:01:03.108 --> 00:01:03.639 diseases. c18e51f2-0bdc-433f-9db6-ec90801f1468-0 00:01:04.000 --> 00:01:08.519 So you will see rising cases of Dengue Fever, Zika virus, c18e51f2-0bdc-433f-9db6-ec90801f1468-1 00:01:08.519 --> 00:01:13.350 Malaria, even. So much so that there has been a reported case c18e51f2-0bdc-433f-9db6-ec90801f1468-2 00:01:13.350 --> 00:01:18.337 of Malaria in Washington, D.C. of someone who's never traveled, c18e51f2-0bdc-433f-9db6-ec90801f1468-3 00:01:18.337 --> 00:01:22.000 or the rise of cases of Dengue Fever in Texas. 24368f91-6a9a-460a-a9d0-f89afbaf9a08-0 00:01:22.200 --> 00:01:26.124 So, you know, so these changing patterns also mean that the 24368f91-6a9a-460a-a9d0-f89afbaf9a08-1 00:01:26.124 --> 00:01:29.655 frequency of us getting, you know, these vector-borne 24368f91-6a9a-460a-a9d0-f89afbaf9a08-2 00:01:29.655 --> 00:01:33.775 diseases will increase, and you know what happened when we got 24368f91-6a9a-460a-a9d0-f89afbaf9a08-3 00:01:33.775 --> 00:01:35.280 COVID and the pandemic. 9d74e07e-db9a-4fe6-8826-7c686e78f592-0 00:01:35.280 --> 00:01:37.160 So, you know, these are the things that will happen. e41b9ee9-3bd8-4d7d-9326-7ea09d59eaae-0 00:01:37.600 --> 00:01:40.929 Now on top of that, you know there are also other health e41b9ee9-3bd8-4d7d-9326-7ea09d59eaae-1 00:01:40.929 --> 00:01:44.200 impacts, for example mental health, which is not talked e41b9ee9-3bd8-4d7d-9326-7ea09d59eaae-2 00:01:44.200 --> 00:01:44.960 about enough. 5d935f24-ac51-43dc-85ed-234d0afcf089-0 00:01:45.440 --> 00:01:49.428 You know, young people, older people are all affected directly 5d935f24-ac51-43dc-85ed-234d0afcf089-1 00:01:49.428 --> 00:01:52.784 and indirectly by climate change, and there has been 5d935f24-ac51-43dc-85ed-234d0afcf089-2 00:01:52.784 --> 00:01:55.000 serious pressure on mental health. b472bb6d-b59e-431d-bb56-dd136237239d-0 00:01:55.760 --> 00:02:00.054 There have also been problems of undernutrition because climate b472bb6d-b59e-431d-bb56-dd136237239d-1 00:02:00.054 --> 00:02:04.416 change also affects the quality of food we grow and the quantity b472bb6d-b59e-431d-bb56-dd136237239d-2 00:02:04.416 --> 00:02:05.960 of crops that can grow. e68cc70e-221d-404a-bc8b-bb985f832e99-0 00:02:06.280 --> 00:02:09.661 So there will be a long-term impact on the food and nutrition e68cc70e-221d-404a-bc8b-bb985f832e99-1 00:02:09.661 --> 00:02:10.480 sector as well. 3ad22621-3908-4930-82d7-585a1e05793f-0 00:02:10.840 --> 00:02:15.118 So I think, you know, it's a multitude of areas where health 3ad22621-3908-4930-82d7-585a1e05793f-1 00:02:15.118 --> 00:02:15.960 is impacted. d1023a22-2007-4925-b09d-618881a656e9-0 00:02:15.960 --> 00:02:19.883 And for sure, the link between climate change and health is now d1023a22-2007-4925-b09d-618881a656e9-1 00:02:19.883 --> 00:02:23.499 something real, something that we need to speak out louder d1023a22-2007-4925-b09d-618881a656e9-2 00:02:23.499 --> 00:02:26.871 about and educate people. So clearly, yeah, a big link d1023a22-2007-4925-b09d-618881a656e9-3 00:02:26.871 --> 00:02:30.120 between the health of our planet and our own health. 6ed0f5b3-6ff4-4030-876a-44a671a34bc9-0 00:02:30.160 --> 00:02:33.080 But I imagine as the health of our planet sort of gets worse, 8476325f-4f54-477a-82d9-2cf4afdc49ab-0 00:02:33.120 --> 00:02:33.320 8653713d-c351-4c19-a062-7abffd041c6b-0 00:02:33.440 --> 00:02:35.320 so will ours, and the situation will get worse. 8e21a833-e3e9-44fd-b5dd-d34974274e64-0 00:02:35.720 --> 00:02:35.960 Yeah. 800c9730-ae30-4823-8f35-7b0ab8cf3dbd-0 00:02:35.960 --> 00:02:37.360 No, absolutely, Georgie. 2aed892b-5123-4943-8e3a-3888d6a86629-0 00:02:37.720 --> 00:02:40.976 And you know, if you think about it, even in the best of times in 2aed892b-5123-4943-8e3a-3888d6a86629-1 00:02:40.976 --> 00:02:44.084 developing economies, you know, getting good access to health, 2aed892b-5123-4943-8e3a-3888d6a86629-2 00:02:44.084 --> 00:02:46.600 good nutrition, well-being is already a challenge. f7e2e3c8-4f1f-4e88-8f16-cca1ea12c0bb-0 00:02:46.600 --> 00:02:50.112 Now if you think about what we have ahead of us, you know with f7e2e3c8-4f1f-4e88-8f16-cca1ea12c0bb-1 00:02:50.112 --> 00:02:53.624 the changing climatic patterns, the increased heat, the stress f7e2e3c8-4f1f-4e88-8f16-cca1ea12c0bb-2 00:02:53.624 --> 00:02:57.248 on water systems, the stress on food systems, we're going to see f7e2e3c8-4f1f-4e88-8f16-cca1ea12c0bb-3 00:02:57.248 --> 00:03:00.426 a lot more of this, a lot more frequently and a lot more f7e2e3c8-4f1f-4e88-8f16-cca1ea12c0bb-4 00:03:00.426 --> 00:03:01.040 widespread. 299e7ded-be1e-4e70-b5c7-89bdb282315a-0 00:03:01.640 --> 00:03:04.808 So, really the time to act and put it at the top of 299e7ded-be1e-4e70-b5c7-89bdb282315a-1 00:03:04.808 --> 00:03:08.160 decision-making priority is one for all of us to take. 72f52240-4419-4e09-8fa9-5996bc759689-0 00:03:08.840 --> 00:03:11.961 So it leads to the question: what on earth can we do about 72f52240-4419-4e09-8fa9-5996bc759689-1 00:03:11.961 --> 00:03:12.120 it? 8973dc0c-42b0-4ca2-a8ec-3d0bb488707c-0 00:03:12.400 --> 00:03:14.000 Yeah, you know, add it to that as well. cdc13809-2a09-4d21-8d4e-b08e1b96d07e-0 00:03:14.000 --> 00:03:17.195 You know, you rightly pointed out, Dave, the rising cost to cdc13809-2a09-4d21-8d4e-b08e1b96d07e-1 00:03:17.195 --> 00:03:20.444 the health sector is going to be immense, right? From direct cdc13809-2a09-4d21-8d4e-b08e1b96d07e-2 00:03:20.444 --> 00:03:23.640 damage to, you know, the things that you need to cope with. c43efd0b-692e-4d70-baa4-abda9a5d9bf5-0 00:03:24.280 --> 00:03:27.140 You know, I remember my friends in the US saying to me they wish c43efd0b-692e-4d70-baa4-abda9a5d9bf5-1 00:03:27.140 --> 00:03:29.780 they were in Asia because people didn't know about tropical c43efd0b-692e-4d70-baa4-abda9a5d9bf5-2 00:03:29.780 --> 00:03:30.440 diseases there. 551bf1d2-9de6-45ba-9258-af648ba74f67-0 00:03:30.680 --> 00:03:33.257 So how, you know, there's so much new things that have to be 551bf1d2-9de6-45ba-9258-af648ba74f67-1 00:03:33.257 --> 00:03:33.680 developed. d295c553-6da5-47a1-89ef-ea1a686dc9d4-0 00:03:34.120 --> 00:03:37.190 But I think, you know, as someone who set up a planetary d295c553-6da5-47a1-89ef-ea1a686dc9d4-1 00:03:37.190 --> 00:03:40.530 health center, this is where I think it's time to connect the d295c553-6da5-47a1-89ef-ea1a686dc9d4-2 00:03:40.530 --> 00:03:40.800 dots. 0d8ca87e-eb36-4de6-909e-c787ecdced22-0 00:03:41.200 --> 00:03:44.425 So planetary health, you know, emerge out of, you know, 0d8ca87e-eb36-4de6-909e-c787ecdced22-1 00:03:44.425 --> 00:03:47.939 physicians and scientists coming together to say, "Hang on a 0d8ca87e-eb36-4de6-909e-c787ecdced22-2 00:03:47.939 --> 00:03:51.395 minute, there is a direct link between human health and the 0d8ca87e-eb36-4de6-909e-c787ecdced22-3 00:03:51.395 --> 00:03:54.678 health of human civilization with the natural systems on 0d8ca87e-eb36-4de6-909e-c787ecdced22-4 00:03:54.678 --> 00:03:55.600 which we depend. accaadff-ea10-462b-9527-78f44584a206-0 00:03:55.800 --> 00:03:58.608 And therefore we cannot be healthy without the health of accaadff-ea10-462b-9527-78f44584a206-1 00:03:58.608 --> 00:03:59.200 the planet." 62de51b6-e200-4a2d-aeae-a50ad49ec4f5-0 00:03:59.600 --> 00:04:03.240 And what it requires then is for us to relook at health as well. f1abf8a2-4565-481c-8c48-785f06dfcf1d-0 00:04:03.440 --> 00:04:05.731 You know, we often, when you think about health, you think f1abf8a2-4565-481c-8c48-785f06dfcf1d-1 00:04:05.731 --> 00:04:07.440 about hospital or doctor, you know, clinic. d72c7fc1-8607-49be-b9a5-b8368f0ade12-0 00:04:07.680 --> 00:04:11.626 But actually the determinants of health are economic, social, d72c7fc1-8607-49be-b9a5-b8368f0ade12-1 00:04:11.626 --> 00:04:15.000 behavioral, political, and definitely environmental. f2e12153-bf4c-44f3-bca7-31bc0dba5edc-0 00:04:15.320 --> 00:04:18.964 So planetary health allows us to look at it from a systems f2e12153-bf4c-44f3-bca7-31bc0dba5edc-1 00:04:18.964 --> 00:04:19.520 approach. 34ffa5ef-faa6-4053-820e-d9e13e98b176-0 00:04:19.880 --> 00:04:24.612 What are the systems shifts that need to happen for us to have 34ffa5ef-faa6-4053-820e-d9e13e98b176-1 00:04:24.612 --> 00:04:29.344 the health of humanity and the health of the planet preserved? 34ffa5ef-faa6-4053-820e-d9e13e98b176-2 00:04:29.344 --> 00:04:33.400 You know very, much in the the same light, Jemilah... ab029bf7-d387-43d3-9543-a7b1cb4156d8-0 00:04:34.360 --> 00:04:37.949 You know at this stage, there needs to be the best of climate ab029bf7-d387-43d3-9543-a7b1cb4156d8-1 00:04:37.949 --> 00:04:40.960 science, the the best of, you know, available data. 65f0a481-7801-4a7f-92cf-80452d3b6db1-0 00:04:41.200 --> 00:04:44.662 You know to the right decision makers, to make sense of the 65f0a481-7801-4a7f-92cf-80452d3b6db1-1 00:04:44.662 --> 00:04:48.298 issues right, to have a view of what are the implications, you 65f0a481-7801-4a7f-92cf-80452d3b6db1-2 00:04:48.298 --> 00:04:51.818 know, across all the different aspects of of how we live and 65f0a481-7801-4a7f-92cf-80452d3b6db1-3 00:04:51.818 --> 00:04:55.281 work, and using that as a way to then prioritize and deploy 65f0a481-7801-4a7f-92cf-80452d3b6db1-4 00:04:55.281 --> 00:04:56.319 resources and act. cbda55bc-1b8f-4f09-a716-e988245872ea-0 00:04:56.600 --> 00:04:56.720 Yeah. 9a30f85c-65d7-4ab1-be84-1a8157b926d6-0 00:04:56.720 --> 00:04:59.487 I think that really is the the immediate you know agenda that I 9a30f85c-65d7-4ab1-be84-1a8157b926d6-1 00:04:59.487 --> 00:04:59.920 feel is... 7847da95-31f0-4aa2-ab56-7d8155acaadc-0 00:04:59.920 --> 00:05:03.160 But if I may it must start from clear communications. 4bb0ec07-9aad-4c6a-b670-4f0ab73c2c66-0 00:05:03.400 --> 00:05:06.824 When you say, you know, when you talk about climate change in 4bb0ec07-9aad-4c6a-b670-4f0ab73c2c66-1 00:05:06.824 --> 00:05:09.973 terms of 1.5°, it doesn't mean anything to people on the 4bb0ec07-9aad-4c6a-b670-4f0ab73c2c66-2 00:05:09.973 --> 00:05:10.360 street. 9463f846-ca93-4b3b-a953-cf5574d20c5b-0 00:05:11.000 --> 00:05:13.200 So This is why you know the planetary health approach. b5b99ebd-be0c-4115-9a3b-e33fe9e9bad5-0 00:05:13.200 --> 00:05:16.392 Putting health at the center of our climate discussions is b5b99ebd-be0c-4115-9a3b-e33fe9e9bad5-1 00:05:16.392 --> 00:05:16.880 critical. d14ead20-d4ed-46e0-ad8b-70c740a244d6-0 00:05:17.120 --> 00:05:20.932 Everyone understands health, everyone knows that they want d14ead20-d4ed-46e0-ad8b-70c740a244d6-1 00:05:20.932 --> 00:05:22.160 good health, right? e790e386-3426-43e3-855f-474a31704645-0 00:05:22.360 --> 00:05:26.186 So if you say to them that if you want to remain healthy, e790e386-3426-43e3-855f-474a31704645-1 00:05:26.186 --> 00:05:29.814 climate change becomes a critical issue and we need to e790e386-3426-43e3-855f-474a31704645-2 00:05:29.814 --> 00:05:33.838 now address all the underlying drivers on why we are in this e790e386-3426-43e3-855f-474a31704645-3 00:05:33.838 --> 00:05:37.665 situation today, then you can center your discussions and e790e386-3426-43e3-855f-474a31704645-4 00:05:37.665 --> 00:05:40.040 language that is understood easily. 8d7dce03-4a79-41d8-8a10-01ee068ccb56-0 00:05:40.120 --> 00:05:42.720 We have to de jargonize science, right? 5d2720e8-4a6f-4a66-99f0-24610a62ac5f-0 00:05:42.720 --> 00:05:44.480 And make it understood to people. 11befc78-4914-4986-9278-3b89f7692e72-0 00:05:44.480 --> 00:05:47.939 Here's you, scientists, politicians, everyone business, 11befc78-4914-4986-9278-3b89f7692e72-1 00:05:47.939 --> 00:05:49.360 everyone scientists #1. bae1953e-ca86-4e04-aa8b-98719a68f262-0 00:05:49.400 --> 00:05:52.785 Because you know this, the reports are coming out from the bae1953e-ca86-4e04-aa8b-98719a68f262-1 00:05:52.785 --> 00:05:56.400 scientists, clinicians, doctors, we all have to talk about it. 1a6f2400-ffbf-4663-aa6c-e3c3d028e20a-0 00:05:56.400 --> 00:05:58.240 You know the the challenge is this. 7f0e04d4-b686-4d12-a7ca-166cddfe91a6-0 00:05:58.640 --> 00:06:02.784 As a as a doctor myself, you know only less than 15% of 7f0e04d4-b686-4d12-a7ca-166cddfe91a6-1 00:06:02.784 --> 00:06:07.003 medical curriculum touch on climate change and it hasn't 7f0e04d4-b686-4d12-a7ca-166cddfe91a6-2 00:06:07.003 --> 00:06:11.000 changed since I graduated many, many, many years ago. f08f174a-9e62-427c-a273-5d2255f8c02c-0 00:06:11.000 --> 00:06:14.887 Right now the other thing is the health sector itself is a f08f174a-9e62-427c-a273-5d2255f8c02c-1 00:06:14.887 --> 00:06:15.480 polluter. b2d186eb-a4ef-4e83-b32b-874d1ed5bb3f-0 00:06:15.960 --> 00:06:19.956 If the health industry worldwide was a country, it would be the b2d186eb-a4ef-4e83-b32b-874d1ed5bb3f-1 00:06:19.956 --> 00:06:22.080 5th largest emitter in the world. 62dd8c03-7746-4cae-b885-0267081dfa66-0 00:06:22.840 --> 00:06:26.120 Health practitioners and health workers are trusted. 75418a1c-3e5d-4882-9d6a-508174bd7498-0 00:06:26.440 --> 00:06:31.487 Our voice matters and we need to raise our voice, whether it's to 75418a1c-3e5d-4882-9d6a-508174bd7498-1 00:06:31.487 --> 00:06:35.922 our patients, to our, you know, our policy makers, to our 75418a1c-3e5d-4882-9d6a-508174bd7498-2 00:06:35.922 --> 00:06:36.840 politicians. 626a4b27-9c1d-451f-9e28-8fee7975d876-0 00:06:37.080 --> 00:06:42.538 You know, we need to now really use that momentum from this COP 626a4b27-9c1d-451f-9e28-8fee7975d876-1 00:06:42.538 --> 00:06:47.486 28 that has finally put health as a central agenda to the 626a4b27-9c1d-451f-9e28-8fee7975d876-2 00:06:47.486 --> 00:06:52.689 climate discussions to propel the dialogue, the advocacy and 626a4b27-9c1d-451f-9e28-8fee7975d876-3 00:06:52.689 --> 00:06:55.759 the action that he needs to follow. 24a3b4d4-54ff-4c94-add9-8d9b94476d23-0 00:06:55.760 --> 00:06:58.280 George Miller, Dave, thank you so much. 59fe3958-b08c-4d0d-b403-4c2f4dd84d2e-0 00:06:59.320 --> 00:06:59.680 Thank you. a6787411-b9cb-4a0f-a459-312463a64261-0 00:07:00.000 --> 00:07:00.280 Thanks.