Global climate change is reaching critical mass. Since the advent of the industrial revolution, we have seen the global mean temperatures raise by 1°C (1.8 °F) and major steps must be taken by 2030 in order to mitigate an even larger global temperature increase of 1.5-3C as predicted by 2030.¹ In other words, we are in dire need of change.

 

This change is not only reliant on governmental policy change, but is a change that we must all make individually. Personal responsibility is key to reducing this detrimental change to our planet. From drinking less bottled water to carpooling, every personal action can play a major role in impacting our planet’s well-being.

 

In 2018, the American Medical Association passed a resolution to “divest from companies that get the majority of their income from fossil fuels.”² This was a huge step forward for the AMA and doctors everywhere who advocate for change in the practice of medicine.

The divestiture is much larger than just moving investments away from fossil fuel companies, it also includes a pledge that states that the AMA will only do business with vendors that have environmental sustainability policies. This move shows that the AMA, and doctors across the United States, are ready to make impactful changes that can serve as a template for other industries in the fight against climate change.

 

The AMA took a similar stance against the tobacco industry in the early 1980s, and was able to divest $1.4 million dollars from its pension fund.³ This separation from the tobacco industry shifted the public’s view of cigarettes, and the positive effects are still being felt today. The move that the AMA made to divest from fossil fuels will, hopefully,  have similar effects .

 

In terms of dermatological health, there are many diseases that have seen increases that are related to climate change:

 

• Lyme disease has tripled over the past 20 years and this believed to be due to the increased geographic distribution of the white tailed deer and Ixodes tick, the natural vector of the bacteria that causes Lyme disease.⁴ Dermatologists play an important role in early diagnosis of this disease due to its distinct targetoid rash pattern.

 

• Fungal infections such as coccidioidomycosis have also seen increases in the Pacific Northwest. These fungal diseases were once only seen in the American Southwest, but have seen a surge in occurrences due to climate change creating new regions where the fungi can thrive.⁵

 

• Skin Cancer is the most common cancer in the United States and 1 in 5 adults will have it in their lifetime.⁶ Over the past several decades there has been decreasing stratospheric ozone layer from chlorofluorocarbon release from aerosols, has led to increased UV exposure to human skin and increases in skin cancer. It is estimated that 1% loss in the ozone layer leads to an increase of 1-2% incidence of melanoma.⁷ In addition, warmer temperatures are directly correlated with people spending more time outside which leads to UV radiation exposure and further increases the risk of skin cancer.

 

These are only a few of the many diseases that have seen increases due to climate change. With wildfires and floods becoming more common and serious in the United States, the burden of climate change is becoming more pronounced.

 

It is no longer a political talking point or a problem for tomorrow. There are real ramifications to our actions that are being felt now. “In 2013, over 9100 scientists authored more than 2250 climate change articles with broad agreement on climate change.”⁸ There is an overwhelming consensus in the scientific community that climate change is real, and it is happening now.

 

These changes may seem daunting and insurmountable, but this is not the case. There are many things you can do to reduce your impact on climate change. Here are some things to consider:

• Use LED light bulbs
• Change home filters regularly and maintain air conditioners and heaters
• Avoid plastic bottles; drink tap water if possible
• Choose an electric or low emission vehicle
• Carpool, ride a bicycle, or walk to places when you can
• Encourage your friends and family to conserve and recycle
• Reduce red meat consumption - this decreases methane release from meat production. Methane is a chemical that increases the greenhouse effect, like carbon dioxide, and thus increases the warming of our planet.

For more suggestions, please see the resources for climate change education we have posted on our Climate Change page.

 

Check out our Facebook page (https://www.facebook.com/fivensonderm/) for more updates and stay tuned for more blog posts about dermatology news, tips, and insight!

 

You can also visit us on https://www.fivensondermatology.com/patient-resources.html for more patient resources about skin health!

 

Feel free to leave a comment below talking about your experiences, and what you have done to be more green! We would love to hear your input on the topic.

 

 

Citations:

[1] Dermatol, J. (n.d.). Dermatologists' role critical in depoliticizing climate change. Retrieved from https://www.healio.com/dermatology/practice-management/news/online/{bb70fa29-8fbc-463a-84e9-c1f2f9b7cdea}/dermatologists-role-critical-in-depoliticizing-climate-change

[2] AMA Passes Resolution on Divesting from Fossil Fuels. (2018, July 05). Retrieved April 16, 2019, from https://www.psr.org/blog/2018/06/13/ama-passes-resolution-on-divesting-from-fossil-fuels/

[3] AMA drops tobacco stocks. (1981, September 29). Retrieved April 16, 2019, from https://www.upi.com/Archives/1981/09/29/AMA-drops-tobacco-stocks/3951370584000/

[4] Kaffenberger, B. H., & Rosenbach, M. (2017). The effect of climate change on skin disease in North America. JAAD. Retrieved April 16, 2019.

[5] Kaffenberger, B. H., & Rosenbach, M. (2017). The effect of climate change on skin disease in North America. JAAD. Retrieved April 16, 2019.

[6] Bharath, A. K., & Turner, R. J. (2009, June 01). Impact of climate change on skin cancer. Retrieved April 16, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697050/

[7] Bharath, A. K., & Turner, R. J. (2009, June 01). Impact of climate change on skin cancer. Retrieved April 16, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697050/

[8] Khalifian, S., & Rosenbach, M. (2018). Dermatology, climate change, and the perils of attacks on expertise. JAAD. Retrieved April 16, 2019.